HomeMy Public PortalAbout5508 ROBINHOOD AVE_Electrical__ 7SA"2 DZM SA 2-10 APPLICATION FOR
DEPARTMENT OFNG AND S D ELECTRIC )COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENo1NQR
FE^APPLI TO FILL IN DIOTRICT NO. GROUP ZONE 12=;K
Q IT
ELECTRICIA
REO[IV[D MY READY FOR DAT[ ISflltD
ADDROR O L,,5
y 4 � O
FIRST INMP[ TION
L -i
CITY TTL. NO.
OOU LIO[ u NO. owimS ■UILDINO
rEMM FEES ADDRLM
NUMBER [AOR FQLOCAL
LIGHT OUTLETS NEAREST
REO[PTADLES 7v OROSS ST.
WALL SWITCHEM OWNER
TOTAL OUTLETS Bo MAIL
[LEO. RANOIM 28 ADDREOS
ELEO. HEATERS lib CITY TEL, NC.
FIXTURO a I HEREMY AOKNOWLMDOM THAT I HAVM READ T'HI■
MIOO. LICATION AND STATE THAT T-HE ABOVE to CORSILUT
NUMBER OF OHT OIROU ` AND AORMM TO COMPLY WITH ALL COUNTY ORDINANOO
HUMMER OF RKOIEPTA13LIC OIROUIT'S .3 AND STATE LAWS REOULATINO REOTRICAL WIRING.
MOTORS 1 DIXTIFY THAT I POSSEIS TWO ABOVM VALID LOS
NuwM[w HOli1tPDW[RFEE NAGELES COUNTY LIOEHME, OR I AM THM LJOIAL OWNER
Nnv MVD. HP w[w IND. I OF THM REMIDOffIAL PROFMRTY MSORIBMD AMOVM.
l�r Q
a Lmim XB ■ISNARM OF
rMf ,MO
9 IS 1.00 SPECTION RECOOD
M 1M 1.50
10 BO SI.MO
BO am ILDO
QOO MOO IO.DO J
■00 1 000 15.00 Z
OVER 10010 20.00 6
M.O. oET FR GRANGER-HP 0:
WELDERBIAD-KVA O
■ENERATCRS - KW
TRANMFORM[RS - KVA
TEMP. MOTOR■ 75DF DRI■
MOVED MDTOIH (75or oMI
MIND.
B113N8
NO. NO.TRANa
D. APPROVALS
FOR MACH PMRMITI DATE IN1S•[OTUR7 [
WIRING 37 CONDUCT
FDC TRIS 1.00 WIRING
LO F IXTU
POWER
TOTAL FIE UTILITY OO.NOTIFIm Iy
F I NAL
7awem ona KA 11-00 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENoINKXR
FOR AP LICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTR
ADDRESSICU I RECEIVED BY FIRn[�.DY FOR DAT[ISSUED
IH.4rICT'fON it1�/
CITY TEL NQ. /T"
OU C BUILDING �f
PEaMrr FEES ADDRESS CJ
FEE
MBKR EACH LOCALITY
LIGHT dUTLETt N[ARE/T
CROSS ST.
R[CQTACLES
WALL SWITCHES OWNER --?
TOTAL OU 5C MAIL
ELEC. RANGES is ADDRESS
ELEC. HEATERti 25 CITY .
FLXTU ES a
I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
M APPLICATION AND STATE THAT THE AI.OV[ to CORRECT
NUMBER OF LIGHT CI CUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEO
NUMBER OF RKC.KPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSE6/ THE ASOVE VALID L.Os
NuHORa FIE 6tANGELES COUNTY LICV"E//. OR I AM LEGAL fGAi OWNER
m W D IBED ADOVL
r
NW Mw. HF oVn1 tnc. uc�
OF THE RESID P
1 a 25 SIGNATURE OF
VA 2 60
PKRMITT[
2 5 1.00 VMSPECTION RECORD
Is 1a 1.ISO
is 5o 2.50
ao 200 5.00
2nQ 500 10.00 J
aoo IOQQ 15.00
OVER EO.oQ
M. o. sIrr/prRxq. CHANGER-Hr R
WELDERBi AC-KVA 0
GENERATORS-KW
TRANSFORMERa-KVA
TEMP. MOTORS 7 of optics.).
MOVED MOTORS 75OF optic.
I
SIGNS
NO. NO. TRANS. APPROVALS
NO
DATE NS '/NALMK
FOR EACH P<ftMIT
WIRING 1.00 CONDUIT
FIXTURE/ 1,00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE s I unuTY Co. NOTIFIED
FINAL
APPLICATION 'FOR LECTRIC PERMIT ],
COUNTY OF LOS ANGELE8
DEPARTMENT OF COUNTY ENGINEER IEIUILDING
BUILDING AND SAFETY DIVISION ADDRE86
JOHN A. LAMBIE, CoUNTX ENGINEER
CAISATT d. GRIFFIN, •urT OF QiJI ENG LOCALITY
cg
FOR APPLICANT TO FILL IN NEARSdT
PERM T FEES
I T H Y NUhMlUtl [ACH FI[ OWNER
OUTL£T61 ; MAIL '
LIGHTS ItscvT. ' fw. .10 'ADDRMS
LIGHTING FIXTURL6 .10
uia. R"QKS al . DRYERS ELECTRICIAN
W AT[ R H SATINS .50 ADDRIC66
KLXO.STACI HTRI. DI>f}iWAIHQV
clrr THL No.
GAR!L/1GE DIfTOSTJtS AUTO.-
wwsxw rIw cooeuNG uNrrf 25 ATE
LLIICSN6E NO. Q C-)
MOTOR91 OVER . IHC. H.P. DISTRI GR P ZONE
P Y
0 va .25 2S
va— 2 .50 INSP=ON EECOED
2— 5 1.00
5— f5 1.170
111— 50 2.50
50-2010 5.00
61GN81 No. TRANS.
NO. L1.HTf
SERVICE 0-500V 1.00
SERVICE OVER AOOV 5.00 -
M16C.
WIRING PERM4T 1.00 QQ
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE i AMOVAM
1 HIRIOY ACXNOWLEDO[ THAT 1 HAVI< READ THIS "PLICATION DAT[ INA?[CTOR'f SIGNATURE
AND STAT[ THAT THE A1OVE 16 CORRECT AND AGREE TO COMPLY CONDUIT
W,�TH
TATE
ALL CO UJlTY ORDINAH CED AND 1 G
LAWS REGULATIN
R.IcncicAl.WIRING. WIRING ~�l—✓9 �-7 .
I R
HEEBY CERTIFY THAT I AY PROMMLY REOISTIOUZ AND/OR
LICENSED AS REQUIRED ■Y LOS ANGI'EL" COUNTY AND ArTATE OF FIXTURKS
CALIFORNIA OR THAT 1 AM THS LEGAL OWNE7[ OF THE VE
DEDG.RIEED RXSIDfXT1AL F POWER
SIGNATURE UTILITY CO.NOTIFIED
OF FrINAL
!-
y,ATm�(TION .ARTHUR C 1/IIT.
f; --- ART HVI C ►ivarn.lOAL gfiGIN1!LSF{
YO CATH
:9'9 —z f,
"A 'jL'o-" APPLICATION FOR ELECTRIC PERMIT 1.
COUNTY OF LOS ANGELE
DIzARTm OF COUNTY ENGrNm R BIJILISING
BUQ AIN6 AND WW]r'Y DMSION op
JOHN A. LAK SM Courrrr Exmimmm
WILLIAM A.JMNSEN l9urT of BuII_nlHm QTY I I
FOR APPLICANT TO FILL W N APUCUT
PEMIIT FEES CROSS ar.
I r r NUhMKR I XAC 4 Fa OWNER
Lic, R1[Q!R[. IW. .10
LiaHTING Prucrbmw fo trry T-EL No.
di4 RANQ= m.o.oprlgE" •ELECTRICIAN
wATIKK HrATRAN .50 ADDMUM
asa.SpAct HTR~ DIaaiwAsmim% CITY TEL NO.
QAR=AQT
Y DUR-08 " AUO.-
aTATX
WAI<HOM /TA.COOIONQ UNm J!5 LlCFN6A NO.
MOTORS: ovne INC_ HJ+.
o— ys. se '1 .-D
.50 INSPECTION.BECOHn
a— n 1.00
a— 15 1.50
its— 5O 2.50
50—200 5.00
SION�: NO.TRANIk
NO.LAYrs
SERVICE 0-600V 1.00
SERVICE OVER 6OOV 5.00
MIHC.
WIRING Pl�RMIT 100
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERK 1 T JSO
TOTAL FEE
1 lixmmwY AcKNOWLIDQi THAT I I-AW Mi AD THII ArruaATION APPROVALg DAT= INsrtaYol4■SIONATUIM
AND XTAT= THAT THI XWOVX Il COR}QQT AND AQF= TO COYFLY
WrFH ALL cQUNTY ORDINANdL AND 1TATi L AvrS 11IQkILArMa CONDUIT
II.tCTRICAL WIRINQ.
1 HQSDY CIRTIFY THAT 1 Ail *R31r23qLT RIQIWrM= AND/OIL WIRING /
Lla"W U M AY•pUIMM ■Y LOG ANGM.3W COUNTY AND MITATIK OF plkniR 8 J
CALIFORNIA OIL THAT I AM THI LX"L OWNAL OF TH= ASOVE
D[LCiUBm RL/IDRIOAL•fY. POWER
81QNATUNE LrrlLITY CO.NOTIFIQD -OF PERKI
fjNAT
uPeHitv181Na ELsVFJTc
,91 trlucwL�1o1Nr>ri# .
YO
LALa 6 3 9 S NOV 3 2 D 250
WORKERS'COMPENSATIONDECLARATION 76Aet33 APPLICATION FOR ELECTRICAL PERMIT
CE-BMG 42-80)
L hereby Ifftrm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
Wsure, or a cerdflcate of Workers'Compensation Insurance,or
li,c6rtlfted copy thereof(Sec. 3800,Lab.C.)
�1-� F FOR APPLICANT TO FILL IN ,JOB '
Policy No. �I L�.�Company �a��t�� New Residential Bldgs.&Pools EACH NO. FEE ADDRESS '51E36 6
❑ Certified copy h hereby furnished. 1 &2-Famlly,Sq. Ft. $ — $ LOCALITY
0
Multi-famlly Sq. Ft.
Certified copy Is filed with the county building Inspection CROSS ST
department.
Resldentlel Swimming Pools OWNER OR —
Datel�4qC� ca
L Applint (� - FIRM NAM
1-�� Outlets:,Rec.-___Light Sw. MgIL a
rst 20 ADDR
CERTIFIdATE OFEXEMPT �IE88
ION FROM WORKERS' Total No. Additional CITY Tel No.
COMPENSATION INSURANCE PLAN CHvie- C
('I'hb section neednot beleted if the work invotred APPLICANT -.
by the.permit is for one hundred doUm (;100} of less.) Lighting Fixtures FIM 20 AODRLSS
Total No. Additional
I certify that in the performance of the work for which thisCITY Tel No. Q
permit is iasyed, I &hall not employ ■oy person in any manner Fixed Appliances Not Over 1 HP IU—
PERMIT r
so as t6 become iubject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLIQANT pW,,
Oven Dryer_Vy.M._ ADDRESS t!1
Date Applicant Top _ FAU L W.H. Z
Hood Fen ,—Other_' CI A
o.
NOTICE TO APPLICANT: If, after making this Certificate of Dlsp. _ Room Air Cond— �7
Exemption, you should become subject to the Workers' REi3. NU BER CI—Cs
Compensation provisions of the Labor Code, you must forth- Power Appahms& Large Appllencos DISTRICT NO. PROCES§EJD ISY
with comply with such provislons or this permit shall be -
deemed revoked
Size&Type HP,KW, KVA,or KVA �
Up to 1 Indl.
Over 1 to 10 Incl. FINAL
DATE
LICENSED CONTRACTORS DECLARATION �� Q VAS I ION
Over 10 to 60 Inc 1. !J
I herebyaffirm that I.am licensed under p FINAL
provisions of Chapter Over 60 to 100 Inc.' BY
9 (commencing with Section 7000) of Division 3 of the Busi- Over 100
news and ProfesMons.Coda, and my license Is in full force and 4 O a Jr A
affect. Services
License Numbe; Lic.Class r '4 0-200 Amp. Under 600 V #-0 o o • 0 2
201.1000 Amp. UndaY 600 V
Contractor Aie, �J�'_Date — Over.1000 Arnp.or Over 600 V A o 0 2 1,Q 0
HOME OWN ER-BT4U DER DECLARATION Temp.Power Pole&Appurtenances 0 0 0 21.0 0 6
I hereby affirm that I ■m exempt from the.ContrnMor'& Sign with One Brench'Circult
License Law for the following reason (Section 7031.5, Bud- Additional Sign Branch Clrcults 0 221 -86 .2'1 _86
nese and Professions Code):
Misc.Conduits&Conductors
El 1, as owner of the property,will do the work and the Other(See Complete Foe SchedulJ3)—
structure is not Intended or offered for sale (Section
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there L ■ construction lending agency
for the performance of the work for which,this permit V PERMIT FEE (Sub-Total)blued(Sec. 3097,Ctv.C.).
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE
I certify that I have read this application and state that the TOTAL FEE 2
above Information is correct.I agree to comply with all County
ordinances and State, laws regulating Electrical wiring, and
hereby authorize representatives of dila County to enter upon
the above-mentioned property for Impaction purposes.
SEE'REVERSE FOR EXPLANATORY LANGUAGE
tura of Permittee Date