The URL can be used to link to this page

Home My Public Portal About5841 ROWLAND AVE_Electrical__ ,eA868 -908(6/79) APPLICATION FOR ELECTRI AL PERMI COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS ti a� r 1 CC7�+��-�►`�dV�_ 1 &2-Family,Sq.Ff. $ 025 — $ LOCALITY --7� 6 Multi-family Sq.Ft. .02 — NEAREST CROSS ST. ru. Residential Swimming Pools 25.00 OWNER OR `��p� ,t�S `•C c FIRM NAME / Outlets:Rec - Light-4, Sw'. 50 MAIL First 20 Total No. Additional .30 CITY Tel.No.12e6 3`SI PLAN CHECK APPLICANT' Lighting Fixtures First 20 •50 ADDRESS Additional .30 Total No. Additi � CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT � Range.Heater—D.W.._ APPLICANT &At4&o CiSS 1Zlc�fA 74S Oven—Dryer_W.M.— ADDRESS —ISOIL,OS Top. _FAU —W.H._ CITY l ` Tel.No.-6—';5 Hood_Fan _Other_ LICENSE OR Disp._Room Air Cond. _. 2.50 REG.NUMBER (p `rQ Class.G OQ I HEREBY ACKNOWLEDGE THAT)HAVE READ THIS APPUCA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL.WIRING. P 2.50'. U to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 50 to 100 Inc. 25.00 DESCRIBED RE TIAL PROPERTY. O 40.00 PERMIT.E.E Over 100 SIGNATURE Services DISTRICT NO. SED BY 0 200 Amp,Under 600 V 12.50 201-l 000.Amp. Under 600 V 25.00 .• Over 1000 Amp.or Over 600 V 50.00 Z O Temp.Power Pole,&Appurtenances 1.0.00 Sign with One Branch Circuit 10:00 C Additional Sign Branch Circuits 2'00 INSPECTION > Misc.Conduits&.Conductors 10.00 INFORMATION Id ON REVERSE _ Other(See Complete Fee Schedule) SIDE U - ;20629A Z 5 # 000a•o2 6 2 - 1200 PERMIT FEE (Sub-Total) 0 0 0 = PLAN CHECKING FEE (One-Fourth Permit Feel 1 2 O O v 0 PERMIT ISSUING FEE •$7.00 0929-78 TOTAL FEE INSPECTION FINALED ; date: /��7�. By IW Os 76A603 DBS SA 4 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ��IC WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN x2-,5 // 3 13 RE ED BY. READY FOR DATE ISSUED ADDRESS FIRST INSPECTION 7 CITY TEL. NO. COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS FEE NUMBER EACH LOCALITY ? D LIGHT OUTLETS ` NEAREST RECEPTACLES CROSS ST. F ry WALL SWITCHES OWNER ,�► " �!� A§, TOTAL OUTLETS SC S rJ MAIL ELEC. RANGES 25 ADDRESS ,�� Y ELEC. HEATERS 25 CITY Jf L. NO. y FIXTURES 5 ZC� I H EBY /CCKNOWLEDGE AT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH DESCRIBED ABOVE. THE RESIDENTIAL PROPERTY DESCRIBEABOVE. I 1/2 a LESS S .25 SIGNATURE OR`( f U PERMITTEE 1/2 2 .50 2 s 1.00 &� f INSPECTION RECORD s 1s 1.50 �;- 1s so 2.50 so 200 s 00 200 Boo 10.00 Soo 1000 15.00 Z OVER 1000 20.00 Ali M. G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF OR1G.) MOVED MOTORS (75%OFORIG.) MISC. SIGNS NO. NO.TRANS. I I APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME / WIRING $1.00 / CONDUIT // �± FIXTURES $1.00 / WIRING 44e/�—.+J SUPPLEMENTARY .50 FIXTURES POWER ie TOTAL FEE S� �� UTILITY CO. NOTIFIED / ® FINALol �v WORKER S'COMPENSATIONDECLARATION `76,4663Ici-SOGG (2-86 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that 1. have a certificate of consent to e f COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Coin ensation Insuran a or e7t7;t FOR APPLICANT TO FILL IN JOB oli y o. Comp s ADDRESS New Residential Bldgs.&Pools EACH NO. FEE Certified copy is hereby furnished —�� 1 &2-Family,Sq. Ft. $ $ LOCALITY Y .�,�v� Certified co is filed with the count building p Multi-family Sq..Ft. — N AREST copy'. y gins inspection CROSS ST �!•� `� department. Residential Swimming Pools OWNER OR Date Applicant 11 QQ f� �IZ/Z:IADDRESS FIRM NAME 6*•''� Outlets: Rec.dLight t First 20 !f ' AIL 'CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional ITY Tel No.COMPENSATION INSURANCELAN CHECK(This section need not be completed if the work involved PPLICANT �� rs ULighting FixturesFirst 20by the permit is for one hundred dollars ($100) or less.,) DDRESS Total No. Additional 0 I certify that in the performance of the work for which thisCITY Tel No. !- Fixed Appliances Not Over 1.HP permit is issued, I shall not employ any person in any manner PERMIT t ��, a so as to become subject,to the Workers'Compensation Laws. Range_Heater.D.W._ APPLICANT �C. ct,S t ti Oven Dryer_W.M._ ADDRESS y 2G f.,// S Date Applicant Top _ F —W.H. CITY G � ,6� Tel No. C�f�l3� Hood_ Fanan _Other_ NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond— LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Cy Compensation provisions of the Labor Code..,you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCES D BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. FINAL Ober 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION Over 10.to 50 Incl. "f' '&6 VALIDATI N I hereby affirm that I am licensed under provisions.of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi' Over 100 BY —R—� ness and Professions..Code,and my license is in full force and effect. Services Z7/z..�� C/Q 0-200 Amp.Under 600 V License Por-44CA"54406- berLic.Claspr� c�' 201-1000 Amp.Under 600 V 7 . Contrac Date 5 3�- o Z� Over 1000 Amp.or Over 600 V __ HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with.One.Branch Circuit License Law for .the following reason (Se:ction 703Additional Sign Branch Circuits 1.5•, Busi-. 9.7 4 6.2 a ness and Professions Code): + Misc.Conduits&Conductors i $� 0 0 ck o o.2 ❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section, 2 o o 3 R 3 0 .7044,Business and Professions Code)- CONSTRUCTION LENDING AGENCY o o 0 3 8 3 a cC.- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). Lender's.Name. PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that I read this application and state that the TOTAL FEE above infor ion' correct.I,agree to comply with all County ordinance and laws regulating Electrical wiring, and hereby thor' r ntatives of this County to enter upon the ove- I opert inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE C-Xgnapffe WPermittee Date