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HomeMy Public PortalAbout5413 SANTA ANITA AVE_Electrical__ 'GA6410E-80816"8' APPLICATION FOR EL CTRI'CAL PERMIT COUNTY OF LOS ANGELES BUILDING AND_SAFETY FOR APPLICANT TO FILL IN. JOB ` A.�. EACH NO. FEE ADDRESS / J7/lJ New Residential Bldgs.& o LOCALIT 1 &2-Family,Sq.R. ��. $ .025 — $ _ awry -� .02 — NEAREST — �7� ��-�s���, s Multi-family Sq.Ft. CROSS ST. .CI.K-�� Residential Swimming Pools 25.00 OWNEROR�-�p s St= FIRM NAMES , Outlets:Rec Light Sw. MAIL .� Eirst 20 .50 ADDRESS Total No. Additional 30 CIT Tel.No, PLAN CHECK APPLICANT Lighting Fixtures. First 20 .50• ADDRESS Additional .30. Total No. CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT APPLICANT Range_Heater=D.W.— Oven—Dryer_W.M. ADDRESS �a Top _FAU _W.H._ CITY.,// / Tel,No q -1 . Hood_Fdn —Other— LICENSE OR Disp.—.Room Air Cond. 2.50. _ REG.NUMBER (�Jc Class—/0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP,KW,KVi4,or K1/AR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 2.50 REGULATING EL L WIRING. Up to 1 Incl. I HERE CERT Y AT I.AM P PERL•Y REGISTERED AND/OR Over 1 to 10.IricL 5.00 LICEN I YAND STATE OF Over 10 to 50 Incl. 12,50 CALIFORN OR AT I A HE EG OWN THE ABOVE 25.00 DESCRIBE RESI TIAL'PR ER Over 50 to 100 Inc. 25.00 PERMITEE Over 100 SERMI TUR Services - = .. _ .- - ----� -- 0-200 Amp.Under 600 V 12.50 DISTRI O. PROCES EDY 201.1000 Amp. Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50:00' Z O Temp.Power Pole'&Appurtenances 10.00 Sign with One Branch Circuit 10.00 C Additional Sign Branch Circuits 2.100 VINFORMATION TION u Misc.Conduits&Conductors 10.00 ERSE Other(See Complete Fee Schedule) u PERMIT FEE fSub-.Total). C o 0 0 0'0ef PLAN CHECKING FEE [One-Fourth Per �I O ° 6 PERMIT ISSUING FEE p r° J TOTAL FEE A ( l.(j C! J INSPECT . • FOE rj date: B 96 ®s MA663-CE806.8-62 APPLICATION FOR E.LIECTRI L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST ILDING BUILDING.AND SAFETY DIVISION DRESS Is ond,61-p Dr. JOHN A. LAMBIE, COUNTY ENGINEER /i .,,C WILLIAM A.JEN8EN,SUP'T of BUILDING CALITY P% `i/1. FOR APPLICANT TO FILL 1N OSS ST. RECEPT: TOTAL NO. EACH PEE ,•� OUTLETS FIRST 20 $.20 ffi -OWNER /! LIGHT MAIL ADD'L ADDRESS .-0%,3 IL, SWITCH. �� OVER 20 .10 4 /// TOTAL �( � CITY / TEL.NO. LIGHTING FIRST 20 - 20 U FIXTURESADD'L .10 ELECTRICIAN OVIER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS ,` /.3oa k Ar .) ' GARB.DISP. STA.COOK , .� CITY I TEL.NO. ,r O.T(, DISHWASH. AUTO.-WASH. STATE SPACE 4iTR8 STA.APP.(Ya H.P.MAX.) .50 LICENSE NO. M S OVER NOT OVER H.P. DISTRIPZ N GR P Z N JPR E R Y O 1 1.00 1 s 1.50 INSPECTION RECORD R r /� - S B 2.00 t� ��� ��.y"",E3�/?� i�.�`�, rS►...;<�.�•' � S 15 2.50 i5 50 3.00 f . 50 foo 5.00 O U BIGNBS NO.TRANS. IN NO.LAMPS IO - SERVICE 0.600V-NoT OVER 200A 1.00 W SERVICE 0-600V-OVER 200 A. 2.00 d co) SERVICE OVER SOOV 5.00 ? MISC. PERMIT ISSUING FEE 2.00 , SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE ffi I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATUpRE AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL'COUNTY ORDINANCES AND STATE LAWS REGULATING e ELECTRICAL WIRING. WIRING -3 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR F LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER ..,_,SIGNATURE � UTILITY CO.NOTIFIED OF PERMITTEE FINAL -Z- -6d- cam s VALIDAC ARTHUR C. VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER 3250 DEC 6 2 D 6.10- - . . ' `E. `""6' APPLICATION•FOR ELE T_ RICAL PERMIT _ COUNTY OF LOS ANGELES -BUILDING AND SAFETY . FOR APPLICANT TO FILL IN JOB: New Residen''ia1 Bldgs.&.Pools EACH NO. F'EE ADDRESS Tfla _A60 LOCALITY 1 &2•Family,Sq.Ft. $ .025, — $ � . Multi-family Sq.Ft. .02 — NEAREST Residential Swimming Pools 25:00 CROSS ST. c OWNER•OR- / FIRM NAME Outlets:Rec:A—Li ht _ •s g First 20 •50 ADDRESSI Total No. Additional .30 f PLAN CHECK, APPLICANT Lighting res First 20 •50 a ADDRESS Additional .30 Total No._� CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT APPLICANT Range_Heater_D.W._ ADDRESS , i - - Oven=Dryer_W:M_— Top _FAU —W.H._ CITY ��� _ Tel.'No.. Hood_Fon _Other_ LICENSE OR - 2.50 Class mC/p Disp.—Roo .Air Cond. - REG.NUNIBER� . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE•JO ;COMPLY WITH,ALL NTY ORDINANCES-:AND STATE' LAWS' Size&Type HP,KW,KVA,or KVAR 2 50 REGULATING ELE CA• IRING. Up to 1 Incl. I HEREBY ERTIF.THAT•I AM Pp61PERLY REGISTERE3,ANIDYOR (� Over 1 to 10 Incl. 5.00 LICENSED AS EQUIR@. BY.'LO A EL ES COUNTY N• S['TE OF Over l 0 to 501nc1. 12.50 CALIFORNI OR TH I.AM_ E EGAL WNE,:•F•. HE.ABO_V,E_ 25.00 DESCRIBE RESIDE AL P R Over 100 Over 50 to 100 Inc. PERMITEE %. 40.00 - IL SIGNATU y� Services. - Z 0-200 Amp.Under 600 V 12.50 DISTRO. PROCE5 ED BY 201-1000 Amp. Under 600 V 25.00•• G . Over 1000 Amp.or Over 600 V 50.00 Z Temp.Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits I" 2`00 INSPECTION ui Misc.Conduits&Conductors 10.00„ O_INFORMATION cN REVERSE z �� I •a A. Other(See Complete Fee Schedule) SIDE ..0 Z # 0000'a2 g d290 n o Q,Jr! PERMIT FEE (Sub-Total) T ', a,,o 0 o'Q,5 p 6 PLAN CHECKING FEE Ione=Fourth Permit Feel O ;/ C PERMIT ISSUING FEE .$7.00 TOTAL FEE a > �ss INSPECTION FINALED W , date: ►ee e.. By d � as 7 `Em4 ''" APPLICATIO FOR ELICAL PERMIT' COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB•. ��11 New Residential Bldgs.&Pools EACH NO. FEE ADDRESS '7" �"'.ra�'1` lv. • l�l 1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY Multi-family Sq.Ft. '.02 — NEAREST Residential Swimming Pools ;= 25.00 CROSS ST. Z''e� OWNER OR FIRM NAME NAME Outlets:.Rec Light Sw. MAIL First 20 •50 ADDRESS' 7otal.No• Additioncil. .30 CITY• , _ { Tel.-Na. A PNICANTK Lighting Fixtures First 20 •50 ADDRESS Total No. Additional 30 CITY Tel:No. Fixed Appliances NotOver`I.HP PERMIT Range—Heater—D.W.— APPLICANT s ,.J�,.we ADDRESS Oven—Dryer_W.M. A ��'^ •e! Top _FAU —W.H.._ CITY. 'O Tel:No� >.7f Hooc Fon _Other_ LICENSE-OR _ Disp.—Room Air Cond.. 2.50 REG.NUMBER ` Gi Closs. �$— I HEREBY ACKNO .LEDGE THAT I HAVE READ THIS APPLICA- PowerApparotus&Large Appliances TION AND STATE THAT THE ABOVE-IS CORRECT AND AGR1�00 COMPLY WITH ALL COUNTY.ORDINANCES AND ST4TErLAWS' Size&Type HP,KW, Ind.VA,or KVAR 2.50 REGULATING ELECTRICAL WIRING. Up to 1 Ind. _ I HEREBY CERTIFY THAT I AM PROPEREY"REGIS ERED-AND/OR' V Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES C NT ND STATE OF pg Over 10 to 50.lncl. 12.50 CALIFORNIA OR THAT M THE LEGAL O .N F THE ABOVE A Over 50 to 100 Inc. 25.00 DESCRIBED RESIDE ROP Over 100 40-00. PERMITEE , SIGNATURE too Services DISTRIC pRCIC D Y 0'-200 Amp.Under 600 V 12.50 �, 201.1000 Amp. Under 606V ?5.00 �%'� D•= -- Over 1000 Amp,or Over 600 V 50.00 Z '• db o • Temp:Power Pole&Appurtenances 10.00 4 Q Sign with.One Branch Circuit 10.00 C f, Additional Sign Branch Circuits 2`00 'INSPECTION. INPORMATION u Misr.Conduits&Conductors 10.00: ON REVERSE s Other(See Complete Fee Schedule) SIDE _ "Z z'3-7454A IL # ooa °.b2 PERMIT FEE (Sub-Total) ' 0 0 0 0 0,2' PLAN CHECKING FEE- (One.-Fourth Permit.Feel: O 2 ° ° 1 7 0 Q PERMIT ISSUING FEE $7..00ppi�li 07-C 05 TOTAL FEE 7 UlJ > 1 G29-79 INSPECTION FINALED ,y W es date: `" "B' APPLIC T10 OR :ELEC ICAL PERMIT - - COUNTY OF LOS ANGELES. BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.,&Pools EACH NO: FEE ADDRESS 1 &2-FomilY, q•S Ft.- $ .025 — $ LOCALITY Multi-family Sq.Ft.. ":02' — NEAREST a 25.00 Residential Swimming Pools CROSS ST. OWN'ER.OR FIRM NAM Outlets:Rec Light' Sw.. MAIL First 20 •50 ADDRESS Total No. Additional .30 CITY Tel,No PLAN CHECK APPLICANT -. . Lighting Fixtures First 20' •50 ADDRESS Total No. Additional .30; 3�s Cl av3 Fixed Appliances Not Over 1 HP PER - CANT Range= APIMHeater_D.W._ APPLI Oven—Dryei_W.M.— .r Top '_FAU' _W.H._ CIT , el.No. Hood_Fan _Other LICENSE OR. • Disp._Room Air Cond. 2.50 REG.NUMBER Class. - I HEREBY ACKNOWLE E THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Applionces TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH-ALL 'COUNTY ORDINANCES AND STATE-'LAWS• Size&Type HP,KW,KVA,or KVAR 50, REGULATING ELECTRICAL WIRING. t Up to,1 Incl, ' 2 I HEREBY CERTIFY THAT I,AM PROPERLY REGISTERED-AND/OR Over 1 to 10 Incl. 5.00 LICENSED PS REQUIRED'/AHIE ANGELES OUNTY AND STATE OF ®y Over.l0 t6 SO'Incl. 12.50 CALIFORNIA OR THAT ILEG WNER THE ABOVE .® 25.:00 DESCRIBED RE NTIAL TY. F Over 50 to 100 Inc. 5dOver 100 40.00 PERMITEE _ SIGNAT y Services• �/ •1' - •� �/�C: DISTRICT ]PR B 0.2D0 Amp.Under 600 V 12.50 201:-1000 Amp. Under 600 V 25:00' Over 1000 Amp.or Octet 600 V 50:00 Z C Temp;Power Pole&Appurtenances' 10.00 Q. Sign with One Branch-Circuit 10.00 0 Additional'Sign Branch Circuits 2'00 INSPECTION. >` INFORMATION ;� . Misc.Conduits&Conductors 10.00 3�1 Other(See Complete'Fee Schedule)__'+ ON REVERSE•` s ,. SIDE. Z fl o 'o 0 0 0 IL 29,50 5 ' PERMIT FEE (Sub,Total) w ooalQ �CI PLAN CHECKING FEE (One-Fourth Permit Fee) O PERMIT ISSUING FEE 57.00. j TOTAL FEE a date: BY INSPECTION FINALED o�c �4�•4za» K WORMERS'COMPENSATION DECLARATION I CE-806G (2-80) APPLICATION , PPLICATI®N F R •ELECTRICAL PERMIT E$06 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or. + , so cer f�dQ VC, thereof(Sec.3800, ab.C.) \ '00 VE 06 63 r FOR APPLICANT TO FILL IN r JOB Policy No. Compan• EACH NO. FEE ADDRESS ew Residential Bldgs.&Pools Certified capy is hereby furnished. 1 &2-Femily,Sq.FL. $ $ LOCALITY Multi-family Sq. Ft. NEAREST Certified copy is filed w' ounty building inspection CROSS ST tiG�1 department. r Residential Swimming Pools OWNER O ` 'FIRM NA Dat.2=-/ Outlets: Rec' Light Sw. 'ADDRESS First 2 CERTIFICATE OF EXEMPTIO ROM WORKER Total No. Additional CITY Tel No COMPENSATION ID URANCE PLAN CHECK d a APPLICANT O (This section.need not be completed if the work involved U b the Lighting Fixtures First 20 y permit is for one hundred dollars ($100) or less.) ADDRESS Total No. Additional O I certify that in the performance of the work for which this Fixed Applian es Not Over 1 HP CITY Tel No. � permit'is issued, I shall not employ,any person in.any manner i PERMIT so as to become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICAN U Oven —.Dryer_W.M._ ADDRESS - q Z DateApplicant Top _ FAU L W.H.,_ r Hood — Fan _Other_ CITY a o. NOTICE TO APPLICANT: If, after making this Certificate of 'i LICE R' Exemption, you should become subject to the Workers' .'I Disp: _Room Ai'r Cond`' - REG.NUMBER, Class Compensation.provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PyIdbEISEP BY with comply with such provisions or this permit shall be ' deemed revoked. Size&Type HP,KW,KVA,or KV.AR �g s Up to 1 Incl. T✓ ' FINAL k ver 1 to 10 Incl. ` DATE VALIDA N LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. 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- Ove100 liY g ness and Professions.Code, and my license is in full force and effect. Services Licenser Lic.Class �a� I 0-200 Amp.Under 600 V f.. �•\ 201-1000 Amp.Under 600 V • Contrac Dais 7 '—f �/ Over 1000 Amp.or Over 600'V HOME OWNER-BUILDER DECLARATION I, 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 (Section 7031.5, Busi- ness and Professions Code): Misc.Conduits&Conductors 4 I, as owner of the property, will do the work and the I Otlier(See Complete Fee Schedule)— structure is not, intended- or offered for sale (Section •7044.,Business-and Professions Code). + CONSTRUCTION LENDING-AGENCY r 11 2 0.9 A 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.) # 0 0 0 0 o,2 issued(Sec.3097,Civ.C.). Lender's Name ' i ' o o PLAN CHECKING FEE (One-Fourth Permit Fee) 2 1 650 Lender's Address I PERMIT ISSUING FEE o b o 1 6 5 0 I certify t have read this application and state that the TOTAL FEE �® 0 7, 1 1 —80 ebb formati is correct.I agree to comply with all County tnances and ate laws regulating Electrical wiring, and hereby a horize epresenfives of this County to enter upon , thea e- nedfor'V�nspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE i nature er ee to I I � r