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