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HomeMy Public PortalAbout5308 NOEL DR_Electrical_11/19/1974_ 76A663 CE805 1_/472 APPLICATION FOR ELECTRICAL PERMIT ` 0 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB { BUILDING AND SAFETY DIVISION ADDRESS d LOCALITY /�- Pi G ler v FOR APPLICANT TO FILL IN CROSS NEAREST T © r OUTLETS NO EACH I FEE OWNER OR FIRM NAME WA Ul RECEPT _ S $ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS OVER 20 CITY c TEL NO SWITCH J y 10 PLAN CHECK LIGHTINGTOTAL FIRST 20 125 elAPPLICANT OVER 20 ADDRESS FIXTURES 10 RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER WTR HTR APPLICANT /4L-,4Lh. STA COOK DISP F A U ADDRESS ,drt? 19 SPACE HTR AIR COND CITY TEL Nod a,.?VFJ/ CLOTHES WASH DISHWASH LICENSE OR � / CLASS REG NUMBER (y/6O FAN OTHER100 I HENEBN ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE �„ 1 - 10 300 DESfRICED RESIDENTIAL ER p,� V 10 - 50 500 PERMITEESIGNATURE / 9= 50 - 100 1000 DISTRICT NO PROCESSED BY U W 100 - 500 15001 O t ` Z SIGN GAS ISIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR S SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES 7 POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 3001 �Zjo TOTAL FEE PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o ASX lu,f_9 r, f 7 9 9c"IHOV 19 2 0 6.0 0 oyL SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663 CEB06 10/72 APPLICATION F ELECT ICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7ADDRESS BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN t. OUTLETS NO EACH FEE r $ $ FIRM NAME i C/' RECEPT_ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS OVER 20 CITY G TEL NO SWITCH 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVE10 R 20 ADDRESS RESIDENTIAL APPLIANCES CITY oQ TEL NO PERMIT RANGE DRYER_WTR HTR APPLICANT • /r"'��`r' STA COOK DISP F A U ADDRES i n SPACE HTR AIR COND CITI C A ft .�_TEL-NO Ci•.U.2,,2 PIS CLOTHES WASH DISHWASH LICENSE OR J / CLASS REG NUMBER fj V FAN OTHER 100 1 HEHEB+ ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA ORTHAI I AM THE LEGAL OWNER OF THE ABOVE - 1O 300 OESCRIrED RESIDENTIAL PROPERTY a O 10 — 50 500 PERMITEE V SIGNATURE O 50 — 100 1000 ~-- DISTRICT NO PROCESS D BY W 100 — 500 1500 Gi _y Z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPEC SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP / 300 C7rJ UNDERSLAB WORK SERVICEOVER600 VOLTS OR200AMP 1000 ROUGH CONDUIT _ ) TEMPSERVICE POLE &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED _ FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 Q� TOTAL FEE ca QQ PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIO CK M O CASH 4 2 5Z3Gel c2 2 Q .0 0 encs SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76AG63C- C6y8066IE/76 APPLICATION FOR ELECTRICAL PERMIT fl BUILDING AND SAFETY DIVISION FOR APPLICANT TO PILL IN /q� New Residential Bldgs &Pools EACH NO FEE AODDRES d 1 &2 Finaily Sq Ft $ — $ LOCALITY I Multifamily Sq Ft CROSS ST I t? Residential Swimming Pools OWNER 1 FIRM NAME /¢�Q Outlets Light Switch&Receptacle MAI L First 20 1 1 ADDRES061elee Additional / CITY Tel No Q PLAN CHECK a6r 2- Lighting Fixtures 11 APPLICANT First 20 rx d ADDRESS Additional CITY X07 [ I No PER IT Fixed Appliances Not Over 1 HP APPLICANT OQ y,6 PCZ Range_ Heater_ D W — ADDRESS E�(3 . Oven _ Dryer _ W M _ G^ Top _ FAU _ W H ,re, m CITY eTei No �3 L CL- Hood _ Fan LICENSE OR CD REG N U M B E fy Class C..')Dlsp A C � 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 00 AND STATE THAT THE ABOVE IS CORRECT AND AGREETO COMPLY V Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING iy Size&Type HP KW KVA or KVAR ELECTRICAL WIRING d Up to 1 Incl z 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl DESCRIBED RESIDENTIAL PROPERTY Over 50 to 100 Incl PERMITE , Over 100 SIGNAT �/ Services DISTRICT NO P CES D BY 0 200 Amp Under 600 V J~ 201 1000 Amp Under 600 V INSPECTOR S Over 1000 Amp or Over 600 V PROVALS TE SIGNATURE WER POLE Temp Power Pole&Appurtenances LAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits CONDUIT (Other) 77 I � S UTHORIZED PERMIT FEE (Sub Total)hFR CO NOTIFIED PLAN CHECKING FEE (One Fourth Permit Fee)PERMIT ISSUING FEE TOTAL FEE A PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATI CK M O CASH / 6 8 8r"-APR 14 2 0 1 2.9 0 ®ao I 78A889 GE 80111116/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs &Pools EACH NO FEE ADDRESS ( f/ 1 &2 Family Sq Ft $ 025 — $ LOCALITY IZ [, Multi family Sq Ft 02 — NEAREST 25 00 CROSS ST Residential Swimming Pools OWNER OR FIRM Outlets ReC.?LLight Sw _ MAIL C First 2 50 ADDRESS Total No Additional 30 CITY Tel No APPLICCANTK Lighting Fixtures First 20 50 ADDRESS IAVVt Additional 30 Tocol No CITY Tel No r;klFixed Appliances Not Over 1 HP PERMIT Range_Heater_D W APPLICANT ADDRESS Oven—Dryer_W M Top _FAU —W H CITY o Hood_Fan —Other LICENSE OR Disp _Room Air Cond 2 50 REG NUMBER Class 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 KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 2 50 REGULATING ELECTRICAL WIRING Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl 500 LICENSED ASR Y LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl 1250 CALIFORNIA THAT I THE LEGAL OWNER OF THE ABOVE Over 50 to 100 Inc 25 00 DESCRIBED SIDENTIAL PE TY 0 Over 100 4000 T SIGNATU $IGNU Services DISTRICT NO V CES D BY 0 200 Amp Under 600 V 1250 �+ O Q r 201 1000 Amp Under 600 V 25 00 J r G Over 1000 Amp or Over 600 V 5000 Z O Temp Power Pole&Appurtenances 1000 Sign with One Branch Circuit 1000 C Additional Sign Branch Circuits 200 INSPECTION > W Misc Conduits&Conductors 1000 INFORMATIONON REVERSE x Other(See Complete Fee Schedule) SIDE Z -43765A PERMIT FEE (Sub Total) 2 * e17.00 PLAN CHECKING FEE (One Fourth Permit Fee) O • • 1 7,005 i` PERMIT ISSUING FEE $700 D 0& 1 6-79 TOTAL FEE > INSPECTION FINALED .�1 �-J� W date �fS/ 1 By �/1/Z�G ^'' IL ®s �, WOrm that CI hove COMPENSATIONDECLARATION of corse CE 10/81 A��AICATION FOR ELECTRICAL PERMIT �' �r 14tereb,r affirm that I have a certificate of consent to self CE 806E insurt ora certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES ` BUILDING AND SAFETY 'or a certified c �ey,y�800 Lab C ) � P icy No D_7266n65—Company/ <•of<_4,&S tzlvo FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS 5� Of NOC-1— Certified copy is filed with the county building inspec 1 &2 Family Sq Ft $ — $ LOCALITY tion ep;2nt Ir Multi-family Sq Ft — NEAREST ' r, CROSS ST Date Applicant,� o V/�/ S Residential Swimming P s OWNER OR d c FIRM NAME © •I MJ L �j CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec16LightSw MAIL COMPENSATION INSURANCE first 2 ADDRESS -e_ (This section need not be completed if the work involved by Total No Additional �j CITY Tel No the permit is for one hundred dollars($100)or less) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued I shall not employ any person in any manner so as to become subject to the Workers-,,Compensat�o s Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No Date Applicant Fixed Appliances of Over 1 HP PERMIT NOTICE TO APPLI ANT If afteVmakieg this Certificat Ran e_ Heater_D W — APPLICANT j// Exemption you should become subject to the Wor er 9 Compensation provisions of the Labor Code you must forth Oven _Dryer — W M — ADDRESS with comply with such provisions or this permit shall be Top — FAU _WH _ deemed revoked Hood _ Fan _Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION DisLICENSE OR S I hereby affirm that I am licensed under provisions of Chapter 9 p _ Room Air Cond REG NUMBER 2� Class (commencing with Section 7000)of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO� `// PROCESSED Y and Professions Code and my license is in full force and effect (/J'�a( Size&Type HP KW KVA or KVAR CL0 License Number •J Lic Class_ Up to 1 Incl FINAL a V Contractor`J��_2 9�/L— to Over 1 to 10 Incl DATE /� _ v �� '� VALIDAT N 09 Over 10 to 50 Incl FINAL J ~ ❑ I am exempt under Sec Over 50 to 100 Inc BY �, n �r�V W B&P C for this reason Over 100 ✓ r i ` a 7 l 8.7A Z Date Services Swbd MCC& Ponelboards , # Go e e e 'L 0 200 Amp Under 600 V 0 Signature 201 1000 Amp Under 600 V ❑ Exemption for Reg Mamt Elect Over 1000 Amp or Over 600 V 1 -,- 64.00 SINGLE FAMILY Temp Power Pole&Appurtenances r HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit o * e6&005 1 hereby affirm that I am exempt from the Contractor s License 'Additional Sign Branch Circuits Law for the following reason (Section 7031 5 Business and Professions Code) 06,08-87 ❑ 1 as owner of the property will do the work and the M�sc Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ► 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub Total) (Sec 3097 Civ C ) PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE Lender s Address I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize representative of this County to enter upon the above mentioned properfror inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE S ature ift Permittee 4 at