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HomeMy Public PortalAbout5309 NOEL DR_Electrical_6/2/1980_ a Bob(11"M' APPLI10 OR ELECT PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS OSI �++ New Residential Bldgs &Pools EACH VO FEE 1 &2 Family Sq Ft $ 025 — $ LOCALITY Multi family Sq Ft 02 NEAREST CROSS ST Residential Swimming Pools 2500 OWNER OR FIRM NAME Outlets Rec—Light 15. MAIL --- First 20 50 ADDRESS LA�;i Total No Additlonal 30 CITY JII Tel No PLAN CHECK APPLICANT Lighting Fixtures First 20 50 ADDRESS Additional 30 Total No CITY Tel No Fixed Appliances Not Overaw PERMIT ` APPLICANT J Range_Heater_ ADDRESS Oven—Dryer_W M Top —FAU —W H CITY Tel (Vo 7 Hood—Fan —Othertim LICENSEOR L� �� Disp —Room Ajr Cond 250 REG NUMBER �7 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&T to KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 1116,ype HP 2 50 REGULATING ELECTRICAL WIRING O Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OK 'V Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 01 Over 10 to 50 Incl 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE C 2500 DESCRIBED SIDENTIAL PROPERTY Over 50 to 100 Inc 40 00 RMIT PE9 Over 100 SIGNAT E Will Z SP ices IIIIIIIII It DISTRICT NO P D 0 200 Amp Under 600 V 12 50 �J 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600 V 5000 / O Temp Power Pole&Appurtenances 1000 ` Sign with One Branch Circuit 1000 Additional Sign Branch Circuits 200 INSPECTION INFORMATION 10 0o Misc Conduits&Conductors , ON REVERSE = .2 01 7 0 A Other(See Complete Fee Schedu ) SIDE r✓ 2 • • 2700 PERMIT FEE (Sub Total) • • • 27006 PLAN CHECKING E (One Fourth Permit Fee) 0 &0 2-8 0 PERMIT ISSUING FEE $700 --a TOTAL FEE > INSPECTION INAL W date ;� � By s ®s 76AGGS CBS06 1 0 '7 ' APPLICATION FO LE RICAL MIT_'' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER OB BUILDING AND SAFETY DIVISION iDORESS _T,3B /V EL LOCALITY NEAREST O1 FOR APPLICANT TO FILL IN CROSS ST I t J / OUTLETS NO EACH FEE OWNER OR n_ $ s FIRM NAME � We La ff E O RECEPT�✓ ADDRESSIL / We C L LO N LIGHT1_ TOTAL FIRST 20 • l9i ®� Q / SWITCH OVER 20 10 CITY S V ,JR/t L TEL NO PLAN CHECK TOTAL { LIGHTING FIRST 20 25 APPLICANT FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER_WTR HTR APPLICANT STA COOK DISP F A U ADDRESS SPACE HTR AIR GOND CITY TEL NO CLOTHES WASH DISHWASH REG NSE MBER CLASS FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 18 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 - 10 900 DESCRIPED RESIDENTIAL PROPERTY PERMITEE ,,,, 10 - 50 500 SIGNATURE 'Ste F 50 - 100 '0001 1 DISTRICT NO PRO O BY a 100 - S00 1500 v U Z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR S SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAS WORK SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES + POWER AUTHORIZED 1 UTILITY CO NOTIFIED Of FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE S� TOTAL FEE t PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH 5 3 7 9 im 5 6.5 0 ®!�.� ACK OF APPLICATION FOR COMPLETE SCHEDULE L�� E 2 j WORKERS COMPENSATION DECLARATION 63 10/81 APPLICATION FOR ELECTRICAL PERMIT I Webby affir►n that I have a certificate of consent to self CE CE B06G insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified coy thereof(Sec 3800 Lab C ) ,/Otr� y/ i� Policy No �� ompony FOR APPLICANT TO FILL IN JOB ADDRESS �3� /pI 1► I�I Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE Certified copy is filed with the county building inspec 1 &2 Family Sci Ft $ — E LOCALITY &' Ck� NEAREST tion department Multifamily Sq Ft CROSS ST %/e. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME eAee, -#Nan 7 evrq CERTIFICATE OF EXEMPTION FROM WORKERSOutlets Rec0Light1QSw�_ MAIL COMPENSATION INSURANCE � ADDRESS 5,3017 N NDeI 16'r (This section need not be completed if the work involved by First 20 the permit is for one hundred dollars($100)or less) Total No Additional CITY'r t'e C, Tel No ' 7Q9 PLA 1 certify that in the performance of the work for which this APPPLLIICANTK N�h eY permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS 30 Total No -.5 Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of Exemption you should become subject to the Workers Range_ Heater_D W _ APPLICANT Compensation provisions of the Labor Code you must forth Oven _Dryer _W M .— ADDRESS E with comply with such provisions or this permit shall be Top _ FAU _WH _ deemed revoked CITY Cp / Tel No oe LICENSED CONTRACTORS DECLARATION Hood _Fan _Other_ LICENSE 74, I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond — REG NUMBER Class ?iQs (commencing with Section 7000)of Division 3 of the Business DISTRICT NO PROCES L_^ ZO- Power Apparatus 8 Large Appliances and Professions Code and my license is in full force and effect V / Size 8 Type HP KW KVA or KVAR /D License Number Lic Class_, Up to 1 Incl FINAL O 0 Over 1 to 10 Incl DATE �� VALI ON Contractor Da1e W Over 10 to 50 Incl FINA a I am exempt under Sec Over 50 to 100 Inc BY N B 8P C for this reason 4dW' - Over 100 Z Date Services Swbd MCC 8 Panelboards ► 200 mp nder 600 V Signature 201 1000 mp Under 600 V Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits for the following reason (Section 7031 5 Business and Professions Code) I as owner of the property will do the work and the Misc Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ► 3 7 Q 9aA1 f 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY # • 0 0 e e 21 1 hereby affirm that there is a construction lending agency for 1 * *5925 the performance of the work for which this permit is issued PERMIT FEE (Sub Total) (Sec 3097 Civ C ) 9 gill, PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE Lender s Address I certify that I have read this application and state that the I TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above mentioned property for inspection purposes c SEE REVERSE FOR EXPLANATORY LANGUAGE n 74 & Signature of rmittCee Date