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