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HomeMy Public PortalAbout5321 NOEL DR_Electrical__ Id '°AIMScSMSap APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER r CASSATT D GRIFFIN SUrT OF BUILDING LOCALITY FOR APPLICANT TO FILL W NEAREST P,1• FM CROSS ST ITEM NUMBER I EACH FEE OWNER OUTL ; $ MAIL LION RECMI 81N 10 ADDRESS LIGHTING FIXTURES47, 10 CITY1 �p EL TNO v 32 Ewan.RANGES Caf DFlYMi9 ELECTRICIAN WATER HEATERS 80 ID ADDRESS UL.=SPACE HTRS DISHWASHERS CITY TEL NO GARBAGE DISPOSERS AUTO STATE WASHERS STA COOKING UNITS YS LICENSE NO MOTORS OVER INC. HP DIS Rl P OCESS o— Iia 23 lea— Y 50 IIVSPE MON EWORn Y— S too 3 v 15— to 1150 ST A 4.d c�Fx C✓�-R IS— SO 250 310—goo goo �y09 -WA �9 <:)076e-;r ��e= �oiyrx 6=/e S�'Ti�c ri SIGNS NO TRANS NO LAMPS SERVICE O SOOV 100 ` �`.. SERVICE OVER GOOV goo MISC. �c> S J•2 i�9 c Irc d,r J"?u -or c WIRING PERMIT too FIXTURE PERMIT too PAR N SUPPLEMENTARY PERMIT 80 t v TOTAL FEE S I t IO HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP N APPROVALS DATE INSPECTOR 8 SIGNATURE AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT PERTY POWER SIGNATUREUTILITY CO NOTIFIED —�1-L t. OF PERMITTE FINAL .T 0 6 ®v Vtra.urA� SAFF��CCRTHUR C V 1_T CK Mo UPERVISING CTRICAL ENGINEER LICO 6 8 6 1 €'EB 2 4 A 4.4 O P1 D88BA 11 BB APPLICATION FOR ELECTRIC PERMIT 1 DBS DA DrMON OF S WING AND SAFM DlcomtvI of Couutr Of � ADDRESS JOHN A LANIBIE COU ENGINEER CABBATT D GRIFFIN SUP T or Su1LDINe LOCALITY FOR APTPLIF CANT TO FILL IN NEAREST c oss ST NUMBERI OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS .WALL SWITCHES FEE CITY TEL-AM A .1441 ' TOTAL OUTLETS S2 ELECTRICIAN 10 ELEC RANGES 215 ADDRESS ELEC HEATERS 25 KW EA CITY L NO STATE FIXTURES S LICENSE NO MOTORS DISTRICT N GROUP — E READY FOR INSPEOTION NUMBER HORSEPOWER FEE NEW MVD HP OVER INC RACH 16 a LESS f 25 INSPECTION AD Yz 2 so 2 s 100 Ls is ISO 18 SO 280 SO 200 S 00 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING f1 00 G FIXTURES f 1 00 SUPPLEMENTARY so APPROVALS TOTAL FEE f ZS DATE INSPECTOR 8 SIGNATURE AHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION D STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING S ELECTRICAL WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE AL ER OF THE ABOVE POWER DESCRIBED RESIDE ER UTILITY CO NOTIFIED SCS SIGNATURE ICLAA OF PERMITTEB FINAL JOHN A LAMBIE COUNTY ENGINEERy, ATIcpN ARTHUR C VEIT CHIEF ELECT INSPECTOR P&6600'UA M 1 2 125 A , 1 ft WORKERS COMPENSATION C 76A663 ,D,6, APPLICATION FOR ELECTRICAL PERMIT {� I h reby affirm that I have a certificate of con to 4 insure CE 8o6G_ I.J or T-certifirate of Workers Compensation Insurance ora certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800 Lab C) it A nil /� �/ f� /� Policy Nc o aY ny01110 Ck LITS FOR APPLICANT TO FILL IN JOB ADDRESS 3 2 ✓/��Il /'0 `� /�/��� ❑ Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE 14 Certified copy is filed with the county building inspection 1 &2 Family Sq Ft $ —is LOCALITY T M L� GZ department Multi family Sq Ft NEAREST CROSS 3AJ �(�( Residential Swimming Pools OMER OR p ^ T t Date G ApplicantS� �. FIRM NAME R1 CAA RD AND iJ G r CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Recio—Light-a—Sw Ir— MAIL S 2/ I✓Q H jti Z!/� COMPENSATION INSURANCE ADDRESS (This section need not be completed If the work Involved by the First 20 permit is for one hundred dollars($100)or less) Total No Additional CITY �/H �� �ZT Tel PL I certify that in the performance of the work for which this permit APPLICANT is Issued I shall not employ any person in any manner so as to u 0 become subject to the Workers Compensation Laws Lighting Fixtures ,, First 20 V - ADDRESS Total No 12�// Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If after making this CertA rficate of PERMIT Z G Exemption you should become subject to the Workers Compensation Range_ Heater_ DW ���IjT � provisions of the Labor Code you must forthwith comply with such Oven _ Dryer_ W M ADDRESS 141,2 C#1(19 .44 # provisions or this permit shall be deemed revoked Top — FAU _ WH LICENSED CONTRACTORS DECLARATION Hgqd _ Fan _ Other_ CITY .% M NI f= Tel No 2—��/ 1 hereby affirm that I am licensed under provisions of Chapter 9Disp — Room Air Cond LICENSE OR �f 0� Class C-109 (commencing with Section 7000)of Division 3 of the Business and REG NUMBER �r Professions Code and my license is in full force and affect Power Appargtus&Large Appliances DISTRICT NN05 PR D BY 1�/ �i p� ��/O Size&Type HP KW KVA or KVAR O License Number — Lic Class Up to 1 Incl FINAL ozQ Contractor 6ML WCDate 3 O Over 1 to 10 Incl DATE ���� VALIDATION Q ❑ Over 10 to 50 Incl FINAL � � 1 am exempt under Sec Over 50 to 100 Inc B&P C for this reason Over 100 Z Date Services Swbd MCC&Paneiboards ► 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600 V ❑ ExemptOver 1000 Amp or Over 600 V Exemption for Reg Maint Elect n SINGLE FAMILY Temp Power Pole&Appurtenances d HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit AMAJL I hereby affirm that I am exempt from the Contractors License Law Additional Sign Branch Circuits 3�7 for the following reason(Section 70315 Business and Professions 111■44 Code) ❑ I as owner of the property will do the work and the structure Misc Conduits&Conductors 1 ITM is not intended or offered for sale (Section 7044 Business Omer(See Complete Fee Schedule) _ PON. TOTA. 111-40 and Professions Code) G`ECK 111.40 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the C ■00 performance of the work for which this permit is issued(Sec 3097 PERMIT FEE (Sub Total) Civ C) PLAN CHECKING FEE 000D—=1 3/23/KI Lenders Name PERMIT ISSUING FEE 9671 1 AM11:13 Lenders Address I certify that I have read this application and state that the above TOTAL FEE information is correct I agree to comply with all County ordinances and State laws regulating Electrical wrung and hereby authonze representatives of this County to enter upon the above mentioned Cproperty for i pection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE JT u/vt 31.3 60 Signature of Permittee Date