HomeMy Public PortalAbout5533 NOEL DR_Electrical__ 7GA863-CES06IC 1-67 APPLICATION FOR ELECTRL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDREN'
LDI �33
BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEERCOLEMAN W JENKINS, SUPERINTENDENT OF BUILDINGALITY RESTFOR APPLICANT TO FILL IN SS ST
RECEPT 1 TOTAL NO EACH FEE O
I OUTLETS FIRST 20 5 20 5 OWNER
LIG J / MAIL
ADD L ADDRE
ITCH OVER 20 10 e.
TOTAL FIRST 20 20 CI TEL N J
LIGHTING FIXTURES orC
FIXTURES ADD L f0 CONT ACT R �..sJ
OVER 20
RANGES DRYERS WTR HTRS 100 ADDRESISCJ/
GARB DISP STA COOK
N
DIBHwwBH AUTO wwBH STATL
SPACE HTRS STA APPL 50 LICENE NO
MOTORS. OVER NOT OVER H P DI T CT N
08, 1 G BaCT15 I 70hl E P D
O 1 / 1 00 2r z
1 3 150 INSPECTION RECORD
3 8 200
8 is a so
1s s0 1300
s0 100 1500 V
SIGNS NO TRANS IN
NO LAMPS
SERVICE O 600V NOT OVER 200A 100 Lu
r)
SERVICE O 600V OVER 200 A 200 N
SERVICE OVER 600V Soo ?
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR B SIGNATURE
TOTAL FEE i
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP L CATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY C Y THAT M PROPERLY REGISTERED AND/OR FIXTURES
LICENSED EGUIRED ELES COUNTY AND S
CALIFOR OR TH EG L OWNER OF AND 1 END T POWER
RESIDE THE ED SIDENTIAL PROPER Y
SIGNA UR UTILITY CO NOTIFIED
OF PER p
FINAL `
�LI JOSEPH ROOHAN
CK MOO CAS CASH SUPERVISING
ING ELECLEC
TRICAL ENGINEER
ti►t,0 0 7 7 3:� ,sE?21 2 D 4.70-
0
100,
7SA663-CES06 5-62 APPLICATFOReUCTRICION PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ��
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER //��"�
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY �Q V
NEAREST
FOR APPLICANT TO FILL IN CROSS ST W
RECEPT TOTAL NO EACH FEE yy
OUTLETS FIRST 20 $20 S OWNER #-/G► ,✓I Pr /�
LIGHT MAIL
SWITCH / ADD'L 1D ADDRESS d� "(+�/ e-
OVER 20
LIGHTING1 TOTAL FIRST 20 20 7- CI A#I l Qd L 0-11 TEL NO
FIXTURES 1 AOD�L
OVER 20 1 10 ELECTRICIAN
RANGES CLO DRYERS WTR HTRS too ADDRESS V�9 G� �J •Q,��+/+ Q
GARB DIBP BTA COOK CI lZ®S&t;/C►�' TEL NO
DISHWASH AUTO WASH STATE 1
SPACE HTRS 2, BTA APP (V.H P MAX) SO D Q LICENSE NO 3
MOTORS OVER NOT OVER H P DIST CTr I GROUP NE PSEED�y
O 1 1100 xS
1 9 ISO /INSPE TION RECORD
�/) ) / t
B 18 250
0��` �� �t�^ r c� ;_� - �•^ `�
13 50 300 *, C V /� / t)
50 100 1500 OO
SIGNS NO TRANS y,
NO LAMPS
d
SERVICE O SOOV NOT OVER 200A too Z
SERVICE O SOOV OVER 200 A 200
SERVICE OVER SOOV Boo
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE i
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8810MATURN
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 7 i
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P RT POWER / �//��� �I
A4OFSIGNATURE UTILITY CO NOTIFIED 4ErRicAL
PERMITTEE FINAL�LIDATIONARTH 1C CK MO CABNSUPER (SING ENGINEER
5 4 0 91%10 OCT 10 2 D 3.80cu
-
76A863 Cee sw a-sa 1_e RO J
DEPARTMENT OF SUELDING AND SAFETY
/VTION FOR PERMIT /
COUNTY OF LOS ANGELES !r' o-'-Isrry ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. DROOPZONE PERMIT N.O.
'r
ELECTRICIAN d Ar C o
r RECEIVED BY READY FOR DATE ISSUED
ADDRESS Dfive- FIRST INSPECTION
CITY ALMA I TEL.NO AMI 9)419 #Wl ' S
COUNTY LICENSE NO EXPIRES ADDRE BG �� /� • A Pi/ 00(•Vf/
PERMIT FEES .1
NUMBER EACH FEE LOCALITY 'G l/ S
LIGHT OUTLETS NEARECROSS ST 1 C Q
RECEPTACLES Q
WA-
WALL SWITCHES I OWNER arne
TOTAL OUTLETS s m MAIL
CLEC RANGES 25 ADDRESS
ELEC HEATERS 25 S
CITY TEL. NO
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE-187CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINA14DEB
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE �6 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MVD HP OVER INC F EACH OF THE RESIDEROPE DEB DEC OVE
I a LEBB S 25 SIGNATURE OP
I2 2 5o PERMITTE Ar
a 5 Do INSPECTION RECORD
5 15 I ISO
15 So 250
SO 200 Soo
20o Soo loan 3 -'IS-/ _ �J
Soo 1000 15 Do - Z
.!i
OVER 1000 2000 0
MG SET FREQ CHANGER-HP
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75 OF ansa)
MOVED MOTORS (75% or ORIS)
MISC
n
SIGNS
NO NO TRANS. ►: E F r e' '
VALS
NO NO LAMPS
FOR EACH PERMIT, DATE INSPECTOR`S NAME
WIRING ®1.00 CONDUIT _
FIXTURES 111 00 WIRING M— go'-ZH
SUPPLEMENT RY SO FIXTURES
POWER
TOTAL FEE 41 3 UTILITY oo NOTIFIED
FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer `
DIVISION OF BUILDING & SAFETY 1
WILLIAM J FOX,.County Engineer ELECTRIC c 1
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN �� �� , 2` ) 7
ADDRESS IVC FIRST INSPECTION ATL41BBUED
CITY TEL.NO /7
COUNTY LICENSE NO EXPIRES BUILDING
PEW= FEES I ADDRESS �J J / Q /' I
FEE T_
NUMBER EACH LOCALITY • _ f
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS BT -
WALL SWITCHES OWNER
TOTAL OUTLETS SO
MAIL � �
ELEC RANGES 25 ADDRESS S ,
ELEC HEATERS 20 CITY -TEL. NO t(J
FIXTURES 6
1 HEREBY KNOWLEDG THAT I HAVE READ THIS
MISC APPLICATION AND 13TATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NumecR HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD HP OVER INC EACH OF THE RESIDENzz;;:z
ESCRIBED ABOVE
I/2 s LEan s 25 SIGNATURE OF
1/z 2 50 PERMITTEE-
2 s 100 INSPECTION RECORD
S is 1 50
is s0 250 ca �w� vcv
50 200 500
200 500 10130 �(� 1^LP_ti _J
500 1000 1500 Z
OVER 1000 2000 O
MOVED_MOTORS (75% DF OHIO)
^M G BET/FRED CHANGER-HP O
WELDERS AC-KVA
GENERATORS - KW s
TRANBFORMERB - KVA
M1BC Q w
Y
C
SIGNS
NO NO TRANS.
APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR'S NAME
WIRING mica CONDUIT
WIXTURES $100 WIRING
UPPLEMENT RY s0 FIXTURES
POWER
TOTAL FEE • UTILITY CC NOTIFIED 1 1 O -5
__ FINAL '^ �
76ASS3 Dea#nA a b 12-53
.WORKERS COMPENSATION DECLARATION CE80 G t0i81 APPLICATION FOR ELECTRICAL PERMIT
�_reb�hSff'Irm chat I have a certificate of consent to self
insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a cern i c)„ro�py thh�f(Sec 3800 Lab C )L
Policy No�l ty7�3—Company `>1`W►T u'►`rc 7'�n�� JOB
FOR APPLICANT TO FILL IN❑ ADDRESS SS33 No's Certified copy is hereby furnished ' New Residential Bldgs 8 Pools EACH NO FEE
1�Certified copy is Bled with the county building inspec 1 &2 Family Scl Ft $ — $ LOCALITY -reAAOL, Ct
tion department Multi family Scl Ft — [
CROSS ST
T 6a��a K}1�-✓
Date 7' It-96 Applicant AEA t1rrCA '4,_ Residential Swimming Pools OWNER OR
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec ( 1 FIRM NAME O Il�nc(c2
�Light�_Sw MAIL
COMPENSATION INSURANCE ADDRESS s�33 i3o�k
(This section need not be completed if the work involved by First 20
Total No
the permit is for one hundred dollars($100)or less) Additional CITY Cs�- Tel No
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 Compensation Laws Lighting Fixtures First 20 ADDRESS
Total No I Additional
Date Applicant CITY Tel No
Fixed Appliances Not Over 1 HP
NOTICE TO APPLICANT If after making this Certificate of PERMIT erg,
Exemption you should become subject to the Workers Range_ Heater_D W _ APPLICANT At2 PtfAiL0ir EZZGi2G'k'Q t C_
Compensation provisions of the Labor Code you must forth Oven _ Dryer _W M _ ADDRESS A .
with comply with such provisions or this permit shall beZ"ZS A.-q�,u A j _
P Y P P Top _ FAU _WH _
deemed revoked Hood _ Fan _Other_ CITY p(2 A Tel No 44-)5-70 6
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER _32-3-02916 Class 4cr(o
(commencing with Section 7000)of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO PROCE BY d
and Professions Code and my license is in full force and effect g O
Size 8 Type HP KW KVA or KVAR VL t/ d 0
License Number -s�g6 Lic ClassUp to 1`^c o Incl FINAL GG
7
Contractor ���`{Date 7"(l—F6 Over 1 to 10 Inc[ DATE 6 —9 VAL ATION L)
Over 10 to 50 Incl FINA ////// W
❑ I am exempt under Sec Over 50 to 100 Inc BY N
B 8P C for this reason Over 100 Z
Date Services Swbd MCC 8 Ponelboords
0 200 Amp Under 600 V
Signature 201 1000 Amp Under 600 V
❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V
SINGLE FAMILY Temp Power Pole&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
Law for the following reason (Section 7031 5 Business and
Professions Code) ;@5001 A
❑ I as owner of the property will do the work and the Misc Conduits 8 Conductors
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ► # e e • e e 2
7044 Business and Professions Code) • • 1 7 2 5
CONSTRUCTION LENDING AGENCY e e e 1 7 2 5
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) 07. 1 1 i 8 6
(Sec 3097 Civ C )
PLAN CHECKING FEE
Lender s Name S2-PERMIT ISSUING FEE
Lender s Address
I certify that I have read this application and state that the TOTAL FEE 5
above information is correct I agree to comply with all County
ordinances and State laws regulating Electrical wiring and
hereby uthorize representatives of this County to enter upon
the ob a mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
i -7-*-86
Signature f Permittee Date
WORKERS'COMPENSATIONDECLARATION CE-806G (2 80)
CAPPLICATION FOR ELECTRICAL PERMIT
E�806
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES T� C BUILDING AND SAFETY
insure,or a certificate of Workers'Compensation Insurance,or /
a certified copy thereof(Sec 3800,Lab C)
Wu o l If9 �,3 J — FOR APPLICANT TO FILL IN JOB
ADDRESS .7 ✓` JJ �O�
Policy No Company�s EACH NO FEE
New Residential Bldgs &Pools
ck
Certified copy is hereby furnished 1&2 Family,Sq Ft $ — $ LOCALITY lkm lQ C�
y g p
Multifamily Sq Ft
Certified co — A T
py is filed with the count building inspection CROSS ST 14
department Residential Swimming Pools
OWNER OR
Dat �Z �Z' Applicant �J f ' �/� FIRM NAME 4A £•Z
Outlets ReoTe_Light■3L Sw 6 .�V ADDRESS
First 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No 4q 7- Additional Q iz CITY Tel No }
COMPENSATION INSURANCE PLAN CHECK tl
APPLICANT
(This section need not be completed if the work involved p V Q V
Lighten Fixtures First 20
by the permit is for one hundred dollars ($100) or less) g Additional ADDRESS W
Total No 0
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No
permit is issued, I shall not employ any person in any manner PERMIT 17)
so as to become subject to the Workers Compensation Laws Range—Heater D W APPLICANT Ali (,(r d
Oven _ Dryer_W M ADDRESS I�.L,S (( Ln
J �e Z
Date Applicant Top _ FAU _W H
Hood _ Fan —Other CITY VA el No 4t*?
NOTICE TO APPLICANT If after making this Certificate of Disp _Room Air Cond_ LICENSE OR
Exemption, you should become subject to the Workers' REG NUMBER klass C
Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PROCE SED.BY
with comply with such provisions or this permit shall be Size&Type HP KW KVA or KVAR Seo f�
deemed revoked V
Up to 1 Incl
FINAL
Over 1 to 10 Incl
LICENSED CONTRACTORS DECLARATION DATE VALIDATION
Over 10 to 50 Incl
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL
r
9 (commencing with Section 7000)of Division 3 of the Bust Over 100 BY
ness and Professions Code, and my license is in full force and
effect Services
License Number�Z�96 Lic Class 4507'Co 0 200 Amp Under 600 V
�,, r' 201 1000 Amp Under 600 V
Contractor'—""4��{{t" O"aDate ' �Z.. Over 1000 Amp or Over 600 V
HOME OWNER BUILDER DECLARATION 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 Bust Additional Sign Branch Circuits
ness and Professions Code)
Misc Conduits&Conductors
I as owner of the property will do the work and the Other(See Complete Fee Schedule)—
structure is not intended or offered for sale (Section c 3 2 5 9 A
7044,Business and Professions Code) 2
CONSTRUCTION LENDING AGENCY # • • • • •
1 hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is PERMIT FEE (Sub Total) 2'• - 56,30
issued(Sec 3097 Civ C)
Lender's Name PLAN CHECKING FEE (One Fourth Permit Fee) •i• • 5 3 0
Lender's Address PERMIT ISSUING FEE lJU 0312-82
I certify that I have read this application and state that the TOTAL FEE S 30
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 ab ve mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
1
Signatu.so,.f P rinittea Date
WORKER I haveCOMPENSATION
ate of consent to 76A663 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT Ll
Irhereby affirm that I have a certificate of consent to self Insure 76A683
or a certificate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy thereof(Sec 3800 Lab C)
Policy No Company FOR APPLICANT TO FILL IN JOB
ADDRESS
Certified copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY (� 4
❑ 1&2 Family Sq Ft — $ $
Certified copy is filed with the county building Inspection _ NEAREST
department Multifamily Sq Ft CROSS ST
Date Applicant Residential Swimming Pools ASSESSOR
d ht MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Ree a—Li �Sw OWNER OR
COMPENSATION INSURANCE g FIRM NAME
First 20
(This section need not be completed the work involved by the MAIL
Total No _t3 Additional ADDRESS 6—33 vi
permit Is for one hundred dollars($1000)or less)
I certify that in the performance of the work for which this permit CITY -R Le GL� Tel No
Is issued I shall not employ any person in any manner so as to PLAN CHECK
become subject to the Workers Compen tion Laws Lighting Fixture First 20 APPLICANT
Total No AdditionalADDRESS
Date z�L3—%ApplicantARESIDENTIAL APPLIANCES NOT OVER 3 HP
NOTICE TO APPLICANT If aft Ing this Certificate of CITY Tel No
Exemption you should become subject tif the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP
provisions of the Labor Code you must forthwith comply with such PERMIT
a Appliances APPLICANT&L
t
Apparaus Large
provisions or this permit shall be deemed revoked Power 9
LICENSED CONTRACTORS DECLARATION Size&Type HP KW KVA or KVAR ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl ^�'
(commencing with Section 7000)of Division 3 of the Business and CITY �" I `.A1 %- Tel No L4 C.0
Professions Code and my license is in full force and effect Over 10 to 50 Incl }
Over 50 to 100 Ind LICENSE OR n Q r OIas$ ��� O
REG NUMBER (i' i9�p
License NumbB l)Z �� Llc Class �`O
Over 100 DISTRICT NO p EBBED BY Q
��`�o d 9 ( Services Swbd MCC&Panelboards O Q
ContractorW-AS)lq 9ZCCCIL`�iate � J r �+ 0 399 Amp Under 600 V DATE O
❑ I am exempt under Sec 400 1000 Amp Under 600 V V—1 VALIDATION W
Over 1000 Amp or Over 600 V FINAL I1
B&P C for this reasonBY
BRANCH CIRCUIT FEES Z
Date 15A or 20A 120V Lighting or Recept _
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
❑ 41 Or More Branch Circuits
Exemption for Reg Maint Elect 15A 20A 208V To 277V Lighting Br Circuits 2
SINGLE FAMILY Temp Power Pole&Appurtenances ACGT.v
HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit e
1 hereby affirm that I am exempt from the Contractors License Law 3303 59.30
for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits
Code) 1 ITEMS
❑ I as owner of the property will do the work and the structure Mlsc Conduits&Conductors 'DOTAL 59 a 30
Is not intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule) �e
and Professions Code) , CHECK 59,30
CONSTRUCTION LENDING AGENCY CHANGE ,D0
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued(Sec 3097 PERMIT FEE (Sub Total)
Civ C) 0000-0001 2/23/96
PLAN CHECKING FEE 4x997 1 AM11�31
Lender s Name a
PERMIT ISSUING FEE
Lender s Address TOTAL FEE
I certify that I have read this application and under penalty of purjury state
that the 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 inspe n pur s SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGNATURE/F PERMITTEE DATE