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HomeMy Public PortalAbout5575 NOEL DR_Electrical__ yakIMS cum 11-119 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS v UGHN A LAMBIE. COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN `NEAREST MUM FEES CROSS ST ITEM NUMBER I EACH FEE OWNER OUTLET S MAIL _ a LIGHTS RECEPT 8W 10 ADDRESS -O'y'wC LIGHTING FIXTURES 10 CITY TEL NO ELEC RANGES CLO DRYERS ELECTRICIAN WATER HEATERS so ADDRESS ELEC SPACE HTRS DISHWASHERS CITY TEL NO GARBAGE DISPOSERS AUTO- STA `d WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC HP DISTRICT NO GROUP RgGgSSED B O— ys 25 V2— 2 so INSPECTION RECORD 2— B 100 B— 18 too 1B-- SO 250 50-200 Boo SIGNS NO TRANS NO LAMPS SERVICE 0-600V 100 SERVICE OVER 600V zoo MISC d WIRING PERMIT 1 00 Q'Q FIXTURE PERMIT SUPPLEMENTARY PERMIT s0 TOTAL FEE S Qd 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPRIM POWER SIGNATURE ' UTILITYCO NOTIFIED OF PERM ITTE FINAI pp V . G ®v ATSU ERVIGINGE CTRICAL ENGINEER T. 7mc CAIN CASH _ AC 8 6 4 5 01 ^CC 8 2 A 400 N AV74� COUNTY OF LOS ANGELES - APPLICATION FOR PERM DEPARTMENT OF COUNTY ENGINEER E L E C T R I C 1 • DIVISION OF BUIMING & SAFETY SMMAM J. FOY. COUNTY ENGIIdEER FOR APPLICANT TO FILL IN DISTRICT NO GROUPI ZONE PERMIT NO ELECTRICIAN W =l-7 ADDRESS EIVED BY READY FOR DATE ISSUED FIRST INSPECTION CITY L✓ ✓ /✓A TEL NO i ' COUNTY LICENSE NO ALOof EX IRIM 3 ADDRESS PERM FM FEE � NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST �Y v A RECEPTACLES Z pC WALL SWITCHES OWNER Ail W,A, eP TOTAL OUTLETS SC S MAIL ELEC RANGES A 25 ADDRESS ELEC HEATERS 25 S FIXTURES c / 8 � CITY TEL NO MIT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER New Mvo HP I OVER I INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE -,i I/2 6 LX86 $ 28 - SIGNATURE OF I/2 2 So PERMITTEE 2 s 1 00 II�iSPECTION RECO s is t so is so 2 so s0 200 500 200 Soo 1000 J Boo 1000 is oo a Z OVER 1000 20 00 a M G SET/FREQ CHANGER-HP lz WELDERS AC-KVA 0 GENERATORS KW TRANSFORMERS-KVA TEMP MOTORS (75% OR oRIG ) MOVED MOTORS (78% OF ORIG ) MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INS PECTOR'S NAME WIRING $t 00 to O CONDUIT FIXTURES $t 00 / " WIRING ? 5 a SUPPLEMENTARY S0 FIXTURES x POWER TOTAL FEE y s J'j UTILITY Co NOTIFIED FINAL 76A 003 DBB# GA 4-82 VI COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer ELECTRIC DNISION OF BUILDING 8c SAFETY WILLIAM J FOX. County Enolneer FOR APPLICANT TO FILL IN DIST R O. MROUP I ZONE PERMIT NO. ELECTRICIAN d oaf rO // OEf READY FOR DATE YE ADDRESS tJ -� 6o /Y FIRST INSPECTION / -c CITY .� d• TEL..NOC' w COUNTY LICENSE NO EXPIRESv� t ADDRESS BUILDI S ��J PERMIT FEES �- NUMBER EACH FEE LOCALITY 2_9/lav LIGHT OUTLETS NEAREST y_ RECEPTACLES CROBB ST WALL SWITCHES OWNER Y TOTAL OUTLETS L SO S MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS 25 CITY TEL NO FIXTURES S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MIBC APPLICATION AND STATE 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER New Mv0 HIS OVER INC EADH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE 6 L988 S 25 SIGNATURE Or el A 2 5o PERMITTER. 5 1 0O INSPECTION RECORD 5 -is ISO 75O 2 50 200 Sao Do SDG 1D Do a 500 1000 151313 Z OVER 1000 1 2000 O M G HET/FREQ CHANGER-HP WELDERS AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS (75% OF CRIB) MOVED MOTORS (75% CF CRIB) MIBC SIGNS NO NO TRANS APPROVALS NO NO.LAMPS FOR EACH PERMIT DATE INSPECTOR'S NAME WIRING S1 00 Q tS CONDUIT FIXTURES *Ica WIRING SUPPLEMENTARY 50 FIXTURES + POWER TOTAL FEE 8 9 d UTILITY 00 NOTIFIED / FINAL �' 76A663 DBB#5A 2-53 ' WORKERS COMPENSAYIONDECLARATION 200019 DPW 3/87 APPLICATI®N ,F®R ELECTRICAL PERMIT O 1 hereby wfnrm thdt I Rave a certificate of consent.to self CEE W66G infure or a.certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS J or a certified copy thereof (Sec 3800 Lab C ) Policy No I Company FOR APPLICANT TO FILL IN JOB El Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS 0�� Di Certified copy is filed with the county building inspec 1 &2 Family Sq Ft $ — $ LOCALITY tion department Multifamily Sq Ft _ — NEAREST _ Le� CROSS ST 4 Gar Residential Swimming Pools OWNER OR Date Applicant JA�DD:R�ESS _la M 4. 0 lei CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�LightSw COMPENSATION INSURANCE De I A,- (This section need not be completed if the work involved by First 20 CITY Tel No the permit is for one hundred dollars($100)or less) Total No Additional e I certify that in PLAN CHECK he performance of the work for which this APPLICANT permit is issued I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as'b.ecomes ubject to the W ers Compensat Laws g g Additional Total No CITY T No ����3a DateApplican Fixed Appliances Not Over 1 HP PERMIT N I T If after aking this Certificate of APPLICATION Ex ption you should beco subject to the Workers Range— Heater—D W _ Compensation provisions of th bar Code you must forth Oven — Dryer —W M — ADDRESS i with comply with such provisions or this permit shall be Top — FAU =WH — deemed revoked Hood — Fan —Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION Disp _ Room Air Cond — LICENSE OR Class I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO ^ ROCESSED BY >_ and Professions Code and my license is in full force and effect t t1 Size 8 Type HP KW KVA or KVAR 1. U License Number Lic Class Up to 1 Incl FINAL Contractor Date Over 1 to 10 Incl DATE V (DATION cc Over 10 to 50 Incl FINAL O 1 am exempt under Sec Over 50 to 100 IncgY U W B&P C for this reason Over 100 Il Services Swbd MCC& Ponelboards ® U) Date 0 200 Amp Under 600 V t -l 1-� Z Signature 201 - 1000 Amp Under 600 V Exemption for Reg Maint Elect O%er 1000 Amp or Over-600 V SINGLE FAMILY Temp Power Pole&Appurtenances 201 11,4A 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 �/ # o • • • • 2 - Law for the following reason (Section 7031 5 Business and 9 Pr fessions Code) j t ( ­ 5600 as owner of the property will do the work and the Misc Conduits 8 Conductors • • 0 5 structure is not intended or offered for sale(Section 7044 Other (See Complete Fee Schedule)— Business and Professions Code) CONSTRUCTION LENDING AGENCY 07,12-88 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 o 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 hereb authorize representatives of this County to enter upon , th o is mentio perr�fo�insp%urposes SEE REVERSE FOR EXPLANATORY LANGUAGE c �. Sign re of Permitt to ®s i