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
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®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