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Home My Public Portal About5615 NOEL DR_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PEBJM Department of County Engineer ELECTRIC DIVISION OF BIIILDING 8i SAFETY WILLIAM J FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZpNE PERMIT NO. LLI/Z�/ ELECTRICIAN ✓ i NEW IVE B READY FOR DAT111 IMMXD ADDRESS _ FIRST INSPECTION /S CITY TEL.NO COUNTY LICENSE dd I EXPIRES BUILDING - / �-4 - PERMIT FEES ADDREae NUMBER EACH FEE LOCALITY LIONT OUTLETS j A NEAREST RECEPTACLES CROBB ST WALL SWITCHES OWNE TOTAL OUTLETS SC MAIL /�1 ELEC RANGES ag ADDR611f / ELEC HEATERS a6 /D7 CITY EL NO �� • L J FIXTURES B [/ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MIBC APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO OOMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REOULATING ELECTRICAL WIRING MOTORS I CERTIFY/ TN I POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER FEE ANGELES COUN CENBE, OR 1 AM THE LEGAL OWNER New MVO HP OVER INC EACH OF THE RESIDEN I PROPERTY SCRIBED ABOVE V a LEES 85 SIONATURE OF >< SO PL RMITT6 a B 10049SPECTION BECOID s is ISO is so 250 so 9100 Sao L (28ep 200 Sao 1 o DD AL 8P S Ti1D.1»9 Sao 1000 loco Z OVER 1000 20130 p G me mET/rREQ CHANGER-HP L &dax icing 4 WELDERS AC-KVA D GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS (75% OF ORLB) 1j6 4LJ AL <A o Ar.4e MOVED MOTORS (73 OF oRLB) QA 'Pa MIBC SIGNS NO NO TRANS. AMPS APPROVALS NO ND L FOR EACH PERMIT DATE INSPEOWORIS NAME WIRING 41100 t919 CONDUIT Ie _ FIXTURES Bl DO WIRING UPP EMENT RY SD FIXTURES S / POWER TOTAL FEE i /� UTILITY CO NOTIFIED 1 % 1 FINAL "�50 TBABBS DBS#BA "2 . COUNTY OF LOS ANGELES APPLICATION FOR PERMIT -Departmentof County Engineer �� DIVISION OFFBUILDING 8c SAFETY WILLIAM J FOX. County EnYlneer ! DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN /� ELECTRICIAN R BIV BY READY FOR _ DATA (SSU ADDRESS FIRST INSPECTION CITY TEL-No COUNTY LICENSE NO EXPIRES BUILDING PERMIT ADDRESS NUMBER EACH rEE LOCALITY LIGHT OUTLETS NEAREST CROBB BT RECEPTACLES WALL SWITCHED OWNER TOTAL OUTLETS so B MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS 2s CI TEL. NO FIXTURES S 1 HEREBY ACKNOWLEDGE THAT 1 AVE READ THIS MISC APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER Or LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT I POBBESS THE ABOVE VALID LOB NUMBER HORSEPOWER FEE ANGELES COUNTY (CENSE. OR 1 AM THE LEGAL OWNER NEw MVD NP ovt a IND EAOH Or THE RESIDE TI PROP DESCRIBED ABOVE t/a s (.EBB 111 25 SIGNATURE O ` Is 2 SO PERMITTE a B 1 0oSp CTION RECO D 6 1 S 1 50 is SO 250 �9 so 200 6 0oASO/- u 7^LJff 200 500 1000 A G J G. Q -Soo 1000 1500 Z OVER 1000 2000 p M G SET/FREQ CHANGER-HP Q' WELDERS AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS (75% or onto) MOVED MOT (75% or oR10) MIsC SIl3 8 NO NO TRANS. APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INSPECTOR'S NAMB WIRING 41100 CONDUIT FIXTURES SI OD WIRING SUPPLEMENTARY so FIXTURES POWER TOTAL FEE UTILITY CO NOTIr1ED FINAL 76AGW DDB#SA 2-5a ON ' I hereby affirm that I have Ma certificate off conse tI to self insure 2G DP'"(12 91) APPLICATION FOR ELECTRICAL PERMIT Ll or a certificate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy tllereof(Sec 3800 Lab C) ,Policy No Company FOR APPLICANT TO FILL IN ADD ❑ RESS �.] Q Qom( Certified cpy ois hereby furnished New Residential Bldgs &Pools ❑ % 1&2 Family Sq Ft NO $EACH $ FEE LOCALITY N g CdA Certified copy is filed with the county building Inspection _ NEAREST department Muhl family Sq Ft CROSS ST Date I Applicant Residential Swimming Pools ASSESSOR �J //,�,, y MAP BOOK / PAGE PARCELO�V CERTIFICATE OF EXEMPTION FROM WORKERS 3 Z OWNER OR ` COMPENSATION INSURANCE Outlets Rec Light Sw / h FIRM NAME pt S C/Ae 6 First 20 Q v MAIL (This section?need not be completed If the work Involved by the Total No Additional ADDRESS permit Is for one hundred dollars($100)or less) .� I certify thatinthe performance of the work for which this permit CITY p� a `.J, Tel No Z/3 ��Y-AA is Issued I shall not employ any person In any manner so as to PLAN CHECK become,subject to the Workers Compensation Laws Lighting Fixtures First 20 APPLICANT I Total No Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If after making this Certificate of CITY Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances 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 Tel No Professions Code and my license Is in full force and effect Over 10 to 50 Incl Over 50 to 100 Incl LICENSE OR Class a License Number LIc Class Over 100 DISTRICT NO ED BY V t� Services Swbd MCC&Panelboards •v Contractor Date 0 389 Amp Under 800 V DATE _ 0 400 1000 Amp Under 600V V ❑ I am exempt under Sec Over 1000 Amp or Over 600 V VALIDATION FINAL V lJ l B&P C for this reason BRANCH CIRCUIT FEES BY QL W Date 15A or 20A 120V Lighting or Recept Vy( . _J Z_ • - 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A 2DA 208V To 277V Lighting Br Circuits _ y SINGLE FAMILY Temp Power Pole&Appurtenances W L T■e HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit hereby affirm that I am exempt from the Contractors License Law Sign for the following reason(Section 7031 5 Business and Professions Additional Sign Branch Circuits Code 1 ITEM:—: - I as owner of the property will do the work and the structure Misc Conduits&Conductors TOTAL 51®60 Is not Intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule) and Professions Code) Poo. CHE(K 51.--40 ■L CONSTRUCTION LENDING AGENCY CHANGE ,p[I 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) a CIV C) PLAN CHECKING FEE Lender s Name E i 513 1 AM Q°e 2- PERMIT ISSUING FEE Lender a Address I certify that I have read this application and under penalty of purjury state TOTAL FEE 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 Insp ctlon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE *4 RIA ft SIGNAT13RE OF PER RTEE f DAT