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Home My Public Portal About5643-5645-5647 NOEL DR_Electrical__ Taw6153 Gaa SA a-ao APPLICATION FOR PERMIT DEPARTMENT OF BUu.DING AND SAFETY ELECTRIC i COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEr ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT. ELECTRICIA R EIVED BY READY ran DATE IBBUW ADDRESS rimer INSPECTION CITY �:T;�KL.No � COUNTY LICENSE NIL AXT40 EJCPIR bBUILDING ADDRESS r PERMIT FEES NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROSS BT. RECEPTACLES WALL SWITCHES OWNER r TOTAL OUTLETS Z41 SC L MAIL ELEC RANGES 88 ADDRESS ELEC HEATERS SS CITY TEL NO IXTURES 8 MIBC 1 HEREBY A&NOWLEDGE frHAT 1 HAVE READ THIS EKHAPPLICATION AND STATE THAT THE ABOVE 18 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDJNANCEE NUMBER OF RECEPTACLE CIRCUITS AND STATE LAIN8 REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NuwaeR HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL DINNER New Mw NP oven INC CACH Or THE MMID6AL PROPERTY DERC BE ABOVE. s Lean S 88 /1%2BIGNATUR6 OF S 60 PERMIT : B 100 SPECTION RECO S 1B ISO 78 BO 2513 C. "'SAra-LA A&7— A' Bo 200 B 00 200 Sao loco J Bao loco loco Z OVER IOOO SO 00 _p M S mEr/rRzq cHANGER-HP R� WELDERS AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS (75OF ORIN) MOVED MOTORS (7111Or coin) MISO BIONS NO NO TRANS. SND NO LAMPS ---.`\ APPROVALS T7 ran EACH PERMIT: DATTo INSPEOTORPB NAME WIRING 1111.00 Q CONDUIT FIXTURES $1.00 Qt WIRING SUPPLEMENTARY BO FIXTURES POWER TOTAL REECO UTILITY O.NoTIr1ED TINA COUNTY OF LOS ANGELES APPLICATION FOR PERP41T Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J FOX, County Enolueer ELECTRIC I FOR APPLICANT TO ILL IN DISTRICTNO. GROUP ZONE PERMIT NO. -3 6&3g4 ELECTRICIAN+ RECEIVED Y READY FOR DATE IGBUED ADDR d FIRST INSPECTION CITY TEL,NO j J COUNTY LICENSE NO Zf4rQ EXPIRES BUILDING PERMIT FEES ADDRESS NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROSS STIPA RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS BC MAIL ELEC RANGES gs ADDRESS / ELEC HEATERS Ss CITYTEL. NO FIXTURE B 1 HEREBY ASKNOWLEDOE 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE* OR 1 AM THE LEGAL OWNER Now Mw HP OVER I INO EACH OF THE RESIDEN IAL PROPERTY DESCRI ED ABOVE. • LEBB as SIGNATURE OF = s0 FERMI s s Ica SPECTION RECORD s is ISO Is so z SO BO 700 Sao 20o Soo 100C _ s00 1000 7s 00 Z OVER 1000 29300 D M O SET/FREQ CHANGER-HP IZI WELDERS AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS (75Or oRiB) MOVED MOTORS (76 OF CRIB) M16C SIGNS NC NO TRANS. NO NO LAMPS APPROVALS FOR EACH PERMITI DATE INSPECTOR'S NAME WIRING Ica CONDUIT FIXTURES WIRING SUPPLEMENTARY s0 FIXTURES POWER TOTAL FEB S / UTILITY Co NOTIFIED FINAL 75A853 DBS#5A 4-58 , W&KER'§*COMPENSATIONDECLARATIO\ 7fA666 (280) APPLICATION FOR ELECTRICAL PERMIT . I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or f G a certified copy thereof(Sec 3800,Lab C) FOR APPLICANT TO FILL IN JOB W7 0W OE L T O Policy No Company ADDRESS' v ll /L NO EACH NO FEE ' New Residential Bldgs &Pools , Certified copy is hereby furnished 1 &2 Family,Scl Ft $ — $ LOCALITY, Multifamily Sq Ft — NEAR T �- Certified copy is filed with the county building inspection CROSS ST X Dec department Residential Swimming Pools OWNER OR ' FIRM NAME e Date Applicant Outlets Rec-31CZ I �� "� ADDRESS /�� First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No T Additional CITY Tel No COMPENSATION INSURANCE } - y PLAN CHECK (This section need not be completed if the work involved 7i APPLICANT V by the permit is for one hundred dollars ($100) or less)` Lighting Fixtures First 20 ADDRESS Additional cc , Total No CITY Tel No 0 I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner PERMIT tJJ so as to-become subject to the Workers'Compensation Laws Range_Heater`D W _ I APPLICANT d / Oven _ Dryer_W M _ I ADDRESS Z Date j�Applicant Top F _W H CITY Tel No Hood —Faann _Other_ i NOTICE TO APPLICANT If, after making this Certify of Disp _Room Air Cond_ LICENSE OR Exemption, you should become subject to the Workers' , REG NUMBER Class Compensation provisions of the Labor Code, you must forth Power Apparatus&Large Appliances DISTRICT NO PROCESSED BY with comply with such provisions or this permit shall be Size&Type HP,KW,KVA or KVA deemed revoked 3 Up to 1 Incl O ®ft–M&X FINAL Over 1 to 10 Incl DATE ti LICENSED CONTRACTORS DECLARATION Over 10 to 50'l ncl ' VALIDATION I Hereby affirm 4hat I am licensed under provisions of Chapter Over 50 to 100 Inc BY AL 9 (commencing with Section 7000)of)Division 3 of the Busi Over 100 ness and Professions Code, and my license is in full force and , effect Services 0 200 Amp Under 600 V License Number Lic Class 201 1000 Amp Under 600 V 4 Contractor Date Over 1000 Amp or Over 600 V ' HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances - t 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, Busi Additional Sign Branch Circuits ness and Professions Code) -7 5 5 8 A Misc Conduits&Conductors ` I, as owner of the property will do the work and the, Other(See Complete Fee Schedule)— #(• e • •,• 2 structure is not intended or offered for sale (Section ) i 2- 1750 7044,Business and Professions Code) CONSTRUCTION LENDING AGENCY o o e 5 0= I hereby affirm that there as a construction lending agency 5- for the performance of the work for which this permit is PERMIT FEE (Sub Total) issued(Sec 3097,Civ C) 2 1 3-83 , Lender's Name PLAN CHECKING FEE (One Fourth Permit Fee) Lender's Address _ PERMIT ISSUING FEE - / 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 hereby authorize representatives of this County to enter upon r 1 .- ' t bove mentioned roperty for inspection purpos SEE REVERSE FOR EXPLANATORY LANGUAGE i ti zb ignature of Krmi ee at i