HomeMy Public PortalAbout5725 NOEL DR_Electrical__ 76ABW CE906 1 67 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING S QA K ���
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER TEMP
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FORAPPLICANT TO Fill IN CROSS ST X N
RECEPT l TOTAL NO EACH PER ,� A _
I OUTLETS FIRST 20 $20 $ OWNER ♦ Pt/N
LIGHT J MAIL OA/- sl�
SWITCH ADD L 10 ADDRESS L
OVER 20 TEL NO2S�S�v
LIGHTING 1 FIXTURES FIRST 20 20 TAL CITY
FIXTURES J( ADD L 1O CONTRACTOR W E
OVER 20
RANGES DRYERS WTR MRS too OO ADDRESS S�4i1-r 4
GARB DISP STA SOK
CITY TEL NO
DIGHWASH AUTO WASH STATE
SPACE HTRB BTA ADPL so LICENSE NO
MOTORSI OVER NOT OVER H P DISTRICT N G P1 O
O 1 100 • Q
1 s ISO INSPECTION I RD
s a 200,
8 IS 250
18 So Soo
so 100 Soo V
SIGNS NO TRANS O
NO LAMPS 0
SERVICE O SOOV NOT OVER 200A 100 O4c1L
O.
SERVICE O SOOV OVER 200 A 200 Z
SERVICE OVER GOOV Boo
OTHER (BEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR B BI
TOTAL FEE $ C
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 A OOLlGAL OWN! OFNO INTEND TO POWER
RESIDE IN THE ABOVE D R691 BN A OPERTY v
SIGNATURE UTILITY CO NOTIFIED 1L
OF PERMITTEE FINAL .�
VALIDATIO JOSEPH C ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LAC0 9 4 9 8% JUL 10 2 D 400-
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TEDnE CITY �j I
%A6634608 1/7 APPLICATION FOR ELECTRICAL PERMIT �J
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 5725 N,,Oxtic Ave
`"JOHN A LAMBIE COUNTY ENGINEER LOCALITY Tem le City
COLEMAN W JENKINS SUP INTEND6NT OF BUILDING
NEAREST T
FOR APPLICANT TO FILL IN CROSS ST13-ve Oak
OUTLETS NO EACH I FEE
OWNER R
RECEPT11L $ $ MAIL
FIRST 20 20 5 00 ADDRESS Sama
LIGHT_ TOTAL CITY TEL NO2$6-
5466
SWITCHl_&_ _41_ OVER 20 21 10 2 10 PLAN CHECK
LIGHTING TOTAL] FIRST 20 9 2 25 APPLICANT
ADDRESS
FIXTURES 9 OVER 20 f0
APPLIANCES CITY TEL NO
PERMIT ��rr
RANGE DRYER_WTR HTR APPLICAN7Yarr Electme
STA COOK DISP F A U ADDRESS 15834 Workman St
SPACE HTR AIR COND ClTlaj'a Puente TEL NO
CLOTHES WASH DISHWASH LICENSE N0250843 CLASS
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE ALO NER OF A D INTEND TO
1 - 10 900 RESIDE IN THE ABO D IPED ESI DENTI PROPERTY
O.
10 - 50 500 SIGNATURE Q
OF PE V
50 - 100 1000 p�
r,5-, C
TNO ASS 16:KIZONE PR CE Y
100 - 500 15 DD p
SIGN GAS SIGN AND ONE CIRCUIT 900 NOTES N
TUBE OR Z
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200 AMP 200
SERVICEOVER 600 VOLTS OR 200AMP S00 APPROVALS DATE INSPECTOR 5 SIGNATURE
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 900
TEMP LIGHT OR RECEPT SYSTEM 300UNDERSLAB WORK
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO NOTIFIED
PERMIT ISSUING FEE 00 00
� 7?
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL Jg H C ROOHAN
TOTAL FEE SUP (SING EL AL ENGINEEP
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VAL 1V-3 O CASH
1110- fi 5 782(,' , 2 D 1
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
Teweaa cSeoe +0/74 APPLICATION FOR ELECT ICAL PERMIT
` COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �DDREss 7 ,� d
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS FE OWNER OR /'] f1
S S FIRM NAME V JJ
RECEPT_ MAILADDRESS f►
LIGHT TOTAL FIRST 20 Zg p /
CITY re-,�,, TEL NOI. Z7
SWITCH OVER 20 0 PLAN CHECK
LIGHTING TOTAL
FIRST 20 Zg APPLICANT
FIXTURES
OVER 20 0 ADDRESS
RESIDENTIAL APPLIANCES CITY p TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT �j0l-A I e l c ct riti
STA COOK DISP F A U ADDRESS /p({Is//
SPACE HTR AIR COND CITY o tie TEL NO
CLOTHES WASH DISHWASH REG NNUMBER 2 2
I Cfa 'y CLASS
FAN OTHER 101 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WIT H
ITN ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE e: TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O — 1 +p LICENSED A8 REQUIRED BY LOS APO ELEB TY AND STATE OF y
CALIFORNIA OR THAI I AM THE EOAL OF THE ROVE C7
TIAL V
yi axAle,. 1 - 10 9 B o pESCRIPED RESI
PERMITEE PROP TY
10 - 5o S SIGNATURE Fes•
JF
50 - 100LLA
10 DISTRI :OIA ESS E BY a.
y
100 - 500 +B a
SIGN GAS SIGN AND ONE CIRCUIT 5 APPROVALS DATe7 INSPECTOR S SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 1 TEMP POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3 # Q UNDERSLAS WORK
SERVI CEOVER 600 VOLTS OR 200AMP 10 [FA
CONDUIT
TEMPSERVICE POLE &APPURTENANCES 5 G
TEMP LIGHT OR RECEPT SYSTEM RES
AUTHORIZED
Y CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE
PERMIT ISSUING FEE EA31
TOTAL FEE v
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
18 WPM 16 21250 98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE