HomeMy Public PortalAbout10641 SPARKLETT ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DGof County En ELECTRIC
DIVISION ION OF OF BIIILDING & SAFSAF ETY
WILLIAr J FO%, County6eEIEw
FOR ICAT TO F DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICI 63 /2
READY FOR
ADDRESS [IVCD Y IlilIF Irk, FIRST INSPECTION DAT[ IBBUm
CITY TEL. 0
COUNTY LIC[ B[ N EXPIRES BUILDING /T
PERMIT ADDRESS (�
rE[
NUMBER EACH LOCALITY '
LIGHT OUTLETS NEAREST
RECEPTACLES QROW
WALL SWITCH[H OWNER
TOTAL OUTLETS Be MAIL
[LEO RANGES IIB AODREBB A
EL[C HEATERS 16 _� CITY TEL NO
FIXTURES 6 1 -
1 HERESY AOKNOWLED E THAT I HAVE READ THIS
MISS:: APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER Or RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING,
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
mum IS HORSEPOWER FEE ANGELES COUNTY L ENSE. OR 1 /A'M THE LEGAL DWNER
Nc Nva HP OVER INC ED
AN OF THE RESIDENTI [RTY [SORT I ED
• L[le 111 15
SIGNATURE O►
B 60 PERMITTE
1 B / DO INSPECTION RECORD
e 16 1 50
10 BO 250
BO 100 Sao
100 Bao lei DO J
BOO 1000 1500 Q
Z
OVER 10013 10 DD 0
I M 0 RET FR[G. CHANGER-HP ` Q'
WELDERSt AC-KVA D
GENERATORS - KW
TRANBrORMERS - SIVA
TEMP MOTORS (76 or GXIR)
MOVED MOTORB (75Cr oRID)
MISO
SIGNS
NO. NO TRANS. APPROVALS
NO N Pe
MR EACH PERMITS DAT[ INSPE ORM NAM[
WIRING 81 DO CONDUIT
rIXTUR[S •1 DO WIRING
ISUPP"MKICTAFFY lin FIXTURES
POWER
TOTAL FEE • / D I UTILITY CIL NOTIFIED
FINAL 2-7
7eAeai Dee#u 2-113
COUNTY OF LOS ANGELES APPLICATION FOR PERD[Tf
Department Of Comfy EngtnewELECTRIC
DMSION OF BIIILDING & SAFETY
WILLIAM 1 FOX. CouRb FREIRMr
FO PL ILL IN DISTRICT NO. GROUP I ZONE PERMITNO.NCO..
T
ELECRI S _/ J /` `)
ADDRESS RXCL1 FIRSTVIVD By INBP[ OTIDM Y MR DATE ISSUED
CITY L NO /
COUNTY 10[NSE N IRES BUIL NO
PERDSIT FEE9
ADD RIBS
F[[
MU P40-W EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES OROHS BT
WALL SWITCHES OWNER
TOTAL OUTLETS SD MAIL
ELEC RANGES 28 ADDRESS
ELEC HEATERS 25 CI TEL N0.
FIXTURES S
N[R[•Y ACKNOWLEDGE THAT I HAVE READ THIS
MIBO APPLICATION AND STAT[ THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AOR[[ TO COMPLY WITH ALL OOUNTY ORDINANOSS
NUMBER OF RECEPTACLE CIROUITB AND STAT[ LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS TN[ ABOVE VALID LOS
NuuR[R HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 M THE LEGAL OWNER
N Mw HP Ov[R INC EACH OF THE R[BIDQNTIA RTT BCRI D S,
a L[sF IIS BIGNATUR[ OF
a SO P[RMITTE
a B 1 no INSPECTION RECORD
S 18 I SO
M SO 250
SO 20O Boo
aC0 500 low J
SOO IOW 18 W =
OVER IOW 2000
M D BET FR CHANGER-HP O'
WELDERS AC-KVA D
GENERATORS - KW
TRANSFORMERS - "A.
TEMP MOTORS (75% or [ia)
MOVED MOTORS (78 OF ORIO)
MIB
BIONS
NO. NO TRANS• APPROVALS
NO. NO MPE!
FOR EACH PERMIT. DATINSPECTORS NAM[
WIRING •1 W [CONDUIT
FIXTURES 1111 W WIRING
PP E T RY SO FIXTURES
POWER
TOTAL FEB • 0 UTILITY OO NOTIFIED
FINAL
7M DIMI*11A I-Sa
'EAEBBDEB°BIEBe APPLICATION FOR ELECTRIC PERMIT I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDO
ING I
BUILDING AND SAFETY DIVISION ADDRESS b
JOHN A LAMBIE,COUNTY ENGINEER
CASSATT D GRIFFIN,SuP'T or Bu1LDIN0 LOCALITY
FOR APPLICANT TO FILL IN NEARESTpo
PERM FEES c osa s
I T Q m NUMBER EACH FEE OWNER
Al
OUTLET6 1,10 ADDRESS
,LIGHTOUTL RE...T Bw s 10 s
LIGHTING FIXTURES 10 (/ CITY TEL NO
ueC RANGES CLO DRYERS ELECTRI N
WATER HEATERS EO ADDRESS
QLEC.SPACE HTRS DISHWABHERD
CITY TEL NO
GARBAGE DIBPOBEAe AUTO ♦ �
WI
STATE
giWAQN BTA DDOKIna unite 20
MOTORS OVER INC HP P ESSE
o— V, 25
Ih— 2 so INSPECTION RECORD
2- a 100
e- 15 Ino
In— 50 1 200
a0-20o zoo
SIGNS NO TRANS
NO LANPS
SERVICE 0-000V 1 00
SERVICE OVER OOOV E 00
MI$C
WIRING PERMIT 1 00 (�
�dt
FIXTURE PERMIT 1 00 Q
SUPPLEMENTARY PERMIT n0
TOTAL FEE p APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INGFECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING -IG—.�OT Ly
I HEREBY CERTIFY THAT I AM PROPERLY gGOISTERU) AND�OR
LICENSED AS RHQUIRED NY LOS ANGELES COUNTY AND STATE Or FIXTURE$
CALIFORNIA OR THAT I AM THE LEGAL OWNER OP THE ABOVE
DESCRIBED RESIDENT, ROP Y POWER
61GNATU RE UTILITYCO NOTIFIED
OF PERM ITTE
AL
l� Y ✓
0T - CASH ATION SU ERVISING ELECTRICAL ENGINEER
, CK MO
2.7 0
LV o 0 9% :3 1 s 1%UG 6 2 A
y
WORKERS COMPENSATION DECLARATION 76AW 10/81 1
ht�affirm that I have o certificate of consegt to self CE G APPLICATION FOR ELECTRICAL PERMIT
or a c r e copy the of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec 3800 Lab C )
F
ElPPalicy No Company FOR APPLICANT TO FILL IN JOB c `
Certified copy is hereby furnished New Revdential Bldgs 8 Pools EACH NO FEE i ADDRESS 06 5-
ElCertifiedcopy is filed with the county budding inspec 18 2-Family Sq Ft f = $ LOCALITY
hon department Multi-family Sq Ft NEAREST
Residential Swimming Pools CROSS ST "17a L
Dote Applicant OWNER OR D
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec�Light___(_Sw MAIL c
COMPENSATION INSURANCE ADDRESS O 6 /D S Q P Lets r
(This section need riot be completed If the work Involved by Fust 20 CITY r C•i
the permit IF for one hundred dollan ($100)or loss) Total No Additionoj CrJv e 1� Tel No
CHECK
I certify that in the performance of the work for which this APPLICANTOwOW e
permit is issued I shall not employ any person in any manner
[
so as to become blect to the Work ri Compensation Laws Lighting Fixtures First 20 ADDRESS ,5'q rry p
,Q Total No l Additional
Dote ppluant ` ..a.L /'y��' T CITY M W Tel No ,S.( iw P
NOTICE TO AP LICANT If after kmg this Ce icaf t9 pt Fixed Appliances Not Over I HP PERMIT _
APPLICANT
Exemption you should become subject to the Worker/ Range_ Heater_D W _
Compensation provisions of the Labor Code you must forth Oven _ Dryer _ W M — ADDRESS
with comply with such provisions or this permit shall be Top _ FAU _WH _
deemed revoked Hood _ Fan _Other— CITY- - Tel No '—
LICENSED CONTRACTORS DECLARATION t. LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp Room Air Cond REG NUMBER Class
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO P BY
and Professions Code and my license is in full force and effect Power Apparatus 8 Large Appliances s� a(/ y
Size 8 Type HP KW KVA or KVAR r d
O
License Number Uc Class Up to 1 Incl FDINAO n
Contractor Date - Over 1 to IO Incl U (DATION
❑ Over 10 to 50 Incl
FINAL
I am exempt under Sec Over 50 to 100 Inc BY f LViI
B 8P C for this reason Over 100 H
Services, Swbd MCC 8 Panelboards , - _
Date 0 200 Amp Under 600 V r
Signature 201 - 1000 Amp Under 600 V
❑ Over 1000 Amp or Over 600 V 2 a 3 A
Exemption for Reg Maint Elect
SINGLE FAMILY Temp Power Pole 8 Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Brunch Circuit
`\ #is e e e e 2
1 hereby affirm that I am exempt from the Contractor's License Additional Sign ranch ircuit
Law for the following reason (Section 7031 5 Business and ft (,e • 1 a 7 5
Profe ions Code)
I as owner of the property will do the work and the Mise Conduits 8 Conductors . s e e 1 a 7 59!i
structure is not intended or offered for sole (Section Other (See Complete Fee Schedule)_ ,
7044 Business and Professions Code) 0903t.-85
CONSTRUCTION LENDING AGENCY
I hereby affirm that there iso construction lending agency for
• the performance of the work for which this permit is issued PERMIT FEE - (Sub Total) ,
(Sec 3097 Gv C )
PLAN CHECKING FEE _
Lender s Name
PERMIT ISSUING FEE - D
Lenders 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
hereby authorize representatives of this County to enter upon
the above-mentioned property for inspection purposes
t _ SEE REVERSE FOR EXPLANATORY LANGUAGE
at ref ittee 1 Tit /�