HomeMy Public PortalAbout9247 SPARKLETT ST_Electrical__ TeADEPARTMM OF BUILDING AND SAFETY APPLICATION FOR PEHNIIT
j' COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN
I 3 -,;Z
RECEIVED BY READY FOR OATS ISSUED
ADDRQHS 5154 No Aoaclft St. n ,.„ FIRST INSPECTION _
CITY Sen Gab. TEL No AT 68583 Y//_�/4,,C//�/C/./,
oUNI-Y LICENSE NO FEES ADDRESS
11104 m BUILDING
PERM FE9247 S klett St.
ES
PER Temple City
NUMBER EACH LOCALITY P
LIGHT OUTLETS 0 NEAREST
RECEPTACLES
WALL SWITCHES CROSS BT
OWNER Turner Homes
TOTAL OUTLETS 46 Sc 2 O MAIL
ELEC RANGES as ADDRESS
ELEC HEATERS IIB
PIXTURHB 0 S CITY TEL O
1 HEREBY ACKNOWLEDGE THAT 1 NAV[ READ THIS
M SC APPLICATION AND STATE THAT THE ABOVE IS 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
NuMeeR HORSINC [FCR
EPOWER ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
New MVO HP ven
FEE OF THE RESIDENTIAL PR DESCRIBED ABOVL
o
I 1A
IV" 1/1ALe.. 26 SIGNATURE OR
I 2 SO PERMITTE
2 e 1 00 INSPECTION RECORD
R 15 1 SO
IB SO 2 BO
BO 200 Boo
200 Boo 1000 ,J
BOO 1000 1500 Q
2
OVER 1000 2000 (�'f
M G BST/FREQ CHANGER-HP E
WELDERS AC-"A 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP MOTORS 178 of ORIG
MOVED MOTORS 76 OF 0RtG
MIBC
SIGNS
NO NO TRANS APPROVALS
NO NO
FOR EACH PERMIT DATE INSPECTOR 0 NAME
CONDUIT
WIRING 1111 00
FIXTURES SI 00 WIRING
SUPPLEMENTARY BO FIXTURES
5 05 POWER
TOTAL FEE • UTILITYCO NOTIFIED
FINALi
I ' ate, •WdITKERS COMPENSATION DECLARATION GG 10,61 APPLICATION FOR ELECTRICAL PERMIT
IIU mm that I have a certificate of consent to sett Insure
'or a cc(bblpte OJ.Workp Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
CQPY thereof (Sec.3800 C) 1
Policy No 3 Comp m L l-(4 FOR APPLO r TO FILL W JOB G. Q r
Certified copy is hereby furmshed New Resdgs a Pools fentlal EACH NO FEE ADDRESS 92-47 15
Bld
Garbled copy is filed with county, Ikk B I Pe 7 8 2-handy Sq Ft $ — S LOCALITY e. e.
department Muff-family Sq Ft NEAREST
CROSS S7 min ' t+ondo
Date APWcara Resxlentlal Swimming Pools OYER OR v
FIRM= i1
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Roe Light t 2 - Mn� m e_
COMPENSATION INSURANCE ADpRESB
Thla section need not be c First 20
( completed($ b the work ImoWed by the
Permit Is for ane hundred dollars(5100)ar leas) Tdffi No � Additional � CITY �
1 efh
ofy that In the performance of the work for which the permit Y PLAN CHECK
M Isme4 I shell not employ any person In any manner so as to
become subject to the V.brkers Compensation Laws Lighting Fixtures Feet 20 ADDRESS
Total No AddRonal
Date Applicant CITY Tel No
NOTICE TO APPLICANT If after making this Certificate d Fixed Appliances Not t HP I'EHMR
Exempten,you sttonN become aubject to the Nbrkera Compensation Range_ Heater DW _ AP rANT
pronmolS of the Labor Cada you must forthmth compty with Such Oven _ Dr I
yen W M ADDRESS
Provlagns or this Permit analI be deemed revoked Top _ FAU WH
LICENSED CONTRACTORS DECLARATION -.?Hood — Fan Other_ CITY9110
I hereby affirm that I errs licensed under provisions of Chapter 9psp _ Room Aa Gond 3-�D �` O6 UCENS OR
(commencing with Section 7000) d ro
Drvlsn 3 of the Business and REG NUMBER Pr
Gaea
Professrore Code and my Ixense is In full force and effect Power Apparatus 8 Large Appliances DISTRICT NO D BY
1
JJJ------��- Size 8 Type HP KW KVA or KVAR . d
s t
License Number Lc Class Up to 1 Incl FINAL 8
/f7 O.er 1 l0 70 Incl DAA N 0
tractor 4II,t��TT�11 „ Date VALIDATIOOvar 10 to 50 Incl Fl O
I am exempt under Sec Over 50 to 100 Inc LLyU,r,��
B BPC for this reason Over 100 D.
In
Services Swbd MCC 8 Panelboerds ► Z
Date 0-200 Amp Under 800 V
Signature 201 - 1000 Amp Under 800 V
Over 1000 Amp or Over 800 V
Exemption for Rep Maim Elect
SINGLE FAMILY Temp Pourer Pole 8 Appurterrarw7es `
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCT.4v
I hereby affirmMown that am exempt from the Contractors License Lew
for the following reason (Section 7031 6 Ba8Ir1668 and Professions Additional Sign Branch Clrwlts 3M7 26.50
Coda)
El
Mac Condirte a Conductors 1 ITEMS
I as owner d the property will do the work aril the structure
is not intended or offered for salOther(See Complete Fee Schedule) , TOTAL 26 . 50
sale (Section 7044 &eines
and Profession Code) I
CHEV, 26.5C
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction landing agency for the CHA4 E •CJ
Performance of the work for which this permit is issued(Sec 3097 PERMIT FEE (Sub-Total)
Civ C)
PLAN CHECKING FEE QI N]mOQ1 4/18/89
Lenders Name ��It.�L
PERMIT ISSUING FEE D 2622 1 AM 7a5;
Lenders Address
I certify that I have read the application and state that the above TOTAL FEE
Infomatan Is correct I agree to coni with all County ordinances
and State laws regulating Elactnicai and hereby adndnze
Iins d y t upon the abs -menhoed
to
Y �U -89 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Pannibee Date