HomeMy Public PortalAbout9302 SPARKLETT ST_Electrical__ ri oma, PM IE "L 0
""""e '"" '°"' APPLICATION FOR LEC RI L PE MIT
COUNTY OF LOS ANGELES
DEPAFTTMENT OF COUNTY ENGINEE4RI
V �z
BUILDING AND SAP D SION A RESS UeG � Q z
FOR APPLIC TO FILL IN LOCALITe C
New Residential Bldgs 6 Pools EACH NO FEE N R ST rJ
182 Family Sq Ft S 025 — $ OWNER /
Mule family Sq k OZ — FIRM NAMES
Residential Swimming Pools 2500 MAIL
ADDRESS
Outlea Rec Light_Sw CITY Tel No
Fiat 20 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS N,
Lighting Fixtures First 20 50 CITY Tel No
Total No Additional 30 PERMIT n
Fixed Appliances Not Over 1 HP ADDRESS
Rouge—Hearer_DW _ CITY Tel Nosj7j.S—/_:3lt
Oven_Dryer_W M_ LICE EOR
Top —FAU —WH — REG NUMBER / Class �—y d
Hood_Fan _Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ MfS AMICATION AND STATE
Dnp — Room Air Cord 250 THAT THE ABOVE 6 COWER AND AGREE TO COMRY WITH ALL COWY ORDNN
ANCES AND STATE IA WS REGULATING ELECTRICAL WIRING
Power Apparatus&Large Appliances
Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM RRO KY REGISTERED AND/OR LICENSED AS
2 50REOUI RK)
ED BY LOS ANGFLB COl1NTY AND STATE Of CALIFORNIA OR THAT I AM
Up to 1 Incl THE LEGAL OWNER Of THE ABOVE DESCRIBED RESIDENTIAL IHREUY
Over 1 to 10 IMI 500 CC
Over 10 to 50 Incl 1250 SIGNAY EE I1'
Over 50 to 100 Inc 2500 SIGNATURE `=)PERMITTEE
Over 100 4000 DISTRI OPw ESSED BY
SerYi p
C� � I+c � Z
0 200 Amp er 600 V 1250 APPROVALS DATE IIP TOURE
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole&Appurtenarces 1000
Sign with One Branch Cucuit 1000 ROUGH CONDUIT
Additional Sign Branch Circuits200 1 WIRING
Misc Conduits B Conductors 1000 FIXTURES
Other(See Complete Fee Schedule, POWERAUTHORIZED
UTILITYCO NOTIFIED
FINAL
PERMIT FEE (Sub Totals NOTES
PLAN CHECKING FEE (One Fourth Permit Feel
PERMIT ISSUING FEE $700
TOTAL FEE / b�
MN CHECK VALIDATION CK M O CASH P9AVT VALIDATION CCK M O CASH
1899J.50 -
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE J /"
7"e" 0888A u-na APPLICATION FOR PERM
DEPARTMENT T OFG ASAFETY ��������
COUNTY OFF LOS LOS ND ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE I PERMIT NO
ELECTRICIAN
/7 9,7-0-
RECEIVED BY READY FOR DATE ISSUED
ADDRESSFIRDT INSPECTION
CITY sm gab, TEL NO / -
COUNTY L ^ "PIRM GuIV -4932 Rio Hondo Avec
EES
PERK= F
UMBER EACH FEE LOCALITY Temle city
LIGHT OUTLETS NEAREST
CROH ST
RECEPTACLES Turner neer HQ�
WALL SWITCHES OWNER 34auoi-
TOTAL OurLM Sc S 11 ao MAIL
ELEC RANGES AS ADDRESS
ELEC HEATERS 13 CITY TEL O
FII(TURQS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC 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 I CERTIFY THAT 1 POSSESS TiIE ABOVE VALID LOB
NuMeza HORSEPOWERANGELES COUNTY LICENSE OR 1 AM,TH6 LEGAL OWNER
FEE OF THE RESIDENTIAL P TY DESCRIBED ABOVE
N_ MYD HP OWN INC �i1�
il /A1 e 26 Olt SIGNATURE OF
1 E PERMITTE
s 3 too __ INSPECTION 'RECORD
a 13 1 a0
lip so s BG
SO 200 a DO
200 Soo to OO W
f
300 low is 00Q
U
OVER 1009 EO DO 7
M G SET FRE CHANGER-HP - LL
IL
WELDERS AC-KVA D
GENERATORS-KW r
TRANSFORMERS-"A -
TEMP MOTORS (7 of oRia
MOVED MOTORS 76OF ORIS
MISC
SIGNS
NO NO TRANS APPROVALS '
DATE INSPECTOR S, AME
FORE EACH PERMIT
WIRING $100 CO DUIT . A
FIXTURES 41 OO WIRING R
SUPPLEMENTARY a0 FIXTURES
POWER
4 46
TOTAL FEE S UTILITYCO NOTIFIED • y
Q
TSABBS- 10000.ll."APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF um RNamm
DEPUMINT OF COUNTY EN«d= BUILDING d Z
BUILDING
]AND SAFE777 DrIMON ADDRESS
CR88AT[A a9�IIi.9Oy'l LOCALITY
NEAREST
FOR APPNT_TOFlLL IN CROSS
PEFAM FM
I TR M HUMBSR ■ cH MR OWNER
OUTLETS f fMAIL
LIGHTS RBC[PT SW 10 do ADDRESS Q
LIGHTING FIXTURES 10 740` CI7 IV TE N Q
eLea.RAHO® c DRnNs ELECTRICIAN
WATSR HSATBRG Do ADDRESS
IU-RC BPACB HTRS DIBHWASIISRS
OARBAOI DISPOSSNS AUTO- CITY TEL NO
WASHERS BTA COOKING UNITS 2D STATE
LICENB NO
MOTORS OVER INC HP 15 IG I
0— va 25 BEADY POB nuvBenGR
i
V. — 2 DO
2 — D 100 WSPECTLON RECORD
D — 15 150
1D — DO 250
DO— 2O0 goo
BIONS NO TRANS
NO LAWPB
SERVICE 0 DOOV 160
SERVICE OVER BOOV boo
MIBC
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT DO
TOTAL FEE f APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR f SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING LAl
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENT PROPERTT
SIGNATURE UTILITY CO NOTIFIED
OP PERMITTE
FINAL 17�hms
VAlMAARtHUR C YEIT,
CK
NO
un1 BUPHRVISWa CAL
b
Jp 4 9 7 15; APR 13 2 A
3.9 0
WQRKERS'COMPENSATION DECLARATION 7BCEA6
806 G (2 80) APPLICATION FOR ELECTRICAL PERMIT
1 hereby�$irm t}� I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
Insure, or a certificate of Workers'Compensation Insurance,of
a certified copy thereof(Sec 3800,Lab C)
ny FOR APPLICANT 70 FILL EACH N
Policy No CompaNO FEE ADDRESS
New Residential Bldgs &Pools
❑ Certified copy Is hereby furnished 1 &2 Famdy,Sq Ft S — S LOCALITY Tffn.4.e' CN—
❑ Certified copy is filed with the county budding Inspection Multi-family Sq Ft CROSS ST AAP 'AO C.r
department Residential Swimming Pool$ FDIRM NAME
` MAIL
Date Applicant Outlets Ree Light��]+_Sw ��i! - V
''L First 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITU E tCI Tel No -/6 fi3 }
COMPENSATION INSURANCE
PLAN CHECK
(Thus section need not be completed If the work tmolved PPLICANT
20
by the permit u for one hundred dollars ($100) m less) Lighting Fixtures First io ADDRESS Cc
Total No � Additional �
1 certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITU No F
permit is wued 1 shall not employ any person in any manner PERMIT W
so as to become subject to the orkers' Compensation Laws Range_Heater D W PPLICANT p,
Oven _ Dryer_W M _ ADDREbS Z
Date aT 4'Apphcan( � Top _ FAU W H
Hood — Fan Other_ CITY Tel No
NOTICE TO APPLICANT after making this Certificate of Disp _ Room Air Cond_ NSE OR
Exemption' you should ome subject to the Workers' REG NUMBER Clan
Compensation provisions of the Labor Cade you must forth Power Apparatus& Large Appliances DISTRICT NO A(/ PROCECLSO BY
with comply with such provisions or this permit shall be Size&Type HU to KVA or KVA
Sr OV
deemed revoked
Up to 1 Incl FINAL
Over 1 to 10 Incl DATE _� VALID ION
LICENSED CONTRACTORS DECLARATION Over 10 to 60 Incl ka
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINA
II
BY
9 (commencing with Section 7000)of Division 3 of the Buu Over 100
ness and Professions Code, and my license is in full force and
effect Services
License Number Lic Class— '0'2170 Amp Under 600 V
201 1000 Amp Under 600 V �j
Contractor Date Over 1000 Amp or Over 600 V - #1 7i 8a 4 i'7
HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances I a * 2a25
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit 2 a 2 5�1
License Lew for the following reason (Section 7031 3 Buss Additional Sign Branch Circuits . . .
ness and Professions Code)
Mirc Conduits&Conductors � I p a 2 8 0 8 5
as owner of the property will do the work and the Other(See Complete Fee Scheduh l—
structure is not intended or offered for sale (Section
7044 Business and Professions Code)
CONSTRU(,TION LENDING AGENCY
I hereby affirm that there I$ a construction lending agency
for the performance of the work for which this permit u PERMIT FEE (Sub-Total)
Issued(Sec 3097,Civ C)
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel ,
Lender's Address PERMIT ISSUING FEE Q
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 winng and
hereby authorize representatives of this County to enter upon
the ove mentioned psoperl for inspection purpose -
SEE REVERSE FOR EXPLANATORY LANGUAGE
nature of Permittee Date '