Loading...
HomeMy Public PortalAbout4914 ARDEN DR_Electrical__ 76A663-CE806 12/75 APPLICATION FOR EL C L[WE'RMIf oLOUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB DR BUILDING AND SAFETY DIVISION ADDRESS FOR APPLICANT TO FILL IN LOCALITY LE CIT New Residential Bldgs & Pools EACH NO. FEE NEAREST 1 & 2-Family, Sq. Ft. $ .025 — $ CROSS ST.OR T��� �.�T7 Multi-family Sq. Ft. .02 — WNER FO RM NAME BMWER GAIL Residential Swimming Pools 20.00 MAIL ADDRESS SAME Outlets: Light, Switch & Receptacle CITY 'jEn"LE CITY Tel.No. 579-1028 First 20 .50 PLAN CHECK Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY m���� Tel.No. Additional 30 PERMIT APPLICANT TRAM HCC Fixed Appliances Not Over 1 HP ADDRESS 2034,N. PECK RD. Range_Heater_D.W._ S. EL IMM 579-7982 CITY Tel.No. Oven--Dryer W.M. LICENSE OR Top _ FAU -W.H._ REG.NUMBER 265094 Class. Hood_ Fan ___ 2.00 1 SO I HEHE61' ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Disp._A.C. _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES.AND STATE LAWS REGULATING Power Apparatus&Large Appliances ELECTRICAL WIRING. Size & T HP, KW, KVA, or KVAR I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR Type LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF Up to 1 Incl. 2.00 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 5.00 tROUGH RESIDENTIAL PROPERTY. Over 1 to 10 I ncl. � Over 10 to 50 Incl. 10.00 Over 50 to 100 Incl. 20.00 E V' tn Over 100 30.00 T NO. ! r7SED B Services 0LU 0- 200 Amp. Under 600 V 12.50 I ECTOR'S I� 201-1000 Amp. Under 600 V 25.00 ROVALS DATE GNATURE Over 1000 Amp. or Over 600 V 50.00 WER POLE m LAB WORK Temp. Power Pole& Appurtenances 10.00 Sign with One Branch Circuit 10.00 ONDUIT Additional Sign Branch Circuits 2.00 WIRING (Other) FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) ( 0 NOTES PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE $6.00 4 5 .10.5 TOTAL FEE _ - PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION MO. CASH, SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE806 1/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING MJ FOR APPLICANT TO FILL IN NEAREST CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT._ $ $ MAIL FIRST 20 2p ADDRESS LIGHT TOTAL CITY V 59 L. N0: SWITCH OVER 20 10 PLAN HECK LIGHTING TOTAL FIRST 20 20APPLICANT OVER 20 ADDRESS FIXTURES .10 APPLIANCES CITY TEL. 0. PERMIT S API �---- RANGE DRYERWTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH, LICENSE NO. CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AN 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 AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABO ESC ED RESIDENTIAL, PROPERTY. OF PERM SIGNATURE G/^�^"1S 10 - 50 5.00 . ITTEE V 50 - 100 10.00 DISTRICT NO. CLASS GROUP ON) E� R ESSED B O 100 - 500 15.00 �j�� ,/`r//Iri SIGN, GASCL SIGN AND ONE CIRCUIT 3.00 NOTES: TUBE, OR I U) MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER600VOLTS OR200AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER600 VOLTS OR200AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 - ROUGH CONDIUT WIRING PERMIT FEE (SUB TO FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED , -7/ PERMIT ISSUING FEE 2.00 FINAL SUPPLEMENTARY PERMIT IS FEE 1.00 JO EPFi C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGIN PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH r 3 d c i=uuT �. 2 D 5.0 0 n SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 178A863-CE8061/70 APPLICATION FOR ELECTRIC PER IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH I FEE jy OWNER RECEPT.&O 0 MAIL $ $ ADDLES LIGHT � TOTAL FIRST 20 .20 �.�''� 20 f0 OVER 1 4 CITY TEL. N0. �S�j WO SWITCH L`-'r PLAN CHECK , FIRST 20 20 l6 APPLICANT LIGHTING TOTAL / OVER 20 ADDRESS FIXTURES / .10 APPLIANCES CITY TEL. N0. - PERMIT J RANGE DRYER_WTR. HTR. APPLICANT STA. COOK -DISP.- / F.A,U. ADDRESS 0_!MI-4 SPACE HTR. AIR COND. CITY TEL. NO CLOTHES WASH./DISHWASH.L— rJ /��� LICENSE NO. 7S' CLASS. FAN / OTHER ( 1.00 a 1HEREBY ACKNOWLEDGE THAT I 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 NO STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF ND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOV PESCRIP�ED RE IDEN I L PROPERTY. �- SIGNATURE ; O_ 10 - 50 5.00 OF PERMITTEE II" VO 50 - 100 10.00 DISTRICT NO. CLASS JG!�OUf ZONE PRO E 100 - 500 15.00 SIGN; GAS Lu SIGN AND ONE CIRCUIT 3.00 NOTES: 0- TUBE, OR 0) MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600VOLTS OR200AMP / 2.00 0 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS 0 R 200 AM P 5.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED c PERMIT ISSUING FEE 2.00 ®© FINAL S, S SUPPLEMENTARY PERMIT ISSUING FEE 1.00 tu JO EPH C. ROOHAN TOTAL FEE V SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CASH r.�9 30 2 D 21 .7oN SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE Virm that I COMPENSATION DECLARATION 76- 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that have a certificate of consent to self insure, CE-806806G 6r a certificate of Workers' Compensation I urance, or ertified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereo 00,Laq*}� - Policy No. �or�/pany FOR APPLICANT 70 FILL IN JOB ADDRESS New Residential'Bldgs.&Pools Certified copy is hereby furnished. EACH NO. FEE Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. g — $ LOCALITY ES depart t. --� Multi-family Sq.Ft. NEARTCROSS ST. ] Residential Swimming Pools OWNER OR Date/r Applicant _ FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec—(�— Light Sw. — )MAIL f COMPENSATION INSURANCE S !ADDRESS (This section need not be completed'if the work involved by the First 20 Total No. Additional CITY Tel.No. permit is for one hundred dollars($100)or less.) v I certify that in the performance of the work for which this permit PLAN CHECK APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Total No: CITY Tel.No. Date' Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption,you.should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS 1 l provisions or this permit shall be-deemed revoked. Top — FAU _ W.H. LICENSED CONTRACTORS DECLARATION CITY Tel.No. Hood Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. LICENSE GR 1/12 (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Class. Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO.L PROCE D BY /�/�� Size& Type HP,KW,KVA,or KVAR 0 License Number / Lic.Class/— Up to 1 Incl FINAL V XOver 1 to 10 Incl. DATE VALIDATION Contractor Date Over 10 to 50 Incl. O ❑ Jr 1 am exempt under Sec. Over 50 to 100.Inc. FI VW BAP.C.for this reason Over 100 N Services,Swbd.,MCC& Panelboards Z Date: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V r-1Exemption 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that.I am exempt from the Contractor's License Law 287 1..2 A for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): # o o o o o 2 - I,as owner of the property,will do the work and the st'ructure Misc.Conduits& Conductors � o 0 1 ��0 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ and Professions Code). , o 0 0 1 5005 CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the o 1.105 $8 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address p I �� I certifythat I have read this a plication and state that the above TOTAL FEE information is correct. I agree to comply with all County ordinances and State s regulating Electrical wiring, and hereby authorize represent iv of this County to enter upon the above-mentioned prop rty Vinspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ofPermitteeDate i