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HomeMy Public PortalAbout4918 ARDEN DR_Electrical__ 7GA663-CE6061/70 APPLICATION FOR ELECTRICAL PERIWIIT cul COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING !l BUILDING AND SAFETY DIVISION ADDRESS 7 JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT./ $ $ MAIL LIGHT TOTAL v 00 FIRST 20 0 .20 - ADDRES 9CITY TEL. NO.� SWITCH [_ OVER 20 C .10 PLAN CHECK LIGHTING FIRSTOTAL 20 20 APPLICANT T FIXTURES OVER 20 ADDRESS 2 APPLIANCES CITY TEL. NO. PERMITf RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP.L// F.A.U.- ADDRESS SPACE HTR. z AIR COND. I CITY TEL. NO. CLOTHES WASH./DISHWASH.y/- 'y// LICENSE N0. CLASSe-lo FAN-/-OTHER / 1.00 OQ� HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VV 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 AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABO DESCRIF',ED RESID TIAL PROPERTY. CL SIGNATURE0 10 - 50 5.00 OF PERMITTEE 50 - 100 10.00 DIT N0. CLA55 GROUP ZON 100 - 500 15ee .00 C/� V W SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: O_ TUBE, OR N MARQUEE ADDITIONAL CIRCUITS 1.00 z SERVICENOTOVER600VOLTS OR200AMP 2.00 QO APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OVER 600 VOLTS OR 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 FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 -� FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSEPH"C. ROOHAN TOTAL FEE V SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION 'CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH 9438 X30 2 D 1.3CSN SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663 SA 25M SETS 7-48 APPLICATION FOR PE10W DEPARTMENT OF BUILDING AND sA ELECTRIC 7 COUNTY OF LOS ANGELES W . J. FOX, CHIEF ENGINEER r z NAME 10 w IAJ 9> DISTRICT NO. GROUP I ZONE PERMIT NO. U yq I -1 E ADDRESS �T r U CITY TEL.NO. RECEIVED BY READY FOR DATE ISSUED W r J; FIRST INSPECTION .� ..1 COUNTY fG�11 LICENSE NO. EXPIRES 7 APPLICANT FILL IN HEAVILY OU'T'LINED PORTION ONLY JOB DESCRIPTION OF ©PORK DORESS - �� NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEA !!� t LIGHT OUTLETS SW. PLUGS Flzr CR OSSS T. .< A � CIRCUIT A B 1 C D E F G I H M NAME G'/. 171,4 bA/) Z MAIL ADDRESS JA O / t TEL.NO.1 AM THE LEGAL POSSESSOR OF THEANGELES COUNTY CERTIFICATE OF QUALIEL1AM THE LEGAL OWNER OF THEPROPERABOVE 1� �®�S E. Las Sap r Allantir 9-5393 y _ J Q Z R O TOTAL [ NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. • $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ 7 0 UTILITY CO.NOTIFIED TOT FEE