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HomeMy Public PortalAbout5017 ARDEN DR_Electrical__ 7•6A689-CE806'12-58 APPLICATION' 9 9 LICA 0 IO VIFOR ZLEVT■ \I V� ' 0 flee19 pY IT . COUNTY OF LOS ANGELES. DEPARTMENT OF COUNTY. ENGINEER BUILDING' re ter M Pl-' BUILDING AND SAFETY DIVISION `ADDRESS JOHN A.LAMBIE.-COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN, NEAREST' PERMIT FEES CROSS ST. ITEM NUMBER EACH. FEE OWNER 1;au nl OUTLETS: . :,� $ ' $ MAIL - LIGHTS �• ADDRESS ' RECEPT: t SW. 1 -.1O LI GHTING'FIXTURES t - ":10 V CITY' - TEL NO. - ELEC.RANGES CLO.DRYERS - ELECTRICIAN W A T E R HEATERS .50 ADDRESS - ELEC.SPACE HTRS. DISHWASHERS • - CITY • ~� TEL.NO. GARBAGE DISPOSERS AUTO.- STATE. - - WASHERS STA.COOKING UNITS .25 'LICENSE NO. MOTORS: OVER INC: H.P. DISTRICT NO. - 'GROUP ZONE PROCESSED BY' 50 ✓ :.INSPECTION RECORD 2— 5 1.00 5— 15 1.50 k 4�• 6'�! 15— 50 2.50 - J L---/r�• L.�.`V re„ . 50'—200 5.00 - - ' NO.TRANS.- A SIGNS: _;-9 - ' NO. LAMPS - {�' ../__t SERVICE 0-600V 7.:00 .SERVICE OVER 600V 5.00 - MISC. WIRING PERMIT 1.00- c FIXTURE PERMIT' -' - 1':001: x- (� SUPPLEMENTARY PERMIT. .50•. TOTAL FEE , g 'y APPROVALS 1 HEREBY ACKNOWLEDGE THAT•I HAVE- READ THIS APPLICA ION - DATE INSPECTOR'S SIGNATURE _ AND STATE THAT.THE ABOVE IS-CORRECT AND AGREE TO COMPLY WITH ALL -COUNTY ORDINANCES AND STATE, LAWS. REGULATING CONDUIT ` .WITH WIRING. - WIRING V -1 ��- IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY'AND STATE OF FIXTURES '�l'� Q / �•Y CALIFORNIA OR-THAT I AM THE LEGAL OWNER OF T 'ABOVE - DESCRIBED RESIDENTI L PRO PERT POWER - SIGNATURE UTILITY CO.NOTIFIED. OF PERM ITTEE FINAL. ®F VALIDATTCASH jQIV1 - ARTHUR C. VEIT,' CK MO ,ARTHUR - r �, �76A663 CE 8&R i0/77 APPLICA►TIORI ,FOR ELECTRICAL PER"T. , COUNTY OF LOS ANGELES _ �,DELFARTMENT OF COUNTY ENGINEER FJO BUILDING AND SAFETYDIVISION • d VFOR APPLICANT TO FILL IN Y New Residential'Bldgs,&Pools EACH tVO. FEE 1• � y y�Q $ .,:025 $ 7 CROSS ST. !ti 1 &2-Family Sq. Ft OWNER OR Multi-family Sq FL .02 — FIRM NAME "P 25:00 Residenfial Swimming Pools MAIL ADDRESS "yl e_ Outlets:Rec Li hr 1 Sw:. CITY; Tel' ' .No // .g First 20 y .50 ^' :,. 6 �—� ��y"Cd"��� . PLAN CHECK Total No. Additional. .30 APPLICANT ' ADDRESS Lighting'Fixtu.res First 20 - 50. " +'/ CITY Tel.No. Additional .30 PERMIT 4 I t Totol No._C APPLICANT Fined Appliances Not Over T HP. `ADDRESS,�? Rahge_Heater/D W CITY © V Ll!f GL Tel.No.. ^�dv Oven—Dryer—W N1 ''_ LICENSE OR Top —FAU —W H REG.NUMBER 7 `7 O Class d. Hood,_Fan •_OtKer- I HEREBY'ACKNOWLE DGE THAT I HAVE READ THIS•APPEICATION AND STATE - Disp. Room'Air Cond. 2'50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. - - Power Apparatus&Large Appliances` Size&T.ype HP, KW,KVA,*or KVAR. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF-CALIFORNIA OR THAT I.AM `Up,tO.l Incl: .- 2•,50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C) Over 1 to 1'0I"nd. 5:00 v Over 10 to'50.lncl 12.50 PERMITTEE o Over 50 to,l'00 Inc .'25.00 SIGNATURE - Over 100 40:00 DISTRICT NO. SSED BYf7 N Services v 0-200 Am"p. Under 600;V, 7 2.50 I PECTOR`S 201'1000 Amp.Under 600 V 25.00 AP.,PROVALS DATE SIGNATURE- Over 1000 Amp.orOver,600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole& nr. Appurteoces. 10.00 .Sign with"One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2`00 WIRING "�.��' , Mist.Conduiis&,Conductor's, 10.00 FIXTURES Other(See Complete Fee'Schedule) POWERAUTHORIZED . UTILITY CO. NOTIFIED FINAL �� 7�0' r.�Yt� ►. .K PERMIT FEE (Sub-Tatol) _ ,NOTES ' PLAN CHECKING FEE (One-Fourth Permit=fee) " PERMIT ISSUING FEE $7.00 ° ro TOTAL FEE o ° . O Pa PLAN CHECK VALIDATION CK! "M:OCASH li :-PERMIT VALIDATION-. CK' M.O.: CASH' CD O O N CH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663 CE 806R 10;77 APPLICATI®N. FOR ELECTRICAL PERMIT v � `'. •'s; COUNTY OF LOS"ANGELES ' FNE DEPARTMENT OF COUNTY ENGINEER �/ E►V_.DR. BUILDING AND SAFETY DIVISION S /+Tri�C7FOR APPLICANT TO FILL IN - TY - : 1L•1�1r LG 1.111EACH NO., FEENew Residential Bldgs.&Pools T �p 1 &2-Family,Scl:'Ft: 3 $ .025 - -'.$ CROSS ST_` OWNER OR " Multi;family Sq: Ft. 02 — F.IRM:NAME ' Residential Swimming Pools 25.00 MAIL DD A RESS SAME Outlets,Rec, '` Light—Sw,' CITY - Tel.No`' 1 r' First'20 N 50' — PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY i Tel. No. .30 , ' : PERMIT VE Total No. ` __ Additianol APPLICANT HCC Fixed'Applionces Not"OVef 1 HP ''' ADDRESS `2034 `N.' PECK 0: , Range—Heoter._D.W. CITY ' "Tel. Nd. Oven' Dryer W M. LICENSE OR Top FAU L W H: REG:'NUMBER 265094. Glass.G1O 'HOOd Fan —Othef '++•,' HEREBY.ACKNOWLEDGE THAT,'HAVE READ-THIS APPLICATION AND STATE Disp - ROom Air Cond. 2'50 56 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICALrW1 RING.: - Powe'r Apparatus&'Large Appliances Size&+Type HP KW; KVA'or'KVAR i HEREBY'CERTIFY'THAT 1•AM PROPERLY R ISTERED'AND/OR LICENSED AS REQUIRED.BY LOS.ANGELES COUNTY AND OF CALIFORNIA OR THAT 1 AM Up to InCI. 2'50 - THE"LEGALOWNEROF.THEABOV SCRIB DE AIPROPERTYr Over l to l0 incl' 5:00 ' _ v Over"'10 to 50 Incl. 12.50 PERMIT,TEe Over 50 to 100 Inc. 25.00 SIGNATURE t Over l00' 40:00 DISTRICT NO. P ESS Y nW. J� .ate. Z . Services 0-200 Amp. Under 600 V 12.50 : ISIGNATE NSPECTOR'S201-1000 Am Under 600 V. 25.00 APPROVALS., D Over 1000.Amp.or Over 600 V 50.00 _ TEMP'. POWER POLE UNDERSL'AB WORK - Tern Power Pole&Appurtenances 10:00.. ' Sign,with One.:Bfonch Circuit- 10:00 ROUGH CONDUIT 2.00 WIRING Additional Sign Branch Circuits Misc.Conduits&Conductors 10.00FIXTURES Other(See Complete FeeSchedulei POWER AUTHORIZED UTILITY CO._NOTIFIED FINAL: •. .. j.24 7 �� 'PERMIT FEE_ : )Sub-Total) 20'' 00 NOTES PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE V.00 7 TOTAL FEE'. PLAN CHECK VALIDATION CK- M.0. CASH PERMIT VALIDATI N 1 CK: M.O. CASH oj.daCoU7Co �� 1� . .o 2 APS 2 3 '.0 0 AJ�� ,SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE_ _ WORKERS'COMPENSATION DECLAPATION 76A66„.101/81,,^ ,�p,pLICATION FOR ELECTRICAL PERMIT Thereby affirm that I have'a certificate of conseni to self CE-806G r1 insure, or a certificate of Workers'Compensation Insurance, COUNTY OVLOS BUILDING'AND SAFETY or a certified cep ihrereof (Sec. 3800 Lab. Com)- ��Z FOR APPLICANT,TO FILL IN: JOB � Poll y, o. Company ` T 7) Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS p /\f •. Certified copy is filed with the ounty building•Inspe,c 1 & 2-Family,'Sq. Ft $ — $ LOCALITY ���• .�� C// tion department. ` Multi-family'Sq:Ft. ` NEAREST CROSS ST. ' - ^ Residential Sw,immm Pool's 1 '.� • —%S Date Applicant i,, l g OWNER M • CER. . FIRM CERTIFICATE,OF EXEMPT FROM WORKERS' -'> Outlets:.Rec 'Light�Sw. / MAIL NAME Y L•�( COMPENSATION INSURANCE l� ADDRESS ) 27 1 First '20 ' r (This section need not be completed if the'work involJed'by { Total No. Additional . CITY �( f Cf 1 Tel. the permit is for one hundred dollors($100)or,less:) PLAN CHECK I certify. that in the performance of thio work for.which this ' APPLICANT' permit is-issued,1 shall'not employ 6nyp'erson`in any manner _ so as.to become subject-to the'Workers'_Gonipensation Laws.' Lighting,Fixtures: First 20 ADDRESS Total No. Additional r �1 'CITY Tel: No. Date Applicant ed Appliances Not Over HP PERMIT' FIX NOTICE TO APPLICANT,If, after making this'.Certificate of `�� O'kb APPLICANT �To N i I Exemption, •you should!°become sublect,'•to.the -Workers' _: Range_ Heater_D.W.'— _ Compensation provisions'of th'e Labor Code,you must forth Oven Dryer,. — W.M. ADDRESS�y with 'comply with, such' rovi"sions':=or'this permit be �_ P Y`• P P Top FA '—W.H. — CITY n/� TeI.'No deemed revoked.--' Hood Fan Other I �� ! JA1� LICENSED CONTRACTORS DECLARATION LICENSE OR �•– I hereby.ci firm that kam,lieensed undeirprovisions of Chapter 9 Disp Room Air Cond. REG. NUMBER Q Class. (commencing with Section-7000)'of.Division 3 of.ihe,Business l DISTRICT NO. C S D BY,` and-Professions Code,and my license Is i'n fulhforce and effect. ower App ratus& Large Appliances r o or'KVAR' P` a J' !, Size &Type HP, KW; KVA,' d License Numbera S��jU Lic. Class ^_/' 0,-`_� _1 FINAL V _ Up 10 1 Incl.` r �:� .��d 7 �� 6 -j• '..Ove r,1 to 10 Incl:• DATE _ VALIDATION : Q Contractor, �L r ' q�Date, Over 10 to 50 Incl U ❑ L FINA V I am.exempt under Sec. '•.Over:50.to;:1.00 Inc BY 1 9" B.&P.C. for this reason Over'100 Z Date: S6r'vices; Swbd., N1CC &-Panelboards r it 0 -200 Amp. Under-600 V Signature 201 -,1000 Amp.'Underr600 V;, } Y _ _ Over]000 Amp. or Over 600 V . Exemption for Reg.'Maint..Elect. SINGLE FAMILY . HOME OWNER-BUILDER DECLARATION Temp.-Power Pole 8 Appurtenances. Sign.with.One Branch Circuit. I hereby affirm that I am exempt from•the Contractor's License Additional Sign Branch Circuits Low for the following reason '(Section 7031.5, Business and Professions Code):. a ' Misc.-Conduits&Coriductors z 3 I, 'as owner of the.-property, will do the work and the, 2 A structure is not intended or'offered for'sale. (Section Other (See Complete Fee Schedule)_ o 0 0 0-9,2_ :7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for , _',• the performance of th'e.Work for which this'permit is issued PERMIT FEE'=' " (Sub-Total) o 0 (Sec. 3097,.Civ.C.).' - . PLAN CHECKING'FEE �_ __. : ,0.7 21 3 Lender's Name�� PERMIT;ISSUING FEE. „ Lender's Address , I certify that i have read this application and state that the TOTAL FEE• q -' - . . above information is correct. I agree to comply with all County ordinances and-State laws regulating Electrical wiring,3and her by authorize representatives of this County to enter upon the bove- entioned pr erty for inspection purposes. ; SEE REVERSE FOR EXPLANATORY•LANGUAGE... 7 fir'= 4.3 r ignature of Permittee Date'. I hereb WORKERS COMPENSATION DECLARATION, 76A663 10%81 r APPLICATIO.NL.:, FOR', ELECTRICALS ,PERMIT ; y affirm'that I`have a certif,catc-.ofconsent to self• CE-806G insure,,or a certificate of Workers'•Compensation Insurance,. s; COUNTY OF LOS ANGELES', '' BUILDING AND SAFETY PY ( 800 La C.) Pohc No - Com an ' or a certifi d co tthl�, f' Sec. 3 Y `� P Y :. JOB FOR APPLICANT TO FILL IN r L T ADDRESS'`, o i ❑ ,Certified 'copy is heIreby.furnished. ': - EACH: NO. FEE. Certified New,.•Res,dent,al Bldgs. & Pools 1:.. — LOCAU . ❑ copy ,s filed with't ou T'y(building mspec. 1 '&'2'Family,Sq. Ft — v-�L • NEAREST' {- jioini'clepa roeni Multi-family Sq Ft' CROSS ST. r $ $ . Resldent,al,Swimmin Pools Date ,Applicant �' / g F ' ti CERTIFICATE OF EXEMP_TION`FROM ORKER „': - B MAIL NA OutleTs.,RecL'ightSw r - ME�'y� 406041 L� ° COMPENSATION INSURANCEADDRESS �l il��ll��v - - _ This,section nee`d;;nof be com leted if the:workJmi6 ved b Firsf j0* f M1 (. P. ._. Y Total No Additional';' -" ` CITY,' ` Tel:No_: t3 � the permit is'For'one-hundred dollars.($i00)or less:)l'. , PLAN CHECK I-certify that'm the per' rmcince of`the•work.,for." hick this APPL'ICANT'. - Permitisissued;:kshallnot employany'pe�"son+,n any manner_ so C, io become'subject;,to,theWorkersl+Compensation Taws Gighting:F,ixtures First.2.0..", .ADDRESS. Additional Torah No.'' CITY) Tel''No. Date Applicant r- e NOTICE=TO APPLICANT ,'If after''mbking this Certificate of A on es o HPC, Fixed ppl Not Over 1,, PERMIT ALICA Ekemptiog you•should`become 'subject'to 'the•+;Workers' Range_ Heater_.D:W. Compensation provisions",'of.the Labor.Code;,you.must forth- Oven _.Dryer —j W. APP _ ;. with,comply:with such 'p�ov,sions: or.this permit shall be,; Top FAU '—W^:H. - 't deemed•revoked.: „' CITY Hood-_' Fary- _Other_ LICENSE D CONTRACT.ORS.DECCARATION`­- P Disp Room`Air Cond., - UMBE Class hereby affirm that l am'licensed under'provisions of Chapter,9'. I `,RE ^ (¢orimencing with Section-7000) of;Drv.isibn 3.of the.,Business, ^ DISTRICT" PROCE ED BY: -and Professrons`Code,and myt license is',n full'force:ond effect. FowerApparatus 8 Large Appliances ' Size & Type HP 'KW KVA','-or KVAR' - _ License,N ber'; � Lic°,:Class Up to+l Incl..' FINAL v. AA. '.; Over=1 to 10 Incl DATE .' VALIDATION: 4 Cc ntracfo Date; _ f i O Over 10 to 50',Incl V `❑ I am exempt under Sec Over 50 to 100 Inc BY A ,/ _ d" L B.&P C. for-this reason ver 100 < vices,:^`Swbd_MCC'&"Pcmelboards" Ser Date`. .: 0 -200 Amp Under 600V ° Signature 201 1 000 Amp Undec'600-V f' , 4 ' 1 Over 1000_Amp. or Over 600 V" El Exemption for Reg. Moinl. Elect `r " ' - - - 7 6 9.6•R SINGLE FAMILY Temp Power Pole&.Appu'rtenances HOMEOWNER-BUILDER DECLARATION I hereby"affifm that I am exem'pifrom,'TheContractor's License Sign with One Branch Grcuit;: 5'- # o o o ° 0 2 Addit,onal_Si n Branch Circuits Law•for,the following reason (Section 7031-5, Business and *- g :' Profess ions'Code): s ° ° t ,2 '1 7 Misc.Conduits&Conducfo�s .,I,`,as owner of the`property„"will dojt_'e work and the.r 7. u `, Other(See,Cor6 lete`Fee Schedule structure is not intended,or offered for sale (Section P - �— _ • ', 7044, Business and Professions Ccde;). CONSTRUCTION.LENDING.AGENCY' ' I hereby'affirm'that there is-o construction lending:agency for. :the performance of the`+-work for which this.permii;is.issued PERMIT FEE (Sub-Total), (Sec. 3097, Civ. C.) i PLAN CHECKING FEE /. Lender's Name 1 r' ISSUING FEE_ Lender's`'Address, y PERMIT t certify'thattl fiave read th,s'application and state.that..the` TOTAL-FEE t 1 above information is correct: l agtee,to comply'w,th all County- ordinances'and State laws regulating Electrical wiring, and: her,&4y authorize.representatives of this County to enter upon th 'a v mentioned propertyforinspection.purposes; 1 �} SEE REVERSE.FOR EXPLANATORY LANGUAGE Signoreof Permute Date t },