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HomeMy Public PortalAbout5023 ARDEN DR_Electrical__ 7GA 68-CE8067-88 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 13UADDRESSG D A3 BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. 4- 1 T E M NUMBERI EACH FEE OWNER OUTLETS: $ $ JJpp MAIL LIGHTS RECEPT. SW. .10 oa ADDRESS LIGHTING FIXTURES .10 CITY TEL. NO. ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER H EATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL. NO. WASHERS STA. COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRI T NO. G�UP ZONE PR CESSED BY O— 1/2 .25 J I 1/2- 2 .50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— 50' 2.50 50-200 5.00 NO. TRANS. SIGNS: NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 QAC FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ P46 APPROVALS IH ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING V r "`� �L 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR _ LICENSEDAS REQUIRED BY LOS ANGELES COUNTY.AND STATE OF FIXTURES -i'1-�L D CALIFORNIA OR THAT=AMH� GAL OWNER OF THE ABOVEDESCRIBED RESIDENTIAPOWER Fe SIGNATURE �_ UTILITY CO.NOTIFIED OF PERMITTE FI NAL XWDATION ARTHUR C. VEIT, SUPERVISING ELECTRICAL ENGINEER CK MO CASH ^�,6 5p 0 9F� OCT 2 6 2 A 2.8 O F 76A663-CES06 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS Nrg, 21 R T JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.'JENSEN, SUPT OF BUILDING LOCALITY 023 Ardor» T)-r NEAREST FOR APPLICANT TO FILL IN CROSS ST.Lower Azusa rF,XTURES, EPT. 3 TOTAL NO. EACH FEE - 3 OUTLETS FIRST 20 11 $20 $2 20 OWNER Mrs. Hazel R JOr_ HT ADO'L ADDRESS 5023 Arden Dr, AIL ITCH. 5 1l OVER 20 .10 - TOTAL 1 3 20 60 CITYTe1Y1 le Cit TEL. NO. 444-9647 GHTING F7R5T 20 3 OVER 2 10 ELECTRICIAN Con lee & Son Electric OV R 20 RANGES CLO.DRYERS WTR.HTRS. .1.00 ADDRESS 1030 N. Grandview LL7�Ave. GARB.DISP. STA.COOK CITYS.San Gabriel TEL. NO. 2SO-2007 DISHWASH. AUTO.-WASH. STATE SPACE HTRS.1, STA.APP.('/.H.P.MAX.) l .50 5 LICENSE NO. 242432 MOTORS: OVER NOT OVER H.P. DISTR �T N G Z P F5M_ED B O 9 1.00 (�,/ 1 3 1.50 INSPECTION RECORD 3 S 2.00 8 15 2.50 15 50 3.00 CL 50 - 100 5.00 0 SIGNS: NO.TRANS 0 NO.LAMPS O H SERVICE 0.60OV-NOT OVER 200A 1.00 U W SERVICE 0.60OV-OVER 200 A. 2.00 to SERVICE OVER 600V 5.00 z MISC. PERMIT ISSUING FEE 2.00 2 OO SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 TOTAL FEE 65 30 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRIC AL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDE RSIGNATURE �,OPPE�RRTTY. ,�/ POWER OF PERMITTEE '�.K.a" P UTILITY CO.NOTIFIED FINAL VALIDATION ARTHUR C. VEIT SUPERVISING ELECTRICAL ENGINEER CK MO CASH Li-Co9 112Q JUN 15 2 D 5.30~ -t%G( 76A663-CE8061/70 APPLICATION FOR ELECTRICAL PERMC,ITl COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 27p vL 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 , t� RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS c-vs CITY TEL. NO. SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL �_O FIRST 20 20 APPLICANT FIXTURES VER 20 .10 ADDRESS APPLIANCES CITY TEL. NO. _ RANGE PERMIT DRYERWTR. HTR. APPLICANT j s�:.Vi ' (/ .0 l le .STA. COOK DI SP. F.A.U. ADDRESS (,/ L`j.¢e �J�^ SPACE HTR. AIR COND. CITY �f e�.� �' d y TEL. N0.44-0 . —76 CLOTHES WASH. DISHWASH. LICENSE NO. �6 CLASS. ® FAN OTHER 1.00 1 HEREBY 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 AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO 1 — 10 3.00 RESIDE IN, THE ABOVE DESCRIPED RESIDENTIAL PROPERTY. SIGNATURE01a%` 0 10 - 50 5.00 OF PERMITTEE V 50 - 100 10.00 DISTRICTNO. CLASS JGROU ZONE P OC S iiYIl Ix 100 - S00 15.00 � C-CY O SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: W 4. TUBE, OR N MARQUEE ADDITIONAL CIRCUITS 1.00 z SERVICENOTOVER600VOLTS OR200AMP 2.00gLo APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER600VOLTS OR200AMP 5.00 TEMP.POWER POLE TEMPSERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING PERMIT FEE (SUB TO FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED 1 2.00 <O L�' UTILITY CO. NOTIFIED PERMIT ISSUING FEE FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CfK.° M.O. CASH Int' 9726 APR 16 2 D 4.00cv SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE « WORKERS' COMPENSATION DECLARATION 20-0019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT 76-863 O I'h�r drfirm that I have a certificate of consent to self j 76A66G 1r sure, or a certificate of Workers' Compensation Insurance;' COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified topyAher€of (Sec 03800, Lab. C.) Policy No. ompany FOR APPLICANT TO FILL IN JOB yy-- ❑Certified copy is ereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 70Z /' t> Certified co s filed LOCALITY El tion the county building inspec- 1 & 2-Family, Sq. Ft. $ _ $ C. d tion department. Multi-family Sq. Ft. NEAREST dA 111 Residential Swimming Pools CROSS ST. Date A licant OWNER OR Applicant— FIRM NAME Z& —Y t IV J,_L— CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec td Light Sw.-L '1 c� MAIL o COMPENSATION INSURANCE First 20 V (J ADDRESS �Or� bl�V r (This section need not be completed if the work involved by Total No. Additional CITY e 1270 Tel. No. the permit is for one hundred dollars (;100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT petcnit is issued, I shall not employ any person in,pny manner so as to become subject_to the Workers'Cpm nsati Laws. Lighting Fixtures First 20. ADDRESS Additional Tel. No. Date ' . Total No. CITY v Applicant - Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after Making this Certificate f APPLICATIONlD Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- I Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other_ CITY 1 © 4 Tel. No.L74-1 71 LICENSED 4— LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO. PRO SSED BY j and Professions Code,and my license is in full force and effect. �� �`�`�� /� i Size&Type HP, KW, KVA, or KVAR Q License Number *40 A 1 Lic. Class b U ��''rr',_-,, Up to 1 Incl. FINAL ! -lam (HAI L�7Clktk!?� L X11 Over 1 to 10 Incl. DATE —z— A (DATION 0 Contractor Date '� F a r � F-- ❑r-1 Over 10 to 50 Incl. FINXx I am exempt under Sec. Over 50 to 100 Inc. gy l�,r'� U Over 100 W B.&P.C. for this reason d Services, Swbd., MCC& Panelboards U) Date: ? 0-200 Amp. Under 600 V z Q.2 6 A Signature 201 - 1000 Amp. Under 600 V # o 6t ❑ o 0 02 Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. 36.2 5 SINGLE FAMILY Tem Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ° °i° 3 6 2 5 6 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits O 7 2 7 ,,88 Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for _ the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address 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 wiring, and hereby authorize representatives of this County to enter upon thea v - entioned roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE k Signature of Pte V _ ittee Date ©s