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Home My Public Portal About5128 ARDEN DR_Electrical__ t� B S-A 12-43 25M D DEPARTMENT OF BUILDING AND SAFETY "PY.ICA�®I� ]FOR EIB COUNTY OF LOS ANGELES ""T ECTRIC VN . FOX CHIEF ENGINEER z DISTRICT GROUP ZONE PERMIT NO. .Q NAME ADDRESS ` Z— b F k� RECEIVED BY READY FOR DATE ISSUED U CITY TEL.NO.i� f �i �/� o!� FIRST INSPECTION J COUNTY sJ !� I -V" __Yt/�.^"/n( �-��"J W CERT.NO. �!� EXPIRES 3/'`FxJ 0`'� f1.J1 00 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS 7 NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST /v, ' LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. CIRCUIT A B C I DIE F G IH It NAME Z MAIL ADDRESS / O CITY TEL.NO. 1 AM THE LEGAL POSSESS OR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE` F UALI 1 ATION.. ELECTRICIAN. 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE {v OWNER. C0 CTIONS _ J Q _Z • t7 O -LIJTOTAL ..1 NO. OF OUTLETS $ 1"I O APPROVALS NO. OF FIXTURES $ DATE`/ INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT �7 T�1 r--u NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS - $ POWER PERMIT FEE $ 1 T' Tc8.-��,v !,, UTILITYCO.N IFIED d' TOTAL FEE t..i FINAL 76A663_CEB06-9.5, APPLICATION FO ■ ELECTRIC PERMIT i � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES a . I T E M NUMBER EACH FEE OWNER •-� �' E! !,I OUTLETS: $ $ MAIL LIGHTS RECEPT. SW. .10 ADDRESS LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES 'CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS Auro._ -CITY TEL.N�-14 WASHERS STA.COOKING UNITS .25 STATE �® LICENSE NO. MOTORS: OVER INC. H.P. 'l DISTRICT NO. GROUP LONE I READY FOR INSPECTION 0 — I/z .25 1/2 — 2 .50 INSPECTION RECORD 2 — 5 1.00 5 — 15 1.50 I 15 — 50 2.50 a� •+• so— 200 5.00 r SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 Misc. U�F9 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50' TOTAL FEE $ w (g APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT _ .s WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING i L�� 1.�✓,�Isi �.:% I 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 THELEGAL WNER OF THE ABOVE POWER DESCRIBED RESIDENTIA OR RTY //�'/�j SIGNATURE UTILITY CO.NOTIFIED . / OF PERMIT' FINAL VAI.IDA ARTHUR C.VEif, CK . m GAS SUPERVISING ELECTRICAL ENGINEER AP 28 APR 11 .2 A 2.20 78A663-CE806-9.5, APPLICATION fl ® ELECTRIC PE MsT � Y` COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING a ' BUILDING AND SAFETY DIVISION ADOREss JOHN A.LAMBIE,COUNTY ENGINEER t CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY _- FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES ITEM NUMBER EACH rwEE OWNER OUTLETS• ��jj $ $ MAIL LIGHTS RECEPT. 17 SW f6 .10 O ADDRESS LIGHTING FIXTURES .10 CITY -� TEL.NO. ELEC.RANGES 'CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL.NO WASHERS STA.COOKING UNITS .25 LICENSE NO. � (� "7f MOTORS: OVER INC. H.P. DISTRICT NO. GROUP NE READY FOR INSPECTION I/z — 2 .5 O 2 - 5 1.00 INSPECTION ECORD .5 — 15 1.50 15 — 50 2.50 SO — 200 5.00 NO.TRANS. SIGNS: NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC: ' WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 §10 SUPPLEMENTARY PERMIT .50' TOTAL FEE $ APPROVALS I HEREBY 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 LICENSEDBASCERTIFY REQUIREDHAT I BY LOSMANGELESLCOUNTYSTERED AND STATE 011 OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER V DESCRIBED RESIDENTIAL PR ERT SIGNATURE p}yam UTILITY CO.NOTIFIED C� a ✓(. � ��Zn�// OF PE MITTEp FINAL DATION ARTHUR C.VETT. SUPERVISING ELECTRICAL ENGINEER CK MO CASH LO 5. 7 4-S PRAY 6 2 A 1250 WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-9t) 76A663 APPLICATION FOR ELECTRICAL PERMIT � ' I Hereby affirm that I have a certificate of consent to self insure, .or a certificate of worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof J,(SSe^?y/ ea38000 Lab. C.) Policy NO.�Company FOR APPLICANT TO FILL IN , JOB c`� ADDRESS ✓ (�Q J��,%—'+"•' (�i7z'- Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE Y r� $ $ LOCALITY [ � C4 / Certified co Is filed with the count building inspection 1 &2-Family,Sq.Ft. PY Y 9 P NEAREST depal ment. Multi-family.Sq.Ft. CROSS ST. '.n_ ' ! Residential Swimming Pools ASSESSOR ` Date Applicant 'Y�.r . MAP BOOK PAGE PARCEL I CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR COMPENSATION INSURANCE Outlets:Rec. Light Sw. / .rjU � FIRM NAME d O4� First 20 MAIL (This section need not be completed if the work involved by the f�� ADDRESs permit is for one hundred dollars($100)or less.) Total No. �T Additional ' 1 certify that in the performance of the work for which this permit CITY T Tel.No. 7b' is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to.the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP: ire NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. �E tier Exemption,you should become.subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Over 3 to 10 Incl. CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICESE OR } Over 50 to 100 Incl. REGNNUM BE �'�4 9 7 Class.`$0-Over 100 DISTRICT NO. P OC SED BY 0 License Number 4 Sf Z�� Lic.Class ` /y Services,Swbd.,MCC&Panelboards ®4 cc �l 3 p' 0-399 Am Under 600 V � Contractor � FINAL Date,�� DATE ❑ 400-1000 Amp.Under 600 V I am exempt under Sec. VALIDATION, V Over 1000 Amp.or Over 600 VFINAL LU B.&P.C:for this reason BRANCH CIRCUIT FEES BY a- Date: 15A,or 20A, 120V,Lighting or Recept. Z = 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits Exemption for Reg. Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit C C $ I hereby affirm that I am exempt from the Contractor's License Law g i�z�f n'r for the'following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ---..-- - - - .--, ..-.._.....-. ,y-r t- Code): .:1,��r �.vi e.:El il { ITEMS I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors �• _ is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). s 7 �ITAr- 87- 20 CONSTRUCTION LENDING AGENCY t:CHECK 187.'10 I hereby affirm that there is a construction lending agency for the CHANGE .011 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) PLAN CHECKING FEE 97 Lender's Name t}II —� �iI S I ' `2 c z PERMIT ISSUING FEE `A Oft i. .. AM7rl,14 1 Lender's Address _.:. I certify that I have read this application and under penalty of purjury state TOTAL FEE that the 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 the above-mentioned pr per for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE IGNATURE OF PERMITTEE DATE