HomeMy Public PortalAbout5140 ARDEN DR_Electrical__ 7GA663 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
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COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN F Walton
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 5134 N. Acacia St. FIRST INSPECTION
CITY San Gab. TEL. No.AT 68583 M AIN-1
COUNTY LICENSE NO. 1104 EXPIRES BUILDING 5140 N. Arden
ADDRESS
PERMIT FEES
FEE
NUMBER EACH LOCALITY Temple City
LIGHT OUTLETS 11 NEAREST
RECEPTACLES 14 CROSS ST.
WALL SWITCHES 12 OWNER Celeste .
TOTAL OUTLETS 37 Sc $ 1I 85 MAIL
ELEC. RANGES 25 ADDRESS
ELF-C. HEATERS 25 CITY TEL. NO.
FIXTURES 5 55 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NUMBER HORSEPOWER
FEE I OF THE RESIDENTIAL PROPDESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH
1/2 a LESS $ .25 SIGNATURE OF
1/2 2
PERMITTEE
50
2 5 1.06 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 I 200 5.00
200 Soo 10.00 - ..I
500 1000 15.00 Q
OVER 1000 20.00 V'
M. G. SET/FREQ. CHANGER-HP 0
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (7S%OF ORIG.) -
MISC.
SIGNS
NO. NO. TRANS. I I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME '
FOR EACH PERMIT:
CONDUIT
WIRING $1.00 _I 00
1
FIXTURES $1.00 1F 00 WIRING-0
IRING
FIXTURES
SUPPLEMENTARY .50
POWER
TOTAL FEE $ 4 (SO UTILITY CO. NOTIFIED
(p FINAL I^ —f �/ �'�"1''M
764663C- CE806B 12/76 APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN ,JOB Q ���qg
FRedensidential Bldgs.& Pools
EACH NO. FEE ADDRESS
Finaily Sq. Ft. $ — $ LOCALITY��
family Sq. Ft. — NEAREST
ntial Swimming Pools CROSS ST.
OWNER OR FIRM NAME Wi
Light, Switch&Receptacle MAI L
0ADDRESS
ional CITY <�' 7 � " Te I. No.
PLAN CHECK
FixturesAPPLICANT
0 ADDRESS
ional
CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT — ar
Range Heater_ D.W. P
Oven Dryer W.M. ADDRESS '
Top FAU W.H. CITY `� n73eotel. No. p( 9- 0 9'e
- Q7'e
Hood Fan LICENSE OR n
REG. NUMBER v Class. n"
s 0
Disp. A.C. 9
C011 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Size&Type HP, KW, KVA,Or KVAR ELECTRICAL WIRING. V
w
0—
UpUp
to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR N
Over 1 LO 10 InCI. LICENSED AS REO UIR ED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDEN L PROPER/%
Over 50 to 100 Incl. PERMITEE N
Over 100 SIGNATUR
DISTRICT NO. PRO ES ED BY
Services J `
0-200 Amp. Under 600 V T �c ' / � l
201 - 1000 Amp. Under 600 V / INSPECTOR'S
Over 1000 Amp.or Over 600 V
APPROVALS D. E SIGNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL `v
r
PERMIT ISSUING FEE C NOTEW OF'2
TOTAL FEE / /. UZJ
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
6. 7 1r AUG 13 2 0 1 1.0 0 A98