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Home My Public Portal About5149 ARDEN DR_Electrical__ 76AG63-CES06-9-57 APPLICATION ■ ®9 \ ELECTRIC PERMIT COUNTY OF LOS ANGELES n DEPARTMENT OF COUNTY ENGINEELfADDRESS UILDING BUILDING AND SAFETY DIVISIONJOHN A.LAMBIE,COUNTY ENGINEERCASSATT D.GRIFFIN,SUPT OF BUILDINGOCALITY �G/ NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES p I T E M NUMBER EACH - FEE OWNER OUTLETS: $ $ MAIL LIGHTS RECEPT. J SW. .10 ADDRESS LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN� an�L° L��'`.Ld./.��G. Ci WATER HEATERS - .50 ADDRESS z z ELEC.SPACE HTRS. DISHWASHERS p�� ^7-� ^� GARBAGE DISPOSERS AUTO.- CITY �T/7"+'-�! e� TEL.NO.�/ T 243'- WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT O. GROUP ZONE) READY FOR INSPECTION 0 — 1/2 .25 r.. / 1/2 — 2 .50 2 — 5 1.00 INSPECTION RECORD 5 — 15 1.50 % y 15 — 50 2.50 � 1 SO— 200 1 5.00 b � SIGNS: NO.TRANS. r ' NO.LAMPS SERVICE C-600V 1.00 SERVICE OVER 600V 5.00 MI 'b f � WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50' TOTAL FEE $ APPROVALS 1 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 >`GT1 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES A.f. CALIFORNIA OR T 1 AM THE L GAL NER OF THE ABOVE DESCRIBED RESIDENTI L P 0-�'�--"'i �� POWER SIGNATURE UTILITY CO.NOTIFIED ��'e � G %�l�/�'�s^,<C.C2�✓I1 OF PERMITTE FINAL VALIDATION ARTHUR C.VEIT. SUPERVISING ELECTRICAL ENGINEER CK MO CASH 1A 1 4 :1 0 R FEB 2 0 2 A 220 r 76A683-CE606-9-57 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN, SuP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES I T E M NUMBER EACH FEE OWNER OUTLETS: $ 4 MAIL LIGHTS RECEPT. SW. .10 ADDRESS LIGHTING FIXTURES .10 CITY -- TEL. NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN)iJ/E WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL. NO. WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. H.P. 0 — +/z 25 DISTRICT NO. GROUP ZONE READY FOR INSPECTION r 7- A - ► +/z — 2 .50 INSPECTION RECORD 2 — 5 1.00 5 — 15 1.50 15 — 50 2.50 SO— 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE t 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL 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 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. q SIGNATURE UTILITY CO.NOTIFIED --/ Dr,p OF PERMITTEE FINAL I �"'/' i- A ATION ARTHUR C.VEIT. CK Mo CASH SUPERVISING ELECTRICAL ENGINEER J_ACO 2 4 4 7 N MAR 2 8 2 A . 1 2.6 5 t Orm that COMPENSATION cafe DECLARATION CE-806 10/81 APPLICATION FOR ELECTRIC.►L PERMIT ' V herebyt�Tfirm that I have a certificate of consent to self CE-806G insure, or'a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lob. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. $ — $ LOCALITY � tion department. Multi-family Sq. Ft. — NEAREST T. CROSResidential Swimming Pools OWNER OR OS/�- Date Applicant ,jn/J FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light�Sw.� MAIL COMPENSATION INSURANCE ADDRESS This section need not be completed if the work involved b First 20 •-��O ( p Y Total No.' Additional •'� O I CITY � Tel. No. the permit is for one hundred dollars ($100)or less.) I certifythat in the performance of the work for which this PLAN CHECK P APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS 6'��0—$j C Total No. /to'_� Additional CITY Tel. No. Date Applicant �(E4,g— Fixed Appliances-Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater—D.W. — . Compensation provisions of the Labor Code, you must forth- 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 Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE O 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 8 Large Appliances DISTRICT NO. PROCESSE BY >- and Professions Code,and my license is in full force and effect. I. Size 8 Type HP, KW, KVA, or KVAR' d2 0 License Number Lic. Class Up to 1 Incl. FINALr / 4J Contractor Date Over to 10 Incl. DATE /- VALIDATION O Over 10 to 50 Incl. V FINAL (J I am exempt under Sec. Over 50 to 100 Inc. BY LM Over 100 B.BP.C. for this reason �2 3 0„� A Date: Services, Swbd., MCC 8 Panelboards ► 0 -200 Amp. Under 600 V - 2 Signature 201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V ( -"o 3 1.0 0 Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances o o o 3 1.0 0 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 0 621 - Jr I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section.7031.5, Business and JProfessions Code): L� I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structureis not intended or offered for sole (Section Other (See Complete Fee Schedule)_ ► 7044, 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.). 2,0 PLAN CHECKING FEE Lender's Name J PERMIT ISSUING FEE 10 Lender's Address I certify that I have read this application and state that the TOTAL FEE -' 1 .00 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 theob -mentioned prop rty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 6�v _�5-- ignature ermittee Date � 1