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HomeMy Public PortalAbout5155 ARDEN DR_Electrical__ . 1nI - Ml� fn�1nl: �1,�} 1�4�-V., Iu��I17I. 11�� 4t�aaY /(L3��fnI I1���1ra�lCr�.�+ ' 76A� 63 cE8Q6 f-68APFUCt�^`�TP.,Od ', I] OR ELSLS��GU CAL4a ,ll I:�R T COUNTY OF LOS ANGELES DEPARTMENT-.OF COUNTY ENGINEER ' r BUILL..DING AND SAFETY DIVISION' DING. JOHN A. LAMBIE. .COUNTY ENGINEERRESSCOLEMAN',W. JENKINS', SUPERINTENDENT'OF BUILDINGALITY - NEAREST FOR APPLICANT TO FILL IN - -CROSS ST. ` N.O. EACH FEE "g g OWNER ' RE-C,EPT._' - MAIL LIGHT TOTAL FIRST 20 '.20 - AD'DRESS SWITCH- / .OV'E,R 20 �10 CITY : TEL:.'NO.'' 5: . PLAN CHECK i LIGHTING. ,1 TOTAL •F.IRST 20 20. APPLICANT TF I X T U R:ES O,V ER,20 - .d,0 „ RAN�GE_D,RYER.—WTR.HTR._ - •CITY '' '•�A TEL: NO. k STA.COO K—DISP.—F.A.U — COTJTRAC'TOR .. (' SPACE HTR, A`IR C,OND •QDD'RE'S ` CLOTHES WASH: DISH.W'A'SH�.' IFA N:—OTHER 1 .00 .- - - .. _. .. LICENSE IJ O. CLAS Y MOTORS,TRANSFORMERS ' RATING. .IND: HEATERS, ETC., HP..'KW. KVA. 1`HEREBY ACKNOWLEDGE-THATA HAVE READ THIS APPLICATION h SIZE,& 'TY PE - OVER, TO AND STATE.THAT•THE ABOVE IS. CORRE CT-AND AGREE TO.COMPLY 'WITH ALL.COUNTY' ORDINANCES AND STATE .LAWS,REGULATING ' ELECTRICAL'WIRMG..,' I HEREBY.CERTIFY THAT IAMPR OP.ERLY REGISTERED AND 300 , •LICENSED AS REQUIRED OY.LOS ANGELES COU TY AND STATE OF CALIFORNIA OR,THAT AM THE L NE OF; ND.-INTEND TO..7 •� F TO 'S,0' •' ,500 RESIDE. IN, THE ABOVE DES IPED .RE EN L• PROPERTY 50 — X100 10.00 SIGNATURE O ' - ,OF PERMITTEE. 1.00 500 15 00. Q- DIS RI Tf��f� GROUP Z NE PROC SSED BY.. I- SIGN,GASSIGN AND ONE CIRCUIT 3.00 Y W, TUBE, OR ` - 1AARQUEE�,: ADDI TIONAL,Cf RCU ITS 1.00 p _ . .{:NOTES: -., /• ., .:i'P� ;. �, ' �.:,,. SERVICE NOT OVER-600-VOLTS OR 200 AMP 2.00 - - SERVICE OVER 600 VOLTS OR 200 AMPS I - 5.00' V. TEMP'.SERVICE,.POLE,t''&APPURTENANCES- .3.00 - - '.;- - - APPROVALS, ._DATE., INSPECTOWS SIGNATURE:`, ' - TEMP.-POWER POLE - '. UNDERSLA.B WORK... ROUGH CONDUIT r - WIRING - PERMIT FEE (SUB TOTAL) p .- ;� FIXTURES. PLAN CHECK FEE-(50% PERMIT' FEE) POWER AUTHORIZED _ PE,RMIT.]SSU.1NG FEE., -2.00 ' 1!X6 UTILITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL ✓ v �"� TOTAL FEE �(� JOSEPH C. ROOHA'N .SUPERVISING.ELECT ,CALENGINEER . PLAN-CHECK VALIDATION., CK-., M.O. CASH PERMIT VALIDATION' cK.' M.O. CASH• .� BEE BACK OF APPLICATION'FOR COMPLETE FEE SCHEDULE . .. � � /;.�/Vii✓' 76A663-CE806 B-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. REC EPT. TOTAL NO. EACH FEE _ OUTLETS FIRST 20 $20 $ OWNER LIGHT 'q MAIL ✓d ADD'L ADDRESS SWITCH. OVER 20 -10 LIGHTING TOTAL F)R5T20 .20 CITY , TEL. N , FIXTURES 1-)--1 ADD'L °f t ov R 20 .10 ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS ^7� GARB.DISP. STA.COOK �'/ ? ? CIT � TEL. NO. v .JV DISHWASH. AUTO.-WASH. STATE , 2 2 SPACE HTRS. STA.APP.(1/2 H.P.MAX.) .50 LICENSE NO. (7 MOTORS: OVER NOT OVER H . DISTRICJ NO. I G,(j/�/O}/�J}/p ZO /E P SSE B '0 1 % 1.00 (�° _ . POW / L 1 3 1.50 INSPECTION RECORD gg 3 8 2.00 617- 8 a8 15 2.50 15 50 3.00 } f ?� o a 50 100 5.00 O V SIGNS: NO.TRANS - NO.LAMPS O SERVICE 0.60OV-NOT OVER 200A 1.00 W SERVICE 0.60OV-OVER 200 A. 2.00 a to SERVICE OVER 600V 5.00 z MISC. PERMIT ISSUING FEE 2.00 -J SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 TOTAL FEE i 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATO 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 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNE OF THE ABOVE DESCRIBED RESIDENTIAL'PROPERTY. 4 POWER SIGNATURE UTILITY CO.NOTIFIED `��i-_ -`»'�- "_z--.•- - OF PERMITTEE A FINAL A IDATION ARTHUR C. VEIT" CK MO CASH SUPERVISING ELECTRICAL ENGINEER ALIO 3 4 6 1JUL 8 2 D 3 8 0- 76A6 3-CES06-9-57 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, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES ITEM NUMBER EACH FEE OWNER 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 AUTO._ CITY TEL.NO. WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO. GROUP ZONE READY FOR INSPECTION O — I/z .25 +iz z 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 $ APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE L TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT L COUNTY ORDINANCES AND STATE LAWS REGULATINGAL WIRING. WIRING BY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURESIA OR THAT I AM THE LEGAL OWNER OF THE ABOVEPOWER D RESIDENTIAL PROPERTY.URE UTILITY CO. NOTIFIEDMITTEE FINAL -;4AIJPATION ARTHUR C.VEIT. SUPERVISING ELECTRICAL ENGINEER CK MO CASH 4 4 6- '4AR 2 8 2 A 12.6 5 2` t T WORKERS'COMPENSATION DECLARATION CE-806663 E 86 6G (2-80) APPLICATION FdR E CTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUIL AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) FILL Policy No. Compa !.r FOR APPLICANT TO N EACH NO. FEE ADDRESS J New Residential Bldgs.&Pools R Certified py-is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. NEAREST Certifi copy is filed the county 'lding inspection CROSS ST de a ment. Residential Swimming Pools OWNER OR FIRM NAME > Dat licant Oltlets: Rec.—Light—Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No.It/ COMPENSATION INSURANCE PLAN CHECK APPLICANT O (This section need not be completed if the work involved Lighting Fixtures First by the permit is for one hundred dollars ($100) or less.) o ADDRESS Total No. Additional O I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. -permit is issued, I shall not employ any person in any manner PERMIT W so as to become subject to the Workers' Compensation Laws. Range Heater_D.W. APPLICANT d Oven _T Dryer_W.M. ADDRESS , �y Date Applicant Top FAU _W.H.. 7 — Hood Fan _.Other_ �� CITY el No. ��-/�7� NOTICE TO APPLICANT: If, after making this Certificate of Dis _ Room Air.Cond,_ `,L✓ �^ LICENSE OR Exemption, you should become subject to the Workers' p REG.NUMBER fT / -/ Class G� Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROLES ED BY with comply with such provisions or this permit shall be Type deemed revoked. Size&THP,KW,KVA,or KVAR Up to 1 Incl. u v FINAL - � Over i to 10 Incl. DATE � VALIDATION LICENSED CONTRACTORS DECLARATION' Over 10 to 50 Incl. FINAL I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY �7 ness and Professions.Code, and my license is in full force and effect. / Services - �►/ 0-200 Amp. Under 600 V Licenstuber Lic.Class 201-1000 Amp.Under 600 V o tractor Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER ION Temp:Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits& Conductors 1-2 G 4 7.5 A 1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is.not intended or offered for sale (Section #,o o o 0 o 2' 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency o7,23-781 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ. C.). Q Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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. Ele trical wiring, and hereby uthon presentatives of this Co my to enter upon the ab ve-mentione roper��orspeti purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Dat