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