HomeMy Public PortalAbout5221 ARDEN DR_Electrical__ 76A603 CE 6 6H'16,77 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS /
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY y
New Residential Bldgs.&Pools $EACH
NO. $ FEE CROSS ST. G l/
1 &2-Family,Sq. Ft. OWNER OR
Multi-family Sq. Ft. 02 — FIRM NAME
Residential Swimming Pools 25.00 AMAIL
DDRESS
Outlets:Rec Light—A—Sw. CITY Tel No.
First 20 .50 PLAN CHECK /
Total No. Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Total No.
Additional 30 PERMIT
APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W.— CITY Tel.No.
Oven _Dryer_W.M. LICENSE OR
Top —FAU —W.H._ REG.NUMBER �2 7 2� Class.C?
Hood_Fan _Other- I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION AND STATE
Disp. — Room Air Cond. 2'50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR HEREBY CERTIFY THAT I,AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
Over 1 to 10 Incl. 5m — v
Over 10 to 50 Incl. 1 2.50 PERMITTEE C)
Over 50 to 100 Inc. 25.00 SIGNATURE �����'
Over 100 40.00 DISTRICT NO. ROC SSED BY N
Services
0- 200 Amp. Under 600 V 12.50 IN ECTOR'S
201-1000 Amp.Under 600 V
25.00 APPROVALS DATE NATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
Temp. Power Pole&Appurtenances
10.00 UNDERSLAB WORK
Sign with One Branch Circuit 10.00 ROUGH CONDUIT r
� rr
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
r
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES r
PLAN CHECKING FEE (One-Fourth Permit Feel *-o".0. Pal .79 -Z_
PERMIT ISSUING FEE $7.00 f r 3'23 C�
i
TOTAL FEE
PLAN4NEGY.-VAUDATION -'I't; k. PERMIT VALIDATION CK: -M.O. CASH
POLICY HOLDER: rl.
7 3 7 N• N 2 2 U
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SEE A �,EI��LI I WCOMPLEDULE -
76A663-CE606 8/63 APPLICATION FOR E.LECTRI&AePERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION I ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER f
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEW. /
OUTLETS FIRST 20 $20 $ OWNER
LIGHT MAIL 1 / �
ADD'L 10 ADDRESS r, f�f /,
SWITCH. / OVER 2O
TEL. NO.
TOTAL �
LIGHTING 1 FIRST 20I f 20 CITY
FIXTURES 1 ADD'L 10 ELECTRIC AN
OV R 20 J
RANGES b CLO.DRYERS WTR.t.ITRS. 1.00 ADDRESS /
GARB,DISP. /,- STA.COOK/4 ,,
7 CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE
�;, LICENSE NO. / 4/1_0
(,
SPACE HTRS., STA.APP.0A H.P.MAX.) .50 .
MOTORS: OVER NOT OVER H.P. DISTRICT PyR. GROUP ZONE E R SSE 'BY
O 1 1.00
r
1 3 1.50 _ INSPECTION RECORD
3 a 2.00 }
CL
& is 2.50 ILI
15 50 3.00
O
50 100 5.00 ~
U
W
SIGNS: NO.TRANS - N
NO .LAMPS
Z
SERVICE 0-60OV•NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2'.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 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
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRE Y BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LE AL XOWER OF TAE ABOVE
DESCRIBED RESIDENT L ERTY. POWER �9
&Aj/
SIGNATURE UTILITY CO.NOTIFIED �C` 12 4 41-1- ,,C q.-B��IC�l�1,A,�,,..,a�k.-
F PERMITTEE
OFINAL m `/
LIDATION ARTHUR C. VENT''
CK MO'- CASH SUPERVISING ELECTRICAL ENGINEER
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