The URL can be used to link to this page

Home My Public Portal About5336 ARDEN DR_Electrical__ D9 s-A 7-40 25M - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT No. I �/ .� V-_ WIRING FIXTURES SERVICE RECEIVED BY READY FOR DATE ISSUED RANGE HEATER POWER d, FIRST INSPECTION `yam �^ 7 SIGNS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINEJOBD PORTION ONLY Q NA , -� ADDRE$ Q ej w U ADDRES / -c a LOCALITYJV NEAREST J CITY /L� � TEL N ��® CROSS ST.�/ W CERT. NO.� EXPIREZ -lO 17 111 NAME -I,.-�•._:: DESCRIPTION OF WORK z I MAIL ' i` NUMBER OF OUTLETS ON CIRCUITS 3 I ADDRESS LOCATION BY ROOMS CITY TEL No. LIGHT OUTLETS I SW.I PLUGS IFIXT• I AM -THE LEGAL POSSESSOR OF THE ABOVE LOS CIRCUIT I I C D I E I F I G IIyyII H I ANGELES COUNTY CERTIFICAT QuPttIFICATION. LIVING ROO ELECTRICIAN. I AM THE LEGAL NER OF THE PROPERTY DESCRIBED DINING ROOM ABOVE. BRFST. RM. OWN¢R. BATH —— CORRECTIONS ENT. HALL __ e A f HALL NO. FRONT PORCH OUTSIDE KITCHEN SERV. PCH. J —— Q BDRM. NO. Z CLOSET --I —— a BDRM. NO. O CLOSET I TOTAL I i NO. OF OUTLETS J/ $ p APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAM! NO. OF MOTORS H. P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ O 0 UTILITY CO. NOTIFIED`T , TOTAL FEE $ ® FINAL �' f ... 5-A 1,.. APPLTCATION FO Fi PERWr DEPARTMENT OF IIUILI3�ING AND SAFE'T'Y ELECTRIC COUNTY OF LOS ANGELES i WM. J. FOX CHIEF ENGINEER z NAM�T DISTRICT NO. GROUP ZONE PERMIT NO. Q -,7 ADDRESS t. ~ RECEIVED BY READY FOR DATE ISSUED UU CITY TEL.NO. "I FIRST INSPECTION ey J COUNTY , W CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED POR'T'ION ONLY JOB DESCRIP'T'ION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS lsw. PLUGS FliT CROSS ST. CIRCUIT A B IC D E F G H m NAME/ z MAIL �: ADDRESS O _ CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTSFICATE OF QUALiFICATION.. ELECTRIC?AIl. I AM THE LEGAL OWNER OF THE PR'CPERTY DESCRIBED ABOVE OWNER. CORREC 11ONS J -- Q Z_ O O TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ UTILITYCO.NOTIFIED' TOTAL FEE FINAL 76A663-CE80611/10 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES j DEPARTMENT OF COUNTY ENGINEER BUILDING ADDRESS336 Arden Dr. BUILDING AND SAFETY DIVISION COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temple CitV FOR APPLICANT TO FILL'IN NEAREST CROSS ST. OUTLETS NO. EACHI FEE OWNER Mxy-xk&i& N. C. Paiz RECEPT._ $ $ MAIL 5336 hrden Dr. FIRST 20 ADDRESS LIGHT TOTAL .25� SWITCH OVER 20 .10CITY TEL. NO. d4? 2Aa2, PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES 10 OVER 20 ADDRESS ' APPLIANCES CITY TEL. N0. PERMIT RANGE DRYER_WTR. HTR. APPLICAN STA. COOK DISP. F.A.U. ADDRESS. 5336 Arden Dr. SPACE HTR. AIR COND. CITY TEL. NO. 0479, CLOTHES WASH. DISHWASH. LICENSE N0. CLASS. FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO 'I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 t00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM LEGAL OWNER OF, AND INTEND TO } 1 - 10 3.00 RESIDE IN, THE ABOVET SD CRIDED RESIDENTIAL PROPE Y. d 0 ' 10 - 50 5.00 SIGNATURE V OF PERMITTEE C' 50 - 100 10.00 O DISTRICTNO. L SSZON PROLE SED 100 - 500 15.00 , r LLI a SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES* ?G/ j N TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 3 0(9 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR200AMP 10.00 TEMP.POWER POLE TEMRSERVI CE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) 3 1 00 UTILITY CO. NOT..IFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 Q'� JOSEPH C. ROOHAN . TOTAL FEE � SUPERVI .�1G ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA ION i CK. M.O. CASH r� r; 6 _ AFA 21 2 D :U v SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE T_ -- WORKERS'COMPENSATIONDECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT CE-806 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANG ES /, BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified co thereof c. 3800, Lab..C.) f (fes Yolic V63 6CoL`llmpany - � V�Gy r"�7 FOR APPLICANT TO FILL IN �gDDRES 1� ` New Residential Bldgs.&Pools EACH NO.' FEE Certified copy is hereby furnished. "1 1 &2-Family,Sq. Ft. $ _ $ LOCALIT Multi-family Sq. Ft. NEAREST Certified copy is filed wit e build�fig inspection — CROSS ST department / Residential Swimming Pools OWNER OR, - FIRM NAME" Date 6L Applicant Outlets: Rec._Light Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPT\TON FROM WORKERS' Total No. Additional CITY Tel No. COMPENSATION INSURANCE } PLAN CHECK - IL APPLICANT 0 (This section need not be completed if the work involved U Additional(by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First onal ADDRESS cr_ . I certify that in the performance of the work for which this Total No. CITY Tel No. 0 Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner PERMIT 0 LLI so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLIC NZ 0_ Oven _ Dryer—W.M. ADDRESS Date Applicant Top _ FAU —W.H__ Hood — Fan —Other— CITY el No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. — Room Air Cond-_ LICENSE OR Exemption, you should become subject to the Workers' REG. NUMBER r) Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE EDpBY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR deemed revoked. 5--,e) ' Up to 1 Incl. FINAL Over 1 to 10 Incl. LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. DATE � ( VALIDATION FINAL I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions.Code, and my license is in full force and effect. ` Services J �/ 0-200 Amp. Under 600 V License Num be ` Lic.Class ,tom ` 6. 6 201-1000 Amp.Under 600 V �A Contractt�UljS�41 `SJl.,\Date / y Over 1000 Amp.or Over 600 V �� C✓ HOME OWNER-BUILDER DECLARATION 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 I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— 2 2 9((,5 A structure is not intended or offered for sale (Section 7044, Business and Professions Code). # 0 0 0 0 0 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction.,lending agency 2 0 o ,3200 for the perfor9�ance of t_he work for which this permi s PERMIT FEE (Sub-Total) issued Sec. 3047,1 iv.C.). 1\ "2•- _ Lender's Name---ii ' a FSC tel PLAN CHECKING FEE (One-Fourth Permit Fee) o 0 0 3 2,Q Q Lender's Address 1 �1 �K, uy-&u PERMIT ISSUING FEE i ' 1.05-80 I certify that I'I a read this application and state that the TOTAL FEE above information is orrect. I agree to comply with all County ordinances and Sta laws regulating Electrical wiring, and reby tt orize r resentatives of this County to enter upon he above do d property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE S - 13 Signature of Permittee Date