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HomeMy Public PortalAbout5412 ARDEN DR_Electrical__ '76A669 CE806 4-68 APPLICATION FOR ELECTRICAL PERMIT . COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER fNEAREST ILDING rJ D BU14-DING AND SAFETY DIVISION DRESS JOHN A. LAMBIE. COUNTY ENGINEER 1 "(� COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGCALITY �� •� {-.�L FOR APPLICANT TO FILL IN OSS ST. _3O NO. $ ACH$ FEE RECEPT OWNER /1 if A MAIL �® LIGHT TOTAL FIRST 20 .20 �V/'y ADDRESS 1V, SWITCH OVER 20 L .10 (! CITY 11, (,a tIlVIITEL. NO. / �i PLAN CHECK LIGHTING I T,O/TTAL FIRST 20 .20 �/' APPLICANT FIXTURES .10 ADDRESS RANGE_DRYERX-WTR.HTR._ CITY TEL. NO. STA.COOK.XDISP.-X—F.A.U.X- CONTRACTOR"Cp A14kclTr1,411eAf4rAl SPACE HTR. AIR COND. -r�:f/� / ADDRESS � C_.�J L- CLOTHES WASH. OISHWASH. // CITY a TEL. N033 FAN—OTHER 1.00 LICENSE IJO./ CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 – 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 – 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO > 1 O – 50 5.00 RESIDE IN, :T:,MIlESCI1II',ED REST �L ROPE RT Y. U 50 - 100 10.00 SIGNATURE r CD I-- 100 ^ 100 - 500 15.00 V O. GROUP ZONE PROCESSE BY W TUBE,GAS OR SIGN AND ONE CIRCUIT 3.00 —f MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE tROUGH MP. POWER POLE DERSLAB WORK 14 A CONDUIT ' PERMIT FEE (SUB TOTAL) ING TURES -� /Cf e � PLAN CHECK FEE (50% PERMIT FEE) 9WER AUTHORIZED PERMIT ISSUING FEE 2.00 /'� LITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 100 AL TOTAL FEE Il� ,LC � JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH 8 6 1 7 x; 3 2 r.tit � 2 0.8 5EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE v DB DBS-5A 3.55 tl A LICATION FOR ELECTRIC PERMIT 1 DBS-5A DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING , WM.J. FOX, COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN, SUPT OF BUILDING r— LOCALITY l n FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. NUMBER EACH FEE ` OWNER Y LIGHT OUTLETS RECEPTACLES MAIL ADDRESS WALLSWITCHES TOTAL OUTLETS 5¢ $ CITY TEL. O. ELEC. RANGES 25 ELECTRICIAN ELEC. HEATERS 25 ADDRESS %J �D— - KW EA CITY TEL.NO. FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS DISTRICT NO. JGROLIPJ ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS °T NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH 1/2&LESS $ .25 I/2 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING 51.00 U G - FIXTURES $1.00 SUPPLEMENTARY .501 1 APPROVALS TOTAL FEE Is ( 100 DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 'I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT �y Q Jp WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING VVIRING G7 ✓7 i7 �'��"d'�""fe-G-`o i ELECTRICAL WIRING. — IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES C T1TY AND STATE OF CALIFORNIA OR THAT THE GA R OF THE ABOVE POWER DESCRIBED RESIDE ERT , SIGNATURE — UTILITY CO.NOTIFIED y OF PERMITTEE FINAL Elm ffll�� WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT. INSPECTOR C08 7 0 E.LUR) OCT p 2 Z .0 Q N 0 76:,163-CE806 a_ss APPLICATION FOR ELECTRICAL PERMIT ~ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 5412 Arden to-JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITYTeml)lt- City NEAREST FOR APPLICANT TO FILL IN CROSS ST. La p os Dr. NO. EACH FEE $ $ OWNER Yi RECEPT,_ MAIL }. nT np- LIGHT TOTAL FIRST 20 .20 ADDRESS 541.2 No Arden SWITCH_ OVER 20 .10CITY T TEL. NO. PLAN CHE K LIGHTING �TOTAL FIRST 20 .20 APPLICANTFIXTURES OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK_DISP. F.A.U._ T n rr m-, CONTRACTOR � �A; � F' SPACE HTR. AIR CON'.j— ADDRESS 20627 Calora Ste CLOTHES WASH._DISHWASH._ n q� CITY(" / TEL. NO. FANOTHER 1.00 V LICENSE 1.40.204628 CLASS. C+1,Q MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORD-INANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGEL E COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL O ER OF, ANO INTEND TO d 10 - 50 5.00 RIGNATURE ESIDE IN, THE A OVE D CRIP.ED R SIDE N7IAL OPERTY. O S ' U 50 - 100 10.00 OF PERMITTEE 100 - 500 15.00 ~ DIS IANO. G P I PR SSED BY Iv TUBE,OR SIGN AND ONE CIRCUIT 3.00 �(� N Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUI NG FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELE CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH;. PERMIT VALIDATION CK. M.O. CASH t 1 3 9 7'-10 ALQ1 2 2 D 6.00 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��/�'t✓�✓/,v