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