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HomeMy Public PortalAbout10720 ARROWOOD ST_Electrical__ 76A683-CE906 12-65 APPLICATION FOR ELECTRICAL /PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST G BUILDING AND SAFETY DIVISION D v�-d T 0"41 JOHN A. LAMBIE, COUNTY ENGINEER �J C JV COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGY p /�JfJ FOR APPLICANT TO FILL IN CROSS ST. a? d (Zb ( _ L "1"17 8 RECEPT. TOTAL �!O­EAC. FEEMj - - ^ OWNER LIGHT OUTLETSFIRST 20 $•20MAILSWITCH --- — --� OVER 20 .10 ADDRES TOTAL FIRST 20 .20 CITY Lim TEL. NO. 1—F LIGHTING 1 FIXTURES FIXTURES J( ADD-LI •1O CONTRACTOR '-GLf✓LL-ems OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APDL. .50ID SE NO. MOTORS: OVER NOT OVER H.P. RICT NO. G�$QUP ZONE �PROO-OSSED B O 1 1.00i 3 1.50INSPECTION RECORD O s S 2.00 V a 15 2.50 O 15 50 3.00 U Lu D_ 50 100 5.00 N Z SIGNS: NO.TRANS NO.LAMPS SERVICE 0.60OV-Nor OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 •� SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS _ DATE INSPECTOR'S SIGNATURE TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR TH I AM THE LEGAL OWNER F,AND INTEND TO POWER RESIDE IN,THE AB E DESCR D RESID T P PERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL VAIIDA� JOSEPH SC.I ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER .b COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY ELECTRIC I WILLIAM J. FOX, County Engineer FOR APPLICAN TO FILL IN DISTRICT. GROUP{ ZONE PERMIT NO. ELECTRICIAN I �� y� RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION �L CITY TEL. N X COUNTY LICENSE NO. EXPIRES ADDREIN ® O !f PERMIT FEES - A / NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROBS ST. RECEPTACLES WALL SWITCHES ,I, OWNER TOTAL OUTLETS SC N MAIL ��-- ELEC. RANGER 2S ADDRESS ELEC, HEATERS 26 CITY TEL. NO. FIXTURES _2 S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. I -APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS 0/ �'f14 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INCA FEE EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. !/2 & LESS .25 SIGNATURE OF %2 2 .50 PERMITTEE /yin 2 B 1.00 INSPECTION RECORD' 5 16 1.50 15 50 2.50 50 200 5.00 200 500 1'0.00 J 500 1000 15.00 Z OVER 1000 20.00 (0 M.O. BET/FREQ. CHANGER-HP _ WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF CRIB.) misc. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: _ DAYt INSPECTOR'S NAME WIRING $1.00 CONDUIT WIRING FIXTURES $1.00 SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED 4 A �`• '� _ FINAL 7 76A663 DBS$5A 4-52 ' 0 76A663-CE806 9-63 �A�PMCAUMVFOR ELECURDCPERV COUNTY OF LOS ANGELES LLJJ DEPARTMENT OF COUNTY ENGINEER BUILDING n BUILDING AND SAFETY DIVISION gDDRE55 JOHN A. LAMBIE, COUNTY ENGINEER v� COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY -..;ti •' NEAREST �•��//Jf ^L � FOR APPLICANT �/Yf rye-TO FILL IN CROSS ST. C`/C.S ` e3 /lam y NO. EACHI FEE C ' RECEPT.� $ $ OWNER J� s MAIL LIGHT TOTA FIRST 20 .20 ADDRESS SWITCH OVER 20 .10 CITY TEL. NO. LIGHTING FIRST 20 .20 CONTRACTOR FIXTURES �TOTAL 4 OVER 20 .10 ADDRE RANGE_DRYER—WTR.HTR._ CITJAV" /� TEL. Nom+ ! ��� STA.COOK_DISP._F.A.U.— -- 1 LICENSE NO. Jo Y' SPACE HTR. AIR GOND. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION r• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �• CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING { ELECTRICAL WIRING. FANOTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS AN ES COUNTY AND STATE OF .�,MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THEM. GAL W qR OF, AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE D-E'S RIBE NTIAL PROPERTY. SIZE & TYPE OVER TO SIGNATURE (// 0 – 1 1.00 OF PERMITTEE -- -a ••S+.'?. 1 – 10 3.00 1'DIS. RI'5T G Z E 10 – so 5.00 0 50 – 100 10.00 !"� NOTES: G ° W 100 – 500 15.00 n' SIGN,GAS SIGN AND ONE CIRCUIT 3.00 N TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 - '% SERVICE OVER 600 VOLTS OR 200 AMP 5.00 f' 1UNDERSLAB TEMP SERVICE, POLE, &APPURTENANCES 3.00APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE WORK ROUGH CONDUIT A ISSUING FEE 2.00 © WIRING ��g FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED - PERMIT FEE UTILITYCO.NOTIFIED _ PLAN CHECK FEE (50% PERMIT FEE) FINAL 'G✓ ( �aQ TOTAL FEE JOSEPH C. ROOHAN - w_.,,;;A;�;-n-,.,;,�.;;•.;e„ a= [ '3 - - SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH cli 2 b. � 2- J N17 2 D 6.40N SEE BACK OF APPLICATION FOR CO I PLETE FEE SCHEDULE ' WORKER SCOMPENSATION DECLARATION CE 806G (2-80T, APPLICATION PSICATION 2O-R ELECTRICAL PERMIT • I hereby affirm that I have a certificate'of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No. Company lADDRESS r� New Residential Bldgs.&Pools EACH NO., FEE Certified copy is hereby furnished. 1 &2-Family,Sj. Ft. $ — $ LOCALITY ❑ Multi-family Sq. Ft. — NEAREST l Certified.copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR / FIRM NAME Date Applicant Outlets: Recd?Light Sw. SD AMAIL DDRESS i First 20 CERTIFICATE OF EXEMPTION-FROM WORKERS' Total No) Additional CITY ,Tel N r COMPENSATION INSURANCE PLAN CHECK a (This section need not be completed if the work involved S Q APPLICANT U by the. permit is for one hundred dollars ($100) or less.) Lighting Fix s First 20 ADDRESS Total No. Additional X I certify that in the performance of the work for which this Fixed Appliances N t Over 1 HP CITY Tel No. 0 permit is issued, I shall not employ any person in any manner PERMIT U' so as to become subject to tVW11',kers.' Compen do Laws. Range_Fleate D.W. _" APPLICANT LU aOven Dryer_W.M. ADDRESSDao ApplicantTop — FAU _W.H.,_ ��✓ Z ' Hood Fan _Other_' CITY ` Tel No. � 3 .NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond._ �'�v `� LICE SE OR f� Exemption, you should become subject to the Workers' REG.NUMBER i0. T lass Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCES ED BY, with comply with such provisions or. this permit,.shall be Size&Type HP,KW, KVA,or KVAR y deemed revoked. Q�J Up to 1;Incl. i FINAL LICENSED CONTRACTORS DECLARATIONOver 1 to 10 Incl. DATEV'ALIDATION Over 10 to 501ncl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc., FINAL 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 0.200 Amp. Under.600 V License Num Lic'.Class [ en� 201-1000 Amp.Under 600 V 'Contractor Date � IX� Over 1000 Amp.or Over 600 V O I HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's I Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits zp 4 1 6'6 A ness and Professions Code):. Misc.Conduits&Conductors # o'o'o o'A 2 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 I o'o 1 9,5 0 7044, Business and Professions Code). y CONSTRUCTION"LENDING AGENCY o 0 0 1 9,5 0,-J, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) s 0 2'2'4'-8'1 issued (Sec. 3097,Civ.C.): Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address' PERMIT ISSUING FEE ' r 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 Electrical wiring, and here authorize representatives of this County to enter upon ve-mentioned pr erty or F on purp es. SEE'REVERSE FOR EXPLANATORY LANGUAGE ! �" Signature of Permit ee Date