Loading...
HomeMy Public PortalAbout4834 ARDEN DR_Electrical__ 76A663•CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING I /? BUILDING AND SAFETY DIVISION ADDRESS �V JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS 1p RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ OWNER LIGHT MAIL ADD'L1O ADDRESS SWITCH. OVER 20 CITY TEL. N LIGHTINGT-TOTAL F)R5T2O .20 FIXTURES ADD'L .10 ELECTRICIAN i OVFR 20 RANGES 8--CLO.DRYERS k'WTR.HTRS. 1.00 O ADDRESS D GARB.DISP. STA.COOK CITY ( C TEL. NO. DISHWASH. •AUTO.-WASH. STATE SPACE HTRS. STA.APP.(yi H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST RICT N GROUP ZONE PROCESSED 8 O 1 1.00 1 3 1.50 INSPECTION RECORD 3. 8 2.00 8 15 2.50 is so 3.00 IL 50 100 5.00 O U SIGNS: NO.TRANS 0: NO.LAMPS O SERVICE 0.60OV-NOT OVER 200A 1.00 UO w SERVICE 0.60OV-OVER 200 A. 2.00 0_ N SERVICE OVER 600V 5.00 z MISC. PERMIT ISSUING FEE 2.00 2 (Ja SUPPLEMENTAgY PERMIT ISSUING FEE 1.00 1 1 TOTAL FEE od 1 HEREBY 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COU AND STATE OF FIXTURES CALIFORNIA OR THAT I HE LEG NE R F THE ABOVE DESCRIBED RESIDENT OF Y. POWER SIGNATURE UTILITY CO.NOTIFIEDe OF PERMITT FINAL ALIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER L tCo 7 8 2 7 v JAN 2 5 2 0 5,0 Q 7BA663-CE806 9.5, APPLICATION FOR ELECTRIC PERMIT , COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING O 3 Al. CSR BUILDING AND SAFETY DIVISION JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY rvo' NEAREST FOR APPLICANT TO FILL IN cRoss sr. PERMIT FEES I T E M NUMBER EACH FEE OWNER �� �`J'.'=. .��h'� - `-'✓ "" OUTLET4. $ $ MAIL F\� LIGHTS RECEPT. SW. .10 ADDRESS LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN _ WATER HEATERS .50 ADDRESS v ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL.NO. WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. H.P. O — '/z 25 DISTRICT GROU `E READY FOR INSPECTION I/z.— 2 .50 INSPECTION RECORD 2 — 5 1.00 5 — 15 1.50 15 — 50 2.50 50— 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 misc. WIRING PERMIT 1.00 ®� FIXTURE PERMIT 1.00 Q ®tom SUPPLEMENTARY PERMIT .50' TOTAL FEE $ 0 APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT J WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �7 ELECTRICAL WIRING. WIRING K � 'I 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE/OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. / SIGNATUREUTILITY CO.NOTIFIED OF PERMITTEE FINAL vDATION ARTHUR C.VEIT. SUPERVISING ELECTRICAL ENGINEER' CK MO CASH j...t 2 2 Q 4 fg' MI AR 2 0 2 A 3.40 r WORKER S'COMPENSATIONDECLAC.RA. CE866G (2-80} APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES <:�7 r 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. EACHNO. FEE ADDRESS Company New Residential Bldgs.&Pools 3 TAP—"- S) '' ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST .Certified copy is filed with the county building inspection CROSSST 2 g department. Residential Swimming Pools OWNER OR FIRM NAME v0� � Date Applicant Outlets: Rec.3 LightSw. 3 Sv ADDRESS Q First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. y Additional CITY'��� G` Tell o. gS! } COMPENSATION INSURANCE PLAN CHECK It (This section need not be completed if the work involvedSv D APPLICANT OU by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Additional 0 Total No. I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. permit is issued, I shall not employ any person in any manner PERMIT W so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT p_ Oven _ Dryer_W.M._ ADDRESS N Date Applicant Top _ FAU f W.H.. Z L Hood _ Fan Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond-_ O� LICENSE OR Exemption, you should become subject to the Workers' REG. NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE ED BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP, KW, KVA,or KVAR Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE ` LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. / v VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL p , 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in full force and effect. Services License Number Lic.Class 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V Contractor Date Over 1000 Amp.or Over 600 V 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 a d Professions Code): Misc.Conduits&Conductors ' U� `� as owner of the property, will do the work and the Other (See Complete Fee Schedule)— a structure is not intended or offered for sale (Section 5 2 1.0 A 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY sl 0 0 0 0 0 2 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) 06 2.o °'1 650 issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) - ° ° ° 1 (5 5 0 0 Lender's Address PERMIT ISSUING FEE 0 ,2"7—8 2 I certify that I have read this application and state that the TOTAL FEE d above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentio d pro erty for inspection pur oses. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKER S'COMPENSATION DECLARATION -806G (2-80) CEAPPLICATION FOR ELECTRICAL PERMIT CE-806 �. 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 ADDRESS New Residential Bldgs.&Pools EACH NO. FEE C `c ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $• LOCALITY-C� GIA- Ca 71,790 Multi-family-Sq. Ft. — NEAREST A/� Certified copy is filed with the county building inspection CROSS ST l ElResidential Swimming Pools department. OWNER RM NAME 1 Date Applicant Outlets: Rec.—'Light—Sw. MAIL First 20 ADDRESS d[p CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY 7'4, e_ 0 ; Tel No. COMPENSATION INSURANCE PLAN CHECK& } a APPLICANT Q (This section need not be completed if the work involved by-the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First Additio20'nal � Total No. I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. 0 permit is issued, I shall not employ any person in any manner PERMIT (� so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT W Oven _ Dryer_W.M. ADDRESS N Date Applicant Top _ FAU _W.H.. Z Hood _ Fan _Other_ CITY o. 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 Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP, KW, KVAor KVAR Up to 1 Incl.. - FINAL ( Over 1 to 10 Incl. DATE � ' VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inca BY AL 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 Number Lic. Class 201-1000 Amp. Under 600 V Contractor Date Over 1000 Amp.or Over 600 V. HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit G 6 3(a 8 A License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits #7 Hess and Professions Code): o o o 0 0•2 Misc.Conduits&Conductors ® I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— 2 0 o 2350 structure is not intended or offered for sale .(Section 7.044, Business and Professions Code). 0 0 0 2 35 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency O 9 2.2-8.2 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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 hereby authorize representatives of this County to enter upon the above- entione C poperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY. # 0508 LELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 6568-9706260019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE-CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES.PAID BUILDING-ADDRESS: TR: 15098 LT: 11 4834.ARDEN DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804001 ASSESSOR INFORMATIO NUMBER: NEAREST CROSS STREET: 8585-016-020 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 _GRID: B5 LOCALITY: TEMPLE CITY . G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 TENANT: LA 100 AMP PANELS, MCC .1.00 PAN 38.85 ISSUED ON: PROCESSED BY: PLAN Y: EXPIRES ON: LN OTHER PNL 0-399 AMPS 1.00 PAN .38.85' 06/26/97 TC 06/26/98 TOTAL FEES. 109.35 OWNER: TEL. NO: FINAL DATE FINAL BY: DE: YATES RICK;CATHY (818) 444-9662- 4834 ARDEN DR TEMP 917804001 DESCRIPTION OF WORK NEW SERVICE PANEL UPGRADE 100 AMP AND SUB PANEL AND 2 OUTLET APPLICANT: TEL. N0: SAME AS OWNER - SPECIAL CONDITIONS: . CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NoTEMPORARY POWER POLE UNDERGROUND CONDUIT. ARCHITECT OR ENGINEER: TEL. N0: �� ��'. �� ``�� UFER GROUND LIC. NO: , ROUGH CONDUIT ROUGH WIRING ,v MAIN WATER LINE - PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED -71 REPORT ID: DPR265 ROUTE TO: BS0508