HomeMy Public PortalAbout4835 ARDEN DR_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1004270006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 11148 LT: 5 BL: A 1 4835 ARDEN DR
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:) TEMP CA 917804051
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-015-007 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, C)
I IG1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85
(TENANT: IHA FAU LESS 3HP 1.00 FAU 10.95 (ISSUED ON: PROCESSED BY: PLAN BY:
1 IJB AC UNITS +3-10HP 1.00 AC 19.65 104/27/10 SR
TOTAL FEES 64.20 1
OWNER: TEL. NO: IF , ALDATE! FINAL BY: CODE:
ILAN THA DOAN (310) 800-3909-
14835 ARDEN DR Ivl!
ITEMP 917804051 1 In-ESCRIPTI N OF WORK 1
)ELECTRICAL FOR HVAC SYSTEM AND 3 OUTLETS
APPLICANT: TEL. NO:
IPHD BUILDER INC. (626) 589-2027-
110050 GARVEY AVE 101 I ISPECIAL CONDITIONS: 1
1EL MONTE CA 91732 1
(CONTRACTOR: TEL. NO: 1 )APPROVALS DATE INSPECTOR SIGNATURE 1
IPHD BUILDER INC. (626) 589-2027- 1 1 I
110050 GARVEY AVENUE #101 LIC. NO 1 ITEMPORARY POWER POLE 1 1 I
1EL MONTE, CA 91732 868680 B 1 I I 1 I
I 1 )UNDERGROUND CONDUIT I 1 I
)ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I
I LIC. NO: 1 IROUGH CONDUIT 1/ 1v 1
)ROUGH WIRING
1 I )MAIN WATER LINE 1 1
1 1 IPLASTIC YIN METAL YIN I
I )UTILITY COMPANY NOTIFIEDI
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IREPORT ID: DPR265 ROUTE TO: BS0508
I I I I f I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1003240002
BUILD-NG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 11148 LT: 5 BL: A 1 4835 ARDEN DR
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917804051
(ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET:
18585-015-007 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 20.00 OUT 39.00 I 1
(TENANT: IG2 LIGHTING FIXTURES 4.00 LGT 7.80 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
1 ILE 200 AMP PANELS, MCC 1.00 PAN 38.85 103/24/10 SR 03/24/11 I
I TOTAL FEES 113.40 I 1
1OWNER: TEL. NO: I IF AL D TE F AL Y: CODE: I
ILAN THA DOAN (310) 800-3909- 1 1
14835 ARDEN DR II
(TEMP 917804051 1 ID'ESCItIPTIOlq OF WORK 1
1 1ELECTRICAL FOR 2 BATHROOJ REMODEL AND UPGRADE SERVICE PANELI
1 ITO 200 AMP 1
1APPLICANT: TEL. NO: I
IPHD BUILDER INC. (626) 589-2027- 1 1
110050 GARVEY AVE 101 1 (SPECIAL CONDITIONS: 1
IEL MONTE, CA 91732 1 1 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
IPHD BUILDER INC. (626) 589-2027- I 1 1
110050 GARVEY AVENUE #101 LIC. NO 1 (TEMPORARY POWER POLE I 1
IEL MONTE, CA 91732 868680 B I I 1 1
(UNDERGROUND CONDUIT
1 I 1 I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND 13-2 �.
I LIC. NO: I (ROUGH CONDUIT
1 1 i ROUGH WIRING r�,a�//►`rl • K 1
IMAIN WATER LINE I 1 1
I (PLASTIC YIN METAL YIN I 11) 1
UTILITY COMPANY NOTIFIED( 1
I I 11 I 1
I I I I I I
1 (REPORT ID: DPR265 ROUTE TO: BSO508 I 1 1
WORKERS COMPENSATION DECLARATION 63
CE806G (2 80) APPLICATION FOR ELECTRICAL PERMIT
CE 8
I hereby affirm that I have a certificate of.^onsent Jo self COUNTY OF LOS ANGELES BUILDING AND SAFETY <
insure or a certificate of Workers Compensation Insurance or
a certified co y thereof(Sec 3800 ab C)
Policy No�ompany FOR APPLICANT TO FILL EACH N JOB
NO FEE ADDRESS �
New Residential Bldgs &Pools l
rrr��ppp Certified copy is hereby furnished 1 &2 Family Sq Ft $ — $ LOCALITY
Multifamily Sq Ft — NEAREST
Certified copy is filed with the county building inspection CROSS ST
department Residential Swimming Pools + OWNER OR
FIRM NAME
Date �plicant `6-21 695�r�_ Outlets RecLight Sw MAIL
First 20 ADDRESS
CERTIF ATE OF EXEMPTION FROM WORKERSTotal No � Additional CITY Tel N
COMPENSATION INSURANCE PLAN CHECK >_
CL
APPLICANT
(This section need not be completed If the work involved O
by the permit Is for one hundred dollars ($100) or less) Lighting Fixtures, First 20 ADDRESS U
Total No '� Additional R tr
1 certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITYTel No F_
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 APPLICAN W
Oven _ Dryer_W M ADDRESS �� N
Date Applicant Top _ FAUTT W H CITY Tel No t� Z
Hood _ Fan L Other
NOTICE TO APPLICANT If after making this Certificate of Disp — Room Air Cond:L� 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 Size&Type HP KW KVA or KVAR O�
deemed revoked
` Up to 1 Incl
FINAL
Over 1 to 10 Incl DATE/G/�t
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl " VALIDATION
i 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 5 8 7 7 A
ness and Professions Code and my license is in full force and
effect ` Services
0 200 Amp Under 600 V # 0'a 0 0 0 2
License Nu 31,2579 is Class 201 1000 Amp Under 600 V
Contrac —sr—V Op Over 1000 Amp 6r Over 600 V 0
01005310
HOME OWN BUILD ECLARATION Temp Power Pole& Appurtenances
I hereby affirm that I am exempt from the Contractors Sign with One Branch Circuit 0 8 2 61_8 2
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)—
structure isnot Intended or offered for sale (Section
7044 Business and Professions Code) V
CONSTRUCTION LENDING AGENCY
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)
Issued (Sec 3097 Civ C)
' Lender s Name PLAN CHECKING FEE (One Fourth Permit Fee)
l
Lender s Address PERMIT ISSUING FEE
I certify that I have read this application and state that the TOTAL FEE 3
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 mentioned erty for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
y ,
gnature of Per a Date
/ r
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Dof County Engineer � � ��
DIVISIONSION OFF BUILDING & SAFETY
WILLIAM J FOX County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
Dr1QFDT F C1(At\I�i(lN 15' IT a41771
ELECTRICIAN /( 1 —
cnlrQc{or RECEIVED BY READY FOR DATE ISSUED
ADDRESS ICctrlcal (.
FIRST INSPECTION J�_r
CITY _
COUNTY LICENSE NO 6 EXPIRES -30-5 BUILDINGFEE /� /�
PERMIT FEES ADDRE99 'J /f� (7/a _ ✓
NUMBER EACH __LOCALITY
LIGHT OUTLETS NEAREST --
RECEPTACLES 3 CROPS 9T
WALL SWITCHES 3 OWNER
TOTAL OUTLETS 5C $ MAIL
ELEC RANGES 2s ADDRESS
ELEC HEATERS 2s CITY TEL. NO
FIXTURES -- 5
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
NEw I MvD HP OVER I INC EACH OF THE RESIDENTIAL PRO( DESCRI D ABOVE
`/2e. LESS $ 25 ar/.�J E
SIGNATURE OF
I 2 50 PERMITTE _
2 s 1 00 INSPECTION RECORD
_ s is 1 s0
is s0 250
50 200 s 00
200 BOO 1000 J
SDD 1000 15 OO Q
— Z
OVER 10043 20013
U
M G SET/FREQ CHANGER HP 0�
WELDERS AC KVA O
GENERATORS KW
TRANSFORMERS - KVA
TEMP MOTORS (75% Or DRIB)
MOVED MOTORS (75% Dr ORIII)
MIBC
SIGNS
NO NO TRANS
APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR B NAME
r
WIRING $100 CONDUIT
FIXTURES $1 OD _�_ �y WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE �� UTILITYCO NOTIFIED
0-0 FINAL
76A663 DBB#SA 253
7EA968 CES061009 APPLICATION FOR ELECTRIC PERMIT
COUNTY 1F LOS ANGELES YV ■V
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CRASS ST
PERMT FEES
OWNER `
1 T E M NUMBERI EACH FEE
OUTLETS $ $ MAIL ,.
ADDRESS
LIGHTS RECEPT SW 10 '
LIGHTING FIXTURES 1O CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS [ 50 ADDRESS
ELEC SPACE HTRS DISHWASHERS CITY 1Cf TE NO —GI 6,SS
GARBAGE DISPOSERS AUTO
STATE7l'i1 3
WASHERS ---STA COOKING UNITS 25 LICENSE NO L 6 / /"
MOTORS OVER INC H P }DISTRICT NO I GRQVPI ZONE PRI ESSED BY
0— 1/2 25 .
1/2— 2 50 INSPECTION RECORD
2- 5 100
5— 15 150
d r�f�drP r s� � :fi'r 41 c bit 4'
15— SO 250
50-200 500
� r
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V loo l ( Q
SERVICE OVER 600V Soo
MISC
WIRING PERMIT --1-100 �J n
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE Is Z SD
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES '
CALIFORNIA OR THAT 1 AM THE LEGAL WNER OF THE ABOVE
DESCRIBED RESIDENT PERTY POWER
SIOGNATURE F PERM TTE �� UTILITYCO NOTIFIED �yOerL�r+i.
FINAL RAM eZ i
®rATION ARTHUR C VETT
cK MOS CASH SUPERVISING ELECTRICAL ENGINEER
I
L,To 9 1 5 4 1 MAR 6 z D 2.J 0
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