HomeMy Public PortalAbout4922 ARDEN DR_Electrical__ /7I'l i Cq, -IZ
..76A663-CE8a061.6; , APPLICATION FOR E ECTRIC PERMIT
COUNTY OF LOS ANGELES
DE-PARTN%gNT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �L'-Y e
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
RECEPT. $ 5 OWNER �25 AIA
MAIL
J `
LIGHT TOTAL FIRST 20 .20 � ADDRESS 4 e
SWITCH 1 OVER 20 .10 IT TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 �/ APPLICANT
FIXTURES OVER 20 1 .10 1 ADDRESS
RANGE DRYER WTR.HTR._ CITY TEL. NO.
STA.COOK_DISP. F.A.U._ CONTRACTOR '
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH—DISHWASH—
C I TY `iCf '7 E NO.
FANOTHER 1.00LICENSE 1.10. `�/�' CLASS. V
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT 1 HAV READ THI APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE 15 CORR CT AND A E TO COMPLY
WITH ALL COUNTY ORDINANCES AN STATE S REGULATING
0 - 1 1.00
ELECTRICAL WIRING.
G d
I HEREBY CERTIFY THAT IROPER EGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY NGELE C NTY AND STATE OF
CALIFORNIA OR T INTEND TO d
10 - 50 5.00 RESIDE IN, THE RIPE SIDENTIAL PR
SIGNATURE U
50 — 100 10.00 OF PERMITTEE I%
100 — 500 15.00 Q
DISTRICT Gt Z P G E U
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 LLJ
TUBE, OR a
MARQUEE ADDITIONAL CIRCUITS 1.00 �� �( Z
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 "Er• '"�
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 (� f.2 UTILITYCO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1,0o FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK.` M.O. ASH
---
1/0
-ULO 3.60-
,EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A663-CE606 3-64
APPLICATION FOR EW T [CAL I�
COUNTY OF'LOS ANGELES �s IJ(
DEPARTMENT OF COUNTY EPam
NGINEER BUILDING ryry
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY /
N EAR EST
FOR APPLICANT TO FILL IN CROSS ST.
REC EP T, 6 TOTAL NO. EACH FEE
LIGHT - OUTLETS FIRST 2O '-�--,. $cl ,t0 $ Woo OWNER ..�"'
V MAIL
ADD'L ADDRESS
SWITCH. .i OVER 20 .10 0
TOTALIs �i CITY TEL.NO.
LIGHTING F1Rsr 20 .20 {i'
FIXTURES } ADD'L 1O ELECTRICIAN
OY R 2O _
CLO.DRYERS WTR.HTRS. 1.00 ADDRESS a
GARBDIBP�. BTA.COOK rTAT
l�'y!"18 TEL. N '�� v�
DISHWASH. AUTO.-WASH. _
` ISPACE HTRS. 8TA.APP.. s H.P.MAX, .50 MOTORS: ovER -Nor ovEir<�:P: GROUP ZONEPRn�-EGGED BY
O 9 1.00 3 1.50 INSPECTION RECORD >-
3 B 2.00 O
15 2.50 _ m
15 50 3.00
50 100 5.00 a LU
NO.TRANS `C Z
BIGNBs
NO.LAMPS �I V
SERVICE 0.600V-NOT OVER 200A 1.00 �1
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 a
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ ��
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 CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING- `
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED Al
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES Gf I A. �5i'esA+r
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA -PRO Ell g POWER U
SIGNATURE
UTILITY CO.NOTIFIED I Z- Q-6
OF PERMITTEE
FINAL
VALIDATI ARPHUR-C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
�1 luQ6 9 a DEC 16 0 1 3.6 0~ `s
t
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0607200010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11148 LT: 6 BL: B 4922 ARDEN DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804003
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-016-027 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85
TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 37.50 07/20/06 JK 01/16/07
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
BREMER, DAVID 562442499 ��//
- `/
4922 ARDEN AVE ` r &
TEMPLE CITY CA 91780 DESCRIPTION OF WORK
ELECTRICAL FOR BATHROOM REMODEL
APPLICANT: TEL. NO:
KM & C INC. (951) 781-9797-
15679 PALOMINO DR SPECIAL CONDITIONS:
CHINO HILLS 91709
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
KM & C INC. (951) 781-9797-
15679 PALOMINO DRIVE STE. B LIC. NO TEMPORARY POWER POLE
CHINO HILLS, CA 91709 424252 B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
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REPORT ID: DPR265 ROUTE TO: BS0508