HomeMy Public PortalAbout4930 ARDEN DR_Electrical__ 76A663-CE806 12/75 APPLICATION F R ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
i DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS 4930 ARDEN DR.
BUILDING AND SAFETY DIVISION
FOR APPLICANT To FILL IN LOCALITY =i E CIT
New Residential Bldgs& Pools EACH NO. FEE NEAREST
1 & 2-Family, Sq, Ft. $ 025 — g CROSS ST. a'
OWNER OR
Multi-family Sq. Ft. 02 — FIRM NAME YAMASAKI JOSE
Residential Swimming' Pools 20.00 MAIL S
ADDRESS
AM
Outlets: Light, Switch & Receptacle CITYTEK,,j.FTel.No. 444
_0197
First 20 .50 PLAN CHECK
Additional .30 1 1 APPLICANT
ADDRESS
Lighting Fixtures
First 20 .50 CITY Tel.No.
Additional .30 PERMIT
APPLICANT TRANE HC
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W.
Oven_Dry er_W.M. CITY r,p•� Tel.No. 579-7982
_ LbJ
LICESE OR
Top _ FAU _W.H.— R GNNUMBER 265094 Class. C-10
Hood_ Fan I GE_
CATION
Dis 2.00 1 50 AND STATE1 THATN OTHE LED
HST CORRECTI HAVEREAD AND AGREE TOTHISL
p._A.C. COMPLY
—--
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
Power Apparatus& Large Appliances
Size& Type HP, KW, KVA, or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
y LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF
Up t0 1 Incl. 2.00 CALIFORNIA OR THAI I AM THE E L OWNER OF THE VE
5.00 DESCRIrED RESIDENTIAL OP RT Y.
�_ Over 1 to 10 Incl. i g�
Over 10 t0 50 I ncl. 10.00 SI
GNATURE
PERMITEE �,//
�/�_
Over 50 to 100 Incl. 20.00
Over 100 30.00 NO. P CE ED BY 0Services6Id0- 200 Amp. Under 600 V 12.50 INSPECTOR'S
201-1000 Amp. Under 600 V 25.00OVALS PATE SIGNATURE
Over 1000 Amp. or Over 600 V 50.00 ER POLE
UNDERSLAS WORK
Temp. Power Pole& Appurtenances 10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
i• t '
(Other)
FIXTURES
POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) 10 5 NOTES 66 ( v
fi r
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $6.00 4 5C -
TOTAL FEE 15.0
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT ON CK. Mo. CASH ,
18 8 r'_-MA11 16 2 1Y � 15.0 a. d
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE. I9-64 APPLICATION FOR �CTR'ICCAL P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNE
DING
BUILDING AND SAFETY DIVISION ESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING LITY
FOR APPLICANT TO FILL IN S ST.
RECEPT,l TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER J"• C°ii
LIGHT i I MAIL
SWIT,CH./& 1 OVER'L .10 ADDRESS
TOTAL
LIGHTING i [FIRST 20 .20 CITY TEL. NO.
FIXTURES /� ADD'L f0 ELECTRICIAN Y GY /
OVER 20 /'' 6Jp J
.RANGES CLO.DRYERS WTR.HTRS. 1.00 `ADDRESS ka e,, V
GARB.DISP STA.COOK CITY C:/ TEL.NO. 7- }�
DISHWASH. AUTO.•WASH. STATE
SPACE HTRS. STA.APP.(yz H.P.MAX.) .50 (LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST ICT NO. GROUP ZONE P ESSED B
e—
o t 1.00
1 3 1.50 INSPECTION RECORD
3 8 2.00 �( w (v -v c> c O L. tog o
8 15 2.50
15 50 3.00 p.
50 100 5.00 O
V
SIGNS: NO.TRANS UJ
NO.LAMPS d
h
Z
SERVICE 0-600V-Nor OVER 200A 1.00 -�
SERVICE 0-60OV•OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTASY PERMIT ISSUING FEE 1.00
TOTAL FEE $^
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APO'LTATION 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 . % I•, ' '
I HEREBY .CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES Y G{_} 4'"11,111,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN STATE OF ,
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, A I NO TO �n
RESIDE IN, THE ABOVE O SCRIBED RESIDENTIAL P P R POWER
or
SIGNATURE UTILITY CO.NOTIFIED i/Pc'•jri^�)f ,(': 4(1`x /
OF PERMITT -
FINAL
A IDATION JOSEPH C. ROOHAN
( CK)_MO CASH SUPERVISING ELECTRICAL ENGINEER
;!',w-' 2 3 1 9w JUN 4 2 D 13.70- 01
LA l
v
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0405140006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11148 LT: 7 BL: B 4930 ARDEN DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804003
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-016-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS .PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75
TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 41.40 05/14/04 VG 11/10/04
OWNER: TEL. N0: FINAL DATE � �� CODE:
NGUYEN, THOMAS (626) 377-5349-
4930 ARDEN DR
TEMP 917804003 DESCRIPTION OF WORK
INSTALL ELECTRICAL OUTLETS AND FIXTURES
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
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
REPORT ID: DPR265 ROUTE TO: BS0508