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Home My Public Portal About5004 ARDEN DR_Electrical__ 76A663-CE80n1/7Q APPLICATION FOR ELECTRICAL PERMIT7 'COl1NTY OF LOS ANGELES DEPAI2TMENT'.OF COUNTY ENGINEER BUILDING � � BUILDING AND SAFETY DIVISION ADDRESS o N Ae4ih�� D e COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY �j��r`�i ZC-7 iNEAREfT�/)' /� FOR APPLICANT TO FILL IN CROSSS T. G oglc-,L.. �/ �vz-A OUTLETS NO. EACH FEE OWNER /�y��/�UrJH�/V LIGHT `/ FIRST 20 1 $ ADDRESS . Qa %/R.PA V .CJ TOT L .Z5' �-M /c .yam J�/� SWITCH 2 OVER 20 1p CITY /G 1WRlA C// PTEL. NO.OW704-3 PLAN CHECK LIGHTING TOTAL FIRST 20 25 ® APPLICANT /� OVER 20 FIXTURES G .10 ADDRESS APPLIANCES CITY p TEL. NO. �{ RANGE DRYER WTR. HTR. APPPERLICANT [� �{ �� 11,e" i/ A STA. COOK DISP. -F.A.U. ADDRESS �J aD¢ y //�,�Ej�/ OR SPACE HTR. AIR COND. CITY 7C /Y/pLF' �/TF/TEL. NO. 7dM CLOTHES /WASH. DISHWASH. LICENSE NO. CLASS. FAN ` OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a 1 - 1O 3.00 RESIDE N, THE ABOVE DESCRIBE ESIDENTIAL PROPERTY. Q 10 - 50 5.00 SIGNATURE �_�y �� V OF PERMITTEE C!y I% 50 - 100 10.00 O DISTRICTNO. LCLASS ZONE IPROCESSE Y U 100 - 500 15.00 U I a SIGN, GASh SIGN AND ONE CIRCUIT 5.00 NOTES: Z TUBE, OR '- MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER600 VOLTS OR 200AMP 3.00 SERVICEOVER600VOLTS OR200AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING `` •'�� FIXTURES PERMIT FEE (SUB TOTAL) POWER A •PZED UTILITY CO. NOTIFIED PLAN CHECK FEE ✓� PERMIT ISSUING FEE 3.00 FINAL JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.O. • CASH PERMIT VALIDATION CK: M.0' CASH 6 5:� 6-id :UN 1, 2 D 9. _. SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 75g663_Ci<-80510"2 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER roe it�� i��E� tr BUILDING AND SAFETY DIVISION ADDRESS U fl LOCALITY NEAREST FOR APPLICANT TO FILL IN _--.----- CROSS ST. OUTLETS No. EACH FEE OWNER ORJf77� /2,1.4 ,� I FIRM NAME �,//L7 p- 'tom RECEPT. $ $ L MAIL ADDRESS LIGHT TOTAL FIRST 20 / ,25 Cl TY /�f'GE G'Ir: TEL. N0. 7e SWITCH ' OVER 20 ,10 PLAN CHECK LIGHTING FIRST 20 25 �--f� APPLICANT FIXTURES T TAL �1° v OVER 20 ADDRESS RESIDENTI L APPLIANCES CITY TEL. NO. PERMIT A6�j RANGE DRYERWTR. HTR._ APPLICANT !l��9 �J Tb STA. COOK DISP. F.A.0 ADDRESS �e0'��Ja5X/ SPACE HTR. AIR COND. CITY 7,e-"jQC; ee0 2"TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR CLASS. REG. NUMBER FAN OTHER a 1.00 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 1 - 10 3.00 DESCRIPED RESIDENTIAL PROP E TY. O PERMITEE :::��''''��jj ///� �" U 10 - 50 5.00 SI GNATURELVf-149- O 50 - 100 10.00 DISTRICT N0. P C SED Y U W 100 - Soo 15.00 r�� SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER-POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES /I POWER AUTHORIZED P V O UTILITY Co. NOTIFIED FINAL V PERMIT FEE (SUB TOTAL) NOTES; PLAN CHECK FEE PERMIT ISSUING FEE cul) 0-0 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH w 2 673 AL 19 2 D 8 .7 5 A SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r C58 S-A 2-,6 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER zDISTRICT NO. GROUP ZONE PERMIT NO. Q NAME U_ _ ADDRESS1 READY FOR U CITY yj TEL.Nb. ! RECEIVED BY FIRST INSPECTION DATE ISSUED J COUNTY _„ -� LI CERT.NO. -7•..1 %' EXPIRES _,�_�, APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS e NEAREST LIGHT OUTLETS SW. PLUGS FIXT CROSS ST- CIRCUIT A B C D E F G H w NAME Z MAIL 3 ADDRESS ' 1 CITY TEL.NO. } I , 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIATION.. jFj ELECTRICIAN. 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED g �I ABOVE OWNER. CORRECTIONS J Q _Z 17 O - � 3 TOTAL x ;�✓ NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ 4 DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE -1 -�ri4! $ 3'� UTILITY CO.NOTIFIED TOTAL FEE `� ~' '� •Y-` FINAL WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I h�3reby affirm that I have a certificate of consent to self insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof.�(SSecc.'�38800 Lab. C.) tg �I Policy No. b"3 _25 Company ""� � FOR APPLICANT TO FILL IN JODDRESS �V o 4 ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. $ EACH $ FEE LOCALITY i,e"A GL Certified copy is filed with the county build1 &2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. CROSS ST. r/L2.!/L_ ` Residential Swimming Pools _ ASSESSOR Date �2'� 'TP Applicant MAP BOOK (�� PAGE PARCEL OWNER OR T CERTIFICATE OF EXEMPTION FROM RKERS' Cutlets:Rec.1"2 Light —S.. FIRM NAME a V 1 y COMPENSATION INSURANCE First 2 / /0 MAIL (o (This section need not be completed if the work involved by the Total No. Additional d ADDRESS ��p Q permit is for one hundred dollars($100)or less.) r I certify that in the performance of the work for which this permit CITY ' Tel.No. {a^ _% -!f 6 is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT (ny`p �Cj k1 Total No. Additional ADDRESS �;5 61 LL e A,/-k- Dat Applicant RESIDENTIAL APPLIANCE OT OVER 3 HP. ry NOTICE TO APPLICANT: If, after making this Certificate of /v CITY �`� Tel.No.5 32� Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES T OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT p p y. Power Apparatus&Large Appliances APPLICANT �S G provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code, and my license is in full force and effect. Over 10 to 50 Incl. �. LICENSE OR b 15- Class. Over 50 t0 100 Incl. REG.NUMBER �"C 7 4F; / e)` Over 100 DISTRICT NO. PROCESSED BY O License Number (� ✓ Lic.Class B � p V Services,Swbd.,MCC&PanelboardsFINAL Q Contractor �Qy'�, M. Date 6- Z3 0-399 Amp.Under 600 V DATE O F-1400-1000 Amp.Under 600 V —Z S-g VALIDATION w I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL � B.&P.C.for this reason BRANCH CIRCUIT FEES BY Z Date: 15A,or 20A, 120V,Lighting or Recept. 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits - - ❑ Exemption for Reg. M:71e 15A,20A,208V To 277V Lighting Br.Circuits 2 SINGLE FAMILY Temp.Power Pole&Appurtenances JL HOME OWNER-BUILDER DECLARATION AULT I hereby affirm that 1 am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits °t �{c... ... T IIEMS - Code): ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL is not intended or offered for sale (Section 7044,Business Other(See Complete Fee Schedule) , !�(t AL 102 a 30 and Professions Code). CHECK 30 CONSTRUCTION LENDING AGENCY t, II j I hereby affirm that there is a construction lending agency for the CHANGE oL_ performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) PLAN CHECKING FEE 130130-6010 IL 6/2:57.9= Lender's Name 5,'t v o PERMIT ISSUING FEE 04•J 1 AM Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the 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 property for inspection pur ses. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGN U E ITTEE DATE x COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ' ELECTRICAL PERMIT ' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9902080036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5004 ARDEN DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8585-018-083 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 28.00 OUT 49.80 TENANT: G2 LIGHTING FIXTURES 12.00 LGT 23.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.80 02/09/99 UT 02/09/00 H2 RES GRBG DISP LT 3HP 1.00 DIS 10.80 OWNER: TEL. NO: H3 RES DISHWASHR LT 3HP 1.00 DIS 10.80 FINAL DATE FINAL BY: DE: AVILA DAVID R;VICKI L (626) 350-1736- H4 RES RANGE HDS LT 3HP 1.00 H0O 10.80 5004 ARDEN DR TOTAL FEES 144.15 -m 4�r TEMP 917804004 DESCRIPTION OF WORK KITCHEN REMODEL APPLICANT: TEL. NO: TOM O'LEARY (626) 287-0922- 5823 AGNES AVE SPECIAL CONDITIONS: TEMPLE CITY, CA R Es CONTRACTOR: TEL. NO: ®� ��j�� APPROVALS DATE INSPECTOR SIGNATURE TOM O'LEARY CONSTRUCTION (818) 287-0927- 5823 AGNES AVENUE LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 489354 B-1 /// UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: - LIFER GROUND LIC. N0: 1111111 ROUGH CONDUIT Ir— ROUGH WIRING LFDUD n �� 0��/7MAIN WATER LINE I11� �LLL111^lll<111�LJK(v PLASTIC Y/N METAL Y/N c UTILITY COMPANY NOTIFIED \ g 0 � I� ❑ ❑ Se vice V'he� REPORT ID: DPR265 ROUTE TO: BS0508