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Home My Public Portal About5034 ARDEN DR_Electrical__ j 76.9663 DBS 5A 7-51 APPLICATION FOR PERMIT - DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO. f ELECTRICIAN Qf - ✓ n� RECEIVED BY READY FOR DATE ISSUED ADDRESS C,/, 1 Z �Jv� ,f ,�, y/'pe J r` 1 FIRSTINSPE CTION CITY �Ja �6�J//t/ / s+�1✓. TEL. NOadL LeS�/4 ' �f►•1 11" �� V V' COUNTY LICENSE NO.,..L� /�/ EXPIRES-J-1u1 �� BUILDING PERMIT FEES ADDRESS FEE NUMBER EACH LOCALITY 7e,--#4 LIGHT OUTLETS NEAREST RECEPTACLES WALL SWITCHES OWNER .- ! TOTAL OUTLETS 5C $ I J MA11_ ELEC. RANGES 25 ADDRESS i---- ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS 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 HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 6 LESS $ .25 SIGNATURE OF f _ I/2 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD 5 -- Is _1.50 -- --is _ 50 2.50 x .. 50 200 . 5.00 - 200 _500 10.00 J SOO 1000 15.00 _ Q Z ❑VER 100❑ 20.00 _ C7 M.G. SET/FREQ. CHANGER-HP - WELDERS: AC-KVA D GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF CRIG.) _ MOVED MOTORS (7S% OF ORIG.) MISC. SIGNS NO. NO.TRANS. i APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 / ('j WIRING SUPPLEMENTARY ,50 FIXTURES POWER =' TOTAL FEE % _J UTILITY CO.NOTIFIED FINAL DB9 SA 95M ELTB 7-47 A"UCATIDN FOR PERMIT DEPARTMENT OF BUILDAN AND SAFETY �1 J�� COUNTY OF LOS ANGELES M O CHIEF ENGINEER NAM[ ' rr / 1 t DISTRICT NO. GROUP I ZONEI PERMIT NO. ��... ADDRESS lw. r' iJ "..r1 wU CITY J TEL.NO. REl '�7 FIF;fs,T{DIYREADION DA/TE ISS E� hl CERT.NO. } ! EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONIA DESCRIPTION OF WORK DDRESs 4 ti"" r `. .•a ' NUMBER OF OUTLETS ON CIRCUITS LOCALITY -f-{a. d r.! ! Al LOCATION BY ROOMS -- NEAREST J ,� LIGHT OUTLETS ISW.1 PLUGS FIXT CROSS ST. It CIRCUIT A 1-3 C D E F Ci I H R NAME Z MAIL 3 ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE AIL= COUNTY CERTIFIC E UALlFI TIO r � EL6GTRiC1AN.%' I AM THS LEGAL OWN OF THE PROPERTY DESCAWED ABOVE OWNER. CORRECTIONS e _ J a _Z _D !r O TOTAL NO. OF OUTLETS $ f 117 APPROVALS NO. OF FIXTURES $ SATE? INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT i NO. OF SIGNS TRANS. $ WIRING it NO. OF RANGES OR HEATERS $ FIXTURES E ANEOUS $ POWER FEE $ UTILITY CO.NOTI �E P FINAL WORKERS'COMPENSATION cafe of consent "" CE-8066 f0/Fd APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a v4 fgd cop (Sec. 380 , Lab. C.)cy o ompa ,r FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnis ed. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS , 1 & 2-Famil S Ft. $ _ $ LOCALITY Y Certified copy is filed with the county building inspec- , q tion d partment. Multi-family Sq. Ft. 'NEAREST r Residential Swimming Pools CROSS ST. OWNER OR Date Applicant FIRM NAME CE FICATE OF EXEMPTIOp WORKERS' Outlets: Rec Light Sw.,_ MAIL ' COMPENSATION ICE ADDRESS s section neenot be completed if the work involved b First 20 (Thitid p Y Total No. Additional CITY �. � Tel. No. the permit is for one hundred dollars($100)or less.) 4 AA I certify e that in the performance of the work for which this PLAN CH P APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making*this Certificate of APPLICANT • Exemption, you should become subject to the'Workers' Range_ Heater—D.W. Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS � with comply with such provisions or this permit shalt be Top FAU —W.H. — deemed revoked. Hood _ Fan _Other_ CITY ° Tel. No.5 LICENSED CONTRACTORS DECLARATION LICE EOR Disp. — Room Air Cond. REG. NUMBER Class.C I hereby affirm that I am licensed under provisions of Chapter 9 D (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY >_ and Professions Code,and my license is in full force and effect. Size &Ty e.HP, KW, KVA, or KVAR _ License Number?T�� Lic. Class �_ 'j/� [ to 1 Incl. / FINAL ! J��Over 1 to 10 Incl. DATE /, 0 Contractor Date tom/ VALIDATION ❑ Over 10 to 50 Incl. FINAL a exempt u er Sec. Over 50 to 100 Inc. BY (((��11ff Lu Over 100 B.&P.C. for this reason Date: Services, Swbd., MCC& Ponelboards 050 .Under 600 V Signature 201 - 1000 mp. Under 600 V ElExemption 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp, Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits 4 7 O'7 A Law for the following reason (Section 7031.5, Business and Professions Code): O O O o o 2 ❑ 1, as owner of the property, will do the work and the Misc. Conduits & Conductors 2 0 o29,5 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— 7044, Business and Professions Code). o 0 0 2 9,j()v CONSTRUCTION LENDING AGENCY 8, 2 3_ z I hereby affirm that there is a construction lending agency for 7z the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address 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 a e- ntioned pro rt for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign'otur of Permittee D to ~ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0305120008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 13531 LT: 28 5034 ARDEN DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804004 ASSESSOR INFORMATION NUMBER• NEAREST CROSS STREET: LA ROSA 8585-018-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES ON: TOTAL FEES 33.60 05/13/03 JK 11/09/03 OWNER: TEL. NO: FINAL DATE FINA• BY: CODE: PASCUAL JOSE EDILBERTO R (626) 448-1308- S��j 0 5034 ARDEN DR TEMPLE CITY 91780 DESCRIPTION OF WOR ADD COVERED PATIO 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: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0202270035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 13531 LT: 28 5034 ARDEN DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804004 ASSESSOR INFORMATION N MB R: NEAREST CROSS STREET: LA ROSA 8585-018-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 9.00 OUT 17.55 TENANT: G2 LIGHTING FIXTURES 5.00 LGT 9.75 ISSUED ON: PROCESSED BY: PAN BY: EXPIRES ON: H7 RES EXHAUST FANS 1.00 EX 10.95 02/27/02 JK 08/26/02 TOTAL FEES 66.00 OWNER: TEL. N0: FINAL DATE FINAL BY: CODE: MCCLELLAND; MARK A (626) 444-1711- 5034 ARDEN DR TEMP 917804004 -DE—SCRIPTION OF WORK ELECTRICAL ¢vim (nie�6L� °troy-tt G"/a �82a+ij APPLICANT:- TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: 1111111 ROUGH CONDUIT ��I ROUGHWIRING MAIN WA II PLASTICTER Y/NLINE METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: SS0508 � J COUNTY OF LOS ANGELES TEMPLE CITY # 0508 7ELECTRICAL PERMIT 7 DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9611190042 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 13531 LT: 28 5034 ARDEN DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804004 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8585-018-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 15.00 OUT 29.25 TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.80 12/16/96 TC 11/19/97 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 DAT FINAL BY: CODE: MC CLELLAND, MARK (818) 575-8590- H4 RES RANGE HDS LT 3HP 1.00 H00 10.80 5034 ARDEN DR LA 100 AMP PANELS, MCC 1.00 PAN 38.85 ii TEMP 917804004 TOTAL FEES 144.90 DESCRIPTION OF WORK ' G1 G�q ELECTRICAL FOR ADDITION KITCHEN, DINNING RM. AND LIVING RM. APPLICANT: TEL. N0: 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. N0: UFER GROUND LIC. NO: j ROUGH CONDUIT _. ROwJIRING i, MAIN WATER LINE �� PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508