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HomeMy Public PortalAbout5037 ARDEN DR_Electrical__ 76AG63-CES06.7.56 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engineer AUILDING /y / County of Los Angeles ADDRESS , .3 % �`,4 tale. u J-D r. JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY 1-11-1 0NEAREST FOR APPLICANT TO FILL IN ICROSS ST. & . PERMIT FEES e r NUMBE OWNER �r' LIGHTOUTLETS MAIL !! n ADDRESS �7 --,,&,7 h� �i �C/i". RECEPTACLES WALL SWITCHES FEE CITY EL.NO. / J TOTAL OUTLETS @ 5¢ $ ELECTRICIAN ELEC. RANGES 25 ADDRESS - % ELEC. HEATERS 25 CITY TEL. NO. KW EA STATE rz FIXTURES 5 4--0 LICENSE NO. MOTORS DISTRICT NO. JGF�?JJP ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE NEW I MVD. HP OVER INC. EACH 1/2 a LESS $ .25 INSPECTION RECORD 1/2 2 .50 2 5 1.00 5 15 1.50 - - -- -.- - -- 15 50 2.50 _----------------- --_.-- - ------ - ---- 50 200 5.00 - - ------- - --- MISC. ✓ - .� NO. SIGNS NO. TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 i FIXTURE PERMIT $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ -i� h L, DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP- CA ON CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES OUNTY AND STATE OF POWER CALIFORNIA OR THAT I AM THE LEGAL NER OF THE ABOVE DESCRIBED RESIDE04AL PROPERTY, UTILITY CO.NOTIFIED SIGNATURE OF PERM ITTE frLn �'^'� FINAL F JOHN A. LAMBIE, VALIDATI94 ARTHUR C.VEIT, COUNTY ENGINEER CK Mo ( CCA H' SUPERVISING ELECTRICAL ENGINEER v ^- 7GA663-CESOG-11-ar,A P P L I C A T I O N FOR •ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES e+ DEPARTMENT OF COUNTY ENGINEER BUILDINGADDRESS BUILDING AND SAFETY DIVISIONI LIOIN A. LAMBIE, County En ees CASSAq"P D. GRIFFIN.Sup t of S.idlaQ LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES ITEM NUMBFRI EACH FEE OWNER--)-7B�I/WLGc.,o.ti— OUTLET 7 S S �� MAIL LIGHTS RECEPT. SW. .10 ADDRESS / 5b 5 B r LIGHTING FIXTURES 3 .10 CITY JV14 C I:PVEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ELEC.SPACE HTRS. DISHWASHERS ADDRESS GARBAGE DISPOSERS AUTO.- CITY TEL.NO. WASHERS STA.COOKING UNITE 25 STATE LICENSE NO. MOTORS: OVER INC. H.P. _ DISTRICT R XE O — 1/2 .25 i® READY FOR INSPECTION I/2 — 2 .50 / INSPECTION RECORD 2 — 5 1.00 5 — 15 1.50 15 — 50 2.50 50— 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 - SERVICE OVER 600V 5.00 MISC. .. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 62 SUPPLEMENTARY PERMIT .50 TOTAL FEE APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 -7 A59- IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. ., SIGNATURE / _ UTILITY CO.NOTIFIED OF PERMITTEE `�°'1 FINAL �^• �.,...-t a-1 VALIDATION$ ARTHUR C.VETT. SUPERVISING ELECTRICAL ENGINEER CK MO. CASH LIC0 6 4 4 1 ' NOV 7 2 A 3.0 0 � 'VVQRKER'S COMPENSATION DECLARATION 20-0019 DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT I herehyl�ffirm that d have a certificate of consent to self insure, 76A663 ' or a osrtificate of worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof,(Sec.3800 Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB (� ��••-- ADDRESS S� VGl EACH NO. FEE �� Certified copy is hereby furnished. New Residential Bldgs.&Pools $ _ $ LOCALITY Certified co is filed with the count building inspection 1 &2-Family,Sq.Ft. PY Y 9 P — department. Multi-family Sq.Ft. NEAREST CROSS ST. /�2 {r�••� OS Date A licant Residential Swimming Pools ASSESSOR PAGE PARCEL O ry Pp it MAP BOOK L+ I CERTIFICATE OF EXEMPTION FROM WORKERS' � L � OWNER OR t rA j ,e1 !'' COMPENSATION INSURANCE Outlets:Rec. Light SW. FIRM NAME N (� © First 20 MAIL (This section need not be completed if the work involved by the Total No. Additional ADDRESS permit is for one hundred dollars($100)or less.) If I certify that in the performance of the work for which this permit CITY /e Tel.No.(8 is issued, I shall not employ any person in any manner so as toQ PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant 15 OR 20A,120V BRANCH CIRCUITS NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT P Y P Y APPLICANT /�-L���,/ provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION ADDRESS CL I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH d (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. U Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR (t Power Apparatus&Large Appliances REG,NUMBER Class. 0 License Number Lic.Class Size&Type HP,KW,KVA,or KVAR C DISTRICT NO. / PROC ED BY.. .e I Up to 3 Incl. O Contractor Date Over 3 to 10 Incl. FINAL n- ❑ Over 10 to 50 Incl. DATE Z I am exempt under Sec. Over 50 to 100 Incl. VALIDATION FINAL B.&P.C.for this reason Over 100 BY / Services,Swbd.,MCC&Panelboards Date: 0-200 Amp.Under 600 V Signature - 201 -1000 Amp.Under 600 V ❑ Over 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 Law Sig -�--;•.- --••y ; for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits- r-• '' = Code): Y Y I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors _, r is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)and Professions Cade). , izt 1' r CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) 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 above TOTAL FEE information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize y I representatives of this County to enter upon the above-mentioned operty finspecti n pur ioses. SEE REVERSE FOR EXPLANATORY LANGUAGE , ine - 014 TI .AQ.k.E O PPLICANT ORA T ATE WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-97) APPLICATION FOR ELECTRICAL PERMIT I hereby 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(Sec.3800 Lab. C.) 'r� N Policy No. Company FOR APPLICANT TO FILL IN JOB ti ADDRESS Certified copy is hereby furnished. New Residential Bldgs. Pools NO. EACH FEE ❑ NBld & _ $ $ LOCALITY Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ NEAREST department. Multi-family Sq.Ft. CROSS ST. -nwP.t- Date Applicant Residential Swimming Pools ASSESSMAP OR K I PAGE PARCEL -tWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light,6-- I ` FIRM NAME COMPENSATION INSURANCE First 20 ! / (This section need not be completed if the work involved by the ADDRESS _, �1 Ct.i�i b )��(�, permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CITY ��� '�n Tel.No. 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 Total No. Additional ADDRESS Date Applicant /Q U NOTICE TO APPLICANT: If, after making this Certificate of RESID NTIAL A P IArNOI,�OVER 3 HP. / CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCEER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT p p y P provisions or this permit shall be deemed revoked. ower Apparatus&Large Appliances APPLICANT VIj0, LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS g X Yn Q ,, 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 Class. Over 50 t0 100 Incl. REG.NUMBER 0- Over Over 100 DISTRICT NO. SSED BY Q License Number Lic.Class a U Services,Swbd.,MCC&Panelboards Contractor Date 0-399 Amp.Under 600 V DATE El I am exempt under Sec. 400-1000 Amp.Under 600 V N. ~ VALIDATION Over 1000 Amp.or Over 600 V FINAL w B.&P.C.for this reasonBRANCH CIRCUIT FEES BY W Date: 15A,or 20A,120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El Exemption Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits JL ��t SINGLE FAMILY ± 5-.5.7 t6=, Temp.Power Pole&Appurtenances ';•;j='a •=° `f HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit + I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits C ll I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors ;_ g�E(f•1 55*2=r is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 4_ � __sem, r,±,{±�"f-_„� and Professions Code). CHANGE CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the / AN 3'_�� performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address TOTAL FEE CJ I certify that I have read this application and under penalty of purjury state that the above information is correct. 1 agree to comply with all County ordinances and State laws regulatin lectrical wiring,and hereby authorize representatives of this ounty to ter upon the above-mentioned property for' pection purpos s.1 SEE REVERSE FOR EXPLANATORY LANGUAGE a- SI U OF PERMI EE DATE COUNTY OF LOS A4GELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTa#ENT OF i'UBLIC WORKS 9701 LAS TUNAS EL 0508 1310300019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: ITR: 13531 LT: 11 I 5037 ARDEN DR I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917804005 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA 18585-014-002 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI IF1 120V, 15/20A BR CKTS 1.00 BR 17.30 (TENANT: IG1 OUTLETS-LGT,SW,RECP 6.00 OUT 12.00 IISSUED ON: PROCESSED BY: PLAN BY: 1 I IG2 LIGHTING FIXTURES 2.00 LGT 4.00 110/30/13 SR 1 I I TOTAL FEES 61.10 I 1 OWNER: TEL. NO: I IFINAL DATE FI AL BY: CODE: TANG MICHAEL D (626) 731-3118- I I 15037 ARDEN DR I ITEMP 917804005 lDt,5CRIPTION OF WORK 131 IBRANCH CIRCUIT, 6 OUTLETS AND 2 LIGHT FIXTURES FOR A NEW I 1ADDITION I 1APPLICANT: TEL. NO: I ,SAME AS OWNER - SPECIAL CONDITIONS: I I I I_ I ICONTRACTOR: TEL. NO: ( (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I LIC. NO ITEMPO.RARY POWER POLE I I 1 _ 1UNDERGROUND CONDUIT I I I _I I_ I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I 1 LIC. NO: I (ROUGH CONDUIT I I/ IROUGH WIRING I IMAIN WATER LINE IPLASTIC Y/N METAL Y/N I I1 11 I 1UTILITY COMPANY NOTIFIED( I 11 I I I I i I I I I I I I I I I I I I I I I I II I I I I I I I I I A { I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I i COUNTY OF LOS ANGELES TEMPLE.CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1207230034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 13531 LT: 11 5037 ARDEN DR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917804005 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA 18585-014-002 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl I _1G1 OUTLETS-LGT,SW,RECP 3.00 OUT 6.00 (TENANT: I TOTAL FEES 33.80 (ISSUED ON: PROCESSED BY: PLAN BY: 107/23/12 SR I I OWNER: TEL NO: I IFINAL DATE r FI Y: CODE: (TANG MICHAEL D - (626) 731-3118- 1r 1 15037 ARDEN DR I (TEMP 917804005 1 (DESCRIPTION OF WORK 1 1 13 OUTLETS FOR LAUNDRY ROOM 1 I I I (APPLICANT: TEL NO: I I (SAME AS OWNER - I I I I (SPECIAL CONDITIONS: 1 I I I I I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - I I I LIC. NO I (TEMPORARY POWER POLE I I I I I I I (UNDERGROUND CONDUIT I I _1 I 1-1 (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I - I I 1-1 LIC. NO: I (ROUGH CONDUIT I i I I ISI IROUGH WIRING I MAIN WATER LINE (PLASTIC Y/N METAL Y/N I I (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I COUNTY OF-LOS ANGLLES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1106010017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 13531 LT: 11 5037 ARDEN DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917804005 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA 18585-014-002 IA1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 1 (TENANT: 1G2 LIGHTING FIXTURES 2.00 LGT 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: I 1 TOTAL FEES 39.50 106/01/11 SR 1 (OWNER: TEL. NO: '� (TANG MICHAEL D (626) 731-3118- 1F �,�DATE FINAL BY: CODE: 15037 ARDEN DR ly 1` f1 1- 7 (TEMP 917804005 1 IDESCRIPTION OF WORK 11 I I (ELECTRICAL FOR (E) BATHROOM REMODEL AND NEW BATHROOM I I 1APPLICANT: TEL. NO: IMAK, EDWARD (626) 864-0452- 1 13251 EVELYN AVE 1 ISPECIAL CONDITIONS: IROSEMEAD CA 91770 I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 (TANG, MICHAEL D (626) 731-3118- 1 1 15037 ARDEN DRIVE LIC. NO 1 (TEMPORARY POWER POLE I I I ITEMPLE CITY, CA 91780 NONE I1 1 (UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND LIC. NO: 1 1ROUGH CONDUIT 1 IROUGH WIRING 1 IMAIN WATER LINE 1 1PLASTIC Y/N METAL Y/N I I I i (UTILITY COMPANY NOTIFIEDI I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1401290054 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: I ITR: 13531 LT: 11 1 5037 ARDEN DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917804005 I ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA 18585-014-002 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI ILN OTHER PNL 0-399 AMPS 2.00 PAN 77.80 1 (TENANT: I TOTAL FEES 105.60 (ISSUED ON: PROCESSED BY: PLAN BY: 101/29/14 SR I (OWNER: TEL. NO: 1 IFINAL DATE FIN/ CODE: ITANG MICHAEL D (626) 731-3118- 1 1s/ 4 1l� 1 15037 ARDEN DR 1 1 1 ITEMP 917804005 I ID. CRIPTION OF WORK 1 I I (ADD SUB-PANEL 50 AMP I I I 1 (APPLICANT: TEL. NO: I 1 1 ISAME AS OWNER I I ISPECIAL CONDITIONS: 1 ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I LIC. NO ITEMPORARY POWER POLE I I I I 1 (UNDERGROUND CONDUIT I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I LIC. NO: i TROUGH CONDUIT I IROUGH WIRING I i I 1 IMAIN WATER LINE I I PLASTIC YIN METAL YIN (UTILITY COMPANY NOTIFIEDI I1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I