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HomeMy Public PortalAbout5125 ARDEN DR_Electrical__ OB 5-A 12-43 25M MPLI IATION FOR P179 DEPARTMENT' OF BUILDING AND SAFETY LJYA�JL�AA� 117® 1C Y0 Y, COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER Fwt,) , NAME ,� g DISTRICT NO. GROUP ZONE PERMIT NO. f �U ADDRESS / '$ Cy CITY Q TEL.NO. RECEIVED BY READY FOR DATE ISSUED FIRST INSECTIONIWCERT.NO. �7 o EXPIRES APPLICANT FILL. IN HEAVILY OUTLINED PORTION ONLY .DESCRIPTION OF WORK ADDRESS f� �� � o NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW.I PLUGS FIXT CROSS ST. CIRCUIT A 13 C D E F G IH R NAME C-A N MAIL Q� ,Q Z ADDRESS r d Dd.A �CITY TEL.NO. AM THE POSSESSOR OF-,THE ABOVE ANGELES COUNTYACERTIFICATE✓OFQAUALI GA VON,LOS ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. FA� CORRECTIONS 0 B w H Q U _1 IL 0 TOTAL NO. OF OUTLETS f $ R 1; C APPROVALS NO. OF FIXTURES $ �� DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ �j ter' POWER PERMIT FEE $ 0 tLd UTILITY CO.NOTIFIED TOTAL FEE S � FINAL V COUNTY OF Los ANGELES APPLICATION FOR PERMIT Department of County Engineer ELECTRIC i DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN - -- - RECEIVED BY READY FOR DATE ISSUED ADDRESS - - FIRST INSPECTION ' CITY . TEL NO. COUNTY LICENSE NO. EXPIRES !is BUILDING PERMIT FEES ADDRESS -� ------ — FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROBB ST. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS - Sc $ - MAIL ELEC. RANGES 25 ADDRESS _ 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 HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MvO. `HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1�2 6 LESS !$� .25- SIGNATURE OF _ %2 2 .50 PERMITTER _- 2 5 1.00 INSPECTION RECORD _ 5 15 1.50 is 50 2.50 so zoo s.00 _ 200 600 10.00 J 500 1000 15.00 — - Z OVER 1000 20.00 En M.G. SET/FREQ. CHANGER-HP ir WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) _ MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMITS DATE INSPECTOR'S NAME WIRING $1.00 S / CONDUIT FIXTUREB $1.00 WIRING SUPPI,EMENTARY .50 FIXTURES POWER TOTAL FEE �r UTILITY CO. NOTIFIED FINAL 76A663 DBS#5A 2-53 l 76A663 CE-80616/78) APPLICATIO FOR ELEC ICAL PERMIT COUNTY OF LOS ANGELES BUILDINGA SAFETY FOR APPLICANT TO FILL IN - JOB "'12 �' ff FResidenfialential Bldgs.&Pools EACH NO. FEE ADDRESS �J �l�d ?%N dQamily,Sq. Ft. $ .025 — $ LOCALITY L amily Sq. Ft. .02 — NEAREST tial Swimming Pools 25.00 CROSS ST. eS&OWNER OR nFIRM NAME olgc de"ki /el Iec LLight�Sw, MAIL /�First 20 .50 ADDRESS ..1o. Additional .30 CITY Tel. No. PLAN CHECK APPLICANT ixtures First 20 .50 ADDRESS Additional 30 o.' CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT 1 Range—Heater—D.W. APPLICANT �� j�1,//,moi,/ 0,/7 Oven—Dryer_W.M. ADDRESS Top _FAU — W.H. _ CITY Tel. No. Hood_Fan _Other_ LICENSE OR Disp._Room Air Cond. 2'50 REG. NUMBER Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 2.50 REGULATING ELECTRICAL WIRING. Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 50 to 100 Inc. 25.00 DESCRIBED RESIDENTIAL PROPERTY. 40.00 PERMITEE Over 100 SIGNATURE ..G- Services DISTRICT NO. PROCES ED BY 0-200 Amp. Under 600 V 12.50 a 201-1000 Amp. Under 600 V 25.00 d Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > INFORMATION UM Misc.Conduits&Conductors 10.00 ON REVERSE z Other(See Complete Fee Schedule) SIDEZ 9 4 3.5 A j4 0 0 a a o2 6 , 2aa1650 PERMIT FEE (Sub-Total) o o'0 1 6,5 d 2 PLAN CHECKING FEE (One-Fourth Permit Fee) O O 2 Q ra g O PERMIT ISSUING FEE $7.00 co o J TOTAL FEE > INSPECTIO/N//JFINALE/D� � 0 e !Y W dote: �/(� By ' ©s WORKER S'COMPENSATION DECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT CE-806 ,I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or F a certified copy thereof(Sec. 3800,Lab. C.) y FOR APPLICANT TO FILL EACH N JOB Policy No. CompanNO. FEE DDRESS � 5 J New Residential Bldgs.&Pools / JP' Certified copy is hereby furnished. 1 &2'Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection ReCROSS ST ,4 R,-5 department. Residential Swimming Pools OWNER OR First 20 FIRM NAME [—,q r �OC lC�-✓. A C Date Applicant Outlets: Rec3-Light Sw.�_ MAIL 0 7 / ADDRESS S P+ CERTIFICATE OF EXEMPTION FROM WORKERS' Total No., Additional CITY Tel No. } COMPENSATION.INSURANCE PLAN CHECK / J // 0- (This section need not be completed if the work involved i APPLICANT CT �1 Lighting Fixtures by the permit is for one hundred dollars ($100) or less.) gng FiFirst o ADDRESS cc Total No. -J SC Additional O I certify that in the performance of the work for which this CITY Tel No. _ 97 Fixed Appliances Not Over 1 HP U permit is issued, I shall not employ any person in any manner PERMIT 0 LU so as to become subject to the Workers' Compensation Laws. Range Heater_D.W. ) PPLICANT j} a Oven Dryer_W.M. ( ADDRESS U) a /�� P �1 rC' GC/Ir'/�.f G Top — FAU L W.H.. � �{ ate ' pplicant J' / l Hood L Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. Room Air Cond. LIECENSE OR L SUE / Class Exemption, you should become subject to the Workers' RG. NR Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit shall be —! W deemed revoked. Size&Type HP,K , KVA,or KVAR /, O� 'T Upto1 Incl. FINAL C LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE 4_110;7VALIDATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FI L B 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions Code, and my license is in full force and effect. Services License Numbei Lic.Class 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions.Code): Misc.Conduits&Conductors I, as owner of the.property, will do the work and the Other (See Complete Fee Schedule)— 'c i structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending-agency 7 r ` for the performance of the work for which fth s permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). .' Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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 above-mentioned prope ?for' spec n purposes. �e l�%�, /L SEE'REVERSE FOR EXPLANATORY LANGUAGE ��{�/ se Signat of ermittee Da e COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0203010001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: - - FEES. PAID BUILDING A DRESS: TR: 29535 LT: 4 . 5125 ARDENEL AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803915 ASSESSOR INFORMA ION NUMBER: NEAREST CROSS STREET: LA ROSA - 8589-008-032 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PL N BY: EXPIRES ON: 03/01/02 JK 08/28/02 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: WOODALL JOHN R;LINDA L (626) 309-9822- 2 5125 ARDENEL AV TEMP 917803915" DESCRIP IAFWORK UPGRADE SERVICE PANEL TO 200AMP APPLICANT: TEL. 0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: ®� ���/' APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT j ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. N0: _ 1111111 ROUGH CONDUIT ROUGH WIRING [pu Mllwi ��YO��O I MAIN WATER LINE ( PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED £� 9 El c� blvoe REPORT ID:.DPR265 ROUTE TO: BS0508