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Home My Public Portal About5212 ARDEN DR_Electrical__ 76A663 DBS SA 11-60 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES I'� WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.; ELECTRICIAN ' Walton RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 Nm AQaQia St. FIRST INSPECTION CITY San Gab. TEL. NO.AT 68583 R4,'\- 10-17 '.5/ COUNTY LICENSE NO. 1104 EXPIRES BUILDING 5212 11m Arden AQDRESS PERMIT FEES NUMBER EACH FEE LOCALITY Temple Cit LIGHT OUTLETS 11 NEAREST RECEPTACLES 14 CROSS ST. _ WALL SWITCHES 12 - OWNER Celeste TOTAL OUTLETS 5C $ . 5 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 `5`S I 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 ANGELES COUNTY LICENSE,. OR I AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. NEW MVD. HP OVER INC. EACH 1/2 &LESS $ .25 SIGNATURE OF 1/2 2 .50 PERMITTEE - 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 200 Soo 10.00 - J 500 1000 15.00 Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP O WELDERS: AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (7S%OF ORIG.) MISC. SIGNS NO. NO. TRANS. I APPROVALS* NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.001 1100 WIRING FIXTURES $1.00 1� 00 SUPPLEMENTARY .50 - I FIXTURES 4 40 POWER TOTAL FEEI $ ( UTILITY CO. NOTIFIED n FINAL f 76A663-CE8061-68 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 212 NORTH ARDEN DRIVE JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY TEMPLE CITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. FREER NO. EACHI FEE $ $ OWNER CHARLES R. HOBLITZELL FRECEPT.—I MAIL tTOTAL FIRST 20 .20 ADDRESS '[2' NORTH ARAEN DRIVE OVER 20 .10 CITY EM E C'�. TEL. NO.444—�TOTAL PLAN CHECK LIGHTING FIRST 20 .20 APPLICANT CHARLES R. HOBLITZELL FIXTURES OVER 20 .10 ADDRESS 212 NORTH ARDEN DREQ RANGE DRYER—WTR.HTR._ CITYTEMPLE CITY TEL. NO.`I44— 844 STA.COOK_DISP.�F.A.U._ CONTRACTOR OWNER SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH._ CITY TEL. NO. FANOTHER 1.00 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 — 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 — 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LE AL OWNER OF, AND INTEND TO 4. 10 — 50 5.001 1 RESIDE IN, THE A VE SCR PIED ESI NTIAL PROPERTY. O SIGNATURE — V 50 — 100 10.00 OF PERMITTEE 100 — 500 15.00 0 DISTRICT NO. GROUP Z E PR ESS D BY �J TUBE, A SIGN AND ONE CIRCUIT 3.00 MARQUEE ADDITIONAL CIRCUITS 1.00NOTES: ,L� a (s <L --77 _ z QC SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 U SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE NEW SERVIGfE 100 AMP / .00 TEMP. POWER'POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) e� Irk PERMIT ISSUING FEE 2.00 .1 POWER AUTHORIZED UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 r� FINAL TOTAL FEE ,2(J J SEPH C. RO )HAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION --r-17NCK. 'M.O. ASH t_AL ..3 � 0 5� RI FT� � u D r ;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT LI 76A663 I hereby affirm.that I have a certificate of consent to self insure, or a ce!tTficate of•Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF Pt,R3LIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec..3800,Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Bldgs.&Pools ADDRESS !/ Celtified copy is hereby furnished. New Residential Bldg NO. EACH FEE _ $ $ LOCALITY EJ Certified co Is filed with the count building inspection 1 &2-Family,Sq.Ft. copy y g P NEAREST department. Multi-family Sq.Ft. — CRos3 ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' jJ �j r� _ OWNER OR COMPENSATION INSURANCE Outlets:Rec.Yom_Light Sw. FIP.M NAME First 20 O MAIL (This section need not be completed if the work involved by the permit is for one hundred dollars($100)or less.) Total No.� Additional ADDRESS I certify that in the performance of the work for which this permit CITY Tel.No. 9 is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixture First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY TeL No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT 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. LICENSECl Over 50 t0 100 Incl. REG.NUMBB Class. a License Number Lic.Class Over 100 DISTRICT NO. PRjDCESSED BY Q ` V Services,Swbd. MCC 'Pa`r�e��ard�s(, tQ(J °��,r�.�—�1cc Contractor Date 9'� 3 9 Amp.UI(der 600 V / O DATE 400-1000 Amp.Under 600 V . _ ~ I am exempt under Sec. VALIDATION V Over 1000 Amp.or Over 600 V FINAL ULI B.&P.C.for this reasonBRANCH CIRCUIT FEES BY Ca Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits E] 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances + I ACOTA ` HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 4 3307 103 I hereby affirm that I am exempt from the Contractor's License Law .755 fort fo wing reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code)' Tyr 1 ITEMS Ei S I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 103-.75 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) " CHECK 1,Ird n and Professions Code). ® f7Lb iU ! r CONSTRUCTION LENDING AGENCY CHANGE ' " .00 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.) 0000-0001 11/24/9 • PLAN CHECKING FEE tttt Lender's Name + 6677 1 AM 10'01 PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEES 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 C ty to Ater Qon the above-mentioned property for' s urpos SEE REVERSE FOR EXPLANATORY LANGUAGE �� IGNATURE OF PERMI E DATE " COUNTY OF LOS ANGELES TEMPLE CITY #0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0801040006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ". PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID I BUILDING ADDRESS: ITR: 15874 LT: 7 5212 ARDEN DR 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803317 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: FREER 18585-019-007 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 I 1 (TENANT: I TOTAL FEES 66.60 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I I 1 101/04/08 SR 07/02/08 I I 1 1 1 (OWNER: TEL. NO: I (FINAL DA � BY: CODE: I IDANFORTH ROBERT A - I I I 15212 ARDEN DR I I I ITEMP 917803317 1 IDESCRIPTION OF WORK I 1 1 1200 AMP SERVICE I I I I I (APPLICANT: TEL. NO: ISAME AS OWNER - I I I (SPECIAL CONDITIONS: I I I I I I I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I I LIC. NO I ITEMPORARY POWER POLE I I I I I 1 11 1 I I (UNDERGROUND CONDUIT I I I I I 1_ 11 I 1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I LIC. NO: i TROUGH CONDUIT I I I (ROUGH WIRING I I1 I I I I I I I I IMAIN WATER LINE I I 1 IPLASTIC Y/N METAL Y/N 1 1 1 I I I I I I 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 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, COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0912210001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID 1 BUILDING ADDRESS: I ITR: 15874 LT: 7 I 1 5212 ARDEN DR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803317 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: FREER 18585-019-007 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C1 I ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 1 1 (TENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 112/21/09 SR 12/21/10 10WNER: TEL. NO: (FINAL DATE FINAL BY: CODE: 1DANFORTH ROBERT A - I / /'/�/ ''I'��''��/ I 15212 ARDEN DR I I W1 / �[ 1 ITEMP 917803317 I IDESCRIPTI N OF WORK 1 I 1UPGRADE SERVICE PANEL TO 200 AMP (APPLICANT: TEL. NO: I' 1 SAME AS OWNER 1SPECIAL CONDITIONS: 1 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - 1 I LIC. NO I (TEMPORARY POWER POLE I I I I (UNDERGROUND CONDUIT I I I I I ARCHITECT OR ENGINEER: TEL. NO: iUFERGROUND 1 LIC. NO: 1ROUGH CONDUIT I I I I I (ROUGH WIRING I I I I I I I I I (MAIN WATER LINE I I (PLASTIC Y/N METAL Y/N I I I UTILITY COMPANY NOTIFIEDI�nj� 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 (REPORT ID: DPR265 ROUTE TO: BS0506 1 I I I I I I I I I