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HomeMy Public PortalAbout5306 ARDEN DR_Electrical__ 7GA669-CEB0610-69 /APPLICATION FOR ELECT C PERMITF/ 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING A/ �Q_/� ) �� BUILDING AND SAFETY DIVISION ADDRESS 'v iC V /v JOHN A. LAMBIE, COUNTY ENGINEER ..�— / WILLIAM A.JENSEN,SUPT of BUILDING LOCALITY ! FOR APPLICANT TO FILL IN NEAREST PEMT FEES CROSS ST. G ITEM NUMBER EACH FEE OWNER Id 7. A MAIL �/ OUTLETS: $ $ O ADDRESS v e',� �.. LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES ,10 CITY Ci-n AO if C TEL.NO Z.. ELEC.RANGES CLO.DRYERS ELECTRICI N WATER 'HEATERS .50 ©O ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER—-INC. H.P. DIST L0. Rsl1A Z N P O ED BY O— 1/2 .25 <e/s 1/2— 2 .50 INS ECTION RECORD 2— 5 1.00 5— 15 1.50 " 15— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICED-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERM IT .50 TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRINGS _ (5 I HEREBY 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 DESCRIBED RESIDENTIAL PROPERTY. POWER 41 /S SIGNATURE /'!�/n. ��� UTILITY CO.NOTIFIED OF PERMITTEE__ O1• �- - FINAL a b ®F VALIDA ARTHUR C.VEIT, CK mo. CAB SUPERVISING ELECTRICAL ENGINEER . LX o - '' 5 S,_P 1 2 U 3 .2 .' 1 `WORKERS' COMPENSATION DECLARATION 76-663 10/81 CE-606G APPLICATION FOR ELECTRICAL PERMIT I�hereby affirm that I have a certificate of consent*to self insure, or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec. 3800,Lab. C.) /r Policy No: Company FOR APPLICANT TO FILL IN ADJOB FOR U /I���- ae� ❑ Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH" NO. FEE ❑ LOC ALITY Certified copy is filed with the county building inspection 1 & 2-Family, Sq.Ft. $ — $ � / department. Multi-family Sq.Ft. — NEAREST Ifr .Date A CROSS ST. t- 9- Applicant ` Residential Swimming Pools L PP OWNER OR NAME / .� ���1 /� d •� CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light _ Sw. — MAIL COMPENSATION INSURANCE ADDRESS J (This'section need not be completed if the work involved by the First 20 permit is for.one hundred dollars ($100)or less.) Total No. Additional CITY, 7' Pn-1,0le e Tel.No. I certify that in the performance of the work for which this permit PLAN CHECK APPLICANT 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 -�/ Additional ����� f�� Total No. CITY Tel.No. Date Applicant/7 L""�p"�� v/ �/ — NOTICE TO APPLICANT: If,. after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Range— Heater— D.W. APPLICANT g Exemption,you should become subject to the.Workers'Compensation provisions of the Labor Code,.you must forthwith'comply with such Oven — Dryer _ W.M._ ADDRESS shall be deemed revoked. Top — FAU — W.H. — provisions or LICIItCONTRACTORS DECLARATION Hood — Fan _ Other_ CITY Tee/7J ,�/e i lTel.No.�/y/ LICENSED I hereby affirm.that I am licensed under provisions of Chapter 9 LICENSE OR Disp. ROOM Air Cond. REG.NUMBER Class. (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO.\� PROCESS D BY Size&Type HP,KW,KVA,or KVA�j �J U License Number Lic.Class Up to 1 Incl FINAL /7 Over 1�t �0 n DATEvZ (� VALIDATION Q Contractor' Date Over 5 Incl. U FINALI am exempt under Sec. Over 100 Inc. BY r d B.&P.C.for this reason Over 100 N Services,Swbd.,MCC& Panelboards Z 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 2 I hereby affirm that 1 am exempt from the Contractor's License Law a for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits ACCTo4 Code). �'�9�1� 25 o 50 Misc.Conduits &Conductors I,as owner of the property,will do the work anthe structure d is not intended or offered for sale (Section Business Other(See Complete Fee Schedule) 1 ITEMS ®and Professions Code). I V I 11L .b�o�O CONSTRUCTION LENDING AGENCY CHECK ��1Jc ul 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) CHANGE {� a CIV. C.). PLAN CHECKING FEE - Lender's Name 5/18/89. PERMIT ISSUING FEE 1 AN Lender's Address 3366 1 A i 7;23 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 representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1204120032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 11699 LT: 4 BL: .001 UN: .002 1 I 5306 ARDEN DR - I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803319 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 18585-020-006 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl IF1 120V, 15/20A BR CKTS 9.00 BR 155.70 1 1 (TENANT: - IF2 208, 277V LGT BR CKT 1.00 BR 27.30 (ISSUED ON: PROCESSED BY: PLAN BY: I IG1 OUTLETS-LGT,SW,RECP 48.00 OUT 76.60 104/12/12 SR I H1 RES ELEC OVEN LT 3HP 1.00 OVE 11.00 1 1 1OWNER: TEL. NO: IH2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 IFIIAL DATE FINAL BY: CODE: 1 ITRAN, OANH (626) 500-7376- IH3 RES DISHWASHR LT 3HP 1.00 DIS 11.00 15306 ARDEN DR IH4 RES RANGE HDS LT 3HP . 1.00 HOO 11.00 1 ITEMP 917803319 IH5 RES WASH MACH LT 3HP 1.00 WAS 11.00 IDIMCRIPTION OF WORK 1 ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 (ELECTRICAL NEW ADDITION, REMODEL AND UPGRADE SERVICE PANEL 1 I TOTAL FEES 381.30 ITO 200 AMP I (APPLICANT: TEL. NO: 1 I ILAI, KAMEN (626) 288-2651- 18748 E. VALLEY BLVD. I ISPECIAL CONDITIONS: ROSEMEAD CA 91770 I I I I I I I I I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I ITRAN, OANH TRAM (626) 500-7376- I 11 1 15306 ARDEN DRIVE LIC. NO I ITEMPORARY POWER POLE I I I ITEMPLE CITY, CA 91780 NONE I I I I (UNDERGROUND CONDUIT I I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I I I 1-1 LIC. NO: I IROUGH CONDUIT I I I I I I I IROUGH WIRING IMAIN WATER LINE 1 -1 1 (PLASTIC YIN METAL YIN I I (UTILITY COMPAN.Y tqOTIFIEDI L-LI I� 1 2, Ll 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 1 IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I ry COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1201300034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID 1 BUILDING ADDRESS: 1 ITR: 11699 LT: 4 BL: .001 UN: .002 I 1 5306 ARDEN DR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803319 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18585-020-006 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl IF1 120V, 15/20A BR CKTS 4.00 BR 69.20 1 1 (TENANT: ILN OTHER PNL 0-399 AMPS 1.00 PAN 38.80 (ISSUED ON: PROCESSED BY: PLAN BY: I I - TOTAL FEES 135.80 101/30/12 SR I I I I I 1OWNER: TEL. NO: 1 IFI AL DATE FIN BY: CODE: I ITRAN T, TRAM OANH (626) 500-7376- 1 I I 15306 ARDEN DR I 1 fir' 1 v 1 1TEMP 917803319 1 ID SCRIPTION OF WORK 1 I (ADD 4 BRANCH CIRCUITS AND SUB-PANEL 150 AMP 1 1APPLICANT: TEL. NO: 1 I 1SAME AS OWNER I ISPECIAL 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 1 ITEMPORARY POWER POLE I I I I I (UNDERGROUND CONDUIT I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND I I I 1 LIC. NO: 1 (ROUGH CONDUIT I I I I IROUGH WIRING IMAIN WATER LINEi 1 I 1PLASTIC YIN METAL YIN 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 IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1201230029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: 1 FEES PAID BUILDING ADDRESS: I ITR: 11699 LT: 4 BL: .001 UN: .002 1 I 5306 ARDEN DR I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803319 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18585-020-006 IA1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.50 1 1 (TENANT: 1G2 LIGHTING FIXTURES 6.00 LGT 11.60 (ISSUED ON: PROCESSED BY: PLAN BY: I I TOTAL FEES 54.90 101/23/12 SR I (OWNER: TEL. NO: 1 1FI AL DATE F CODE: 1 ITRAN T, TRAM OANH (626) 500-7376- 1 I 15306 ARDEN DR 1 I (TEMP 917803319 rDESCRIPTION OF WORK I I 1ELECTRICAL FOR DEGATCHED GARAGE AND WORKSHOP 8 OUTLETS AND 61 I 1 (LIGHT FIXTURES I (APPLICANT: TEL. NO: 1 I I (SAME AS OWNER I 1 1SPECIAL CONDITIONS: I I I I I 1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1SAME AS OWNER I I LIC. NO I (TEMPORARY 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 I _ 1 I I I LIC. NO: I 1ROUGH CONDUIT I I I I I I 1 I (ROUGH WIRING I 1 I I 1 I (MAIN WATER LINE 1 I I I 1 (PLASTIC YIN METAL Y/N I I I I 1UTILITY COMPANY NOTIFIEDI 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 .�' :~a. y�+o.- i._ ,.r} ,-.: �.tc+�5�°�'4:... .�G'- :I -'A}"' . ,._ ✓� .a"'a'°v �'j',i'n2'.. ✓ �? �'' m`: ,. {�. 2P`3"w.';iJ 'z�—i.S°..z.-_F"2aao.: :r �..�3,', �''�;:.1 ..ro• .4,w"�_'.. x+ - ;� _. �itx�a+` r-� ,.USS. j�yT�;+`�-'►°"�' ."�� , 'a.-- �'t° +^S �.Vim'.01 +� :_�S' '°: � '7+;y.:� T � -.. ��.•n'r-W? - _ '��...L.+rs'�+` sc. -- .dC' _ _ Y'-� - :�► .,:�:'��`"� .�., �_:- �, :�.yy�� '_ t. . - :. - ''R. r-•..: ��,,.._.. -v .�.._t ', ":.; >.�+. -:'4; - _ r �!,. �3.: �•�� '^`� yY��_ .r •'• Ji3! '�+-`�."�.•G',� _ - -.� tl REPORT ID: ,DPR265 e' ROUTE TO: BS050g t -� I I I I I I COUNTY OF LOS ANGELES _ TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1205030015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91750 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 11699 LT: 4 BL: .001 UN: .002 5306 ARDEN DR I _(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803319 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18585-020-006 1A1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl I _IE1 TEMP SERV POWER POLE 1.00 TMP 43.70 1 1 (TENANT: I TOTAL FEES 71.50 (ISSUED ON: PROCESSED BY: PLAN BY: 1 105/03/12 SR (OWNER: TEL. NO: IF AL DATE FINAL Y: CODE: ITRAN, OANH (626) 500-7376- 15306 ARDEN DR I .� (TEMP 917803319 _ C PTION OF WORK I (TEMPORARY POWER POLE 1 I 1 I 1APPLICANT: TEL. NO: (SAME AS OWNER - I I ISPECIAL CONDITIONS: I I 1 I 1 ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1 (SAME AS OWNER - I 'I I LIC. NO 1 ITEMPORARY POWER POLE I I I I I (UNDERGROUND CONDUIT 1ARCHITECT OR ENGINEER: TEL. NO: I IUFF,R GROUND I LIC. NO: 1 (ROUGH CONDUIT 1 1 1 1 I IROUGH WIRING 1 1 1 1 I IMAIN WATER LINE 1 1 1 PLASTIC YIN METAL YIN 1 I IUTILITY COMPANY NOTIFIED( _ 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 1 (REPORT ID: DPR265 ROUTE TO: BS0508I