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HomeMy Public PortalAbout5330 ARDEN DR_Electrical__ 16A666-CE606 4.60 APPLICATION a 0 PLIC /9 11 IO tl FOR ELECTRICAL PERMIT V, COUNTY OF LOS ANGELES �:.;, '� DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS v JOHN A.LAMBIE, COUNTY ENGINEER' WILLIAM A.JENSEN, SUP'TOF BUILDING LOCALITY - FORAPPLICANTTOFILLIN NEAREST CROSS ST. v PERMIT FEES OWNER f> © ITEM - NUMBER EACH F E MAIL OUTLE $ $ ADDRESS ' LI GHT ,RECE SW j LIGHTI G FIXTURES 10 CITY TEL.NO/. 'r ELEC. RANGES ' CLO. DRYERS ELECTRICIAN - _ _ J Jj WATER HEATERS .50 .ADDRESS -) ,d) ELEC.SPACE HTRS. DISHWASHERS / CITY �G�.d TEL.NO GARBAGE DISPOSERS AUTO.. STATE j / �@ l -~ WASHERS STA.COOKING UNITS ,25 LICENSE NO. ;�/ ;7 `�l o' MOTORS: OVER INC. H.P. y DISTRICT O. GR_ UP Zs Pw5gESSED BY O — I/2 .25 'i= — 2 so INS�P CTION RECORD 2 s 1.00 I-/' nliR V 5 — 151.50 OU 15 — s0 2.50 �� Q 50 200 5.00 U.I. SIGNS: NO TRANS. " NO. LAMPS SERVICE 0-600V1.00 /r�v�S//-'!t'F:`�/f �r��1,,y�/,�':_'s�.�I�:�:�-.J %- •�..,�e/ Z SERVICE OVER 600V 5.00yYsyl/ s.dLc ✓, I ' MISC. WIRING PERMITl 1.00 FIXTURE PERMIT 1.00 } SUPPLEMENTARY PERMIT .50 TOTAL FEE $ e 1 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 - r-' ELECTRICAL WIRING. / 5 WIRING _ &t9 __��,/ I HEREBY CERT THAT 1 AM PROPERL REGISTERED AND/OR - LICENSED AS R UI ED BY LOS ANGE ES dUNTY AND STATE OF FIXTURES CALIFORNIA OR 2TH 1 A THE LEG NE OF THE ABOVE - DESCRIBED REST EN IAL OPERTY. POWER SIGNATURE UTILITY CO..NOTIFIED OF PERMITT , _ _ r; �- a r:.,20-. _ •E FINAL IDATION ARTHUR C.VEIT. MO CASH SUPERVISING ELECTRICAL ENGINEER CK LAC o 7 9 `r ti �I OCT 2 4 2D 10.3 ``"'I ='I r''W&KER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) s 76A663 APPLICATION FOR ELECTRICAL PERMIT �J I hereby affirm that I have a certificate of consent to self insure, 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.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS 30 P& tJ ElElCertified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE Certified copy is filed with the county building inspection 1&2-Family,Sq. Ft. — $ $ LOCALITY NEAREST © p I�U, department. Multi-family Sq.Ft. _ CROSS ST. (. Residential Swimming Pools ASSESSOR Date Applicant MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.—Light Sw. OWNER OR COMPENSATION INSURANCE FIRM NAME First 20 (This section need not be completed if the work involved by the MAIL Total No. Additional ADDRESS permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY T.I.No. �� is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional Tcr�LJ GZ� ADDRESS Date Applicant cC��C RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE O A PLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT w y/ L LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS S6� I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.N JWZ� Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. / Over 50 to 100 Incl REGNUM E /1 LICENSE C.— /t1 )89� pB,�S Class.e �y� t... ver 100 DISTRICT NO. P OC SSED BY O License Number Lic.Class �,,,,����t{{{ C) ��1�? Service$p;�w d.,MCC&Panelboards �•�� dj�>,Gg �rJ FINAL Contractor G��/ 61 ®( v 0``-399 Amp.Under 600 V DATE 400-1000 Amp.Under 600 V V El am exempt under Sea Qtr 1000 Amp.or Over 600 V FINAL' ✓ VALIDATION d B.&P.C.for this reasonA CH CIRCUIT FEES BY Date: 15A,or 20A, 120V,Lighting or Recept A, Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits 7 Exemption for Reg. Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits tt+ SINGLE FAMILY Temp.Power Pole&Appurtenances ACCTag HOME OWNER-BUILDER DECLARATION Branch Circuit B ith One ran -+ i I I hereby affirm that I am exempt from the Contractor's License Law Sign w3303 66.6 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 1 ITEMS ❑ I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 66 . 60 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). , CHECK 66.610 CONSTRUCTION LENDING AGENCY CHANIGE 'Ijl I 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 8/ 1/9 PLAN CHECKING FEE Lender's Name 7789 1 Ate 10;53 PERMIT ISSUING FEE a Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE + 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 this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ... 11Z,9-61 SIGNATURE OF ERMIT EE IDATY - J COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0907270016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 3 LT: 43 UN: .002 5330 ARDEN DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803319 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE 18585-020-016 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl I _IG1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 I 1 (TENANT: IG2 LIGHTING FIXTURES 1.00 LGT 1.95 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 107/27/09 SR 07/27/10 IH4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 I OWNER: TEL. NO: I TOTAL FEES 59.40 IF/7t�AL TE FINAL BY: CODE: POON, DENNY (626) 286-0705- .i y^) 5330 ARDEN DR 1 V �VJy ITEMP 917803319 (DESCRIPTION OF WORK v - 1 1ELECTRICAL FOR KITCHEN AND BATHROOM I I I I 1APPLICANT: TEL. NO: I I I ARCHITECTURAL CREATIONS (310) 505-4255- 1917 N. BAY VIEW AVE. I ISPECIAL CONDITIONS: WILMINGTON, CA 90744 CONTRACTOR: TEL. NO: I - 1APPROVALS DATE INSPECTOR SIGNATURE 1ARCHITECTURAL CREATIONS (310) 505-4255- 1 I 1917 N. BAY VIEW AVENUE LIC. NO ITEMPORARY POWER POLE I WILMINGTON, CA 90744 759571 B I I I I 1UNDERGROUND CONDUIT - I I I ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I LIC. NO: I IROUGH CONDUIT I I I ROUGH WIRING I (MAIN WATER LINE PLASTIC Y/N METAL Y/N (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 IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I