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HomeMy Public PortalAbout4862 ARDSLEY DR_Electrical__ 76 DBS-SA 3-55 APPLICATION LICA tl ION FOR ELECTRIC PERMIT � DIVISION OF BUILDING AND SAFETY Deportment of County Engineer m �/ County of Los Angeles BUILDING ADDREST Q6� WM.J. FOX,.COUNTY ENGINEER S 7�o �i CASSATT D. GRIFFIN. SUPT OF BUILDING _ LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. NUMBER EACH FEE OWNER G 0/ LIGHT OUTLETS MAIL RECEPTACLES ` .ADDRESS WALL SWITCHES _ TOTAL OUTLETS _ 5¢ $ CITY TEL. NO.Aob V,1 �j ELEC.RANGES .25 . ELECTRICIAN vv /'1 ELEC. HEATERS- 25 ADDRESS �✓ /T.� KW EA' _ CITY114% hh TEL. FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS - DISTRICT NO.. I GROUP I ZONE, READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS `� MOTORS. � A 1 INSPECTION RECORDORECORDNUMBER HORSEPOWERS FEE `� NEW MVD. 'HP I OVER INC. EACH / n i/2&LESS $- .25 C.- '/2 11 2 5 1.00 5 • 1.5 1.50 1550 2:50 ' 50500 .. MISC. NO.SIGNS NO:TRANS. . NO.SIGNS NO.LAMPS _ FOR EACH PERMIT: WIRING .$1.00 FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE ,: $ j O DATE •INSPECTOR'S SIGNATURE I HEREBY- ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT A -AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �r �^ WITH ALL COUNTY.ORDINANCES AND STATE LAWS REGULATING VI{IRING �� 1`R- 'JC. WO-4LAr4r•+--w.-^ ELECTRICAL WIRING. - IHEREBY CERTIFY THAT.1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED OS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT• 'AM THE LEGA OWNER OF THE ABOVE POWER DESCRIBED I _I DENTI L, ROP RT - - -UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL 114 115c— WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT:INSPECTOR - C11? 1 8 VL.O PJ!FJ V 76A663CE-806(6/78) QPpUCAMW FOR ELECTMICAL PERNT - COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB ADDRESS EACH ' NO. FEE ADDRESS New Residential Bldgs.&Pools �{ 1 &2-Family,Sq, Ft. $_ .025 — $ Y 1 -in l Ar Multi-family Sq. Ft. .02 — NEAREST ` V 25.00 CROSS ST. tf7EV` fie' Residential Swimming Po6ls OWNER OR -T W.A. FIRM NAME V 'i L� Outlets: RecLight , ,Sw.3_ MAILp First 20 50 r� 00 'ADDRESS AN:d. L Total No. � Additional30 7 CITY ` Te. No. _ PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 R ADDRESS Total No. Additional 30 CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT_ At Range_Heater I D.W. _ APPLICANT UV Oven_Dryer_'W.M. ADDRESS Top _FAU W:H._ CITY Tel. No. Hood_Fan Other_ 2.50 Z S 00 LICENSE OR Disp._Room Air Cond.. 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 REGULATING ELECTRICAL WIRING. 6 AApto 1n1 2.50 Over 7to10 Incl. 5.00 00 LICENSED EASBREQUIRED BYLOS ANGELES COUT I AM PROPERLY NTY AND STATISTERED E OF 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 1 0 to 50 Incl. DESCRIBED ESIDE TIAL PROP Y. Over 50 to 100 Inc. 25.00 `. Over 100 40.00 PERMITEE SIGNATUREAA Services DISTRICT NOW- P ESS BY g 0-200 Amp. Under 600 V 12.50 201-1000 Amp. Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 Z O _ Temp. Power Pole&Appurtenances 10.00 a Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2.00 INSPECTION INFORMATION Misc.Conduits&Conductors 10.00 ON REVERSE z Other(See Complete Fee_Schedule) SIDE u 9 1 �a 1 A Z g 90 0 0 0 02 d 2oo4470 PERMIT FEE (Sub-Total) Zo o - 44,705 . PLAN CHECKING FEE (One-Fourth„Permit'Fee) O ,'2 ' 9-7 8 PERMIT ISSUING FEE '$7.00 c . Q TOTAL-FEE > r INSPECTION FINALED W date: '< f By a. ©s �: 1 yWORKERS'COMPENSATION DECLARATION 76A663 10/81 Qppd��Q���� BOO �����QOC�Q`d pCQG�nI�� �'herebv�af4,irm that k_have a certificate of consent to self CE-806G i,isure, or o,rartificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a ce!,rtifv?d copy thaseof (Sec. 3800, Lab. C.) Policy No. - Company FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS -4862 M a &e{i C ❑ 1 & 2-Famil S Ft. $ _ $ LOCALITY Certified copy is filed with the.county building inspec- Y- a• _ tion department. Multi-familyS Ft. ` /^( ,p p Residential S q CROSS ST.' 1-e l.•T bLee cy LcKI� Date- Applicant WiJ r_74 Is OWNER OR Jd O EE.:SS FIRM NAME AuV�liv, e�"�" CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets: Rec Light Sw. ADDRESS COMPENSATION INSURANCE fin-@ First 20 (This section'need not be completed if the work involved by Total No. Additional _ CITY' Tel. No. the permit is for one hundred dollars ($100)or less.) PLAN CHECK - l certify that in the performance of the work for which this 'APPLICANT permit is issued, I shall not emplo person in any manner so as to become subject to'the orker '•C0 en tion Laws. Lighting Fixtures First 20 ADDRESS j Additional Total No. CITY Tel. No. Date 6' �',r.7APPI cant Fixed Appliances Not Over 1 HP PERMIT -� NOTICE TO APPLICANT: If, ft along this Certificate of APPLICANT `Ciu,C C YC Sf�A -eW Exemption, you should bec e subject to the Workers' Range_ Heater_D.W.'— Compensation provisions of the Labor Code, you must forth- Oven _ Dryer W.M.— ADDRESS kov_ wg Fc c, with comply with such provisions or, this permit, shall be Top _ FAU —W.H. —' 'deemed revoked. Hood _ Fan _Other— CITY r TelNo.g(�,c17� 7 LICENSED CONTRACTORS DECLARATION LICENSE OR 3. REG. NUMBER Room Air Cond.,_ 1"7��TZ . Class. I,hereby affirm that I am licensed under provisions of Chapter 9 Disp. � (commencing with Section 7000) of Division 3 of the BusinessDISTRICT NO, _ PROC SED BY and Professions Code,and my license is in'full force and effect. Power Apparatus & Large,Appliances Size & Type HP, KW, KVA, or KVAR' License Number- Lic, Class Up to 1 Incl. FINAL V Over 1 to 10 Incl. DATE t' ALIDATION ContractorDate Over 10 to 50 Incl CJ FI 0 ❑ I am exempt under Sec. Over 50 tod00.1nc.. B LU B.&P.C. for this,reason Over 100 ;2 7 7 4,4 A of Services, Svobcl_ MCC & Panelboards Z Date: 0 -200 Amp. Under 600 V #.o ".0 0 0 2 'Signature 201 - 1000 Amp. Under 600 V❑ 0.0 3•Q 5 0 Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. Z = SINGLE FAMILY Temp. Power Pole&Appurtenances o',o ova 5 0,c HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit a 2 5 c 8 7 I hereby'affirm that I am exempt from the Contractor's License additional"Sign Branch Circuits o Law for the following reason (Section 7031.5, Business and Professions,Code): ' El1, as owner of The property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code). 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 PERMIT FEE (Sub-Total) (Sec. 3097, 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 TOTAL FEE above information is correct. I agree to.comply with all County ordinances and State laws regulating Electrical wiring, and her authorize representatives of this County to enter upon e abe-mentiod r rty for inspection purposes. ��/ 7 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 1306040013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: 1 FEES PAID - I BUILDING ADDRESS: 1 ITR: 14647 LT: 38 I I 4862 ARDSLEY DR I (FEE DESCRIPTION: . QUANTITY: UOM: AMOUNT: ( TEMP CA 917803801 1 (ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: 18590-016-002 1A1 PERMIT ISSUANCE.FEE .27.80 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CAI I IG2 LIGHTING FIXTURES 1.00 LGT 2.00 1TENANT: I TOTAL FEES 29.80 11SSUED ON: PROCESSED BY: PLAN BY: 1 1 106/04/13 SR (OWNER: TEL. NO: 1 IF AL T F AL BY: CODE: 1 IDEWEY JOHN BRADFORD;BETTY JEAN (626) 285-1726- I 14862 ARDSLEY DR (TEMP 917803801 1 IDESCRIAPTION OF WORK 1 I IRELOCATE ONE LIGHT FIXTURE I 1APPLICANT: TEL. NO: I I IST PIERRE, MARK (626) 287-7544- 15454 TEMPLE CITY BL 1 (SPECIAL CONDITIONS: 1 (TEMPLE CITY CA 91780 1 1 1 1CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 1STP ENTERPRISES, INC. (626) 287-7544- I 1 15454 TEMPLE CITY BLVD LIC. NO I (TEMPORARY POWER POLE I I 1TEMPLE CITY CA 91780 598157 I 1 1 1 I (UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I I LIC. NO: 1 1ROUGH CONDUIT I I I I I (ROUGH WIRING 1 IMAIN WATER LINE I I IPLASTIC Y/N METAL Y/N I I 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 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE I 1 I I I I I I I (REPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES- TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304030035 BUILDING AND SAFETY / LAND DEVELOPMENT _ TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: - ILEGAL ID: - 1 - FEES 'PAID BUILDING ADDRESS: 1 ITR: 14647 LT: 38 1 _ - - 4862 ARDSLEY DR _ I I IFEE'DESCRIPTION: QUANTITY: UOM:.,._- AMOUNT: I TEMP CA 917803801 ASSESSOR INFORMATION NUMBER: - 1 . NEAREST CROSS STREET: 18590-016-002 - 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 -GRID: A5 LOCALITY: TEMPLE CITY CAI I - 1F1 120V., 15/20A BR CKTS, 4.40 BR 69.20 (TENANT: - IG1 OUTLETS-LGT,SW,.RECP 13.00 OUT 26.00 IISSUED ON: PROCESSED BY:- PLAN BY: - 1 1 IG2 LIGHTING FIXTURES,; 6.00 LGT 12.00 104/03/13 SR 1 IH2 RES GRBG' DISP 'LT 3HP 1.00 DIS 11.00 1 10WNER: TEL. NO: 1H3 RES`DISHWASHR LT-'3HP 1.00 DIS 11.00 1F/INAL TE FIN BY: CODE: 1 . IDEWEY-JOHN BRADFORD;BETTY JEAN (626) 285-17216-.- IH4 RES RANGE HDSLT 3HP 1.00 HOO - 11.00 ^` +��7 , • - 14862 ARDSLEY.DR - NOTAL FEES - X168.00 1 ITEMP 9178038.01 1 _ - - . IDYSCRIPTIO9 OF WORK - 1. 14 CIRCUITS, 4 SWITCHS, 9 RECPT, 6 LIGHT FIXTURES, GARBAGE I1 IDISPOSAL, DISHWATER AND RANGE HOOD (APPLICANT:- - -TEL. NO: IO'LEARY, TOM (626) 287-0927- 15823 AGNES 87-0927-15823AGNES AVE I - ISPECIAL,CONDITIONS: 1TEMPLE CITY CA 91780. I I ICONTRACTOR:, -. TELA: NO, 1 - (APPROVALS DATE- INSPECTOR SIGNATURE 1 ITOM O'LEARY CONSTRUCTION (626) _287-0927- 1 15823AGNES AVENUE LIC. NO - ITEMPORARY POWER POLE ITEMPLE CITY CA 91780 - 489354 * _ ' - 1UNDERGROUND-CONDUIT - (ARCHITECT OR ENGINEER: '-TEL. NO: - _ I-UFER GROUND _ 1 I - I 1 1 LIC. NO: 1 IROUGH CONDUIT 1 I = I ROUGH WIRING - - - - IMAIN WATER LINE iPLASTIC Y/N METAL Y/N . - I - - - 1UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I*"ADDITIONAL DATA ON FILE IREPORT ID:, DPR265 ROUTE T0: BS0508