Loading...
HomeMy Public PortalAbout4873 ARDSLEY DR_Electrical__ .` .♦I amu=:. .. '� 76A663 CE-806(11 /78) APPrt•. A ,i0 FOR ELEC e PERMIT _ C COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB ` /� New Residential Bldgs.&Pools EACH NO. FEE ADDRESS0.73 . H. 2–D5 C. 1 &2-Family,Sq. Ft. $ .025 $ LOCALITY .� Multi-family Sq. Ft: .02 — NEAREST CROSS ST. Residential Swimming Pools 25.00 OWNER•OR FIRM NAME 4D' Outlets:.Rec Light Sw. MAIL First 20 50 ADDRESS PrO Total No. Additional .30' .CITY „• Te1, No...2 ; PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 ADDRESS - .. Additional 30 -. ..'_ Total No. CITY Tel. No. Fixed.Applionces Not Over 1 HP _ PERMIT - APPLICANT Range_Heater_ D.W. Oven—Dryer._W.M.— ADDRESS• , Top —FAU W.H._ CITY Tel.No. .. . Hood_Fan _Other__ LICENSE OR DisRobm,Air Cbnd. 2.50 REG.NUMBER Class P —. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAy Power Apparatus'&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&T e HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY 'ORDINANCES-AND'STATE' CAWS' yp REGULATING ELECTRICAL WIRING. Up to 1 Incl. 2.50 U 5.00 - HEREBY C THAT I'A•M PROP REGISTERED AND70R' X_ Over 1 to 10 Incl. LICENSED AS IRE BY GE U AND STATE OF 12.50. CALIFORNIA R THAT AM THE L L W E ,OF.THE__ABOVE Over 10 to 50 Incl. 25.00 DESCRIBED SIDENTI P ERTY., Over 50 to 100 Inc. V Over'100 40.00 PERNIITEE ..,- SIGNAT E Services' "DIST RI 0-200 Amp. Under 600 V 12.50 25:00 �✓ 201-1000 Amp. Under 600 V 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 INFORMATIONF 8 8[L 6 A 0, Misc.Conduits&Conductors 1' 00 .W , ON REVERSE x 'Other(See Complete Fee Schedule) SIDE-_ ._ _ v a .a o a -2 Z 2•® ® 1.' 00 PERMIT FEE (Sub-Total) PLAN CHECKING FEE (One-Fourth Permit Fee) O 02,06""a 0 PERMIT ISSUING FEE $7.00 • /) J TOTAL FEE / eo > INSPECTION FINALED ad W dote: /® BY o ©s 176Akj>CE806 3-69 APPLICATION FOR ELECTRI L PE MIT • COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING *� > BUILDING AND SAFETY DIVISION ADDRESS L fce IZt .J JOHN A. LAMBIE, COUNTY ENGINEER [. COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY �T FOR APPLICANT TO FILL IN NEAREST .� CROSS ST 6611 , NO. EACH FEE $ $ OWNER RECEIPT. MAIL L S L c--!-/ •< " LIGHT � TOTAL FIRST 20 .20 0 ADDRESS SWITCH OVER 20 .10 CITY � TEL. 0. PLAN CHECK LIGHTING L'�— OTAL FIRST 20 ,20 D APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER_WTR. HTR. CITY TEL.NO. STA. COOK DISP. F.A.U. CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH. DISHWASH. [CITY v,,, TEL.NO. FAN OTHER 1.00 LICENSE NO. 9- I CLASS. �( J MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC, HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 — 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND 5TATEOF 1 — 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO cL RESIDE IN, THE ABOV DESCRIBED RESIDEN TI PROPERTY. O 10 - 50 5.001 1 U SIGNATURE 50 - 100 10.00 OF PERMITTEE11 O F- 100 — 500 15.00 DISTRI T NO. GRQjJe PR E ED BY U o w SIGN,GAS SIGN AND ONE CIRCUIT 3.00 N TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1,00 NOTES: SERV ICE NOT OVER 600 VOLTS OR 200 AMP 2.00 2 60 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 5 O k' TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES IPLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED " PERMIT ISSUING FEE 2.00 1 D� UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. m.C'. CCC ASH 3 5 2 3c JAR 8 2 D 6.80~ SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE Zr 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9712170006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 14647 LT: 26 4873 ARDSLEY DR ) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803802 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD 8590-017-020 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 TENANT: TOTAL FEES 35.55 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 12/17/97 UT 12/17/98 OWNER: TEL. NO: FINAL DATE FINAL BY: C NHAN TAI TAN;TU MY (626) 291-2898- r q� 4873 ARDSLEY DR 1� t TEMP 917803802 DESCRIPTION-OF WORK ELECTRICAL FOR THE THIRD BEDROOM APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. N0: - - ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED 7 to Owl REPORT ID: DPR265 ROUTE TO: BS0508