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HomeMy Public PortalAbout4903 ARDSLEY DR_Electrical__ 76V663-&L806 „_71 APPLICATION FOR ELECTRICAL PERMIT L1 V COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING d BUILDING AND SAFETY DIVISION ADDRESS4903 N. Ardsley Drive LOCALITY Temple City ST FOR APPLICANT TO FILL IN CROSS ST Temple City Blvd* OUTLETS NO. EACH FEE OWNER Hubert S. Manning _ RECEPT. 10 $ $ MAIL LIGHT S TOTAL FIRST 20 25 ADDRESS 4903 N. Ardsley Derive SWITCH OVER 20 — CITY Temple City TEL. NO.2a6-3776 .1p PLAN CHECK LIGHTING TOTAL FIR �10 ST 20 25 ^ APPLICANT Same FIXTURES OVER 20 a' ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT Same STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. / _AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER 1.00 / 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION o O AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO O 1 - 1O 3.00 RESIDE IN, THE ABOVE OES RIBED RESIDENTIAL PROPERTY. n V SIGNATURE 10 - 50 5.00 OF PERMITTEE - 50'— 100 10.00 I- DISTRICT NO. CL.ASS ZONE PRO SED BY W 100 - 500 15.00 _ j N SIGN, GAS '[SIGN ONE CIRCUIT 5.00 NOTES: ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED�O UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00. TOTAL FEE Scp PLAN CHECK VALIDATION CK. M.O. CASH PERMIT ALIDATION CCK.”) M.O. CASH 1 9 5 73 14AR 2 7 2 0 1 0,5 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663= E806 11-7I APPLICATION F R ELECTRICAL .PERMIT ,a COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING r BUILDING AND SAFETY DIVISION ADDRESS LOCALITY �m �1 �• `` NEAREST FOR APPLICANT TO FILL IN CROSS ST. C.Z. p tai l:.fl OUTLETS NO. EACH FEE OWNER RECEPT._ $ $ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS yyf Qi CITY TEL. NO. SWITCH_ OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES ,0 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR, AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER 1.00 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 1.00 - LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF C CALIFORNIA OR.THAT I AM.THE LEGAL OWNER OF, AND INTEND TO 1 — 1O 3.00 RESIDE IN, THE A C'V,EI _D E—S C/RIBED RESIDENTIAL PROPERTY. 0 10 — 50 5.00 SIGNATURE f� G(!' �`>� OF PERMITTEE a O 50'— 100 10.00 U DISTRICT NO. CLASS Z E _ ESS ED Lu 100 — 500 15.00 SIGN, GAS ISIGN AND ONE CIRCUIT 5.00 NOTES: ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200 AMP �' 3.00 r�U APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER600VOLTS OR200AMP 10.00 TEMP.POWER POLE \ TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES 1-2 PERMIT FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO. NOTIFIED PLAN CHECK FEE PERMIT ISSUING FEE 3.00� � �>� FINAL Fa— TOTAL FEE PLAN CHECK VALIDATION CK. M.0. CASH PERMIT A 1DATION CK M.0. CASH I C- 253'113 PIAR29 2D6.0 O�, ti SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r IEA663-CESOS 10.62 APPLICATION FOR ELECTRICAL PERMIT t COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDREss 8�3 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY —rX NEAREST - ' FOR APPLICANT TO FILL IN CROSS ST. 7-,CMG� tJ RECEPT. TOTAL' NO. EACH FEE OUTLETS O FIRST 20 �1 $2O $ �� WNER v/� �L`�'i n/N LIGHT MAIL SWITCH. OL VER .10 /,0 ADDRESS TOTAL CITY TEL. NO. LIGHTING FIRST 20 .20 FIXTURES / -ELECTRICIAN L-f6<-- OVEVERR 20 .10 �7 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 40 L- GARB.DISP. STA.COOK CITY DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(yz H.P.MAX.) .SO LICENSE NO. iS MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED By 77 O 1 1.00 1 3 1.50 INSPECTION RECORD 3 8 2.00 d 8 15 2.50 � ov 15 50 3.00 y ti v 50 100 5.00 g� NO.TRANS. SIGNS: NO.LAMPS z SERVICE 0.60OV-Nor OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. I . PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR CE LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE -' DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER Lko 0 8 8 w MAR 3 Q 2 D 7 P,-O- / v� 7A 6 6 3 DBS-5A 12.54 APPLICATION FOR ELECTRIC PERMIT �1 1 DIVISION OF BUILDING AND SAFETY ~ Department of County Engineer County of Los Angeles BUILDING Al, // n WM. J. FOX. COUNTY ENGINEER .ADDRESS A_. Ald+./<1 r'' CASSATT D. GRIFFIN, SUPT OF BUILDING - FOR APPLICANT TO FILL IN LOCALITY O 0 Ytp2E® I e 0'1 PERMIT FEES NEAREST ITT.. — YYi l� (it V 1 � . NUMBER EACH FEE - LIGHT OUTLETS OWNERG� le-JY9 RECEPTACLES _ _ MAIL ADDRESS l �..-9'JMJ,. A WALL SWITCHES CITY �t n �e' d,I +/ TEL. NO. 6+•1. �.� 1�k� TOTAL OUTLETS 50 S a� ELEC. RANGES 25 - ELECTRICIA ELEC. HEATERS 25 _ ADDRESS. .w KW EA N vv -�-,— CITY TEL. NO. FIXTURES 5 LICENSE NO. NUMBER OF LIGHT-CIRCUITS DISTRICT NO. GROUP ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS - p, 'O MOTORS NUMBER HORSEPOWER FEE - INSPECTION RECORD .NEW MVD. HP OVER INC. . EACH — id k--, F��, ,t,O i .�- �,ti.c�•,-: �-..mow. .��tf... _7 1�&LESS S .25 1/z_ 2 -50 I 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. NO. SIGNS NO. TRANS. . - NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING 51.00 ' FIXTURES . $1.00 SUPPLEMENTARY .50 - APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT 71 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING SIS }.Slf�t Cl+t./' ELECTRICAL WIRING. ' 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ' CALIFORNIA OR THAT I AM THE KEGAL• OWNER OF THE ABOVE POWER DESCRIBED RESID&TIL ROPE.T '� 1 -SIGNATURE UTILITY CO.NOTIFIED () OF PERMITTEE -Afik�i FINAL Z.Co `,� M�"C� L°a"• s^--� ^� WILLIAM J. FOX, COUNTY ENGINEER v tIDA 0g 3 3 `� MY ,� 2 2.7 5 0 DEPUTY SCI 7 7,;7 , �.ds'.l 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF UILDING AND SAFETY COUNTY DIV DIVISION ADDRESS B (/ 3 E-1 skel JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. Ili_ VD RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $ 20 $ OWNER LIGHT - MAIL ADD'L f0 ADDRESS �� L SWITCH. OVER 2O LIGHTING I TOTAL FIRST 20I .20 CITY LC Gr' TEL. NO FIXTURES ADO'L OVER 20 10 ELECTRICIAN 4,RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS /4 i¢n GARB.DISP. STA.COOK CITYP� ll_�e { TEL. NO. /O-27:1 DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.W.H.P.MAX.) .50 LICENSE NO. 7 MOTORS: OVER NOT OVER H.P. DISTp :.r Q. GI Owl p ONE P , CESSEDBY O 1 1.00 1 3 1.50 INSPECTION RECORD 3 8 2.00 8 15 2.50 15 50 3.00 -- ' CL 50 100 5.00 SIGNS: NO.TRANS ce NO.LAMPS Q SERVICE 0.60OV-NOT OVER 200A 1.00 v U w D. SERVICE 0.60OV-OVER 200 A. 2.00 N Z SERVICE OVER 600V 5.00 — MISC. PERMIT ISSUING FEE2.00 GTl SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ �? 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 CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING Y� 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND TATE OF FIXTURES CALIFORNIA OR T 1 AM THE LEGAL O ER OF ABOVE DESCRIBED REBID TI PROPERTY. POWER ,.�7'., SIGNATURE /! UTILITY CO.NOTIFIED OF PERMITTE FINAL DATION A THUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER A . r, WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or cer a ified copy thereof (Sec. 3800, Lab. C.) �� Sg F/Z. Policy No Company en?O<J7— FOR APPLICANT TO FILL IN ❑ Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS $ — LOCALITY ` Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. do Multi-family Sq. Ft. 'NEAREST — $ �nL �¢ �< department. Residential Swimming Pools CROSS ST. Date Applicant OWNER OR /J nn^Nfl% FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw. MAIL COMPENSATION INSURANCE ADDRESS s section neenot completed if the work involved b First 20 snj (Thitid t b p Y Total No. Additional CITY Tel. No �-3 77 6 the permit is for one hundred dollars ($100)or less.) 1 certifythat in the performance of the work for which this PLAN CHECK p APPLICANT permit 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 Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT CON/I/a✓L /4i2 OONciO Exemption, you should become subject to the Workers' Range_ Heater—D.W.. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer — W.M.— ADDRESS 93,,' with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood _ Fan _Other_ CITY jjt /� <' Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR �/ I hereby affirm that I am licensed under provisions of Chapter-9Disp. _ Room Air Cond. REG. NUMBER 7 v3 ,r Class.C32 (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PRO S BY and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances D �j 7 t Size &Type HP, KW, KVA, or KVAR' L 6 License Number y /J a3 S' Lic. Class` Up to 1 Incl. FINAL �ONNa <2 Date "-rY 4L Over 1 to 10 Incl. DAT �_ V (DATION Contractor Over 10 to 50 Inc]. F-1 FIN I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 Date: Services, Swbd., MCC& Ponelboards 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 (�7 61 A I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): # 9 ° o'0 o2 ❑ 1, 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)— I o o 1 7.50 7044, Business and Professions Code). , x © 0017.50 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for. Q (a 0 3-8 6 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 T I certify that I have read this application and state that the TOTAL FEE l?LV 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 prop for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date y a , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0104130022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY:.A 9176u PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 14647 LT: 24 4903 ARDSLEY DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803804 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 8590-017-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 04/13/01 JK 10/10/01 OWNER: TEL. NO: FINA D TE FINAL BY: CODE: MANNING HUSERT;DONNA TRS MANNING TR (626) 286-3776- -7 - 4903 ARDSLEY DR TEMP 917803804 DES RIP ION OF WORK ELE RICAL FOR SOLAR APPLICANT: TEL. NO: WEAVER;JOHN SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: i APPROVALS DATE INSPECTOR SIGNATURE WEAVER, JOHN P (626) 401-0777- 5423 MC CULLOCH AVE LIC. NO �, 4� TEMPORARY POWER POLE TEMPLE CITY CA 91780 426419 B _ j UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: - \ UFER GROUND LIC. NO: I _II__I I I I - ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508