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HomeMy Public PortalAbout4915 ARDSLEY DR_Electrical__ 76A663-CE806 468 ,APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ff 6UILDING BUILDING AND SAFETY DIVISION ADDRESS fL JOHN A. LAMBIE. COUNTY ENGINEER ] COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Yn NEAREST FOR APPLICANT TO FILL IN CROSS ST. -Al _ s NO. EACH FEE $ $ OWNER FFI'XTURES MAIL TOTAL FIRST 20 .20 ADDRESS '� OVER 20 .10 CITY TEL. NO.c � PLAN HECK TOTAL FIRST 20 .20 APPLICANT OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR.— CITY TEL. NO. u STA.COOK_OISP._F.A.U._ COINTRAC TOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH._ CITY TEL. NO. ., FAN_OTHER 1.00 LICENSE 1-40. CLASS. MOTORS,TRANSFORMERS RATING - IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING O - 1 1.00 ELECTRICAL WIRING. - Fff I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO lO — SO S.00 RESIDE IN, THE ABOVE OESCRIPED RESIDENTIAL PROPERTY. O v 50 - 100 10.00 SIGNATURE a OF PERMITTEE O 100 - 500 15.00 I ~ DIS ISO. G7 N OR SSED BYN.GAS w TUBE, ORSIG SIGN AND ONE CIRCUIT 3.00 C N f OF 2 MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 2 co SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE. POLE, &APPURTENANCES 3.001 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) +� POWER AUTHORIZED PERMIT ISSUING FEE 2.00 2 OD UTILITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICALENGIN R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. cASH 2 2 7:0 AL31 2 D 4,00j !EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CE806 5-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRES6 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple City NEAREST FOR APPLICANT TO FILL IN CROSS ST. si2arklett RECEPT 7 TOTAL NO. EACH FEE OUTLETS FIRST 20 $20 $ OWNER p,,, LIGHT _11MAIL, 1 C ArdsleS Dr. , ADD'L .10 ADDRESS �-� SWITCH. 1 __�_ OVER 2O r LIGHTING TOTAL FIRST 20 5 .20 1 Q CITY TEL. NO. � FIXTURES 7 AD-'L 1O ELECTRICIANLea F1 ectri r, OV R 20 RANGES CLO.DRYERS VVTR.HTRS. 1.00 ADDRESS 727 El Mercado GARB.DISP. STA.COOK CITY Mnntprpy ParICTEL. NO. DISHWASH. AUTO.-WASH. STATE �1 SPACE HTRS STA.APP.(l/y H.P.MAX.) ,50 50 LICENSE NO. 14 MOTORS: OVER NOT OVER H.P. ! DISTRICT NO. GROUP I ZONE I PROCESSED BY O 1 1.00 �.O'0 `1 CCI uC, 1 8 1.50 INSPECTION RECORD s 9 2.00 8 15 2.50 D_ 15 so 8.00 — ------— 0 - ---- - - u 50 100 5.00 O SIGNS: NO.TRANS U NO.LAMPS W - a atRVICE 0.60OV-NOT OVER 200A 1.00 rn - - — 7 SERVICE 0.60OV-OVER 200 A. 12.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 2 00 SUPPLEMENTARY PERMIT ISSUING FEE t.00 TOTAL FEE s co LIBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT LL COUNTY ORDINANCES AND STATE LAWS REGULATING CAL WIRING. WIRING EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES NIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ED RESIDENTIAL PROPERTY. POWER URE - UTILITY CO.NOTIFIEDMITTEE - FINAL VALIDATION ARTHUR C. VEIT j MO CASH SUPERVISING ELECTRICAL ENGINEER 76A663 DBS SA 7-51 APPLICATION FOR PERMIT 1;�:PARTMT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT GROUP ZONE PERMIT NO. ' - -14-/3 ap� _ELECTRICIAN RECEL;ED Y READY FOR DATE ISSUED ADDRESS FIRST INSPECTION _ CITY TEL. NO. Z- COUNTY LICENSE NO. EXPIRES BUILDING / PERMIT FEES ADDRESS NUMBER EACH FEE y LOCALITY / •� � �. V p — u LIGHT OUTLETS y NEAREST RECEPTACLES CROSS ST. WALL SWITCHES c��y OWNER TOTAL OUTLETS SC $ MAIL ELEC. RANGES 2g ADDRESS f� 4 If 7 �- ELEC. HEATERS 25 CITY . / tet Com',TEL. NO.�f FIXTURES 5 1 HEREBY ACKNOWLEDG THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH.ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. A LESS $ .25 SIGNATURE OF %2 2 .50 PERMITTEE ��...._—_. 2 s 1.0o INSPECTION RECORD s is 1.50 1s 50 2.SO SO 200 5.00 200 500 10.00 J _ 500 1000 15.00 Z OVER 1000 20.00 _ M.G. SET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIO•) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS N O. N O.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME i WIRING $1.00 B CONDUIT FIXTURES $1,00 e o WIRING .,,� t _�x+a.E?c, �►-f2 `"2 a. SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $z UTILITY CO.NOTIFIED FINAL D.B.S.SA 2SM SETS 10-47 APPLICATION IC At1yTION FOR -PEmm DEPARTMENT OF BUILDING AND SAFETY 1a�CC..�� L�B1H 1V H COUNTY OF LOS ANGELES rLECTRIC 541. J. F CHIEF ENGI EER a NAME DISTRICT NO. GROUP ZONE PERMIT NO. ' .g ADDRESS 1101 EAST GARVEY AVE, 1" RECEIVED BY READY FOR DATE ISSUED W CITY TEL.NO. y FIRST INSPECTION -A COUNTY • I CERT.NO. EXPI I2ES APPLICANT FffiL AV V OUTLINED PORTION ONLY JOBr DESCRIPTION OF WORD ADDRESS e NUMBER OF OUTLETS ON CIRCUITS LOCALITY + LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW.I PLUGS FO[T CROSS ST. CIRCUIT A B C D E F G IH a NAME ?e7 , Z MAIL ! 3 ADDR At— CITY tCITY L TEL.NO. t AM T E LEGAL POSSESSOR--OF T��61EN ABOVE S ANGELES COUNTY CERTIFI- TEr%O Q IELIFICATI ..- ✓' ELECTRICIAN. I AM TKR LEGAL OWNER 0 R PROPERTY DESCRIBED ABOVE (O OWNER. CORRECTIONS J Q Z_ 0 TOTAL NO. OF OUTLETS $ °-� APPROVALS NO. OF FIXTURES $ v 0.p`� DATE INSPEC'TOR'S NAME NO. OF MOTORS 1H.P. $ CONDUIT G� NO. OF SIGNS TRANS. i® $ WIRING NO. OF RANGES O HEATERS $ r� F FIXTURES MISCELLANEOUS $ POWER PERMIT FEE ffi / y UTILITY CO.NOTIFIED !�L TOTAL FEE •� FiNAL WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A663 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 I {{{ ADDRESS Certified co is hereby furnished. NO. EACH FEE PY Y New Residential Bldgs.&Pools LOCALITY Certified co Is filed with the count building inspection 1 &2-Family,Sq.Ft. $ $ PY Y 9 P department. _w„ Multi-family Sq.Ft. CROSS ST. - - Date- ..Applicant --^ 'r •'� Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL.. �- CERTIFICATE OF EXEMPTION FROM'VNORKERS' Outlets:Rec. Light Sw. ORM R OR COMPENSATION INSURANCE ---- / (This section need not be completed if the work involved by the First 20 MAILTotal No. Additional ADDRESS permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for whicFLahiepermit CITY „" Tel.No...... is issued, I shall not employ any person'in arq.y Zrriner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applictr RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: 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 ? Y^ry provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT -.. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS-- 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.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. Over 50 t0 100 Ind. LICENSE OR REG.NUMBER'"` Class. - U - WLicense Number��•"" Lia Class Over 100 DISTRICT NO. PROCESSED BY�'••• � �` Services,Swbd.,MCC&Panelboards LL 0-399 Amp.Under 600 V FINAL > Contractor - Date +� DATE ❑ 1 am exempt under Sec. 400-1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V FINAL VALIDATION � B.&P.C.for this reafsonBRANCH CIRCUIT FEES BY O .- 11 Date: � 15A,or 20A,120V,Lighting or Recept. 1 To 10 Branch Circuits LLI Signature_ ` 11 To 40 Branch Circuits F ❑ _ a. 41 Or More Branch Circuits Exemption for Reg.Maint4 Elect' 15A,20A,208V To 2T7V Lighting Br.Circuits 7 SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ' 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 (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 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, enter upon the above-mentioned property for inspec' urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ..SIGNATURE OF PERMITTEE DATE i WORKER'S COMPENSATION DECLARATION 9 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A66 I herebry'affirrri that I have a certificate of consent to self insure, 76A663 or a,c,irtif'4ate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. c$py'inereof(`i9c.3800 Lab. C.) PO1 ' o. Company FOR APPLICANT TO FILL IN JOB0. , DDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE $ $ LOCALITY Certified copy is filed with th o buildin ins p io 1 &2-Family,Sq.Ft. _ NEAREST / depa t nt. Multi-family Sq.Ft. CROSS ST. I (� , Da pp a Residential Swimming Pools ASSESSOR MAP BOOK X PAGE PARCEL CERTIFICATE OF EXE TION FRO RKERS' Outlets:Rec. Li ht Sw. G OWNER OR / COMPENSATION INSURAN E g O FIRM NAME k f /� First 20 MAIL (This section need not be complete if the work involved by the ADDRESS . �G- Total No. Additional permit is for one hundred dollars($1 )or less.) CITY i� J el.No. I certify that in the performance of th vork for c is issued, I shall not employ any p rso in a ner so as to PLAN CrIHECK become subject to the Workers' C pen at ws Lighting Fixtures f First 20 APPLICANT Total No. Additional ADDRESS Date A < RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: f, a er ma this Certificat of CITY Tel.No. Exemption,you should become su ject to the r nsation OTHER APPLIANCES NOT OVER 3 HP. ��?e provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances s LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRES 6 '7 (J �U I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. Tel. CIT ' o. (commencing with Section 7000) of Division 3 of the Business and r Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. �� } LICENSE OR Clas �j d q Over 50 t0 100 Incl. REG.NUMBE f /' /� Over 100 DISTRICT N © PROCE Q License Numb Lic.Classy v 7 Services,Swbd.,MCC&Panelboards // / FINAL Contractor 6 �`�"Date b 0-399 Amp.Under 600 V DATE 0 ❑ I am exempt u er Sec. 400-1000 Amp.Under 600 V W VALIDATION Over 1000 Amp.or Over 600 V FINAL f3. B.&P.C.for his a son _ BRANCH CIRCUIT FEES BY ate' 15A,or 20A, 20V,Lighting or Recept. Z 1 To 10 Branch Circuits _ AA T Signet a 11 To 40 Branch Circuits t�lt_�.•j aF ❑ 41 Or More Branch Circuits —_—n�y 7 �c Exam n for .Mai I.Elec. 15A,20A,208V To 277V Lighting Br.Circuits Z.1Lf f SIN Temp.Power Pole&Appurtenances 1 HEN) HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit _,_ —� I hereby affirm that I am exempt from the Contractor's License Law TOTAL 79 � ,�=_—a for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): CHECK 79.35 ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors i r- DCII. is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 'hAh�iE and Professions Code). CONSTRUCTION LENDING AGENCY 00010-0001 ',•y//!_6//`�7 I hereby affirm that there is a construction lending agency for thei performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) +p684 y Atfr� 9:50 o0 Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 3 Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE t the above information is correct. I agree to comply with all County o 'n ceta aws regulating Electrical wiring,and hereby authorize re a to a thi Count to enter u on the above-mentioned property / f inspe se . SEE REVERSE FOR EXPLANATORY LANGUAGE _ J AT RMITTEE DAT COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMF'Ti DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS _.-EL-0508-9701140002 f BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 14647 LT: 22 4915 ARDSLEY DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803804 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SPARKLETT 8590-017-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 36.00 OUT 60.60 TENANT: G2 LIGHTING FIXTURES 12.00 LGT 23.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: HA FAU LESS 3HP 1.00 FAU 10.80 02/11/97 TC 02/11./98 JB AC UNITS +3-10HP 1.00 AC 19.65 OWNER: TEL. NO: LA 100 AMP PANELS, MCC 1.00 PAN 38.85 FINAL DATE FINAL BY: CODE: PONNET JAMES A TRUSTEE;FBO PONNET J (818) 286-0705- TOTAL FEES 181.05 4915 ARDSLEY DR 2, TEMP 917803804 DESCRIPTION OF WOR ELECTRICAL FOR NEW ADDITION AND N W 100 AMP SERVICE UPGRADE APPLICANT: TEL. NO: P S CONSTRUCTION (818) 442-2764- SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: /� - - � Jj�p APPROVALS DATE INSPECTOR SIGNATURE P S CONSTRUCTION (818) 442-2764- ��� - 5415 PERSIMMON AVE LIC. NO j�� �����A �/!� TEMPORARY POWER POLE TEMPLE CITY CA 91780 431044 B i/�� UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: p' 9' t `\\ UFE GROUND LIC. N0: ,,,ii ROUGH CONDUIT ROUGH WIRING z r� MAIN WATER LINE y PLASTIC Y/N METAL Y/N - \ UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508