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HomeMy Public PortalAbout4912 HELEO AVE_Electrical__ 76A683 CEB06 10-61 COUNTY OF LOS ANGELESz DEPARTMENT OF COUNTY ENGINEER F LDING BUILDING AND SAFETY DIVISION DRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING ALITY 4 REST .. w FOR APPLICANT TO FILL IN SS ST. 1W. 1 T E M NO. EACH FEE :r OUTLETS: FIRST 20) $ NER LIGHTS RECEPT. BY, - MAIL OUTLET . (ADD'L UNITS) ADDRESS _ LIGHTS RECEPT. SW. .10 J . LIGHTING FIXTURES: (FIRST 20) ® .20 CITY TEL. NO. ,may 'i LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK. _- ..�j CITY TEL. NO. .S /,. DISHWASH. AUTO.•WASH. STATE SPACE HTRS. STA.APP.(1/.H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRI T NO. GR LLP Z91NE P ESSEwDB/Y O 1 1.00 3 /J ri 1 3 1.50 INSPECTION RECORD 3 8 2.00 a O 8 15 2.50 V 15 50 3.00 O 50 100 5.00 W O_ SIGNS: NO.TRANS. N NO.LAMPS Z SERVICE 0.60OV-NoT OVER 200A 1.00 SERVICE 0.60OV•OVER 200 A. 2.00 `.' SERVICE OVER 600V 5.00 ' MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 _ sf 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 J I .' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING f f ELECTRICAL WIRING. WIRING 1 I ,/1 .✓L'1. ., eP I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM E LEGAL OWNER OF THE ABOVE ' J DESCRIBED RESIDENTIAL PR ERTY POWER SIGNATURE UTILITY CO.NOTIFIED' r 8 i OF PERMITTEE FINAL v�' V br{1i 11' LIDATION ARTHUR C. VEIT ` CK MO CASH SUPERVISING ELECTRICAL ENGINEER' DBS-5A 11-55 A P P U�!/B'"•is TMN F O 11 Y E L E C TM C P E R D V tl�T DIVISION OF BUILDIING AND SAFETY Department of County Engineer BUILDING �! Lf County of LOS Angeles ADDRESS JOHN A. LAMBIE,COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING �` LOCALITY FOR APPLICANT.TO FILL IN NEAREST PERMIT FEES CROSS ST. A NUMBER OWNER LIGHT OUTLETS MAIL 'RECEPTACLES ADDRESS 9 22 All WALL SWITCHES FEE CITY TEL. NO. TOTAL OUTLETS @ 52 $ ELECTRICIAN -a y. EL 25 ADDRESS ELEC. HEATERS 25 e. KW EA CITY EL.03 STATE FIXTURES S LICENSE NO. ! $dr MOTORS DISTRICT NO. GROUPZONE�I READY FOR INSPECTION NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH INSPECTION RECORD 1/2&LESS $ .25 1/2 2 .50 4i 2 5 1.00 5 i5 1.50 15 SO 2.50 50 200 1900. MISC. 3 :t NO.SIGNS NO.TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 50 FIXTURES .$1.00 SUPPLEMENTARY' .50 APPROVALS TOTAL FEE $ DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING J� ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LIFIXTURES CENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTI PROP T UTILITY CO.NOTIFIED `j SIGNATURE OF PER FINAL v JOHN A.LAMBIE. UNTY E INEER VALIDA ARTHUR C.VEIT,CHIEF ELECT.INSPECTOR, CK MO CAB 7 A663 13BS-8q I1-58 DIVISION OF BUILDING AND SAFETY Department Of County Engineer BUILDING County Of Los Angeles ADDRESS L JOHN A. LAMBIE, COUNTY ENGINEER CAB BATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES C OSS ST. NUMBER OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TEL.NO. TOTAL OUTLETS @ 5¢ $ ELECTRICI N EL`EC.RANGES 25 (� ELEC.HEATERS 25 ADDRESS CITY TEL.NO. 9 KW EA STATE— 5 FIXTURES 5 LICENSE NO. e, MOTORS DISTRICT NO. ` GROUP {ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE I / NEW MVD. HP OVER INC. EACH Y INSPECTION RECORD V2 @ LESS $ .25 1/2 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 d 50 200 5.00 M ISC. 1., d NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 i z FIXTURES $1.00 SUPPLEMENTARY .50 � APPROVALS TOTAL FEE $ : l/r7 DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT ON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY A CONDUIT S WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES lZ. I +; ty., .►- :. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA ORTH I AM THE LEGA OWN OF TH ABOVE POWER DESCRIBED RESIDE I PROPERTY. SIGNATURE UTILITY CO.NOTIFIED e OF PERMITTEE FINAL Z ` Lm JOHN A.LAIVIEV, COUNTY ENGINEER v Y4LIDATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR C MO CASH L MCA 2 1 9 2 -NOV 8 2 320 a WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 b`UPPUCATMN FOR ELECT A L PERNT 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 '2EPTr-3F PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof,(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS S Lo Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY — r-11 &2-Family,Sq.Ft. $ $Certified copy is filed with the county building inspection _ NEAREST ^ department. Multi-family Sq, Ft. CROSS ST. C-D W P IZ A Z.V Z A Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. FlR COMPENSATION INSURANCE M NAME First 20 MAIL L, (This section need not be completed if the work involved by the Total No. Additional ADDRESS permit is for one hundred dollars(S100)or less.) I certify that in the performance of the work for which this permit CITY Le-C 1 CA Tel.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 ADDRESS Date Applicant 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 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 to 100 Incl. RICESE OR EGNNU BER Class. Il Over 100 DISTRICT NO. PROCESS O License Number Lic.Class - 08 U :?" M Pane Dards Q Contractor Date Under 6(0 V DATE O0 Amp.Under 600 V cJ' VALIDATION U ❑ I am exempt under Sec. l XJ W Over 100 I Amp.or Over 600 V FINAL a- B.&P.C.for this reason BRANCH CIRCUIT FEES BY U) 15A,or 20A, 120V,Lighting or Recept. Z Date: - 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ET Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION '? 1 hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit JL for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ACCT.T Code): 330 n 3 65.60 1 1 I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D and Professions Code). TOTAL 6!55- 6 C 3 CONSTRUCTION LENDING AGENCY v CHECK 65.60 1 hereby affirm that there is a construction lending agency for the n performance of the work for which this pe-rmit is issued (Sec. 3097, PERMIT FEE (Sub-Total) CHANGE .00 Civ. C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE21 (, OW� 7Q-0001 4/ 5/96 Lender's Address f f5r?f 1 AM10454 I certify that I have read this application and under penalty of purjury state TOTAL FEE (�y that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize rep entatives of this County to enter upon the above-mentioned property for pecti n purpo es. SEE REVERSE FOR EXPLANATORY LANGUAGE `-1 ` S-- s ib IGNATURE OF PERMI EE DATE WORKERS'COMPENSATION DECLARATION .76A663 O O CE-806G (2-80) APPUCAMN FOP ELECT CAL PERMR-, I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES,,on C ILDING.AND SAFETY. insure, or a certificate of Workers'Compensation Insurance,or j a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FIL IN JOB ^�/ Policy No. Company. EACH NO. FEE ADDR /L ❑ New Residential Bldgs.&Pools , Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST ' depprtrilent. Residential Swimming Pools OWNER OR l /� FIRM NAME Date ` v Applicant Outlets: Rec._Light_Sw. MAIL. First 20. ADDRESS , CERTIFICATE OF EXEMPTION PROM WORKERS' Total No. Additional CITY COMPENSATION INSURANCE PLAN CHECK 1 0 (This section need not be completed if the work involved APPLICANT U by the permit is for one hundred dollars•($100) or less.) Lighting Fixtures First 20 . ADDRESS cr Additional I certify that in the performance of the work for which Fixed Appliances Not Over 1 this Total No. CITY Tel No. l permit is issued, I shall not employ any person in any manner . PERMIT U LU so'as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT iL N Oven _ Dryer_W.M. ADDFtE5S3 Patel ' �t.,,l 4pplicant Top _ FAU _W.H.. Hood Fan" _Other_. CITY 5�� Tei No. aQ, d NOTICE TO APPLICANT: If, after making this Certificate of Disp. Room Air Cond. l ICENSE OR Exemption, you should become subject to the Workers' REG. NUMBER Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT PR BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR 5W l Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to,10 Incl. DATE a* l VALIDATIO. N Over 10 to 50 Incl. 'R�" — . I herebyaffirm that I am licensed under p FINAL. 3 provisions of Chapter Over 50 to 100 Inc. 9 (commencing with Section 7000) of Division 3 of•the Busi- Over 100 CIL BY ness and Professions.Code, and my license is in full force and effect. - - Sery et� �►5� �� �. ,� �n-�C)0 Ama. Under600 /.,Q License Number Lic.Class ] 201-1000 Amp. Under 600 V rV/�VJ C,ontractorQaA=&CDate C1 D Over 1000 Amp.or Over 600 V CP HOME NER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License'Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors I, as owner of the property, will do the work and the1 •5.6 3 A Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code). # 0 0 0 0 0 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 2. o 2'2, 0 issued (Sec.'3097;Civ.C.). „ Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel _ ° '° 2200 0 Lender's Address PERMIT ISSUING FEE o a 0 6-8 0 I certify that I have read this application and state that the TOTAL FEE as 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 purp ses. SEE REVERSE FOR EXPLANATORY LANGUAGE S Vio LJ Sigture of P rmittee Mte ti COUNTY OF LOS ANGELES TEMPLE CITY # 0508 CELECTRICALPERMIjT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508-9707060003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA ' PHONE: (818) 285-0488 EXT: LEGAL ID• FEES PAID BUILDING ADDRESS: TR: 13329 LT: 29 C912-HELEO AV) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA -917803822 ASSESSOR INFORMATIO NUMBER: NEAREST CROSS STREET: 8590-021-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 17.00 OUT 33.15 TENANT: G2 LIGHTING FIXTURES 9.00 LGT 17.55 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H7 RES EXHAUST FANS 1.00 EX 10.80 01/06/97 TC 01/06/98 TOTAL FEES 89.25 OWNER: TEL. NO: FINAL DATE FINAL BY: C WUNNER, GREGORY (818) 285-4054- 4912 HELEO AV " -� TEMP 917803822 DESCRIPTION OF WORK 8 39Aj� ELECTRICAL FOR BEDROOM,BATH AND PATIO ADDITION APPLICANT: TEL. NO: (1 SAME AS OWNER O SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: '1� `APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - ����,`,�� L v LIC. NO ��� j ` o \ TEMPORARY POWER POLE 1� UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: L��C����o UFER GROUND LIC. �NO ; �� �I� ROUGH CONDUIT 1 I t l_I l lS�_ ROUGH WIRING c� \ ! Ir, MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 � P n a COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS- 9701 LAS TUNAS EL 0508 9911160070 BUILDING AND SAFETY / LAND DEVELOPANT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 13329 LT: 29 4912 HELEO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803822 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8590-021-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 9.00 OUT 17.55 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES .47.25 11/16/99 UT 05/14/00 OWNER: TEL. N0: FINAL DATpl�gjFBY: CODE: OWNER: (626) 285-4054- �LL���i((�I 4912 HELEO AV TEMP 917803822 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION OF FAMILY ROOM APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: �, �� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT d ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. N0: ROUGH CONDUIT _ 1.111111 ROUGH WIRING ILJI MAIN WATER LINE U� nOmeK PLASTIC Y/N ME TAL Y/N'DU UO IT COMPANY NOTIFIED 0 o° E) hI� O ❑ o` CoQ Ire u'vuce REPORT ID: DPR265 ROUTE TO: BS0508