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