HomeMy Public PortalAbout4923 HELEO AVE_Electrical__ 76A663-CE806 9-64 QppUCAMN FOR R ELEC TMC AL D Rmu
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING p
BUILDING AND SAFETY DIVISION ADDRESS CA-a
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP'T. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTALNO. EACH FEE }I
OUTLETS FIRST 20 $20 $ / d OWNER P
LIGHT / �✓ MAIL 92 liq o .1 p,
AOD'L f0 ADDRESS N"
SWITCH. _ OVER 20 �S /�
LIGHTING TOTAL o (FIRST 201 .20 (� CITY TEL.NO CRE
FIXTURES } l _ I ADD'L 10 ELECTRICIAN I® C
OVER ZO
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK -
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(1/2 H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT GR UP TE
P D
O 1 1.00 T
1 3 1.So INSPECTION RECORD
3 8 2.00 d
O
8 15 2.50
15 50 3.00
O
50 100 5.00 v
W
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
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 1 JP..A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �/ f/�`' n
ELECTRICAL WIRING. WIRING '/ MAO.
IHEREBY .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 LEGAL OW ER OF, AND INTEND TO ('9
RESIDE IN, THE ABOVE DESCR RESIDE PROPERTY. POWER
SIGNATURE
OF PERMITTEE UTILITY CO.NOTIFIED _ y
FINAL
VALIDATI JOSEPH C. ROOHAN
CK M CASH SUPERVISING ELECTRICAL ENGINEER
Li to 3 4 8 5:0 JUL 9 2 D 2.8 Q
0_1
76A663-CE806 9-64 APPUCQ ON F ELEC7MCA�IPERMT I I
COUNTY OF LOS ANGELES � (�Vu u
DEPARTMENT OF COUNTY ENGINEER BUILDING G) v
BUILDING AND SAFETY DIVISION ADDRESS. OC
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ,
REC EPT. TOTAL - NO. EACH FEE
OUTLETS FIRST 20 $.20 $ 06OWNER
LIGHT / r MAIL
ADD'L I 10 ADDRESS
SWITCH. - OVER 20
TOTAL �I
LIGHTING I F1R5T 20CITY TEL. NO.
I .20 d
FIXTURES } I ADD'L 10 ELECTRICIAN
ov R 20
RANGES CLO.DRYERS WTR.H 1.00 Q ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO (7 Q
DISHWASH. AUTO.-WASH. STATE
SPACE i STA.APP.('/z H.P.MAX.) .50 LICENSE NO. Q
MOTORS: OVER NOT OVER H.P. DISTRICT N ,
G R94J P ZON P D
O 1 1.00
1 3 1.50 INS ECTION ECORD
3 s 2.00 a
O
s 'is 2.50 v
15 50 3.00 99
O
50 100 5.00 ~
U
Lu ,
SIGNS: NO.TRANS h
NO.LAMPS Z
SERVICE 0-600V-NOT OVER 200A 1.00 OO
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 !3
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
• TOTAL FEE $
.-1'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT N APPROVALS DATE INSPECTOR'S SIGNATURE.
SAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING // ��
I HEREBY .CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES •!/ C�Ue»}.�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO v ' -
RESIDE IN, THE ABOVE DESCRIBE ESIDENTIAL PROPERTY. 'POWER
SIGNATUREr UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL �i+li /�t°�Q ,moi.+✓'/ �
VALIDATI JOSEPH C` ROOHAN r r
CK MO
SUPERVISING ELECTRICAL ENGINEER
CASH
LAAO 2 .2 7 5 juN 3 2 D 5.90.
WORKERS'COMPENSATION DECLARATION 76A663 0 O /� (O� (� Dom( �p
CE-806G (2-80) !i-� PPHIC/TMN FOR ELECY��C(r L IT ERM7
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec. 3800,Lab.C.)
FOR APPLICANT TO FILL IN ,JOB
Policy No. CompanyEACH NO. FEE ADDRESS //9-1
New Residential Bldgs.&Pools
$ — $ LOCALITY ,/,
Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. �//
Multi-family Sq. Ft. — NEAREST
Certified copy is filed with the county building inspection CROSS ST t p S A
department. Residential Swimming Pools OWNER OR /7
FIRM NAME F� 11
'Datz Applicant Outlefs: Rec.—Light—Sw.' MAIL /
First 20 ADDRESS �� /�1 G j ��✓
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY. -,- jr -/_ Tel No..!�
COMPENSATION INSURANCE }
PLAN CHECK n-
(This section,need not be completed if the work involved APPLICANT U
by the permit is .for .one It dollars Fixtures First 20 ADDRESS,.
s ($100) or less.)• -
- Additional cr
O
Total No.
I certify that in the performance of the'work for which this. Fixed Appliances Not Over.1 HP CITY Tel'No..
permit is issued, I shall not employ.any person in any manner PERMIT LLL
so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT /� n,
E-4AI& OPOven Dryer_W.M._ ADDRESS InJ`� z
lvkDate!/J�/ Applicant- !moi TFAU _W.H. CITY, Tel No.
Hood _
an —Other
NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond._ LICENSE OR
Exemption, you should become subject to the Workers' REG. NUMBER Class
.Compensation provisions of`the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY
with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR O
deemed revoked.
Up to 1 Incl.
FINAL
Over 1 to 10 Incl. DATE .,,�j ,e VALIDATION
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl C�
I hereby affirm that`I am licensed under provisions of Chapter Over 50 to 100 Inc. FI
9 (commencing with Section 7000)of Division 3 of the Busi-. Over 100
ness and Professions.Code, and my license is in full force and
effect. Services
License Number 0-200 Amp. Under 600 V Lic.Class 201-1000 Amp. Under 600 V
Contractor Date Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances .�21 1 7 0 A
Sign with One Branch Circuit # 2
I hereby affirm`.that I am exempt from the Contractor's additional Sign Branch Circuits oro 0 0 0
License Law for the following reason (Section 7031.5, Busi- ,
ness and rofessions Code - ,•
Misc.Conduits&Conductors 2.o,o 1'.9,5 0
I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— 0 0 0 1 9.5 0 FI
structure is not intended or offered for sale (Section
7044, Business and Professions Code). .
CONSTRUCTION LENDING AGENCY 0'9, 1 .5—8 1
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) r
issued (Sec. 3097,Civ.C.).
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE Oa
I certify that I have read this application and state that the TOTAL FEE (l
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 ab ve-mentioned grope for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee -Date '
WORKERS'COMPENSATION DECLARATION 76-663
CE-806G (2,-80) n O PHCn V. FOR. ELECU ICAL PERNU
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES "7� BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or / i
a certified copy thereof(Sec. 3800,Lab.C.)
FOR APPLICANT TO FILL IN JOB /
Policy No. Company ADDRESS J
New Residential Bldgs.&Pools EACH NO. FEE < —
Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $. LOCALITY ill v�:7
Multi-family Sq. Ft NEAREST96
aCertified copy is filed with the county building inspection CROSS ST44 A SA 4'
department. Residential Swimming Pools OWNER OR h
p FIRM NAME �/r /CJ '
Date Applicant Outlets: Rec-s—LightSw. MAIL '/ q
First 20 OO ADDRESS yLJZ /�
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.,/ Additional CITY �r Tel No. '
COMPENSATION INSURANCE }
PLAN CHECK. d
? APPLICANT O
(This section need not be completed if the work involved �V cJ Uri U
by the permit is for one, hundred dollars ($100) or. ) Lighting Fixtures First 20 ADDRESS
I Additional cc
Total No.. CITY. Tel No. O
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP V
permit is issued,1I shall not employ any person in any manner PERMIT _
so as to become subject to the Workers' Compensation aws. Range_ Heater_D.W. _ ' APPLICANT !L
LU
' Oven _ Dryer_W.M._ - ADDRESS Z
c ,C // Top _ FAU _W.H.. Z
\,6/ateJ�lJ Applicant ! / j �i CITY Tel No.
Hood — Fan —Other
NOTICE TO APPLICANT: If, after making this Certificate of Disp: _ Room'Air Cond.— LICENSE OR
Exemption, you should become subject to the. Workers' REG'NUMBER Class
Compensation provisions of the.Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROC SED BY
with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR.'
deemed,revoked. Up to 1 Incl. 5
FINAL
Over 1 to 10 Incl. DATE
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION
I hereby affirm that I aril licensed under provisions of Chapter Over 50 to 100 Inc., FINAL
9 (commencing with Section 7000 of Division 3 of the Busi- BY
( g ) Over 100 ,
ness and Professions.Code, and my license is in full force and
-effect. Services _
License Number Lic.Class 0-200 Amp. Under 600 V
201-1000 Amp. Under 600 V,
Contractor Date Over 1000 Amp.or Over 600 V•
HOME OWNER-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&Conductors1;0'a b_A
❑ 1, as owner'.of the property, will do the work and the Other (See Complete Fee Schedule)—
structure is,not intended or offered for sale (Section. #;o.o 10 0 0 2
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY 2 o'o.1 9.00
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) ;o,0 0 1 9,0 0
issued(Sec. 3097,Civ.C.). i
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
080.8-81
Lender's Address PERMIT ISSUING FEE
I certify that I have read this application and state that the TOTAL FEE 9
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
=bntioned propertyfor nspectio purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
1 � J
Signature of Permittee to
WORKERS'COMPENSATION DECLARATION '�26A,563 Qpp��CQTTON FOR ELt ECT"MC AL PERMPT
Pw9 a7
I hereby affirm that I have a certificate of consent to self ,CE8o6G O
insure, or a certificate of Workers' Compensation Insurance, q COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a certified copy thereof (Sec. 3800, Lab. C.
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished.' New Residential Bldgs. & Pools EACH NO. FEE ADDRESS J
Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ $ LOCALITY I' r /
tion department. Multi-family Sq. Ft. NEAREST
Residential Swimming Pools CROSS SL
OWNER TOR
.
Date Applicant FIRM NAME / �)
CERTIFICATE OF EXEMPTION FROM WORKERS' F ok MAIL
COMPENSATION INSURANCE Outlets: RecLig'ht�T$w. �"� ADDRESS
�� First 20
(This section need not be completed if the work involved by Total No. [ Additional CITY Tel. No.
the permit is for one hundred dollars ($100)or less.f PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit is issued, I shall not employ any person in any manner
so as.to become subject to the Workers'.Com pens ition.Laws.. Lighting Fixtures First 20 ADDRESS
+� Additional
Date Applicant Total No._/-- ' CITY �j JL 15 (T` Tel. No. YC
r�
NOTICE TO,APPLICANT: If, after making this Certificate of
Fixed Appliances Not.Over 1 HP PERMIT
Exemption, .you should become subject to the Workers' Range— Heater—D.W.
APPLICATION
Compensation'provisions of the Labor Code,:you must forth- Oven _ Dryer —W.M.— ADDRESS
with comply with such provisions or' this .permit shall.be Top FAU —W.H. —
deemed revoked. Hood Fan —Other— CITY Tel. No.
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Raom Air Cand. — REG. NUMBER Class.
(commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT W. PROC �
and Professions Code,and my license is in full force and effect.�!� Q_
Size &Type HP, KW, KVA, or KVAR �t Q
License Number Lic. Class Up to 1 Incl FINAL U
Contractor Date Over 1 to 10 Incl. DATE i�l 12 �.rl VALIDATION �
QOver 10 to 50 Incl. FINAL (/' !� ~
I am exempt under Sec. Over 50 to 100 Inc. BY ` U
d
B.&PSOver 100
C. for this reason �
Date:
Services, Swbd., MCC & Ponelboards D Z
0 7.200 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 -
I hereby affirm that I am exempt from.the Contractor's License Sign with One.Branch Circuit
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits
Professions Code):
Misc. Conduits&Conductors
I, as owner of the property, will do the work and.the -
structure is not intended or offered for sale(Section 7044, Other(See.Complete Fee Schedule)_ a• 4r;Y
Business 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 PERMIT FEE (Sub-Total) �)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE --- = '- �• ,•. .....
Lender's Name I
PERMIT ISSUING FEE /d J
Lender's Address c.` `s- ---
I certify that I have read this 'application and state that the TOTAL FEE
above information is correct. I agree to comply with all County
,ordinances and State laws regulating Electrical'wiring, and
-
-
her'eby authorize representatives of this County to enter upon
the ,above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
O
Signature of Permittee Date PS
'COUNTY-OF LOS ANGELES '- TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - EL 0508 0506090019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13329 LT: 9 4923 HELEO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803823
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8590-023-031- Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40
TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 06/09/05 JK 12/06/05
H3 RES DISHWASHR LT 3HP . 1.00 DIS 10.95
OWNER: TEL. NO: H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 FINAL DATE FINAL BY: CODE:
SHAW, CHARLES (626) 286-8611- HS RES WASH MACH LT 3HP 1.00 WAS 10.95 A 1 `U
4923 HELEO AV TOTAL FEES 100.80 `,
TEMP 917803823 DESCRIPTION OF WORK
ELECTRICAL FOR KITCHEN 9EMODEL
APPLICANT: TEL. NO: -
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - -
LIC. NO TEMPORARY POWER POLE
- r-
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: -TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE T
PLASTIC Y/N METAL Y/N
- UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0307290022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 13329 LT: 9 4923 HELEO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803823
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8590-023-031 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90
TENANT: HA FAU LESS 3HP 1.00 FAU 10.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
JB AC UNITS +3-10HP 1.00 AC 19.65 07/29/03 JK 01/25/04
TOTAL FEES 62.25
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
SHAW (626) 286-8611-
4923 HELEO AV
TEMPLE CITY 91780DESC;2'IP IO OF WqyA
NEW HVAC SYSTEM'
APPLICANT: TEL. NO:
CONNOR A/C-HTG (626) 286-3157-
4931 ENCINITA AVE SPECIAL CONDITIONS:
TEMPLE CITY 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CONNOR A C (626) 286-3157-
4931 N ENCINITA LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 403735 C38
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508