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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