HomeMy Public PortalAbout5609 HELEO AVE_Electrical__ APPLICAOON FOR ELECTRIC *RMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7ADDRESS
'`/d
BUILDING AND SAFETY DIVISION �/� lv
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILD,NG / G
FOR APPLICANT TO FILL IN PERMIT FEES J 1ITEM If
NUMBER EgCH FEE OUTL /J /� /
LIGHTS RECEPP JU .ID _
LIGHTING FIXTURES ID CITY ALV TEL.NO" ,,,?-
ELEC,RANGES CLO.DRYERS ELECTRICIAN /J
WATER H ATERS .50 ADDRESS / ;Z
.LEC.SPACE HTRS./DISHWASHERS I CITY TEL
O. Q
GARBAGE DISPOSERS AUTO.- ( � I
STATE / J
WASHERS STA.COOKING UNIT .25 � LICENSE ND. J
MOTORS: OVER INC. H.P. D�I',IKICTNO. GROUP ZONE P�Rf9CESSEDBY
—0— I/a .215 9 �J I �— / W �"LQX�✓
V.- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50 - J
15- 50 2.90 L
50-200 5.00 as
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-500V 1.00
SERVICE OVER SOOV 9.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE 3
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPF�TOR'SSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND SPATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE L AL W OF THE ABOVE
DESCRIBED RESIDENT PERTY POWER
SIGNATURE ' UTILITYCO.NOTIFIED itr�
OFPE
a
FINAL
®P DATION ARTHUR C.VEIT,
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
ILQ7249S MR 4 2 A 13 .30 r
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76A663-CE806 8/63 APPLICATION FOR EL CTRICAL .PC rff
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER rADDRESS
DING
BUILDING AND SAFETY DIVISION elD
JOHN A. LAMBIE. COUNTY ENGINEERWILLIAM A.JENSEN, SUPT OF BUILDING LITY 7-C.NEARsESTsT.
�/• e OQ -
FOR APPLICANT TO FILL IN CRO:
RECEPT. 1 l TOTAL NO, EACH FEE
I OUTLETS FIRST 20 q $2O $ 0 _OWNER
LIGHT q J( �. y I A"� MAIL
'� R%JL/(� ADD'L - 1O D ADDRESS
SWITCH. OVER 20 L)
TOT
LIGHTING 1 FIRST 20 .20 � o- CITY TEL. NO.
DPL �-y
FIXTURES I VER 2 kf
10 ELECTRICIAN
OV //yy JJ
RANGES CLO.DRYERS WTR.HTR9. 1.00 ADDRESS A.tiJS •�y"J V/Y
GARB.DISP. STA.COON q
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE / (''J
SPACE HTR9. STA.APP.(:/y H.P.MAX.) ,50 LICENSE NO. /�/
MOTORS: OVER NOT OVER H.P. DI.S(CCT- O P ESSED B
�' O 1 1.00 0 'D f /
I 3 1.50 j I SPECTION RECORD
8 15 2.50 :. w"�ruFi- � r O
15 50 3.00
50 100 5.00
SIGNS: NO.TRAN9- a
NO.LAMPS to
Z_
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.001 J
TOTAL FEE U
L BY ACKNOWLEDGE THAT I HAVE READ THIS APPL ATI N APPROVALS DATE INSPECTOR'S SIGNATURE
TE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT f_
LL COUNTY ORDINANCES AND STATE LAWS REGULATING
CAL WIRING. WIRING �1L
EBY CERIIFY`THAT I AM PROPERLY REGISTERED ANOIOR
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES (�I
NIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE It `( -
EO RESIDENTIAL PROP RIY. POWERURE UTILITY CO.NOTIFIEDMITTEE -+t'y^� AI
FINAL Y fII
�Lmo , CAN ARSH SH SU HUS C. VEIT L
SUPERVISING ELECTRICAL ENGINEER
CK MO C
�iLo 6 5 7 6 HAR 13 2 D 8.7 0-
WORKERS'have a COMPENSATION DECLARATION 78-803 10/81 APPLICATION FOR ELECTRICAL PERMIT {1
I hereby Sffirm that I have a certificate of consent to self insure, CE-806G �J
or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
cppy thereof(Sec.3800,Lab.C.) . 4
Policy No. Company FOR APPLICANT TO FILL IN - JOB
Certified copy is hereby furnished. New Residential Ell& Pools EACH NO. FEE ADDRESS
1 & 2-Family,Sq.Ft. $ — $ LOCALIT i C
Certified copy is filed with the county building inspection — NEAREST
department. , _ Multi-family Sq. FL' CROSS ST.
Residential Swimming Pools OR OWNER
Date Applicant OWNER OR'
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Ree— Light _ Sw. iMAL
COMPENSATION INSURANCE ADDRESS
First 20
(This section need not e will etl if the work involved by the Total No. Additional CITY
permit is for one hundred dollars ($100) or less.) _ '
I certify that in the performance of the work for-which this permit > '!� ._ ( '-( 'PLAN CHECK '
APPLICANT
is issued, I shall not employ any person in any anner so as to,
become subject t the Workers'Co ensation a s. .Lighting Fixtures First 20 ADDRESS.
Additional
q/.{,�i� Z Total Na - CITY Tel.No
Date Applicant`-""' `Fixed Appliances Not Over 1 HP
NOTICE TO APPLICANT: If, after making this Cerh lost. of PERMIT r
Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPUCAN u
provisions of the Labor Code, you must forthwith comply with such, Oven Dryer W.M._ / ADDRESS I
provisions or this permit shall be deemed revoked. - Top FAU W.H. _ CITY e ua-
LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_
I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR
e Glas
(commencing with Section 7000) of Division 3 of the Business and -0isp. — Room Air Card. REG.
Professions Code,and my license is in full force and effect. DISTRICT N0. PR By
Power Apparatus 8 Large,Appliances _ - �� aI
Size& Type HP,KW,KVA, or KVAR
License ber _ Lia Class v)b Up to 1 Incl. FINAL - V
�� Over 1 to 10 Incl, DATE �. p VALIDATION
Contract Over 10 to 50 Incl. / F
❑ I
am exempt under Sec. _ Over 50 to 100 Inc. FINAL
W
B.&P.C.far this reason Over 100 N, _
Service � bel,, tell ► -
Date: -0-200 Amp.Under 600 V •�
Signature OIIO�mp.Qndt t
€
Over 1000 Amp.or Over 600 V
Exemption for Reg. Maint.Elect. u3y�7
SINGLE FAMILY Temp.Power Pole& Appurtenances f k T il)
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
hereby affirm that I am exempt from the Contractor's License Law �!rm ivy ® �.
for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits, .
Code): -
• Misc.Conduits & Conductors
I,as owner of the property,will do the work and the structure t.�'i(yF2•a_ ,f 1_,
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 443"17 .�
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE - (Sub-Total) �, -. - AM E0'2-'
Civ.C.).
PLAN CHECKING FEE
Lender's Name ,
PERMIT ISSUING_FEE _
Lender's Address
I certify that I have read this application and state that the.above TOTAL FEE
information is correct. I agree to comply with all County ordinances
and State laws regulating Electrical wiring, and hereby authorize '
repre tative of this County to enter upon the above-mentioned
propBrt for nspection purpo es.
/� SEE,REVERSE FOR EXPLANATORY LANGUAGE .
Signature of Permittee / to
- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT l
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9806090036
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 25202 LT: 13 (5609-HEL'EO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA917802424
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8588-003-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
F1 120V, 15/20A BR CKTS 1.00 BR 17.40
TENANT: G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70 ISSUED ON: PROCESSED BY: PLAN--BY: EXPIRES ON:
G2 LIGHTING FIXTURES 6.00 LGT 11.70 06/09/98 UT 06/09/99
H2 RES GRBG DISP LT 3HP 1.00 DIS 10.80
OWNER: EL. NO: H3 RES DISHWASHR LT 3HP 1.00 DIS 10.80 FINAL DATEB CODE:
PINEDA FERNANDO E;ANA Y (818) 287-1710- H4 RES RANGE HDS LT 3HP 1.00 H00 10.80
5609 HELEO AV TOTAL FEES 100.95
TEMP 917802424 DESCRIPTION.OF WORK. -
ELECTRICAL-FOR KITCHEN AND BATH REMODEL
APPLICANT: TEL. NO:
G. FELIX CONSTRUCTION (626) 401-1391-
4924 N. HALIFAX SPECIAL CONDITIONS:
TEMPLE CITY, CA
CONTRACTOR: TEL. NO: "� APPROVALS DATE INSPECTOR SIGNATURE
G. FELIX CONSTRUCION, 8184011391 (818) 401-1391- -
4924 N. HALIFAX RD LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 449477 B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: EL N0: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTI IED
j r
REPORT ID: DPR265 ROUTE TO: BS0508