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HomeMy Public PortalAbout5644 HELEO AVE_Electrical__ )GASSS.CEBOG T-BB APPLICAON FOR ELECTRIC fERMIT COUNTY OF LOS ANGELES - DEPARTMENT OF COUNTY ENGINEER�D BUILDING BUILDING AND SAFETY DIVISION U�_j)_Y� ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. / I T E M NUMBERI EACH FEE L ER OUTL n S S LIGHTS RECEPI'. SW. /// .1O E$LIGHTING FIXTURES / .10 / TEL. N ELEC. RANGER CLO. D YERS ELECTRICIAN WATER HEATERS .SO "ADDRESS Ar ELEC.SPACE HTRB. DA T E R HERS GARBAGE DISPOSERS wuTo.- �WASHERS STA. COOKING UNITS / .25 /`� MOTORS: OVER INC. H.P. / - - ly ..( J� DISTRICOT NO. I G PI ONE PR CESSED BY O— 'h .25 v/ z 50 INSPECTION RECORD 2- 5 1.00 - 5- 15 1.50 15— 50 2.50 50—200 5.00 SIGNS: NO. TRANS. NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE —S// CS ' APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INS ECTOR'SBIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Y'' 1 ,1• ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED A9 REQUIRED BY OB ANGELES <OUNTY D TATE OF '. FIXTURES CALIFORNIA SI THAT I A THE LEGA OWN E ABOVE ' DESCRIBED RESIDENTIAL P PE Y. `. POWER SIGNATURE �. UTILITY CO.NOTIFIED 17� ��lAA An OF PERMITTEE ' FINAL fir.. JD}t�iI OIOON ARTHUR C, VETT, 11 Mo SUPERVISING ELECTRICAL ENGINEER L4 7258 o PhR 4 2 A 11 .65 WORKER$'COMPENSATION DECLARATION CE-663 ,DAB, APPLICATION FOR ELECTRICAL PERMIT . Ilaffir)n that I have a certificate of-conseiit t6 self insure, CE-Bose or a certificate of Workers' Compensation Insurance, or a certified COUNTY-OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec. 3800,Lab.C.) - Policy No. Company FOR APPLICANT TO FILL IN JOB . E FEADDRESS ❑ .Certified copy is hereby furnished. •' New Residential Bldgs.8 Pools EACH NO . , ❑ 1 & 2-Family,Sq.Ft. $ — $ LOCALITY /V ��. Certified copy is filed with the county building inspection department. - Multi-family Sq, Ft. NEAREST CROSS ST Date Applicant Residential Swimming Pools ) •'v 4 4 'OWNER CR _�� '..' FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS"�- OL r`'a f:.`�� V .t ' � (MAIL / Outlets.Rec Light _ t 2 Ct • COMPENSATION INSURANCE � I •� � � ADDRESS, First 20 (This section need not be completed if the work involved by the r CIT Tel.N . o permit is for one hundred dollars ($700)or less.) .. Total No � Additional ! I certify that in the performance of the work for which this permit PLAN CHECK - P P is issued, I•shall not employ any person APPLICANT in any manner so as to , become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 .ADDRESS ' Additional ,({_ Total No. CITY Tel.No. /r DateCE O/( �'9APPIicant Fixed Appliances Not Over 1 HP NOTICE ,y APPLICANT: It, after Makin his Certificate of PERMIT Exemption,you should become subject to the arkers'Compensation Range_ Neater_ D.W. APPLICANT ' iy� provisions of the Labor Code, you must forthwith comply with such Oven — Dryer _ W.M. _ ADDRESS provisions or this permit shall be tleemed revoked. Top FAU W.H. CITY Tel.No. - LICENSED CONTRACTORS DECLARATION Hood — Fan Other, I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR Disp. — Room Air Cond.. REG.NUMBER Class. (commencing with Section 7000)of Division 3 of the'Business and Professions Cade,and my license is in full force and effectDISTRICT NO. / PROCESSEDBY Power Apparatus & Large Appliances Size & Type HP,KW,KVA,or KVAR d License Number Lic.Class Up to 1 Incl. FINAL L..1 Over 1 to 10 Incl. DATE] •�. VALIDATION Q Contractor Date Over 10 to 50 Incl. FINALS 11 'I am exempt under Sec. Over 50 to 100 Inc. By r B.&P.C.for this reason Over 100 aN Services, Swbd.,MCC& Panelboards .Date: o- 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 Pale& Appurtenances _ 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit' A^ I hereby affirm that I am exempt from the Contractors License taw ACCTeq for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 3307 13•SG ® EMC- I,as owner of the property,will do the work and the structure Misc.Conduits & Conductors 1 ITEM TG 1a is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) - . and Professions Code).. TrO�T/�ry. ��a�®r•�W CONSTRUCTION LENDING AGENCY _ MCK 13e I hereby affirm that there is a construction lending agency for the .CW O0 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE - (Sub-Total) Civ.C.). p PLAN CHECKING FEE GOOD-GOOI �6/16/89 Lenders Name PERMIT ISSUING FEE 4026 • 1 AHlle42 Lender's thatAddI have A 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 representatives of this County to enter upon the above-mentioned - property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o P mlttee Date WORKERS'that Ihave ;certificate DECLARATION 16-883 10/81 APPLICATION FOR ELECTRICAL PERMIT {� Jl��affiifn that I have a certificate of consent to self insure, CE-806G L1 or a certificate of`Workers' bompensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof (Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB •S-4, ,� N. e E] Certified Residential Bldgs.8 Pools Certified copy is hereby furnished. EACH NO. FEE ADDRESS ❑ Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ — $ LOCALITY Te department. Multi-family Sq.Ft. NEAREST Residential Swimming Pools OWNER OR (/ Date Applicant q t. -t FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rae a Light -/— Sw. y _�_ ' 1 yMAIL COMPENSATION INSURANCE - •I Q ADDRESS (This section need not be completed if the work Involved by the First 20 permit is for one hundred dollars ($100) or less.) Total No. Additional CITV�K PLAN CHEC I Certify that in the performance of the work for which this permit ppPLICAM is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 7J ADDRESS t Total No. / CITY Tel.No. Date.,S L1.��Applicant Additional Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after maki this Certificate of APPLICANTQ .Exemption,you she I, become subject to th orkers'Compensation Range_ Heater_ D.W. yp- provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top FAU W.H. - - CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood _ Fan Other_ I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR (commencing with Section 7000)of Division 3 of the Business and Disp. ROOT Air Cond. REG.NUMBER Class, Professions Code,and my license is in full force and effect. y DISTRICT NO. / O PROCESSED BY O Power Apparatus 8 Large,Appliances Size & Type HP,KW,KVA,or KVAR J , U License Number LIC.Class Up to 1 [ncl. FINAL - Contractor Date Over 1 to 101nc1. DATE VALIDATION O E] Over 10 to 50 Incl. FINAL I am exempt under Sec. Over EO to 100 Inc. BY .t W - d 8&P.C. for this reason over 100 fi N Services, Swbd.,MCC& Panelboards ��/ Z Date: 0- 200 Amp.Under 600 V ► ��� ..✓•' Signature 201 - 1000 Amp.Under 600 V ;�,•:, ❑ '' Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V- SINGLE FAMILY Temp.Power Pole& Appurtenances 2�/./�y HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit e9 I hereby affirm that I am exempt from the Contractor's License Law YiM41 for the following reason(Section 703 1.5, Business and Professions Additional Sign Branch Circuits Code): M07 14.25 ® I,as owner of the property,will do the work and the structure Misc.Conduits& Conductors 1 I1G1 N7 is not intended or offered for sale (Section 704,4, Business Other(See Complete Fee Schedule) TOTAL �� �� �� and Professions Code). /1 yV�AML� m CONSTRUCTION LENDING AGENCY 7M�L1��ICe7K 14025 I hereby affirm that there is a construction lending agency for the tASlL E W a performance of the work for which this permit is issued (Sec.3097, PERMIT FEE (Sub-Total) YV Civ.C.). PLAN CHECKING FEE CMD-080 D1 5/19/89 Lender's Name Lender's Address ./ A�1 PERMIT ISSUING FEE 3411 1 AM 9e33 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 representatives of this County to enter upon the above-mentioned - property for inspection purposes. 4� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of erm.t ee atD e COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL. PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9808240043 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 25202 LT: 3 5644 HELEO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802423 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8588-004-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY JB AC UNITS +3-10HP 1.00 AC 19.80 TENANT: TOTAL FEES 47.55 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 08/24/98 UT 08/24 9 OWNER: TEL. NO: FINAL DATE FINAL BY 19 CODE: SWANSON CATHLEEN (818) 286-9183- 5644 HELEO AV TEMP 917802423 DESCRIPTION OF WORK ELECTRICAL FOR AIR COND. TO EXISTING HEATING SYSTEM APPLICANT: TEL. NO: _ BRYANT HEATING AND AIR COND. (626) 286-1141- 1350 LAS TUNAS DR. SPECIAL CONDITIONS: SAN GABRIEL, LA LE S ®� CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BRYANT HEATING AND AIR (626) 286-1141- 1350 E LAS TUNAS DR LIC. NO A TEMPORARY POWER POLE SAN GABRIEL CA 91776 221751 C20 �ff1s UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: ® UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING � BLlC ME)itl-- _I Sj MAIN WATER LINE �J J� PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED J iN f�l.f REPORT ID: DPR265 ROUTE TO: BS0508