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