HomeMy Public PortalAbout9215-9517-9519 LONGDEN AVE_Electrical__ APPLICATION FOR [�LkaT"RIC PERMIT- 1:
COUNTY OF LOS ANGLG'
'
DEPARTMENT OF COUNTYER T BUILDING J /
BUILDING AND SAFETY ADD Ess �o�Cr O°'v
JOHN A. LAMBIE, COUNTYR
CABBATT D.GRIFFIN,SUPT OAlaLOCALITY + 0-14
FOR APPLICANT TO FILO IN NEAREST
PEMM-r F. CROSS ST. r
IT E MNUMBER EACH FEE OWNER
OUTLE •' $ $ MAIL
LIGHTS RICEPT. SW. .1O ADDRESS
LIGHTING FIXTURES 10 CITY TEL NO.
ff
ELEC.RANGES -61.0.DRYERS 'ELECTRI IAN
WATER HEATERS .$O ADDRESS ?
ELEC.SPACE HTRS. DISHWASHERS
dInEmiTEL NO. –
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.,COOKING UNITS .ES LICENSE NO. C/
MOTORS: OVER INC. H.P. :7DI$TR1CCT NO.. GWUP ONE P CESSED BY ;
z so °
F ' INSPECTION RECORD
2— 8 1.00
y �
5— i8 1.80
18— 80 2.80 „
150-200 8.00 L
NO..TRANS.
.. _ /� he
SIGNS: NO.LAMPS Jp / �^s
3�-:.1.51CI
�C
SERVICE 0-600V 1.00 .
SERVICE OVER 6.00V 8.00n7„
MISC. 1'
WIRING PERMIT 1.00
FIXTURE PERMIT I i.00 �� ]-�) f%
:{
SUPPLEMENTARY PERMIT 1 .80 P712 S
TOTAL FEE S 1117/$ . -1-s-P 1 -�\-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE •INSPECTOR;S SIGNATUREAND STATE THAT THE ABOVE 15 ORRECT AND 1Y,
TO COMPL.Y
WITH ALL COUNTY ORDINANCESCAND STAT$ LAWSEREGULATING CONDUIT /41' G1 d V-rztQp"
ELECTRICAL, WIRING. V
1 HEREBY CERTIFY THAT I-AM PROPERLY REGISTERED AND/OR ' WIRING - O J"J/YFN CY
LICENSED AS REQUIRED 13Y LOS ANGELES COUNTY AND STATE OF ° FIXTURE$.
CALIFORNIA OR THAT I AM 'THE- LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI , PROPERTY. POWER [�
UTILITY CO.NOTIFIED - -�.
$OF
PER MITTE �'
9�. MgMATION ARTHUR C.VETT,
CK
MOX CASH SUP.ERVIEING ELECTRICAL ENGINEER O
N
WORK F)tS'COMPENSATIONDECLARATION 76A663
CE-BO6G (2-BO) APPLICATION FOR ELECTRICAL PERMIT
` E-
I hereby'aff rm 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
aertified copy thereof(Sec.3800,Lab.C.)
j�`U— �� FOR APPLICANT TO FILL IN. JOB
Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE ADDRESS (
Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — s LOCALITY
Multi-family Sq. Ft. NEAREST
Certified copy is filed with the county building inspection CROSS ST
,
Residential Swimming Pools
department. T� 1 OWNER OR
FIRNAM
Date VApplicant ' Outlets: Recd``Light Sw. � �,b �'� ADDRESS E
A&_ First 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total.No.—�_ Additional 42 CITY Tel No.
COMPENSATION INSURANCE
PLAN CHECK d
APPLICANT
(This section need not be completed if the work involved �`a rj U
t 20 First t
Fi
Lighting Fixtures rs
by the .permit is for one hundred dollars ($100) or less.) LigADDRESS
Additional O
I certify that in the performance of the work for.which this Total No. ` CITY Tel No. 0
Fixed Appliances Not Over VHP
permit is issued, I shall not employ any person in any mannerPEW
PERMIT _
so as to become-subject to the Workers'Compensation Laws. Range_Heater D.W. .APPLICANT a
Oven _ Dryer_W,M. I ADDRESSN
Date Applicant Top FAU L W.H. �� / Z
Hood Z Fan _Other_ CITY Tel No.
NOTICE TO APPLICANT: If,.after makingthis Certificate of Disp. �..Room Air Cond— SZ LICENSE OR
Exemption, you should become subject to the Workers' REG.NUMBE � Class
Compensation'provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. P OCESS D BY
with comply with .such provisions or this permit shall be •^
deemed revoked. Size&Type HP,KW,KVA,or KVAR I G
Up to 1 Incl.. cl. _ J
FINAL
Over 1 to 10 InDATE
' "
LICENSED CONTRACTORS DECLARATION Over 10.to 50 Incl. VALIDATIOr
I hereby affirm that I.am licensed under.provisions of Chapter Over 50 to.100 Inc. FINAL ;
9 (commencing with Section 7000.)of Division 3 of the Busi- Over 100 BY K"
ness and Professions.Code,and my license is in full force and
effect.. _ I Services
60y�dj � 0-200 Amp.Under 600 V
License Numb Lic.Class l
_�� 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 70.31.5, Busi- Additional Sign Branch Circuits
ness and Professions Code):
Misc.Conduits&Conductors
O I, 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
7044,Business and Professions Code).
CONSTRUCTION•LENDING AGENCY
I hereby affirm that there is a construction lending agency `2 3 9
for the performance of the work for which this permit is `
7 A
issued(Sec.3097,Civ.C.), PERMIT FEE (Sub-Total)
0 0 0 0 0 2
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE 2 c - 46C,80
c c of :, 7r�i
'I certify that Ihave read this application and state that the TOTAL FEE
above information is correct.I agree to comply with all County I Q O 1 _601
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
Signatt,tj of Permittee Date
WOl> ERS'COMPENSATIONDECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT "
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,
�j� :b/2`J
57-3/3 FOR APPLICANT TO FILL IN• JOB
;olicyTq .—Company EACH NO. FEE ADDRESS
New Residential Bldgs.&Pools
❑ ,Certified copy is hereby furnished. 1 &2-Family,S.q.Ft. $ — $ I•'O LOCALITY
Ft.
–
Certified copy is filed with the county-building Sq. NEAREST
building inspection CROSS ST 4i
departme Residential Swimming Pools OWNER OR
4 FIRM NAME
Date Applicant Outlets: Rec.—Light Sw. MAIL
' First,20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional Y" CITY Tel No.
COMPENSATION INSURANCE >_
PLAN,CHECK tl
(This section need not be completed if the work involved �. APPLICANT- U
by the permit is for one hundred dollars ($100) or less,) Lighting Fixtures First ADDRESS
Total No. Additional
I certify that. in the performance of the work for which thisFixed Appliances Not Over 1 HP CITY Tel No,
permit is issued, I shall not employ any person in any manner PERMIT
so as.to become subject to.the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT - UJ
CL
Oven _ Dryer_W.M._ ' ADDRESS �� , �.fLGs, �,J Z
Date Applicant Top —FAU _W.H. `
Hood _ Fan _Other_ CITY Tel No. 7 T
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. P CESS BY
with, comply with such provisions or this permit shall 'beC
deemed revoked. Size&Type HP,KW,KVA,.or KVA'R
Up to 1 Incl. `
Over 1 to 10 Incl. FINAL
DATE '
LICENSED CONTRACTORS DECLARATION VALI DATI
Over 10 to 50 Incl.
I hereby affirm that I am licensed under provisions of Chapter 1 Over 50 to 100 Inc. FINAL'
9 (commencing with Section 7000)of Division 8 of the Busi- Over 100 BY
ness and Professions.Code, and my license is in full force and Ilr!!9
effect. Services
License Nu 0-200 Amp.Under 600 V
Lic.Class 201-1000 Amp.Under 600 V
s
Contractor Pate 9" � `�v Over 1000 Amp,or Over 600V
HOME O NER-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 Circuitsness and Professions Code): -
Misc.Conduits&Conductors
.❑,I, 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
7044,Business and Professions-Code). O
CONSTRUCTION LENDING AGENCY
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) : L 3 9 8 9
issued(Sec.3097,Civ.C.).
Lender's Name- # o o 0 0 o `2
PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE .2 o - 8200
I certify that I have read this application and state that the TOTAL FEE, v - 0 0 - 82005
above information is correct.I agree to comply with all County ( Q _
.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
s4b.
ignature o ermittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0707050015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
I ON FILE I I 9519 LONGDEN AV I
IFEE DESCRIPTION: QUANTITY: UOM.. AMOUNT: TEMP CA 917801611 I
(ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: I
15382-020-056 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
1G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85 I 1
(TENANT: IG2 LIGHTING FIXTURES 2.00 LGT 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
TOTAL FEES 37.50 107/05/07 SR O1/01/08 I
(OWNER: TEL. NO: I IFINAL D TE�I FINAJBY: CODE: I
15107 HALIFAX RD NG WARREN;WENNY;CHAN LAWRENCE K (626) 786-0081- 1 1I6� I
ITEMP 917803453 1 IDESCRIPTIO9 OF WORK 1
I 1ADD 3 OUTLETS, 2 LIGHT FIXTURES
1APPLICANT: TEL. NO: 1 I I
ILAWRENCE (626) 786-0081- 1 I 1
15107 N. HALIFAX RD. 1 ISPECTAL CONDITIONS:
1TEMPLE CITY CA 91780 I I
I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ILKC ASSOCIATES, INC. (626) 786-0081- 1 1 I
IF O BOX 1704 LIC. NO I ITEMPORARY POWER POLE I I I
IARCADIA, CA 91077 772902 B I I I I I
1 1UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I I
I -
1 LIC. NO: 1 IROUGH CONDUIT 1 1 1
1 1 1ROUGH WIRING I I 1
IMAIN WATER LINE
I 1PLASTIC Y/N METAL Y/N I I I
I 1 1UTILITY COMPANY NOTIFIED( I I
I I I 1 I I
I I I I I I
I I I I I I
I I I I I I
1 I I I I I
1 I I I I I
I 1 1 I I
I 1 I 1 1 1
I I I I 1 I
1
IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 1 I
I I I I I I
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0708200001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: I
ON FILE
9519 LONGDEN AV I
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT.1 TEMP CA 917801611 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15382-020-056Al PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
IHA FAU LESS 3HP 1.00 FAU 10.95 1 I
TENANT: IJB AC UNITS +3-10HP 1.00 AC 19.65 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
TOTAL FEES 58.35 108/20/07 SR 02/16/08
(OWNER: TEL. NO: I (FEXT-
ITEMP
FINAL BY: CODE: [
ING WARREN;WENNY;CHAN LAWRENCE K (626) 786-0081- I I15107 HALIFAX RD I [917803453 I ID SCRIPTION OF WORK I
(ELECTRICAL FOR HVAC SYSTEM
!APPLICANT: TEL. NO: I [ I
ILAWRENCE (626) 786-0081- I I I
15107 N. HALIFAX RD. I SPECIAL CONDITIONS:
[TEMPLE CITY CA 91780 I I
(CONTRACTOR: TEL. N0: [ (APPROVALS DATE INSPECTOR SIGNATURE
I
ILKC ASSOCIATES, INC. (626) 786-0081- [ I
IP 0 BOX 1704 LIC. NO [ ITEMPORARY POWER POLE I I I
IARCADIA, CA 91077 772902 B I I I I
UNDERGROUND CONDUIT [ I
(ARCHITECT OR ENGINEER: TEL. NO: - [ IUFER GROUND I I
I LIC. NO: 1 IROUGH CONDUIT
[ (ROUGH WIRING [ I I
MAIN WATER LINE I I I
I [ IPLASTIC YIN METAL YIN I 1 I
[ I (UTILITY COMPANY NOTIFIED[ [
I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I [ I I
I I I I I I
I I I I
[ IREPORT ID: DPR265 ROUTE TO: BS0508 [ I [ 1
I I I I I I