HomeMy Public PortalAbout9834 LONGDEN AVE_Electrical__ THP
FL CITY
MA669-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY.ENGINEER BUILDING
BUILDING AND SAFETY. DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER ��
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY ,O� G all
NEAREST
FOR APPLICANT TO FILL IN' CROSSSST:
RECEPT, D TOTAL NO. EACH FEE
OUTLETS FIRST 20 820 8 OWNER' . / d D/1?o
LISHT Q . MAIL.
ADD'L ` ADDRESS S �
/ ,��'
SWITCH. � OVER 20d6j •..10 ,e7
LIGHTING• 'TOTAL FIRST 20 '•.2 0 'CITY /'-v�T. TEL'.NO. 4
FIXTURES -} (7 �. ovDn 20 •to Q ELECTRICIAN �/ a
RANGES . CLO.DRYERS WTR.HTRS. 1.00 ADDRESS! �G/>•r/OG "
GARB.DISP.,` STA.COOK '
CITY' 11//v� TEL.NO: 1Z
DISHWASH:I_;-- AUTO.-WASH.- --- _ - STATE:--•
SPACE HTRB. STA.APP.(%N.P.MAX. ''.50
O -LICENSE NO. S
MOTORS= OVER NOT OVER H.P. DISTRICT O/ GR UR ZONE. PRQqgSSIrn•BY
O 1 1.00
1 a 1.50 INSPECTION'166RD
8 8 2.00
8 15 2.50 .44. 11-44 �IV
is 50 " 3.00 _
50 100 5.00 0
SIGNBt NO.TRANS• !Y
NO.LAMPS O.
SERVICE O.600V-NOT OVER 200A 1.00
d
SERVICE 0.600V-OVER 200 A. 2:00 ` I.' IIn
a
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTAgY-PERMIT ISSUING FEE _ _.1.00
TOTAL FEE Q
I HEREBY-ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPE R'SSLGNATURE-
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT ,.
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING.
ELECTRICAL WIRING. WIRING r .1
-1 HEREBY .CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES (J
CALIFORNIA OR T14AT 1 AM THE LEGAL' W ER OF T ABOVE
tO
DESCRIBED RESIDENTIAL:PROP. Y.• POWER
SIGNATURE UTILITY CO.NOTIFIED I..Cf��/DKf I P
OF PERMITTEE ,
FINAL I
LIDATION ARTHUR C. VEIT
MO CASHSUPERVISING ELECTRICAL ENGINEER
{1► ,0
3'2'8 g DEC 9 2 D 1 9.8 0- "cc
I TEMPLE CITY , ,
=CF�606 6-62
APPLICATION FOR EL
>'6p663ECTRICAL PERMIT
AV COUNTY OF LOS ANGELES
'.'1.p PARTMENT OF COUNTY ENGINEER B0I4DING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER r
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH .. .FEE '
OUTLETS FIRST 20 $.20 $ OWNER •
LIGHT MAIL
.f0
•ADD'L ADDRESS
SWITCH. - OVER 2'•O ,•
TOTAL CITY . . TEL.-NO.
LIGHTING FIRST 20 ..20'
FIXTURES } ADO'L f0 ELECTRICIAN_ P
OV R 20
RANGES CLO.DRYERS WT.R.HTRS. 1.00 _ ADDRESS
GARB.'DI,sP: STA.COOK 1 CITY Y TEL.NO. �� rL
DIBHWASH. AUTO.-WASH. •STATE', ,err
SPACE HTRS. STA.APP.(Ya H.P.MAX.) "-.SO LICENSE NO.
MOTORS: OVER NOT OVER H.P.
DISTRICT NO. ' GROUP ZONE CESSED+B
-0. 1. .1.00oft
f s 1.50 INSPECT!PN RECORD
I
8 B 2.00 1 /j AAA1. ,.
8 Is 2.50 P /1
Is . SO 5.00 Ala
I
x
SO 100 5.00
SIGNS: NO.TRANS. _ � •r`
NO.LAMPS
n4 �Ar
SERVICE O.600V-Nor OVER 260A 1.00 �. 1
SERVICE 0-600V.•OVER 200 A. 2.00 I
d N
SERVICE'OVER 600V .1 5.00 1 C ?
MIS
PERMIT SU NG FEE 2.00 Fv
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE. $ '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' +APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ,`' ,�
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING ,4 N p
ELECTRICAL WIRING. WIRING IQ-. f)A '�� E-<EIsft;•'`6�`���
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR w -
LICENSED'AS REQUIRED BY LOS ANGELES UNTY AND TATE OF FIXTURES
CALIFORNIA OR TH - L'AM THE LEGAEi1 OF TH ABOVEDESCRIBED RESIDEN IAOPS POWER ��,,yy�� !! /n� r <,
SIGNATURE UTILITY CO.NOTIFIED !f. dm': �f� ��l'z•G:_.�..i�;�
OF PERMITTEE
...FINAL. V %ilo 1
LIDATION ARTHUR C.•VEIT
CKMO CASH SUPERVISING ELECTRICAL ENGINEER,
LrUo? 7 0 .5 Q OCT 21 2 0 .3.40-
1
VYORKEitS'COMPENSATIONDECLARATION CE-803 APPLI.CATIO.N FOR ELECTRICAL PERMIT ,
I her -4n that,I have a-certificate of consent to'self y COUNTY OF LOS ANGELES BUILDING AND SAFETY•
insure,or a certificate of Workers'Compensation Insurance,or y
a certified copy thereof(Sec.3800,Lab.C.)-
FOR APPLICANTTO FILL IN s0•B
Policy Nom.Company RpPuhl i r Tmrl New Residential Bldgs.&Pools• EACH NO. FEE ADDRESS
0 Certified copy is hereby furnished., 1 &2-Family,Sq. Ft. $ ' — $' LOCALITY
Multi-family Sq. Ft.
Certified copy'„filed'with he u uilding inspection CROSS ST'
,( R..esidehtial.'Swimming Pools -OWN IR OR '
i AME
'Date pplica Outlets: Rec..--_L•'ight Sw. ADORES
First 20
CERTIFICATE OF E EMPTION FROM WORKERS' Total No.' Additional CITY No
COMP.ENS.ATION INSURANCE• '
' PL•A HECK , O
(This section need not be completed if the work involved 3 APPLICANT
bythe Lighting:Fixtures First 20 0
y permit. is for one hundred dollars ($100)• or,less.) Additional, (ADDRESS
Total No.
—
I certify,that in the performance of the work for which thisCITY Tel-No.' O
.permit is' issued, I•sball not employ any,person in any manner Fix..ed Appliances Not Over 1•HP
PERMIT
so'as to become subject.to the Workers' Compensation Laws. Range_Heater.D.W. _ APPLiCANUj
Oven ._- Dryer_W.M._ ADDR.E' n d
Date Applicant J Top _FAU _W.H. ? /� / Z
+ ' Hood .,Fan _Other_. �J Cl el No.. •: /
tl,
NOTICE T6:APPLICANT: If, after making this.Cbrtificate of Disp.' _Room Air Cond ICE.NSE+OR' -�
'Exemption, Youshould become'subject 'to the Wdrkers' REG.NUMBER -/7 57/Class.
Compensatioif provisions-of`the Labor-Code,you must forth- Power,Apparatus&LaiRge Appllances,. DISTRIG.T,Npr'. (�� P��EY
withd revo--.•w{th. such provisidns or.''Yhis permit shall be Size&Type HP,KW,KVA,or KVAR
deemed revoked. .• _ �.! U
Up to 1 Incl. FIN
'
' Over 1'to 10 Incl.- , ATe
'LICENSED CONTRACTORS DRCLARATION Over 10 to`50 Incl. VALIDATION
"I hereby aff)rrit,•that•`l am•licensed,.under provisions of.Chapter •-`.. Over 50 to 7.00 Inb.. FINAL'
BY
9 (commencing with,Section 7000)of Division 3 of the Busi- ' Over.100
ness and Professions,Code,.and 'my license is ire full force and r
et+fect. :Services
0-200.Am U der 660 V
License Num `� ic.Class-
201p' n
- - 000 Amp.Undef.600 V
Contractor Date a Over 1000 Amp.or.Over 600.V
ME OWNE. -BUILDER DECLARATION Temp.Power Pole&'Appurtenances i
I hereby affirm that I am exempt from the Contractor's. Sign-with One Branch Circuit -.ia ACC
u
License Law for the following,reason, (Section,7031.5, Busi- Additional Sign Branch.circuits ACCTnV ,
ness and Professions Code): • „ 07 14,001q
Misc.Conduits.&Conductors
0 I,1 as owner'of the property, will do the wdrk and the' Other(See Complete Fee Schedule)— -I ITEMS
structure is not ,intended or offered. for-sale (Sec'tion
704.4,Business and Professions Code). 1 TOTAL
-CONSTRUCTION LENDING AGENCY �
I hereby affirm-,W t there is- a construction lending agency ' ' CHECK 14.oQQ
for the performance of the w_ ork.fora which this permit-is PERMIT FEE- (Sub-Total) CHANGE
issued(Sec.3097,Civ:C.). -� .•. oQI
L'ender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)'
l+"
Lender's Address PERMIT ISSUING FEE. ( y, ... ili ) r
I certify that I have read this application and state that iheTOTAL FEE -7t5- 5122 AM11245
above information correct-1 correct. agree-to complywith all County' i "
1
ordinances'and',State :laws .regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
the atiov. ntion.ed party for inspection purpos s. r• , �� y r ,
SE'E'REVERSE POR EXPLANATORY LANGUAGE
S'' ture of•Permitte Date r l .
•r COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 �CAL E IIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 0588-9711060015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
L S PAID 1 `
ON FILE 8�aNGDENAV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 'TfEEMP CA 917801424
ASSESSORINFORMATION NL94BER: NEAREST CROSS STREET: BALDWIN
5385-022-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60
TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED 0 PROCESSED BY: PAN EXPIRES ON:
TOTAL FEES 47.25 11/06197 UT 11/06/98
OWNER: TEL. N0: FINAL DATE FINAL BY• CODE:
BIRD L D;CAROL A (818) 287-2852- v2
9834 LONGDEN AV
TEMP 917801424 UESUKIP11ON OF WORIC'
ELECTRICAL FOR PATIO ENCLOSURE
A O:
L. J. HAUSNER CONSTRUCTION (714) 544-3100-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: �����'.• - it s' APPROVALS DATE INSPECTOR SIGNATURE
L. J. HAUSNER CONSTRUCTION (714) 544-3100-
205 FASHION LN #108 LIC. NO TEMPY POWER POLE
TUSTIN CA 92680 3216317 B �! N•+ �• + d�'
` UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: " i, ' �%� - ,_-. , ��_- R GROUND
LIC. NO: i ROUG ,CONDUI
ROUGH G
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY OT ED
REPORT ID: DPR265 ROUTE TO: BS0508