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HomeMy Public PortalAbout5114 SERENO DR_Electrical__ TCASee CEDDe Tee APPLICATION FOR ELECTRIC PERMIT ]. BUMDD(G AND SAFETY DIVISION MpozmAent of County En8ina= BUILDING County of Lw Angalff ADDRESS o JOHN A.LAMBIE.CouNrt 6N0INem 7glfW /.7 CASGATT 0 GRIFFIN,SUPT OW BUILDING LOCALITY FOR PS%APPLICANT FTO FILL IN CROSSSSST NUMBER OWNER LIGHT OUTLETS MAIL O ADDRESS RECEPTACLES WALL SWITCHES FEE CITY TEL.NO Q TOTAL OUTLETS 0 at s ELECTRICIAN n ELEC RANGES 25 ADDRESS BLEC HEATERS 25 CITY TEL NO KW EA ,STAYE FIXTURES a Q LICENSE NO MOTORSDISTRICT I GROUP I Z NE READY PDR INEPSUIDN HUMeEnI HORSEPOWER IFEE NEW MVD HP OVER INC I EACH e t. s 15 213 MSPE=ONRER�ORD 14 2- so 2 a 100 a to 1 so fa so 250 60 200 500 r MISC G' NO SIGNS NO TRANS NO SIGNS NO LAMPS y/� FOR EACH PERMIT WIRING PERMIT $100 W FIXTURE PERMIT f100 Q GW SE.,,z4ee-- > SUPPLEMENTARY DO APPBOV TOTAL F GATE INSPECTOR 9 SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ZZI el" ELECTRICAL WIRING FIXTURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OA LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF HE ABOVE DESCRIBED RESIDENTIA PROPERTY UTILITY O SIGNATURE - mins OF PERM ITTEE FINAL 'LO HN A LAMBIE VALIDA� ARTHURN VETT OUNTY LAMBIENGINEER ARTHUR EL[CTRICAL ENGINEmt CK NO K y�8 1 9 9 t- Wy 15 2 5 .8 5 E1 TeAEeC cE#Boe s BI APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER EUILD1No / BUILDING AND SAFETY DIVISION ADDRITS JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN Sup T or BuILDIMG LOCALITY FOR APPLICANT TO FILL IN NEA'EST CROSSS ST O D PERMIT FEES OWNER 1,4741 ITEM NUNN" EACH FEE MAIL �D OUTL s s ADDRESS uaXTE RKCKFT ew 10 CITY TEL NO T LIGHTING FIXTURES 10 ELEC RANGES CLO DRYERS ELECTRICIAN OzzeklIg4 WATER HEATERS 59 ADDRESS O.EC SPACEHTRS DISHWASHERS CITY TEL NO GARBAGE DISPOSERS AUTO BTATfi WASHERS STA COOKING UNITS 1 2e LICENSE NO MOTORS OVER INC HPIDIST CT G ZONE ESSED Y O— YE 25 IA— 2 aO INSPECTION RECORD 2— a 100 a— is 130 v e Is— ao 250 C 50— 200 goo SIGNS NO TRANS d NO LAMPS �� - N a SERVICE O-BOON 100 �( ' SERVICE OVER SOOV Soo s MISC I WIRING PERMIT 100 FIXTURE PERMIT 1 00 SUPPLEMENTARY PERMIT DO T TOTAL FEE f 1 HERESY ACKNOWL®OE THAT 1 HAVE READ THIS APPLICA]—"IAL APPROVALS OATS INp[CTOR tS10NATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COCONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULA ELECTRICAL WIRING _1 HIDUSY CERTIFY THAT I AM PROPERLY REGIST[R!D ANWIRING LICENSED AS REQUIRED RY LOS ANGELES UNTY AHD STATOFFIXTURES CALIFORNIA OR TXAT 'f11 HER OF THE A DESCRIe EO RESID[NTI POWER SIGNATURE / UTILITY CO NOTIFIED OF PERMITTE VALIDATJ ARTHUR C VETT cn M CASH SUPERVISING ELECTRICAL ENGINEER �}3 D 6 9 8 8 'AN 2 D 3.30 m _ I ' I 1 : 11 .11 1 1 1 1 ' v lam DESCREMON OF WORK NUMBER OF CKSTLE=ON CIRCUITS LOCATION BY ROOMS . Ili7�■■I�E�M 0 Mn ME ► rn©■■■Ur�■e -olm"E!■■■un=lm inn"■■■m ■■■i �M■■■■■.■W■ ■ MMMI■■■■■■■■■ ■ �■■■■■■■■■ ■ �■■■■■■■■■ ■ MEN�■■■■■■MM■■■ Ali]■■■�7f'/�:/■K■ MM mum MMMOMMMIMM IM -� �� I >•A•esce eoelen•1 APPLICATION FOR ELECTRICAL PERMIT -- COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ` ADDRESS New Residential Bldgs &Pools EACH NO FEE - 1 &2 Family Sq Ft S 025 — $ LOCALITY Multi fomdy Sq Ft 02- — NEAREST Residential Swimming Pools 2500 Outlets Recj�*_Light oL S. = MAIL - FIRM N ME- 50 - AD RE First 20 Total No Additional 30 CITY _ _ _ Tel No PLANCHECK - APPLICANT _ Lighting Fixtures First 20 50 ADDRESS Total No Addmonol 30 - > CITY Tel No Fixed Appliances Not Over 1 HP _ PERMIT Range_Heater_D W APPLICANT Oven_Dryer_W M_ - ADDRESS.- - Top _FAU _WH _ CITY _ _ Tel No _ Hood—Fan _Other_ - LICENSE OR �r - Dnp Room Air Cnnd 250 REG NUMBER Class - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY-ORDINANCES AND-STATE LAWS - 2 50 REGULATING ELECTRICAL WIRING Up to I Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Ind 500 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Ind 1250 CALIFORNIA OR THAT IAM THE LEGAL OWNER OF THE ABOVE V$ Over 50 to100 Inc 2500 DESCRIBED RESIDENTIAL PROPERTY - Over 100 _ 4000— NA U SI - SIGNATURE Serwcn - - - DISTRICT NO -- P E B 0 200 Amp Under 600V 1250 �� D� 201 1000 Amp Under 600 V 2500 _ _ - _ _Over 1000 Amp or Over 600 V 5000 = _p Temp Power Pole'&Appurtenances 1000 i Sign with One Branch Circuit 1000 G Additional Sign Branch Circuits 2 00 INSPECTION Mnc Conduits d Conductors 1000 INFORMATION b Other(See Complete Fee Schedule)_ ON REVERSE a ;13 0 3 9 A SIDE _ q . . . . . z - 1 2 • • 1350 PERMIT FEE -(Sub Total) • • . 1 3 5 0 tt PLAN CHECKING FEE (One Fourth Permit Feel 0 a Q 2 7 9 _ _ F PERMIT ISSUING FEE - $700 70 TOTAL FEE > INSPECTION FINALED date 3 _7 -7 Cy By 46__Ie -L- ms WORKEVS'COM ENSATION DECLARATION E,806 C ' APPLICATION _FOR ELECTRICAL PERMIT E808G 12 80) . 1 hereby affirm that 1 have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY ' insure,or a certificate of Workers Compensation Insurance or ' u certified copy the-reeCoof Sec 38 C) c Pd Ii2y� N?—f" fes'J�Cllompany FOR APPLICANT TO FILLEACH N NO FEE ADDRESS 1/ 7 / ❑ New Residential Bldgs &Pools Certified copy is hereby furnished 1 &2 Family,Sq Ft $ — S LOCALI t Certified copy is filed with a on buQdmg inspection Multi family Sq Ft GROSS ST L de m t Residential Swimming Pools OWNEROF `r ad K Ago FIRM NAM Dat Applicant Outlets Rec_Light Sw _ r MAIL f —�vst 20 CERTIFICATE OF EXEMPTION FROM WOR S. Total No Additional Cl - Tel No COMPENSATION INSURANCE, PLAN CHECK APPLICANT ,CL (This section need not be completed if the work involved Lighting Fixtures First 20 ADDRESS by the permit n for one hundred dollar ($100) or less.) Total No Additional Cr 1 certify that in the performance of the work for which this Fd AlNot Over 1 HP CITY Tel No Fixed ppiances permit is Issued, I shall not employ any person in any manner PERMIT L) so as to become subject to the Workers' Compensation Laws Range_ Heater_Ow W _ _APPLICANT Oven fL Dryer—W M _ ADORE 6U) Date Applicant- Top — FAU _W H _ �p Z Hood — Fen _Other_ CITY Tel No NOTICE TO APPLICANT If after making this Certificate of Dial _ Roam Air Cond_ I ENSE OR Exemption, you should become subject to the Workers' REG NUMBER �-cJ �Claeu Y Compensation provisions of the Labor Code you must forth Power Apparatus& large Appliances DISTRICT NO PROCE ED 9LY with.comply with such provisions or this permit shall be deemed revoked Size&Type HP KW, KVA or KVA Up to 1 Incl FINAL e C4 LICENSED CONTRACTORS DECLARAT,I,ON Over 1 to 10 Ind DATE / �3,��/ VALIDATION Over 10 to 50 Incl I hereby affirm that 1 em licensed under provisions of Chapter' Over 50 to 100 Inc FINAL �1 BY ( `j 9 (commenting with Section 7000)of Division 3 of the BwI Over 100 J nese and Professions Code, and my license is in full force and I affect /' ` 3 Services 5f77 License Nu er LIc Ciau J 1-200 Amp Under 600 V - 7 ^oZY^�) 201-1000 Amp Under 600 V Contractor ate Over 1000 Amp or Over 600 V HOME OWNER-BUILDER DECLARATION Temp Power Pole& Appurtenances a 1 hereby affirm that 1 em exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031 5, Bun Additional Sign Branch Circuits nen and Professions Code) 1 Misc Conduits& Conductors 3 0 0 7„7 A 1, os ea owner of the property wall do the work and the Other (SComplete Fee Schedule)— _ ' structure Is not intended or offered for sale (Section a a a e a 2 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY 2 • • 3 2 0 0 I hereby affirm th.it there Is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub Total) issued(See 3097 Cj+• • - 32006 Lender s Name C/�� PLAN CHECKING FEE (One Fourth Permit Feel _ - 062,4,-81 Lender's Address PERMIT ISSUING FEE 70 d I certify that 1 have read this application and state that the TOTAL FEE ,Ov above information is correct I agree to comply with all County ordinances and State Is” regulating Electrical winng and , hereby as s[�ze re re ntatrves of this County to enter upon the abov menti tied pr perry for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ' 4 Signat re of Permittee Dale • COUNTY OF LOS ANGELES - • TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC NOR1;S 9071 LAS TUNAS EL 0508-9804270025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285-0488 EXT: BUION FILE 5114 SEREYO-DR —I FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917803039 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET ROSEMEAD 5388-011-036 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 596 GRID H5 LOCALITY. TEMPLE CITY HA FAU LESS 3HP 1 00 FAU 10.80 JB AC LIMITS +3-10HP 1 00 AC 19 65 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON LB 200 AMP PANELS, MCC 1 00 PAN 38 85 04/27/98 UT 04/27/99 TOTAL FEES 97 05 OWNER TEL NO FINAL DATE Y CODE SOENDJOJO FERRY R;MELAMI P (818) 309-1287- p 5114 SERENO DR / J TEMP 917803039 uralR6TTbp--QF-- NEW—ELECTRICAL—SERVICE—PANEL-200 AMP AND-ELECTRICAL_FOR NEN APPLICANT TEL NO HEATING-AND-AIR-COND _SYSTEM;-_L_J NIEVES ELECTRICAL SERVICE (626) 338.2020- 628 N CHALBU N SPECIAL CONDITIONS NEST COVINA, CA CONTRACTOR TEL NO 5 PNGELES Co APPROVALS DATE imsnTrM-9rfflUT0ffF-- NIEVES ELECTRICAL SERVICE (818) 338-2020- \.� N)'y 628 N CHALBUIN LIC NO TEMPORARY POWER POLE NEST COVINA, CA 91790 686072(-10 ARCHITECT OR ENUrffnlF__ TEL NO UFER GROUND uc No � nnu� ROUGH WIRINGp PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIM CJ ob/c Seryire f�o� REPORT ID OPR265 ROUTE TO SS0508