The URL can be used to link to this page

Home My Public Portal About10632 FAIRHALL ST_Electrical__ % COUNTY OF LOS ANGELES' — APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER ELECTRIC DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, COUNTY ENGINEER FOR `NTT LIN DIS RICT NO GROUP ZONE PERMITNO ELECTRICIAN ADDRESS P - RECEIVED BY READY FOR DATE ISSUED n t— FIRST INSPECTION / !� CITY EL NO , ,y�/,Y(,•.J COUNTY LICENSE NO Q EXPIRES i BUILDING /�� PERMIT FEES ADDRESS FEE / NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES SS T WALL SWITCHES OWNER TOTAL OUTLETS 5c $ MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS 25' t FIXTURES 5 CITY L NO MISC I HEREBY ACKNOWLEDGE T AT I HAVE READ TH113 NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVD HP OVER INC EACH OF THE RESIDENTIAL P O TY DES IBED A OVE a.ESe $ 25 SIGNATURE OF I/2 2 50 PERMIT TE 2 s 1 00 s 1s 1 so INSPECTION RECORD Is 50 2 50 50 200 5 00 200 500 10 00 J 500 1000 1s 00 Z OVER 1000 20 00 M G SET/FRED CHANGER-HP + WELDERS AC-KVA ! 01 + GENERATORS KW TRANSFORMERS-KVA TEMP MOTORS (75% OF ORIG ) MOVED MOTORS (75% OF ORIG ) MISC SIGNS 4 NO NO TRANS APPROVALS NO NO LAM FOR EACH PERMIT DATE INSPECTOR'S NAME WIRING $1 00 CONDUIT FIXTURES $1 00 WIRING SUPPLEMENTARY 50 FIXTURES POWER TOTAL FEE $ �� UTILITY CO NOTIFIED FILIAL �� /S r 76A 888 ..S# GA 4-32 IN CITY OF TEMPLE CITY 76A663-CES06 4-68 APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 10632 Fairhall JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temple Cit FOR APPLICANT TO FILL IN NEAREST NO EACH FEE CROSS ST Lower Azusa $ $ OWNER William Wallace FRECEPT� MAIL TOTAL FIRST 20 20 ADDRESSl0632 Fairhall OVER 20 10 CITYTem le Clt TEL NO 448-1468 PLAN CHECK TOTAL FIRST 20 20 APPLICANT OVER 20 10 ADDRESS RANGE_ORYER_WTR HTR _ CITY TEL ,N0 STA COOK_DISP ,F A U _ C0,4TRAC TORCOnlee & Son Electric SPACE HTR AIR CONO ADDRE551030 N. Grandview Ave. CLOTHES WASH _DISHWASH CIT)S San Gabriel TEL NO 280-2007 FAN-OTHER 1 00 LICENSE ILIO , 242432 CLASS C1J.R MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI SAND STATE THAT THE ABOVE IS CORRECT AND AGREE 70 C SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU ELECTRICAL WIRING , 0 - 1 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED 1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INT10 - 50 5 00 RESIDE IN THE DESfRIPED RESIDENTIAL 0SIGNATURE 50 - I00 10 00 OF PERMITTE E100 - 500 15 00 DISTRICT O GR PNE PSIGN GAS SIGN AND ONE CIRCUIT 3 00TUBE OR MARQUEE ADDITIONAL CIRCUITS 11 00 NOTES SERVICE NOT OVER 600 VOLTS OR 200 AMP 1 2 00 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATURE " TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 2 00 UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE,1 00 - FINAL TOTAL FEE 4 00 JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION - CK M 0 CASH PERMIT VALIDATION ED 0 CASH ' 9 �►� 8 4 2 2:o FEB 14 2 D , 4,0,()r' ME BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERSiCOMPENSATION DECLARATION CE 806G (2 80) Lr IC 63 XCE 8APPLICATION FOR ELECTRICAL PERMIT I hereby &^firm 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 y a certified copy thereof(Sec 3800,Lab'C) _ ,,// - 1 i FOR APPLICANT TO FILL IN SOB / Policy No7_�Company J LEC ��/ ADDRESS �� 1✓ i L!e New Residential Bldgs &Pools EACH NO FEE 0 Certified copy is hereby furnished 1 &2 Family,Sq Ft $ — $ LOCALITY C r y ® r Multi family Sq Ft NEAREST Certified copy is filed with the county building inspection CROSS ST department Residential Swimming Pools OWNER ORt �� IV— ryry �.�' �/ FIRM NAME Date/0 IV— Applicant 1 '��U L-= 4C/ Outlets Rec jr L,g'ht-'q--SwMAIL > > First 2 D tV ADDRESS 4 4:F7 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel N� �(� COMPENSATION INSURANCE, } r � , PLAN CHECK (This section need not be completed if the work involved 3 APPLICANT d by the peimit is for one hundred dollars,($100)nor less) Lighting Fixtu s First Additional ADDRESS z O Additio ` K Total No I certify that,in the performance of the work for which this 1 CITY Tel No Q e permit is issued, I shall not employ any person' Fixed Applia cs Not Over 1 HP in any manner PERMIT so as to become subject to the Workers' Compensation Laws, Range_ Heater_D W APPLICANT LSC/ �' W Oven Dryer_W M ADDRESS , �p�-r Date Applicant ' Top FAU ` W H V I Z Hood,_ Fan, _Other_ CITY �,d Q i/� Tel �/ NOTICE TO APPLICANT If, after making this Certificate of Disp Room Air Cond_ LICENSE/OR _ l� �t ez Exemption, you should become subject to the Workers' f REG NUMBER U�1/��btClass Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PROCES D BY with comply with such provisions. or this, permit shall be Size&Type HP,,KW KVA,or KVAR deemed revoked Up to 1 Incl Over 1 to 10 Incl DATEL L� 4-W rVG LICENSED CONTRACTORS DECLARATION, Over 10 to 50 Incl )/ VAL ATION I hereby,affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINALL/ �J BY C 9 (commencing with Section 7000) of Division 3 of the Busi Over 100 ness_and-Professions Code,iand my-license is_in full-force-and effect , Services License Number �V Lic Class. �� 0 200 Amp Under 600 V 201 1000 Amp Under 600 V Contractor Date Over 1000 Amp or Over 600 V r HOME OWNER BUILDER DECLARATION Temp Power Pole& Appurtenances + 2 8 1 1.3A I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit # ° ° °,° 0,2 License Law for the following reason (Section 7031 5, Busi Additional Sign Branch Circuits ness and Professions Code) I I °' s `i1 [0 - 2250 Misc Conduits,& Conductors I, as owner of the property, will do the work and the, I Other (See Complete Fee Schedule)— ° ° ° 2 2 5 0 U structure is not intended or offered for sale (Section 7044, Business and Professions Code) t� 1 5`�8 7 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)` issued (Sec 3097 Civ C) _ Lender's Name ' PLAN CHECKING FEE (One Fourth Permit Fee) Lender's Address - o ! r PERMIT ISSUING FEE, � - - I certify that I have read this application and state that the TOTAL FEE \above 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 mentiontdroperty for inspection purposes ` . SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date