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Home My Public Portal About10644 FAIRHALL ST_Electrical__ COUNTY OF LOS ANGELES - APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING !& SAFETY ELECTRIC 1. WILLIAM 1. FOX, COUNTY ENGINEER FOR T T L IN TR1CT NO GROUP /ZONE PERMIT NO ELECTRICIA /T ADDRESS ` RECEIVED BY READY FOR DATE ISSUED 741 0 y� FIRST INSPECTION _ CITY NO , �l�{"/I►.d l COUNTY LICENSE NO 41'7 EXPIRES BUILDING PERFEES NIIT DDRESS FEE NUMBER EACH LOCALITY f� LIGHT OUTLETS NEAREST RECEPTACLES P7 CROSS ST WALL SWITCHES OWNER TOTAL OUTLETS-' Sc s l ` MAIL ELEC RANGES 25 ( ADDRESS ELEC HEATERS 25 CITY EL NO ' FIXTURES 5 MISC y I 1-�EREBY ACKNOWLEDGE AT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS - AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBS OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT t POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LI NSE OR 1 AM THE LEGAL OWNER - NEw Mvc HP OVER INC' Ewa1+ OF THE RESIDENTIA ERTY 8CR1 D E I/2&,LESS $ SIGNATURE OF I/2 2 s0 PERMITTE a 2 5 0 00 INSPECTION RECORD 5 1s 1 50 15 50 2 50 w s0 200 5 00 ' 200 500 10 00 J 500 1000 1s 00 Q Z OVER 1000 20 00 M G SET/FREQ CHANGER-HP WELDERS AC-KVA n _ GENERATORS KW TRANSFORMERS-KVA TEMP MOTORS (75% of ORIG ) MOVED MOTORS (75% of ORIG ) - MISC SIGNS NO NO TRANS AMO 11er ALS• NO NO LAMPS FOR EACH PERMIT - DATE INSPE TOR'S NAME WIRING $1 00�� CONDUIT FIXTURES $1 O0 f WIRING Z Zr SUPPLEMENTARY 50 FIXTURES _ POWER !�v TOTAL FEE $ 'S UTILITY CO NOTIFIED W/�Si/ �N-y��E4Ar� FINAL Oft i v I/ 78A 663 13139.# BA 4-82 r I Y �° WORKERS COMPENSATION DECLARATION 806 10/81 APPLICATION FOR ELECTRICAL PERMIT fl ` CE I hereby affirm that I have a certificate of consent to self insure CE606G or a certiflcdte of Workers �ompensfftion Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800 Lab C j Policy NO Company FOR APPLICANT TO FILL IN JOB `, ElCertifiedcopy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS Q —/y F,+1214 A-L.L ❑ Certified copy is filed with the county budding inspection 1 & 2-Family Sq Ft $ — $ LOCALITY department Multi-family Sq Ft — NEAREST �J n L r, CROSS ST: f rf M Date Applicant Residential Swimming Pools OWNER OR �0 t FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec— Light _ Sw MAIL rr�� I , COMPENSATION INSURANCE tADDRESS I-10 R/ �•U((J�i�F/ (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 CITY 0A/W1k Tel No g30y f j ' r PLAN CHECK I certify that in the performance of the work for which this permit r t t .t APPLICANT 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 J I ADDRESS Total No Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of Exemption,you should become subject to the Workers Compensation Range_ Heater_ DW _ - - APPLICANT 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 _ WH _ CITY Tel No LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp --Room Air Cond LICENSE OR Class (commencing with Section 7000) of Division 3 of the Business and REG NUMBER Professions Code and my license is in full force and effect Power Apparatus& Large Appliances DISTRICT NO � PROCESSED BY Size& Type HP KW KVA or KVAR 'NeT 0 License Number Lic Class Up to 1 Incl FINAL r( , Over 1 to 10 Incl DATE VALIDATION 0 Contractor Date Over 10 to 50 Incl❑ 17— FINAL I am exempt under Sec Over 50 to 100 IncBY W ri B&PC for this reason Over 100 W N Services Swbd MCC& Panelboards / ® Z_ Date 0- 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ l Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit s I hereby affirm that I am exempt from the Contractors License Law Additional Sign Branch Circuits the following reason (Section 7031 5 Business and Professions I as owner of the property will do the work and the structure Misc Conduits & Conductors is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) 3TC and Professions Code) _ T f: Ft � � 31 00 CONSTRUCTION LENDING AGENCY i f{', !_L� i 1 X11 1 hereby affirm that there is a construction lending agency for the CHAN.,G�—. performance of the work for which this permit is issued(Sec 3097 PERMIT FEE (Sub-Total) CIV C) — PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE 3 _ Lenders Address I ti sr��r 1 Ar!ICI�t� 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 prope t for spection purp ses SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permdtee bate '* COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF`PUBLIC WORKS 9701 LAS TUNAS EL 0508 0911090021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ' PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID BUILDING ADDRESS ITR 19189 LT 11 I 10644 FAIRHALL ST I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804120 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LOWER AZUSA 8585-027-006 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY Cl ILA 100 AMP PANELS, MCC 1 00 PAN 38 85 ITENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I SR 11/09/10 OWNER y TEL NO I IFINAL DATE FIUAIL BY CODE CHAN, DAISY 10644 FAIRHALL ST V j ITEMPLE CITY CA 91780 I IDE CION OF WORK (UPGRADE SERVICE PANEL TO 100 AMP APPLICANT TEL NO ICHU - (626) 581-7738- 1 I 11830 EWING CT ISPECIAL CONDITIONS (HACIENDA HEIGHTS CONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE IMPACT CONSTRUCTION (626) 821-5308- 115902 HALLIBURTON RD 125A LIC NO ITEMPORARY POWER POLE IHACIENDA HEIGHTS CA 91745 479410 B 1 11 (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER TEL NO JUFER GROUND JARCHIART CORP (626) 581-7738- 1 DBA L J CONSTRUCTION LIC NO IROUGH CONDU 1830 EDWING CT NONE HACIENDA HEIGHTS, CA 91748 IROUGH WIRING (MAIN WATER LINE IPLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED( / - i -V REPORT ID DPR265 ROUTE TO BS0508 l COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OPP PUBLIC WORKS 9701 LAS TUNAS EL 0508 0907220012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID I BUILDING ADDRESS 1 ITR 19189 LT 11 1 10644 FAIRHALL ST I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804120 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LOWER AZUSA 1 18585-027-006 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 20 00 OUT 39 00 1 1 TENANT IG2 LIGHTING FIXTURES 8 00 LGT 15 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 82 35 107/22/09 SR 07/22/10 1 1 I (OWNER TEL NO IFINAL DATE FIN L BY CODE 1 KHAN DAISY - 1 110644 FAIRHALL ST i( �Y�� ITEMPLE CITY CA 91780 I IDESCRIPTION OF WORK 1 1 i (ELECTRICAL FOR ADDITION 1 (APPLICANT TEL NO ICHU (626) 581-7738- 11830 EWING CT I ISPECIAL CONDITIONS 1 1HACIENDA HEIGHTS I I I I 1 ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 11MPACT CONSTRUCTION (626) 821-5308- 1 1I I 115902 HALLIBURTON RD 125A LIC NO 1 1TEMPORARY POWER POLE 1HACIENDA HEIGHTS CA 91745 479410 B 1 1 i (UNDERGROUND CONDUIT 1 1 I 1ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I I 1ARCHIART CORP (626) 581-7738- 1 IDBA L J CONSTRUCTION LIC NO IROUGH CONDUIT 11830 EDWING CT NONE 1 IHACIENDA HEIGHTS, CA 91748 I (ROUGH WIRINGIMAIN NE PLAWATER LI STICY/NMETAL Y/N I I UTILITY COMPANY NOTIFIED I I 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 I I I I I I I I I I I I I I 1 1 I I I I REPORT ID DPR265 ROUTE TO BS0508 I I I I