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Home My Public Portal About10649 FAIRHALL ST_Electrical__ 76A663 CE 8068 1-.1 APPLICATION FOR ELECTRICAL PERMI .� Z COUNTY OF LOS ANGELES rr DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS QO �,�t��f��BLI BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN LOCALITY - C New Residential Bldgs &Pools EACH (NO FEE CROSS NEAREST Gz-✓� ZV )A1 &2-Family Sq Ft $ 025 ' — $ OWNER OR Multi family Sq Ft 02 — FIRM NAME Residential Swimming Pools 2500 MAIL ADDRESS Outlets RecLight I Sw CITY Tel No First 20 50 r'-L 00 PLAN CHECK Total No� Additional 30 APPLICANT ��1« V 17 C �tOj�I ADDRESS lIcy .,,.L_ !r: C' Lt/fO Lighting Fixtures First 20 1 50 Q CITY Tel No 17 Total No _I APPLICANT C 03111 L0A� Additional 30 PERMIT a!Ft Fixed Appliances Not Over 1 HP ADDRESS Range—Heater_D W CITY _ C, Tel No Oven —Dryer_W M_ If / 7� LICENSE OR Top —FAU —W H REG NUMBER 0 Z Class ^ Hood-Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp — Room Air Cond 250 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING , Power Apparatus&Large Appliances Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS A ES COUNTY AND STATE OF CALIFORNIA OR THAT I AM �- Up to 1 Incl 250 THE LEGAL OWNER F T ROVE DESCRIBED RESIDENTIAL PROPERTY C Over 1 to 10 Incl 500 c.') Over 10 to 50 Incl 12 50 PERMITTEE Over 50 to 100 Inc 2500 SIGNATURE Over 100 4000 DISTRICT NO PROCESSED BY ii c Z Services 0 200 Amp Under 600V 1250 a INSPECTOR S 201 1000 Amp Under 600 V 2500 APPROVALS DATE SIGNATURE Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Pole&Appurtenorces 1000 Sign with One Branch Circuit 1000 ROUGH CONDUIT -Additional Sign Branch Circuits 200 WIRING Mlsc Conduits&Conductors 1000 FIXTURES Other(See Complete Fee Schedules POWER AUTHORIZED UTILITY CO NOTIFIED — FINAL PERMIT FEE (Sub Total l 6 NOTES PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $700 7 00 TOTAL FEE D0 +s' `f 4aW(SA CASH PERMIT VALIDATION CK M O CASH POLICY HOLDER-460AV� 4 0,8i"MAY 11 2 p 6.0 0 A.% N FOR F16LI 1`l fftIV., /7 D ILSCHEDULE,;, COUNTY OF LOS ANGELES - APPLICATION FOR PERMT DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1 DIVISION OF BUILDING IS SAFETY WILLIAM J. FOX, COUNTY ENGINEER FORP NT FILL IN DISTRICT NO GRROOUP ZONE PERMIT NO ELECTRICI 5 ADDRES xfRECEIVED BY READY FOR DATE ISSUED NO _ FIRST INSPECTION • 1 / 7;� CITY EL I� ' ! COUNTY LICENSE NO EXPIRES BUILDING PEDUT FEES ADDRESS NUMBER EACH FEE LOCALITY LIGHT OUTLETS ' t NEAREST 'RECEPTACLES CROSS T WALL SWITCHES OWNER TOTAL OUTLETS 5C $ , MAIL ELEC RANGES 25 ADDRESS` ELEC HEATERS 25 FIXTURES 5 CITY TEL NO i MISC I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS f 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER NEW* MVD FHP OVER INC EACH OF THE RESIDENTIAL P OPERTY DE RIBED BOVE '/2 a LESS $ 25 -/ / — SIGNATURE OF � I/2 2 50 PERMITTE 2 5 1 00 INSPECTION RECORD 5 ' 15 1 50 15 5F20 50 20 200 50 J 500 100 Z OVER 1000 M G SET/FREQ CHANGER—HP — — — WELDERS AC-KVA r GENERATORS KW TRANSFORMERS-KVA TEMP MOTORS (75% OF ORIG ) MOVED MOTORS (75% OF ORIG ) MISC SIGNS NO _ NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INSP CTOR•S NAME WIRING $1 00 CONDUIT FIXTURES $1'OO .! WIRING SUPPLEMENTARY 50 FIXTURES POWER t /► 1 i 4R12IviM I/— TOTAL FEE $'i� UTILITY CO NOTIFIED aE/� V/ FINAL 76A 663 DBS IIA 4-88 ' ' . • WORKERS COMPENSATION DECLARATION 200019 DPW 3/87 w I hereby APPLICATION FOR ELECTRICAL PERMIT affirm that I have a certificate of consent to self CE 806G O _a msure-01•21b certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or;-,Certified copy thereof (Sec 3800, Lab C ) '+ Policy No Company FOR APPLICANT TO FILL IN JOB / �o T ❑Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS D G`+ _7'11#11' l ❑Certified copy is filed with the county building mspec- 1 &2-Family, Sq Ft $ — $ LOCALITY /� — T 7 tion department Multi-family Sq Ft — NEAREST Residential Swimming Pools \ CROSS ST - Date Applicant OWNER OR /� `` (� FIRM NAME ff j V61\ CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�Light Sw_ MAIL COMPENSATION INSURANCE First 20 L ADDRESS (This section need not be completed if the work involved by Total No Additional CITY Tel Nor 566�,'s the permit is for one hundred dollars ($100)or less ) PLAN CHECK 'I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers C mpensotion Laws Additional Date 416. icant Total No CITY Tel No NOTICE TO APPLIC T If, after Stking this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should becom object to the Workers Range— Heater—D W _ _ APPLICATION Compensation provisions of the or Code, you must forth- Oven — Dryer —W M — ADDRESS with comply with such provis4a, s or this permit shall be Top — FAU —W H — deemed revoked Hood — Fan —Other— CITY Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR Disp — Room Air Cond REG NUMBER Class I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO PROCESSED BY d and Professions Code,and my license is in full force and effect --- d ' Size &Type HP, KW, KVA, or KVAR / 0 License Number Lic Class Up to 1 Incl FINAL V Over,l to 10 Incl DATE 1 VALIDATION CC Contractor Date Over 10 to 50 Incl FINAL F_ ❑ I am exempt under Sec Over 50 to 100 Inc BYA W B&P C for this reason Over 100 \ t1 Z Services, Swbd , MCC & Ponelboards Z Date 0-200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Maint Elect O,.er 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole& Appurtenances L HOME OWNER-BUILDER DECLARATION cc vi I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit r Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits iJi3i 1,!,i II_t Pr fessions Code) i ITEMS iEMj Y I as owner of the property, will do the work and the Misc Conduits 8 Conductors ,.� structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ TOTAL 12 _ 00 Business and Professions Code) ` CNECK 1.011 CONSTRUCTION LENDING AGENCY �HAN3E _ _ ,ljlj j hereby affirm that there is a construction lending agency for _ the performance of the work for which this permit,is issued PERMIT FEE (Sub-Total) — (Sec 3097 Civ C ) , PLAN CHECKING FEE l�it�l[i-1rl[) I 12/ Lender s Name7126 1 All 8 1 PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE l' above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above-mentioned prop rty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Ir tteer Date ' , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0612080002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 19189 LT 26 10649 FAIRHALL ST FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804121 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET PAL MAL 8585-027-012 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY C LB 200 AMP PANELS, MCC 1 00 PAN 38 85 TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 12/08/06 JK 06/06/07 OWNER TEL NO FINAL DATE FINAL BY CODE , ARES, MARIO (626) 616-6381- 10649 12--1150?`-' ^L_/� r(Q- 10649 FAIRHALL ST TEMP 917604121 DESCRIPT OF WORK UPGRADE ELECTRICAL PANEL TO 200 AMP APPLICANT TEL NO SAME AS OWNER - SPECIAL CONDITIONS CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO UFER GROUND _ 4 LIC NO ROUGH CONDUIT ! ROUGH WIRING r MAIN+,WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED L REPORT ID DPR265 ROUTE TO BS0508 t '