HomeMy Public PortalAbout5243 HALIFAX RD_Electrical__ 76A663 CE"06R 9/7$ APPLICATION FOR ELECTR CAL PERMIT
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r COUNTY OF LOS ANGELES I
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
FOR APPLICANT TO FILL IN - - LOCALITY,
NevJ Residential Bldgs &Pools EACH NO FEE CNEAREST ROSS ST " I y
1 &2-Family,Sq Ft $ 025 — $ OWNER OR
Multi-family Sq Ft 02 — FIRM NAME MCL-5 a/V1
Residential Swimming Pools 20 00 MAIL
ADDRESS
Outlets Rec LightSw CITY C( Tel No
First 20• 50 PLAN CHEC �'.
Total NoAdditional 30 APPLICANT
ADDRESS
Lighting Fixtures ' First 20 50
CITY Tel No
Additional 30 PERMIT /�
Total No APPLICANT ( 1. -'
Fixed Appliances NotHP ADDRESS Irk t
Range_Heater W CITY Tel No
Oven _Dryer W M_ `
LICENSE OR
Top —FAU —W H �� REG NUMBER Class �=
Hood—Fan _Other_ / HEREBY ACKNOWLEDGE•THAT I HAVE READ THIS APPLICATION AND STATE
Disp — Room Air Cond 0 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 ANGELES COUNTY AND STATE ALIFORNIA OR TH I AM
Over 1 to 10 Incl �hp 5 00
Up to 1 Incl 2�� THE LEGAL OW OF THE ABOVE DESCR ED RE EN IAL PROP
�— 0" Over 10 to 50 Incl 1000 PERMITTEE
Over 50 to 100 Inc
20 00 SIGNATURE
Over 100 30 00 DISTRICT Nl PR E S0.ED�/�Q/ Q
Services f B �`""` 176 '
0-200 Amp Under 600 V 12 50INSPECTOR N
201-1000 Amp Under 600 V
25 00 APPROVALS DAT SIGNATURE
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole&Appurtenances 1000 ,
Sign with One Branch Circuit 1000 ROUGH CONDUIT2 00
Additional-Sign Branch Circuits WIRING
Misc Conduits&Conductors` 15 00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO NOTIFIED
]FINAL Q-za, U
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING.FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE
TOTAL FEE
CK M O CASH PERMIT VALIDATION CK' M O CASH
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POLICY � O 9�1 2, 5 AUG ='4 2. 1 �:5
LDE&
SEE BACK OF APPLICATION FOR,COMPLETE SCHEDULE ®s•
oz
r PERMIT 1
7 A663
DSS-5A APPLICATION FOR ELoECTRIC Y ERMIT i
DSS-5A 9 55
DMSION OF BUILDING AND SAFETY
Department of County Engineer
NG
County of Los Angeles ADDREISS �
WM.J. FOX, COUNTY ENGINEER
CASSATT D.GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST ✓cexr9o;iP
LIGHT OUTLETS
NUMBER EACH FEE ,
OWNER
'
RECEPTACLES MAIL -
ADDRESS
WALL SWITCHES 1
TOTAL OUTLETS _ 52 $ CITY - TEL NO
ELEC RANGES _ 25 ELECTRICIAN' ��oo
_ELEC HEATERS 25 ADDRESS d �'YrGY
Alf-
KVV EA - CITY TEL. NO.
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS
NUMBER OF RECEPTACLE CIRCUITS
DISTRICT NO. IGROUPI
ZONE READY FOR INSPECTION
MOTORS II 40od
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC EACH'
1/2 @ LESS $ .25
1/2 2 50
2 5 1 00
5 15 1.50
15 50 250
50 200 1 5,00
MI$C.
NO SIGNS ,, NO TRANS'
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1.00 Q U
FIXTURES $1.00 (�
SUPPLEMENTARY 50 APPROVALS -
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT n
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �I
WITH ALL, COUNTY ORDINANCES AND STATE LAWS REGULATING I(/
WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL O ER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL BROP TY.
SIGNATURE UTILITYCO NOTIFIED f
OF PERM ITTEEFIN
AL
WILLIAM J. FOX. COUNTY ENGINEER VALIDATIONA.
C.VEIT.CHIEF ELECT. INSPECTOR
�Co 9 1 5 5 S OCT 19 . 2 2.7 5 �'
76AGG3 Des 5A II-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES dL�I c
WILLIAM J. FOX, CHIEF ENGINEER E L t:C"
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN R. F. Walton /" _ JG
C L+ RECEIVED BY READY FOR DATE ISSUED
ADDRESS 5134 11. Acacia St. FIRST INSPECTION
CITY San Gab. TEL NO AT 68583
COUNTY LICENSE NO 1104 EXPIRES BUILDING '
PERMIT FEES ADDRESS 5243 N. Hallowell, St.
NUFEE LOCALITY Temple 'City
'IMBER EACH
LIGHT OUTLETS 11 NEAREST
CROSS ST.
RECEPTACLES 14
WALL SWITCHES 12 o 5 OWNER Celeste
8
TOTAL OUTLETS 37 5c $ 1 MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY - TEL. NO.
FIXTURES 11 5 55 '
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 'IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWEFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
R
NEW MVD HP OVER I INC.
EACH OF THE RESIDENTIAL PRO DESCRIBED ABOVE.
1/2 9 LESS I $ .25 SIGNATURE OF
1/2 2 .50 PERMITTEE
2 5 1 00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5,00
200 500 10 00 - ,J
_ 500 1000 15 00 Z
OVER 1000 20 00 _ (;
M G SET/FRED CHANGER-HP _ IY
WELDERS AC-KVA
GENERATORS-KW '
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF:ORIG ) _
MOVED MOTORS (75%OF ORIG.) +
MISC
SIGNS
NO. NO. TRANS. I APPROVALS
NO NO LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT
CON
WIRING $1 00 DU IT
FIXTURES $1 00 0 WIRING L _
SUPPLEMENTARY - ° 50 FIXTURES r
4 40 POWER
TOTAL FEE I $ I UTILITY CO:NOTIFIED
/ FINAL
VI