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Home My Public Portal About4810 HALLOWELL AVE_Electrical__ D6S S-A 6-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER FNAME DISTRICT NO. GROUP ZONE PERMIT NO. ]ADDRESS RECEIVED BY READY FOR DATE ISSUED TY TEL.NO FIRST INSPECTION COUNTY CERT.NO. ✓ EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORT ON ONLY DESCRIPTION OF WORK ADDRESS I u 3f de f NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS Isw. PLUGS I FIXT CROSS ST. CIRCUIT A B C D E F G H 0� NAME Z MAIL 3 ADDRESS r, o '^ s CITY TEL.NO. / 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ' ELECTRICIAN. T AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE / OWNER. CORRECTIONS ` I J Q Z ry O TOTAL NO. OF OUTLETS ' $ APPROVALS NO. OF FIXTURES r $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT Few, foo 1 NO. OF SIGNS TRANS. $ WIRING ''� "'�-"'• �. NO. OF RANGES OR HEATERS $ FIXTURES L ISCELLANEOUS $ POWER ERMIT FEE $ �G eJ UTILITY CO.NOTIFIED04 _ 00 OTAL FEE FINAL OF WORKER'S COMPENSATION DECLARATION 720-0019 6A663 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I4e4 affirm that 1 have a certificate of consent to self insure,ocertificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof t8ec. 3800 Cab.'C.) , Policy No. U ,Company FOR APPLICANT TO FILL IN - JOB ADDRESS Certifiedcop Is hereby furnished. NO. EACH FEE � PY Y New Residential Bldgs.&Pools LOCALITY El $ $Ft Sq. . — Certified copy is filed with the county building inspection 1 &2-Family, _ NEAREST {� department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OWN NAME Q j�1 LD COMPENSATION INSURANCE First 20. FIRMMAIL (This section need not be completed if the work involved by the Total NoAdditional ADDRESS permit is for one hundred dollars($100)or less.) . I certify that in the performance of the work for which this permit CITY 6NPLE Cry Tel.No. y /.s issued, I shall not employ any person in any manner so as to PLAN CHECK / become subject to the Workers' Compen n Law Lighting Fixtures First 20 APPLICANT ` '` rye. y/j3 Total No. Additional L(a ✓�`/'{ +�I/ ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT: If, after making this Certificate .of CITY Tel.No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT /'I �� provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT O LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 1 hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code, and my license is in full force and effect. Over 10 to 50 Incl. Over 50 to 10 n LICENSE Class. / d REG.NUMBER License Number LIC.Class Over 100 DISTRICT NO. PRO E 'D Q Services,Swbd.,MCC&Pane boards / �' Ob ICc Contractor Date 0-399 Amp.Under 600 V DATE O ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V f W Over 1000 Am or Over 600 V 21 IqVALIDATION P ,.FINAL IL B.&P.C.for this reason - BY fn BRANCH CIRCUIT FEES Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El 41 Or More Branch Circuits _ Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY HOME OWNER-BUILDER DECLARATION & Pole Temp. Power PoAppurtenances Sign with One ole& Circuit '- ------._. - { g I hereby affirm that I am exempt from the Contractor's License Law A(L•!' n S for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 6 a c Code): 66IJ L 1 o L:r ❑ t d &C it d C Misc. onus Conductors I,as owner of the property, will do the work and the structure .L �.I Eric) is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 5 and Professions Code). TOTAL _ '—e CONSTRUCTION LENDING AGENCY CHECK 61.65 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) CHANGE .0 I3 Civ. C.) PLAN CHECKING FEE i Lender's Name 25 f jF1f�)I—UU01 'h••',:03f PERMIT ISSUING FEE J _ Lender's Address 4;'� sfl. 81: 12 1 certify that I have read this application and under penalty of purjury state TOTAL FEE ` that the 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-mentioned property /for" pe on pur l' SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE COUNTY'OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0104110016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 13645 LT: 13 4810 HALLOWELL AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803456 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-017-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 39.45 04/11/01 UT 10/08/01 OWNER: TEL. NO: FIPL DATE FINAL BY: CODE: BITTER RONALD M;CATANZARO TANYA L (626) 401-9011 4810 HALLOWELL AV / �/ TEMP 917803456 DESCRIPTION OF WORK ELECTRICAL FOR CONVERTION OF SUNROOM TO LIVING SPACE OF 160SQ.FT. APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: - UFER GROUND LIC. N0: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ` ELECTRICAL PERMIT 4)EPARTMEWT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9802180025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID _.BUILDING ADDRESS: TR: 13645 LT: 13 4810 HALLOWELL AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803456 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-017-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H5 RES WASH MACH LT 3HP 1.00 WAS 10.80 02/18/98 UT 02/18/99 TOTAL FEES 52.20 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: BITTER RONALD M;CATANZARO TANYA L (626) 442-8837- 2 Q 4810 HALLOWELL AV jJ TEMP 917803456 DESCRIPTION OF WORK ELECTRICAL FOR NEW GARAGE AND FOR LAUNDRY 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 LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508