Loading...
HomeMy Public PortalAbout4837 HALLOWELL AVE_Electrical__ I: 76A6B8 GEB487.BB APPLICATION FOR .ELECTRIC RIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7E.A�R 1 �� /�J� BUILDING AND SAFETY DIVISION U 'v JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING ,t ,bFOR APPLICANT TO FILL IN � r7 Z A /1 4> , PERMIT FEES I T E M NUMBER EACH FEE OWNER Jfi G OUTLE ��yy $ $ MAIL r2 LIGHTS' • RE.EP,T. BW,. .Lr .1O ADDRESS p LIGHTING FIXTURES -10 o2D CITY l fJ L //��••�7 TEL. NO.�� d 7�d� ELEC. RANGES CLO. DRYERS ELECTRICIAN l/ W A T E R H EATERS .50 ADDRESS ELEC.SPACE HTRS. ,DISHWASHERS CITY TEL. NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA. COOKING UNITS '.25 LICENSE NO. ' MOTORS: OVER INC. H.P. DISTRICT NO. GROUP zONE P BY O— 1/2 .25 1/2— 2 '5O INSPECTION RECORD 2= 5 1.00 A 5— 15 1.50 � � 15— 50 2.50 50—200 5.00 SIGNS: NO. TRANS. NO. LAMPS - SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT, 1.00 FIXTURE PERMIT 1.00 - SUPPLEMENTARY PERMIT .SO TOTAL.FEE $ Q APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT n WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED-BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT t AM THE LEGAL-O NER OF THE ABOVE POWER DESCRIBED RESIDE IAL PROF Y. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINA6 v.-"Y '� / �- •-�""-"-•�� ATION ARTHUR C. VETT, CASH SUPERVISING ELECTRICAL ENGINEER - L-0 2 .6 8 .7'V; FEB 2 4 2 A 320 � J i .76A653-CFaQe12-58 APPLICATION FOR ELECTRICPERMIT - R COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS-4f!!3: L1� 1 JOHN A.LAMBIE,COUNTY ENGINEER --�^ CASSATT D.GRIFFIN,SUPT of BUILDING LOCALITY G , .FOR APPLICANT TO FILL IN NEAREST CROSS ST. C�� •� PERMIT FEES OWNER G d A.IG I T E M NUMBER EACH FEE - OUTLETS: g g MAIL 1 LIGHTS RECEPT. SW. 10 ADDRESS LIGHTING FIXTURES .10 CITY TEL.NO.C.- 0;k--7 1P tt ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS 50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS vf CITY EL.NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS: OVER INC. H P DISTRICT NO. GROUP ZONE PROCESSED BY 0— 1/2 .25 _L. A, lie— 2 50 INSPECTION RECORD 2— O 1.00 ` b 5— 15 1507Z:) 15— 50 250 Ls 50-200 200 5.00 SIGNS: NO TRANS NO LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 500 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE I sl APPROVALS 1HEREBY ACKNOWLEDGE THAT' I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA ORTHAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE jQgjjjj FIN�TPA�TTL��^777��� �-'Y co ®P VALIDA ST. UR ERVIS1 G ELETHUR C. CTRICAL ENGINEER CK 'MO CASH a 1 .50 76AG63-FEBoe 7-BB APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER fBUILDING,5�L3 BUILDING AND SAFETY DIVISION DDRESS '9 L L F_ LL JOHN A. LAMBIE, COUNTY ENGINEER T� CASSATT D. GRIFFIN, SUPT OF BUILDING OCALITY '04' �1 NEAREST FOR APPLICANT TO. FILL IN` CROSS ST. G�l�� Z V1.4 PERMT FEES 1 T E MNUMBER -EACH FEE OWNER � ' •% •OUTL S. $ 'v� MAIL p LIGHTS RECEPT SW. O $.f0 �v ADDRESS O J'� ��DIV���LI(i} Q�S LIGHTING FIXTURES -10 2 d CITY11= PA-1 / T TEL. NO.4r— �J /V J ELEC. RANGES , CLO. DRYERS ELECTRICIAN WATER H EATERS .50 _ ADDRESS ' ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. GARBAGE DISPOSERS AUTO.- , STATE WASHERS STA. COOKING UNITS .25 LICENSE NO. MOTORS: AOVER ' INC. H.P. DISTRICT NO. GR(� P ZONE. ED BY .25 �� A-1 1/2— 2 .50 INSPECTION RECORD 2— 5 1.00 5-1 1s 1.50 Is— 50 2.50 501-200 5.00 NO. TRANS. SIGNS: NO. LAMPS,- SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 - SUPPLEMENTARY PERMIT .50 ' TOTAL FEE- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND'AGREE,TO COMPLY CONDUIT ' WITH ALL COUNTY, ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. • WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ' CALIFORNIA OR THAT I AM THE "LEGAL OWNER OF THE ABOVE- POWER DESCRIBED RESIDENTIAL PROPERTY SIGNATURE UTILITY CO.NOTIFIED OF' PERMITTEE -FINALI I A ATION ARTHUR C.•VEIT, CK Mo CAaH SUPERVISING ELECTRICAL ENGINEER ,�0 3 3 8 0 MAR 1 2 2 A 8.4.5 766663A-CE806A 4/72 APPLICATION OR ELECTRICAL PERMIT CITY �oF.T.•C. CiOUNTY OF LOS ANGELES ,DEPARTMENT OF COUNTY ENGINEER, BUILDING. BUILDING AND SAFETY DIVISION ADDRESS L83 N. �I 110WI All-9-- LOCALITY TEMPL- CITY NEAREST FOR APPLICANT TO FILL IN CROSS ST, OUTLETS NO EACH FEE SCHEFFING DonuD OWNER ��Lkl. 1�� RECEPT._ MAIL FIRST 20 ADDRESS LIGHT TOTAL - �'�'Q OVER 20 CITY � �',yTYT.EL. N0. yyp ^7183 SWITCH= _ PLAN CHECK LIGHTINGFIRST 20 APPLICANT TOTAL OVER 20 ADDRESS FIXTURES RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT 'IF-AM HGC RANGE DRYER_WTR. HTR._ APPLICANT T� �T STA. COOK DISP. F.A.U. 'ADDRESS 2034 N PECK RD SPACE HTR. AIR COND. - CITYTEL. NO.579-7982 CLOTHES WASH. DISHWASH. LICENSE,NO. 265094 CLASSC-20 ' FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V IND HEATERS, ETC. HP KW KVA ELECTRICAL WIRING SIZE N TYPE OVER TO 0 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR � 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF (� - CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO LV / RESIDE IN, THE ABOVE DESC IPED RESIDENTIAL PROPERTY. N 1 — 10 ®�S/�{ 10 — 50 OF PERMRITTEE W 2 '31 2(5 SIGNATU 50 — 100 DISTRICT NO. 96w4Y6 ZO E P OCE BY 100 — S00 SIGN, GAS SIGN AND ONE CIRCUIT NOTES: , TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVICENOTOVER600VOL TSOR200AMP APPROVALS DATE INSPECTOR'S SIGNATURE 44 SERVI CE OVER 600 VOLTS OR 200 AM P , TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES • UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM ROUGH CONDIUT WIRING FIXTURES -• , POWER AUTHORIZED PERMIT FEE (SUBTOTAL) 0UTILITY CO. NOTIFIED i PLAN CHECK FEE FINAL PERMIT ISSUING FEE TOTAL FEE I PLAN CHECK VALIDATION CK M 0 - cAs PERMIT VALIDATION' CK M.0 • CASH' 5"5-'3AUG . 9 .2 0- 10.5 A WORKERS'COMPENSATIONDECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT CE-806 I hereby affirm` 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 a certified copy thereof(Sec. 3800,Lab. C.) FOR-APPLICANT TO FILL IN JOB /LJ � Policy No. - Company New Residential Bldgs.&Pools //EACH NO. FEE ADDRESS 'a. �4t '' Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Certified copy-is filed with the county building inspection Residential Swimming Pools OWNER 0 CROSS ST department. FIRM NAME ` 'C, Date----------, Applicant ,Outlets• Rec.—Light_Sw MAIL G First 20 ADDRESS D /k," !E CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITYL C Tel No`/ COMPENSATION INSURANCE: t 4 } PLAN CHECK d APPLICANT O (This section need not be completed if the work involved by the permit is for one hundred dollars ($100) or."less.) Lighting Fixtures First 20 ADDRESS Additional Total No. Q I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY el No.• U permit is issued, I shall not employ any person in any manner PERMIT � '/'�� lL so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT V" a, t Oven _ Dryer_W.M. ADDRESS CnZ Date Applicant - Top _ FAU _W.H.,_ Hood _'Fan —Other— NU Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Ce tificate of -Disp. — Room Air Cond._ LICENSE OR Exemption, you should •become subject to the Workers' REG. NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. - PROCESSED BY with comply with such provisions or this permit shall be Size&Type HP,KW,•KVA,or KVAR deemed revoked.. 3 1 Up to 1 Incl. FINAL S DECLARATION Over 1 to 10 Incl. DATE • Over10 to 50 Incl. r'� LICENSED CONTRACTOR ' VALIDATION • r I FINAL I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions Code, and my license is in full force and effect. Services License Number Lic.Class 0-200 Amp. Under 600 V 201-1000 Amp:Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION, Temp.Power Pole&Appurtenances - ,I hereby affirm that, I am exempt from the Contractor's Sign with One Branch Circuit License Law-for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): ' Misc.Conduits&Conductors ,214 1,8.21A 1, as owner of the property, will do'the work and the Other (See Complete Fee Schedule)— #-o X0'0 0 0 2 structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AOENCY 2.o,-.- 1 1.5 0 ` I hereby affirm that there ,is a construction lending agency for the performance of the work for which this permit is !oI0•;o.1 1.50' c issued(Sec. 3097,Civ.C.). PERMIT FEE (Sub-Total) 0 6-Q'1 r—8 2 . Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE O 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 laws, regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned pro erty for inspection put oses SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee at