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Home My Public Portal About4847 HALLOWELL AVE_Electrical__ 76A663_CE806 5.62 APPLICATIO FOR EL RICAL PERMIT •� COUNTY OF LOS ANGELES DEPARTMLNT OF COUNTY ENGINEER BUILDING 7 �UILDING AND SAFETY DIVISION ADDRESS / JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. (/ R E C EP T. TOTAL NO. EACH FEE A/ LIGHT OUTLETS FIRST 20 $2O $ „`(' MA'oV L ER 'CCL /V 'Z Aoo'L 10 ADDRESS SWITCH. OVER 20 _'J/63 LIGHTING F`IRST 20 20 CITY / TEL. NO. FIXTURES } I ADD'L 10 ELECTRICIAN DW OVER 20 /+ RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITYTEL. NO. DISHWASH. AUTO.-WASH. STATE XIACi HTRc STA.APP.(yz H.P.MAX.) .50LLICENSE NO. -57,11 MOTORS: OVER NOT OVER H.P. DIST T tiO. GROUP I Z NE PESSE�D /BY O t 1.00 _ t C,v- 1 3 1,50 INSPECTION RECORD 3 S 2.00 8 15 2.50 a 15 50 3.00 S! _ j. - O 50 100 5.00 /�! ` O SIGNS: NO.TRANS- V NO.LAMPS D/e ".�`. Q- . ! �'Z... „,1-..A_ W D_ SERVICE 0.60OV-NOT OVER 200A 1.00 Z SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 d2 ) SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE IEGe OW OF THE ABOVE DESCRIBED REST TIAL ROPERTY. T� POWER SIGNATUREy� UTILITY CO.NOTIFIED OF PERMITTEE FINAL LIDATION ARTHUR C. VEIT I� MO CASH SUPERVISING ELECTRICAL ENGINEER CK LAL;o3883 SEP 4 2 g90 %76A663'-t}E606 9-67 APPLICATION FOR ELECTRICAL PERMIT ollr COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER ✓ // /.I COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST.( f1La.1i✓f.�,.i �./ 'l � .,/!..✓ Y�_ NO. EACH FEE $ RECEPT. $ OWNERMAIL LIGHT r4! TOTAL FIRST 20 .20 :ir ADDRESS l SWITCH_1L OVER 20 .10 CITY TEL. NO. r LIGHTING �TOTAL FIRST 20 .20 CONTRACTOR , FIXTURES F� OVER 20 .10 ADDRESS c' /Of RANGE—DRYER—WTR.HTR.- 0 G I T Y i..{, TEL.yyN O. T ,"�,� % � /✓ SA.COOK�DISP. i F.A.U.— LICENSE NO. " 7 , SPACE HTR. AIR GOND. D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AN STATE THAT THE ABOVE-IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CLOTHES WASH. DISHWASH. ELECTRICAL WIRING. FANj_OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL 7OPERTY. SIZE & TYPE OVER TO SIGNATURE 0 – 1 1.00 OF PERMITTEE di✓��✓7 � �,- '�y�`� �' d 1 – 10 3.00 DISTFICT NO. GROUP N� P S ED BY �U 10 – 50 5.00 a' 0 50 – 100 10.00 NOTES: c Lu 100 – 500 15.00 N TUBE,SIGN,GA SIGN AND ONE CIRCUIT 3.00 z MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING ISSUING FEE 2.00 �_ ��(� FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL y. [� TOTAL FEE J JOSEPH C. ROOHAN SUPERVISING ELE RICP,L ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. 0M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS' COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I affir.g� that I have a certificate of consent to self CE-806G ero, ._�r'_�certificateE�j�Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY ;,aca ertified copy;iierwt (Ses.-4800, Lab. C.) Policy No. ompany FOR APPLICANT TO FILL IN JOB ar�j7 J� �`d we ❑ Certified co is hereby furnished. EACH NO. FEE ADDRESS VST A , PY Y New Residential Bldgs. & Pools F-1 Certified copy is filed with the county building inspec- y, q. $ — $ LOCALITY 77*,, & 2-Famil S Ft. le, �l tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSSST. la7e��Jsal Date Applicant OWNER OR `/� _� / J� FIRM NAME CJGr! C A h r1. f Ce•V t� /�liffqajr4Arry CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets: RLfghtSw. ` - b` COMPENSATION INSURANCE ADDRESS '7�[ 7 �d- •,� (This section need not be completed if the work involved by � First 20 CIT .'ri the permit is for one hundred dollars ($100)or less.) Total No. Additional fa �' f�G�L Tel. No. I certify that in the performance of the work for which this PLAN CHECK . P APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensatio Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional �� CITY Date Applicant Fixed Appliances of Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ orr D.W. Compensation provisions of the Labor Code, you must forth- Oven _ Dryer W.M.— ADDRESS with comply with such provisions or this permit shall be Top' _ FAU —W.H. — deemed revoked. CITY Tel. No. � LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other— �� LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. Class. REG. NUMBER (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCLJBY IZPower Apparatus & Large Appliancesand Professions Code,and my license is in full force and effect. � /y C)Size &Type HP, KW, KVA, or KVARU License Number Lic. Class Up to 1 Incl `—� FINALOU �= Contractor Date Over 1 to 10 Incl. DATE 'y -- VAI ATION ❑ Over 10 to 50 Incl. FINAL �,y W I am exempt under Sec. Over 50 to 100 Inc. BY %7� v fn B.&P.C. for this reason Over 100 Z Services, Swbd., MCC& Panelboards Date: 0 -200 Amp. Under 600 V. r� Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Moint. Elect. SINGLE FAMILY Temp. Power Pole & Appurtenances z S 7 4 .2 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit f.o o.o 0 0 I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits °•° 5'6 7 5 Law for the following reason (Section 7031.5, Business and Professions Code): o•° 656,75001 I, as owner of the property, will do the work and the Misc. Conduits& Conductors � � ,1 ;� m 8 8 structure is not intended or offered for sale (Section Other (See.Complete Fee Schedule)_ ► 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I 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 Lerider's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE t above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and here y authorize representatives of this County to enter upon the ove-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE /-//- vo Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0207030014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING D S: ON FILE 4847 HALLOWELL AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803457 ASSESSOR I FO MAT ONNUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-016-008 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 4.00 LGT 7.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: JB AC UNITS +3-10HP 1.00 AC 19.65 07/03/02 JK 12/30/02 LB 200 AMP PANELS, MCC 1.00 PAN 38.85 OWNER: TEL. NO: TOTAL FEES 105.75 FINAL DATE FINAL BY: CODE: MARCO AMATO (310) 851-2158- 4847 HALLOWELL AV TEMP 917803457 DES R P l0N-'OF WORK ELECTRICAL FOR NEW ENTRY, UPGRADE PANEL APPLICANT: EL. 0: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR NGINEER: TEL. NO: U ER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N TILITY COMPANY NO IFI D REPORT ID: DPR265 ROUTE TO: SS0508