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Home My Public Portal About5214 HALLOWELL AVE_Electrical__ 76A6•53-CE806 4-68 APPLICATION FOR ELECTRICAL • ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND-SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACHFEE RECEPT._ $ $ OWNER MAIL LIGHT TOTAL FIRST 20 20 ADDRESS SWITCH OVER 20 .10 CITY TEL. NO. PLAN CHECK LIGHTING �TOTALI FIRST 20• .20 APPLICANT — --- FIXTURES ---L-1 OVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR._ CITY TE O. STA.COOK_DISP. F.A.U.-L CONTRAC-T'O >• SPACE HTR. AIR COND-1— ADDRESS CLOTHES WASH._DISHWASH._ CITY TEL. NO FAN—OTHER 1.00 LICENS JCLASS., — •v MOTORS,TRANSFORMERS RATING , IND HEATERS, ETC HP. KW KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE 8: TYPE OVER TO SAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1 00 _ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COU ANO STA E OF CALIFORNIA OR THAT I AM THE LEG L OWNER F AND IN D TO 10 - 50 5 00 RESIDE IN, THE OVE DESC P. D RE I TIAL P O ERTY SIGNATURE d. 50 - 100 1000 OF PERMITTE O U 100 - 500 15 00 DISTRICT WO.IGKOUP VZONE PROCESIGN,GASSSED Y o TUBE, OR SIGN AND ONE CIRCUIT 3 00 _ F- Lu MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES: Cn D_ SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 Z 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 PERMIT FEE (SUB TOTAL) WIRING PLAN CHECK FEE (50% PERMIT FEE) FIXTURES POWER AUTHORIZED PERMIT ISSUING FEE 2 00 ® UTILITY CO NOTIFIED 114 SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE JO EPH 6. ROOHAN - SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION 'CK M 0 CASH PERMIT VALIDATIONCK , M O. CASH 9 4 9 5 APR 2 D -4.6':( N Q IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - �- _' ee 16A663-CES06'10.62 APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 211 • Hallowell JOHN A. LAMBIE.-COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY Tem le Qity NEAREST .FOR APPLICANT TO FILL INTELECTRICIAN S ST. i RECEPT. TOTAL NO. EACH - , OUTLETS FIRST 20 $20 $ ER Stover LIGHT ' SWITCH. 1 OVER 20 .1.0ESS p p LIGHTING l TOTAL FIRST 20 .20 TEL. NO. 618— 081FIXTURES ADD'L 1 OVER 20 .10 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 10920 E. Grand GARB.DISP. STA.COOK ' yy - CITY Tem e Cit TEL. NO. 2-12 DISHWASFF� AUTO.-WASH. STATE pp SPACE HTRS. STA.APP.(+/n H.P.MAX.) ,50 O LICENSE NO. 211898 ` MOTORS- OVER NOT OVER H.P. DIS'-s O GR=UPONE P!O ESSED BY 1 1.00 Imo � . l'J _ 1.' _ 3 1.50 INSPECTION RECOR - 3 B 2.00 rte , 8 15 2.50 / u 15 50 3.00 p� 50 100 - 5.00 O SIGNS: NO.TRANS. d NO.LAMPS N .z SERVICE 0.600V•NOT OVER 200A 1.00 SERVICE 0.60OV•OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. " kitchen rpmociL-1 PERMIT ISSUING FEE 2.00 200 0 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 ' TOTAL FEE. $ 1HEREBY ACKNOWLEDGE THAT I 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 1 `( ELECTRICAL WIRING. WIRING _ I I I�I ' //,//V UIQ 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 LEGAL OWNER OF THE ABOVE , DESCRIBED RESIDENTIAL ROPERTY. POWER [Alln SIGNATUREUTILITY CO.NOTIFIED OF PERMITTEE FINAL LIDATION ARTHUR C. VETT CK MO •CASH SUPERVISING ELECTRICAL.ENGINEER J.AC :2.5 .77t2Mv14 2A 6.30- v .76A66:C'- CE806B 12/75 APPLICATION FOR ELECTRICAL PERMIT . BUILD AND SAFETY D SION FOR APPLICANT TO FILL IN JOB New Residential Bldgs. & Pools EACH NO. FEE ADDRESS= 1 &2 Finaily Sq Ft. - $ — $ LOCALITY Multifamily Sq. Ft. — NEAREST CROSS ST. Residential Swimming Pools OWNER OR FIRM NAME Outlets: Light, Switch & Receptacle MAI L o d ADDRESS ' First 20 -- - Additibnal CITY Tel. No. PLAN APPLICANT " Lighting Fixtures First 20 ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances'Not Over 1 HP APPLICANT Range Heater D.W. Oven Dryer W.M. ADDRESS,/^, Top F'AU W.H. CITY Tel. No. i Hood Fan LICENSE R /� p Disp. A.C. REG. NUMBER Classj"Z47 U I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 0 AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LU Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. N Up to 1 Incl• Z 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE C Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY, Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE Services DISTRICT NO ROCE ED B 0-200 Amp. Under 600 V 201 - 1000 Amp. Under 600 V._ APPROVALS DATE SGNATURE IN ECTOR'S Over 1000 Amp.or Over 600 V - TEMP POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK- Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT Gr (Other) WIRING {j '77 �/�� /�}r/ A FIXTURES POWER AUTHORIZED PERMITTEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE r . PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ; 3. 5 ,5i MAY' '1 2 �, 1 `5- :3,0 �`� WORK . COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affilxi thatatI have a certrficate,,of consent to self Insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereoff(Sec.3800 Lab ,C)- Policy No.�.Company�•V 'e — FOR APPLICANT TO FILL IN JOB r ❑ —1 ADDRESS Z` / Cert fied-copy is hereby furnished. New Residential Bldgs &Pools NO EACH FEE _ $ $ LOCALITY •Certified co Is filed with the count •building Ins ection. 1&2-Family,Sq Ft PY Y 9' P - 'NEAREST department Multi-family Sq Ft CROSS ST Date < 3Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR COMPENSATION INSURANCE Outlets Rec Light�L Sw FIRM NAME '/First 20 °" ' (Ttils,sectlon need not be completed If the work Involved by the MAIL Total No. Additional ADDRESSAle permit Is for one hundred dollars($100)or less.) I cer`trfy that In the performance of the'work for which this permit CITY Tel No- — s issued, I shall not employ any pers'on•in any manner,so as to become.subject to the Workers' Compensation Laws Lighting-Fixtures First 20 PLAN C K- ' 'APPLICANN T Total No.— Additional ADDRESS Date Applicant" RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT:,Jf,2 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 suchPERMIT _ provisions•6r.Ahis permit*shall,be deemed revoked Power Apparatus&'Large Appliances APPLICANT L ' LICENSED CONTRACTORS DECLARATION- Size'&Type HP,KW //A,,�or KVAR f� ADDRESS 2 I hereby affirm'that I'am licensed under provisions of-Chapter 9 4 r 3 tt5 10 Inc[ �u (commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code, and my license.ls in full force and effect. Over 10 to 50 Incl. r LICENSE OR Clens a, Over 50 to 100 Incl. - REG NUMBER v O 4 Over 100 DISTRICT NO PR C SSED BY License-Number Lic Class p V ® jrObd�P I r O 0 '� CPI��-ice z- P FINAL.4107 O COntraCfOr Date 39 A Un er 0 DATEI am exempt under Sec. -10WVALIDATION 1000 Amp or Over 600 V FINAL �7 B.&P C.forthis•reason- BY rI (n BRANCH CIRCUIT FEES Date' '45A,or 20A,.120V,Lighting'or Recept V z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El 41 Or More Branch Circu IS _ Exemption for Reg Maint.Elect" 15A,20A,208V To 277V Lighting Br Circuits , SINGLE FAMILY Temp. Power Pole&Appurtenances ��t• a,s HOME OWNER-BUILDER DECLARATION x I herebyaffirm that I am exem t from the Contractor's License Law Sign with One Branch Circuit. { P L for the following reason (Section 7031.5, Business and Professions Additional-Sign Branch Circuits Code). ITEMS I,as owner of the property,will do the work and the structure Misc.Conduits&Conductorsi � -60 ® 40 is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) t)-_}AL•' and Professions Code) ® f:HECy CONSTRUCTION LENDING AGENCY CHANGE .00 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) Civ.C) 'r_ PLAN CHECKING FEE i�Ll�II_ ''1' Lender's Name a ^-��x r"6 PERMIT ISSUING FEE �(p Lender's Address 0 O D I 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 inspection p rposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITT DATE