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Home My Public Portal About5237 HALLOWELL AVE_Electrical__ J 7GA661,.CE806-7-56 APPLICATION FOR ELECTRIC PERMIT • ], BUILDING•AND SAFETY DMSION Department of County Engineer BUILDING County of Los'Angele8 ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMT FEES . NUMBER OWNER Bert T_ 'Pollgra LIGHT OUTLETS - MAIL ADDRESS . RECEPTACLES ' WALL SWITCHES - FEE CITY TEL. NO. - 10 TOTAL OUTLETS ® 52 $ ELECTRICIAN 1µyT ELEC. RANGES 25 ADDRESS ]3n 1`1• r�Z+8,71(�jjl ATpj ATTAR ELEC. HEATERS . 25 CITY --San 11 Cl TEL. NO. KW EA ATE LICENSE NO.1 C-10 FIXTURES 5 • MOTORS DISTRICT NO. GROUP I ZQN READY FOR INSPECTION NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC EACH 16&LESS $ zs• INSPECTION RECORD If2 2 .50 G .t' m9 f� .TJX-1.�2-_ 2 5 1.00 LzVE, 5 15 1 1.50 15 50 1 2.50 50 200 5.00 MISC. -6 Y10 oor NO. SIGNS NO. TRANS. NO. SIGNS NO. LAMPS ' FOR EACH PERMIT. WIRING PERMIT $1.001 .00 FIXTURE PERMIT $1.00 1 .00 - SUPPLEMENTARY .50 _ APPROV.ALS• TOTAL FEE $ DATE INSPECTOR'S SIGNATURE ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT s� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THA _ .T LEGAL OWNE OF THE ABOVE ' DESCRIBED RESIDENT OPE T UTILITY CO.NOTIFIED r SIGNATURE .y OF PERMITTEE -� FINAL JOHN A. LAMBIE. ARTHUR C. VEIT, COUNTY ENGINEER SUPERVISING'ELECTRICAL ENGINEER TAT'0�CAS9 3 9 0 JUN 1 2 2.6 5 '� 76A663 DBS SA 11-50 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES RIC ,1 WILLIAM J. FOX. CHIEF ENGINEER IrEmIL FOR APPLICANT. TO FILL IN DISTRICT, NO. GROUP,I ZONE PE�RIMyIT NO. ELECTRICIAN R F. ZyaltOn RECEIVED BY READY FOR DATE•ISSUED ADDRESS 5134 Ne Acacia Ste FIRST INSPECTION /� �/ CITY San Gab, TEL. NO. AT, 68583 V COUNTY LICENSE NO. 1104 EXPIRES BUILDING - ' 5237 N. Hallovrell` St. PERMIT FEES ADDRESS . NUMBER EACH FEE LOCALITY Temple City LIGHT,OUTLETS 11 NEAREST CROSS ST. RECEPTACLES 14 WALL SWITCHES 12 OWNER Celeste t TOTAL OUTLETS 37 sc $ 1 8.5 MAIL, ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 FIXTURES 11 5� CITY TEL. NO. 5 aJ I 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 1 POSSESS THE ABOVE VALID LOS ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NUMBER HORSEPOWER FEE NEW MVD, HP OVER INC. EACH OF' THE RESIDENTIAL PROP TY DESCRIBED ABOVE. I , 1/� B LESS $ .25 SIGNATURE OF 1/2 2 .50 PERMITTE •, 2 5 1.00 INSPECTION RECORD 5 1s 1.50 +5 50 2.50 • - s0 200 5.00 . ' 200 500 10 00 .J Q Soo •+Doo +s.00 Z OVER 1000 20.00 (; M. G. SET/FREQ. CHANGER-HP _ WELDERS: AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF OR1G.) MOVED MOTORS (76%OF ORIG,) MISC. SIGNS NO. NO. TkANS. APPROVALS` NO. NO LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: - WIRING $1.00 ll 00 CONDUIT - FIXTURES $1.00 �- WIRING �p �Y 27.7, ES I.Z�� •Ti-v�Y SUPPLEMENTARY � - 50 FIXTUP. I , - 4 40 POWER ' TOTAL FEE $ UTILITY CO. NOTIFIED ® ' FINAL WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-9t) 76A663 APPLICATION FOR ELECTRICAL PERMIT l,her�by affirm that I have a certificate of consent to self Insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec 3800 Lab C.) Q Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS NO. EACH -Certified copy is hereby furnished New Residential Bldgs.&Pools $ $ FEE LOCALITYEl �✓�✓ —Certified . dcopy is filed with the county building inspection 1 &2-Family,Sq.FtNEAREST department Multi-family Sq. Ft. CROSS ST. 100 Residential Swimming Pools - ASSESSOR Date Applicant MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM-WORKERS' Outlets Rec. Light Sw. Z OWNER OR n COMPENSATION INSURANCE FIRM NAME First 20 MAIL (This section need not be completed If the work involved by the Total No. Additional. 3 ADDRESS�aH,9/hol�Jr AV L^ permit Is for one Hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY e_q L _ G f TeI No _ ,s'0 is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 PLAN CHECK 1 P g APPLICANT Total No Z- Additional dv 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 provisions or this permit shall be deemed revoked; Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I 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 100 Incl. LICENSE OR Class REG NUMBER d Over 100 DISTRICT NO P ED BY O License Number Llc.Class V Services,Swbd,MCC&Panelboards Contractor Date 0-399 Amp Under 600 V FINAL 400-1000 Amp Under 600 V DATE �� I am exempt under Sec. VALIDATION V Over 1000 Amp or Over 600 V W B&P.0 for this reason FINAL � 0- BRANCH CIRCUIT FEES Date: 15A,or 20A, 120V!¢4�ec O Z_ 1 1 Branc Irc s Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits 7 Exemption for Reg.Mam2 t.Elect 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances AC-C.Teg HOME OWNER-BUILDER DECLARATION �-,,n-, r Oc I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit 33031 hI _4.8•i for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits 1 ITEMS Code) 54-o I, as owner of the property, well do the work and the structure Misc Conduits&Conductors TOTAL �° ,cE-am 5 =s is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , CHECK `14,81 and Professions Code). CHANGE. n 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.) 0000-000 8 1 7f 18/96 , Lender's Name 1/A`Z4 PLAN CHECKING FEE 7551 1 PM 5:03 - o-/ / PERMIT-ISSUING FEE Lender's Address 3 J/fleL //C�� I certify that I have read this application and under penalty of purjury state TOTAL FEE l/f 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 purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE /f... `I t SIGNATURE OF PERMITTEE DATE WORKERS'COMPENSATION DECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that 1 have a ce to of c to s COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Wo s at w-Fnr e,or e � rt �.) _ � ( FOR APPLICANT TOFILL IN JOB � Policy o. Compan ` ADDRESS_ - New Residential Bldgs.`&Pools EACH NO. FEE ❑ tified copy is hereby fur_ni d. 1 &2-Family,8q. Ft. $ — Is LOCALITY7 ❑ - Multi-family Sq. Ft. — NEAREST Certified copy•is filed with the county building inspection CROSS ST departmentResidential Swimming Pools OWNER O . _ � FIRM NAME Datepplicant Outlets Rec.—Light I Sw MAIL First.20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. COMPENSATION INSURANCE } PLAN CHECK 0. (This section need not be completed if the work involved APPLICANT 0 Lighting Fixtures First by -the-permit is for one hundred dollars ($100) or less.) Additional- ADDRESS lU Additional Total No. I certify that in the performance of the work'for which this Fixed Appliances Not Over 1 HP CITY Tel No. 0 permit is issued, I shall not employ any person in any manner PERMIT 0 so as to become subject to the Workers' Compensation Laws. Range—,Heater_D.W. _ ` APPLICANT f , 7 W I Oven Dryer_W.M._ / �. ADDRESS to Datd-,24:2 F Applicant Top FAU _W.H. Z Hood Fan —Other— CITY T I NOTICE•TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond._ LICENSE OR, /fir Exemption, you should become subject to the Workers' REG.NUMBER J /7Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. P C D BY with comply with such provisions or this,permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR Up to 1 Incl. FINAL Over 1 to 10 Incl / D ATE �,l• VALIDATION LICENSED CONTRACTORS DECLARATION r Over 10 to 50 Incl. . I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 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 `� 0-200 Amp. Under 600 V / License Number. Lic.Class 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 Additional Sign Branch Circuits • License Law for the following reason (Section 7031.5, Busi- 2 0 Q 4 A ness and Professions Code): Misc.Conduits&Conductors #�o o•o•o o'2 ❑ I, as, owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 2'o 0 2 a,5 0 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY o '0'0 2 4,5 0 v I hereby affirm that there is a construction lending agency for the performance of the work.for which this permit is PERMIT FEE (Sub-Total)• �, 8—8 issued(Sec. 3097,Crv.C). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE 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 pon tfie a ove-mention d property for Ls�ection pur ses. SEE REVERSE FOR EXPLANATORY LANGUAGE I Signature of Perm' ee. ate 1 ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1307310045 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING'ADDRESS: ITR: 15874 LT: 15 5237 HALLOWELL AV (FEE DESCRIPTION: QUANTITY: UOM- AMOUNT: ( TEMP CA 917803461 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET FREER 18585-019-015 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE: 597 GRID- C4 LOCALITY: TEMPLE CITY CAI IF1 120V, 15/20A BR CKTS 4.00 BR 69.20 I (TENANT: ILA 100 AMP PANELS, MCC 1.00 PAN 38.90 IISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEES 135.90 107/31/13 SR TOWNER. _ TEL. N0: IFI ALITE FI _ _ CODE,: IPOLLARA, FLORENCE (626) 444-5060- ,[ 15237 HALLOWELL AV ITEMP 917803461 ID S RIP ION OF WORK I IINSTALL 100 AMP PANEL & 4 20 AMP KITCHEN CIRCUITS (APPLICANT. TEL. N0- I ISAME AS OWNER - I 1 ISPECIAL CONDITIONS: 1 ICONTRACTOR: TEL. NO: I IAPPF_OVALS DATE INSPECTOR SIGNATURE 1 SAME AS OWNER LIC. NO (TEMPORARY POWER POLE I I I IUNDF:RGROUND CONDUIT I 1 I I I I (ARCHITECT OR ENGINEER: TEL. N0: iUFER GROUND I LIC NO. I IROUGH CONDUIT I ROUGH WIRING I IMAIN WATER LINE I I I (PLASTIC Y/N METAL Y/N I .I 1UTILITY COMPANY NOTIFIED( I I I I�I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 !REPORT ID: DPR265 ROUTE TO: BS0508 1 I I 1