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Home My Public Portal About5252 HALLOWELL AVE_Electrical__ 76A663-CE806 3-69 APPLICATION FOR ELECTRICAL PER�IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADD RES d C ` JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCAL IT FOR APPLICANT TO FILL IN. NEAREST CROSS ST. NO. EACH FEE $ $ OWNER RECEIPT._ MAIL LIGHT TOTAL FIRST 20 ,20 ADORES SWITCH OVER 20 ,10 CITY TEL.NO. ,- jo PLAN CHECK LIGHTING TOTAL FIRST 20 ,20 APPLICANT ADDRESS FIXTURES OVER 20 .10 RANGE DRYER_WTR. HTR. CITY TEL.NO. STA. COOK DISP. F.A.U. CONTRACTOR SPACE HTR. AIR COND. _I ADDRESS CLOTHES WASH. DISHWASH.� CITY TEL.N0. FAN_OTHER 1.00 ® LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. --� 0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND 5TATEOF 1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, O 10 - 50 5.00 V SIGNATURE Cie 50 - 100 10.00 OF PERM ITT O F- 100 - 500 15.00 DISTRICT NO. GR�(L�p ZONE PjtOCES D BY W SIGN,GAS SIGN AND ONE CIRCUIT 3.00 S"� N TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: 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 FIXTURES PERMIT FEE (SUB TOTAL) PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT, ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 O FINAL CI TOTAL FEE U JOSEPH C. ROOHAN- SUPERVISING ELECTRI ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 5 6.7 4 P- JU.. 2 2 D, 3.0 0'`' SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE =/E��I��I///[/!/f//•V I 7,GA663.CEB06-10.56 APPLICATION FOR ELECTRIC . PERMIT BUILDING AND SAFETY DMSION Department of County Engineer BUILDING County of LOS Angeles ADDRESS ^ JOHN A. LAMBIE. COUNTY ENGINEER / CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY _ l.^ jq NEAREST FOR APPLICANT TO FILL IN CROSS "Y' _ PERMIT FEES LIGHTS RECEPTACLES SWITCHES _OWNER 1 601 le—IF NUMBERI 1 T E M EACH FEE MAIL ADDRESS C TOTAL OUTLETS $ 10 $ LOW X _ ELEC. RANGES, WATER HEATERS, CITY TEL. NO. CLOTHES DRYERS .50 ELEC SPACE HEATERS, STAT'Y. COOK- ELECTRICIAN . INB UNITS, GARBAGE DISPOSERS, ADDRESS f AUTO WASHERS, DISHWASHER .25 , LIGHTING FIXTURES •10 CITY' TEL. NO. MOTORS - STATE - LICENSE NO. HORSEPOWER H.P. �j OVER INC. DISTRICT NO. GROUP ZONE READY FOR INSPECTION I/= &LESS .25 Ya - 2. .50 !�7 � INSPECTION RECORD 2 5 1.00 n, , 5 15 1.50- 'I 15 50 2.50• 50 200 5.00 f�v�y MISC. �� /J .0 / v v ov SIGNS I NO.TRANS NO.LAMPS SERVICE O-600V 1.00 SERVICE-OVER 660V 5.00 � WIRING PERMIT 1.00 01/ FIXTURE PERMIT. 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE DATE INSPECTOR'S SIGNATURE IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APILICAT16N AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /1 ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES / LICENSED AS REQUIRED BY LOS ANGELES COUNTY D STATE 0 CALIFORNIA OR THAT A THE LEGAL ER F THE ABO I. POWER DESCRIBED RESIDENT P PER71 SIGNATURE r UTILITY CO. NOTIFIED / OF PERMITTEE FINAL JOHN A. LAMBIE: AATION., RTHUR C. EL COUNTY ENGINEER � K Mo CASH SUPERVISING ELECTRICAL ENGINEER V. �, !_ 0 2,4`O Ilu s '.18 2 9.3 5 M DSS DEP�YMENS OF BUYH�A ING ANDaSA Y'iEY 1� rbc��11Y®1\ d®� S�lll ill COUNTY OF LOS ANGELES "ELECTRIC WM. J. FOX CHIEF ENGINEER Q NAME ®�/�/� DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS r�> `— 3/ • / IU CITY c� TEL.N T RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION m CERT.NO. dy �{p EXPIRES APPLICANT FILL IN IIEAVILYI OUTLINED PORTION ONLY ` DESCRIPTION OF WORD JOBDRESS //lY h �I �1/ �.� NUMBER OF OUTLETS ON CIRCUITS LOCALITY C� LOCATION BY ROOMS iNEAREST LIGHT OUTLETS JSW. PLUGS FDfT "CROSS ST i -CIRCUIT A B C D E F G H / iY NAME S7_ ER. MAIL �i > ( 3 ADDRESS 13 / �• Al O CITY ///r/�/L / TEL.NO. ,' l AM THE LEGAL POSSESS O TH ABOVE LOS ANGELES COUNTY CERTIFIC E 4 IFICATION.. ELECTRICI�C(d, f AM THE LEGAL OWNER OR THE PROPERTY DESCRIBED 'Asovs OWNER. ' /mac ti /• / CORRECTIONS A,ATo o 1 �� / 3 a� i � 1ED /. Z �A L I TOTAL— NO. NO. OF OUTLETS ss $ /c�7 APPROVALS NO. OF FIXTURES 12 �• DATE INSPECTOR'S NAME NO. OF MOTORS m2w. �/ $ 'CONDUIT tX /7l ' NO. OF SIGNS TRANS. $ WIRING ' / / V NO. OFffi OR HEATERS $ O. FIXTURES MISCELLANEOUS $ POWER / PERMIT PEE $ �, UTILITY CO.NOTIFIED ` •.� /.., TOTAL FEE 2 FINAL WORKERS' COMPENSATION DECLARATION 76A663', 10/81 CE-806G APPLICATION FOR ELECTRICAL PERMIT,, .., ; 1 t 'ehV%' ffiYn,that I have a'certrficate of consent to self'insure, or a certificate of Workers' Compensation Insurance;or a certified COUNTY OF LOS ANGELES; 'BUILDING,AND SAFETY copy 4hered( 3800,La ) .b Policy No, _ FOR,APPLICANT,TO FILL IN •-• - .... 'JOB-' _ ❑ 'Certified co is hereb furnished = EACH' NO -.FEE .-, ADDRESS.; t}, PY Y New Residential Bldgs.&,Pools $ $ LOCALITY "( �q Certified copy is fded'with.•the county building ins ection 1 & 2 Family,Sq Ft. — 4`" de rtm nt' Multi-family.Sq Ft, NEAREST. p , CROSS ST''; Date Applica, Residential Swimming Pools. OWNER OR-.` r •• _ �.! FIRM NAME ;'CERTIFICATE OF EXEMPTION FROM WORKERS"" ( I .MAIL COMPENSATION INSURANCE • ,Outlets�Rec Light=—•Sw '; • + ADDRES-' -- (This section need hot be,corripleted if,the work-Involved by the First 20 permit is for one^,hundred dollars,($100)or less.) Total N �_ Additional CITY Tel PLAN TI certify•that.in.the performance of the work.,for which-this,permit APPLICANT.K Js.issued,;•I shall not employ any person,m••any.,manger so as to s become subject,to the Workersw Compensation Laws Lighting,Fixtures First-20 ADDRESS, 1 Additional t' S Total'No "CITY., Tel No Date Applicant . ;. Fixed Appliances Not Over-1'HP NOTICE' TO APPLICANT: If, ,after making this.Certificate ,of ' PER „ Exemption,you shouldfbecome subiect.to.the Workers'Compensation Range_,Heater_ DW APPLICANT ' provisions of the Labor Code,^you must forthwith comply with such Oven Dryer• W M '_ ° .ADDRESS 1 ,'prowsions,or,this permd,shall:be deemed revoked Top .FAU -W.H - CITY Tel No LICENSED CONTRACTORS DECLARATION. Hood — Fan Other_ e 1•hereb' affirm that•I am licensed'under rovisions of Cha ter 9-, LICENSE OR Y P ,, P `•r Disp` — Room Air Corid •. Cla� <-1 (commencing,with Section 7000)-of Division 3 of the^siness•and REG-NUMBER412 Professions Code,and my hcense•is in full force and effect.' Power Apparatus-& Large Appliances e DISTRICT NO O ED BY � ' , �: Size& Type HP,KW,KVA,or-KVAR / �" U -'L'icense Number � / v Lic Class J Up,to 1 Incl' FINAL . U �� (1 Over 1 to 10 Incl 00 DATE VALIDATION Con�racto ate Over 10 to 50 Incl 0 - • ,Q "V ❑ I am exempt under Sec- Over 50-to.100 Inc FINAL BY B&P.C.for this reason Over 100 . SeFvtces, Sw6d,MCC&Panelboards , Z Date 02 200,Amp Under 600 V Signature 201 '-'1060 mp Under'600 V Over,1000 Amp•or Over 600 V ❑ Exemption for Reg Maint.Elect SINGLE FAMILY ;Temp,Power Pole& Appurtenance's HOME OWNER-BUILDER-DECLARATION 1 hereby affirm that I am exempt from the Contractor'sAdditional SignBranch.Circuits License Law Sign with One Branch Circuit•_ ri o !-�•^ for the follow (Section 7031 5, Business and Professions Code)' _ '7307 7i f)- ' Misc•.Conduit`s & Conductors ,• �; -z _. • '.- _ - •" ❑, 1,as owner of'the property,wdl•do the work'and the structure -, !Ell'S . 1 ' Other(See Complete Fee Schedule) _ pis not i6tended'or offered,for'sale (Sectio6'704'4_„Business , , _ [_ ► s':_. 'and Professions Code) 70 CONSTRUCTION LENDING AGENCY - tMECK- 29.71_( I hereby affirm that there is a construction lending agency for'the performance of the work for which this permit is issued(Sec 3097, f' PERMIP FEE (Sub-Total)" l0• ,'CHANGE Civ C) _ PLAN CHECKING-FEE' _I% Lender's Name _ f �_(- � 23 it�i ii It ! PERMIT ISS Lender's 'r.. Lender's AddressQ 7.iL AN 10 I certify that I have read-this application and state that the above TOTAL FEE.',,,.- information is'correct. I agree,to comply with all'Couniy ordinances Y.',•,. and•State laws'regulating*Electrical wiring, -and hereby'authorize. representatives of,this-County to enter upon,the above-mentioned proper for i ection purposesr SEE REVERSE FOR EXPLANATORY�LANGUAGE- y ' Slghzrurre of Per I ee Dat ' i a ., •