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Home My Public Portal About5511 HALLOWELL AVE_Electrical__ 78A663-C E806 3-89 771, IInI • . u •�' APPLICATION FOR ELECTRIC L PER COUNTY OF LOS ANGELES • DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ! .L- JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY (' �L FOR APPLICANT TO FILL IN NEAREST CROSS ST. �V NO. EACH FEE $ $ OWNER lr RECEIPF� MAIL LIGHT TOTAL FIRST 20 ,20 ADDRESS S`j z B /L SWITCH OVER 20 .10 CITY 7 /� &/ATEL.N0, 7-9a,�fQ APPLICANT PLAN CHECK LIGHTING TO L FIRST 20 .20 , FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER_WTR. HTR. CITY TEL. NO. _ STA. COOK_DISP. _F.A.U. CONTRACTOR SPACE HTR AIR COND. ADDRESS //f/Q 0,AE�' CLOTHES WASH._DISHWASH. CITY J,E '� TEL. FAN OTHER 1.00 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE 15 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/Oft LICENSEDA5 REQUIRED BY LOS ANGELES COUNTY AND STATEOF } 1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. ND INTEND TO 0- RESIDE RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PERTY. O 10 - 50 5.00 V SIGNATURE 50 - 100 10.00 OF PERMITTEE O 100 - 500 15.00 DISTRICT NO. GROUPZO PR CE D � V w SIGN,GAS SIGN AND ONE CIRCUIT 3.00 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 PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL 1 TOTAL FEE o JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CAS -9 5SEP 2 j 2 0" 5.6 Q r SEE BACK OF APPLICATION FOR COMPLETE FEF SCHEDULE l COUNTY OF LOS ANGELES � APPLICATION FOR PERMIT Department of County Engineer I Asft 1 DIVISION OF BUILDING & SAFETY ELEC WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT,NO. GROUP ZOOGNNE PERMIT NO. ELECTRICIA RECEIVED BY READY FOR DATE ISSUED ADDRESS ... FIRST INSPECTION CITY TEL. NO.4; COUNTY LICENSE NO. EXPIRES -313— BUILDING PERMIT FEES ADDRESS FEE o NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES Idga WALL SWITCHES OWNER TOTAL OUTLETS Sc B / MAIL +� ELEC. RANGES 25 ---r— ADDRESS -16. I ELEC. HEAT5RS 25 CITY L. N0. FIXTUR 3 `f I HEREBY KNOWLEDGE T AT I H VE READ THIS MISC. APPLICATION AND STATE TH THE ABOVE IB CORRECT NUMBIR 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 LOB NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVD. HP OVER I INC- EACH OF THE RESIDENTIAL PROP1-EERRTT�Y?DESCRIBED ,ABOVE. I/2 a LESS $ .25 SIGNATURE OF��CZL�e �- -^ � �'d�/f.�• `%Z Z .50 PERMITTE /TJ 2 3 1.00 INSPECTION RECORD 5 15 1.50 T5 50 50 200 S-00-- All.- �. 20❑; 500 10.00 / ! .�y ry,,7 -JQ 5OO 1000 15.130 i OVER 1000 20.00 MOVED MOTORS (75% OF DRIB.) M.G. SET/FREQ. CHANGER-HP ?i"��il f yf•, 13 WELDERS: WELDERS: AC-KVA GENERATORS - KW TRANSFORMERS - KVA MIBC. _-- --• - kN" f SIGNS NO. NO.TRANS APPROVALS • NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING >$1.00 CONDUIT (FIXTURES $1,00 WIRING e 'SUPPLEMENTARY ,50 FIXTURES —P l (7 d POWER TOTAL FEE # 7 UTILITY CO. NOTIFIED FINAL 76A663 DBS#•5A (:d b 12.53 y WORKERS' COMPENSATION DECLARATION9DPW 9 87 -76A663 APPLICATION FOR ELECTRICAL PERMIT 76-66 O I heieby affirm that I have a certificate of consent to self CE-806G • insure, or'6 certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab C ) " \ Policy No Company FOR APPLICANT TO FILL IN JOB ❑Certified copy is I)ereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS �/ LL b k/�LL 1+1J5 ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $• LOCALITY L u tion department. Multi-family Sq. Ft. NEAREST CROSS ST d/ Residential Swimming Pools OWNER OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets. Rec Z Light )_ Sw. MAIL COMPENSATION INSURANCEADDRESS Q First 20 (This section need not be completed if the work involved by Total No.�1-- Additional CITY Tel. No. the permit is for one hundred dollars ($100)or less.) \ PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'C pensation Laws Additional ja Total No � CITY Tel. No Date 000 v il Applicant Fixed Appliances Not Over 1 HP PERMIT NOTI TOAPPLICANT: If, after akmg this Certificate of APPLICATION Exemption, you should become subject to the Woikers' Range— Heater—D.W. — Compensation provisions of the Labor Code,'you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tei. No. LICENSED CONTRACTORS DECLARATIONLICENSE OR Disp. — Room Air Cond. REG NUMBER Class I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO. PRO ESSED BY d and Professions Code,and my license is in full force and effect. Size &Type HP, KW, KVA, or KVAR �` O License Number /'/ Date 0 Contractor Lic. Class Up to 1 Incl. FINAL U �S—`!V/ � d O Over 1 to 10 Incl DATE VALIDATION Over 10 to 50 Incl FINAL H U ❑ I am exempt under Sec' Over 50 to 100 Inc. BY W B&P.C. for this reason Over 100 t1 Z Services, Swbd , MCC & Panelboards � Z Date. 0-200 Amp. Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ ` Exemption for Reg Maint. Elect. Over 1000 Amp. or Over 600 V zg 9$ rJ,2 A SINGLE FAMILY Temp. Power Pole &Appurtenances o•o,o m 2 HOME OWNER-BUILDER DECLARATION # o I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit -;I a 0,0 Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code). o o,o 0 a 0.0 ❑ 1, as owner of the property, will do the work'and the Misc. Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ , 0 6.11 0; 8 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 Lender's Name PERMIT ISSUING FEE . Lender's Address o I certify that I have read this application and state that the TOTAL FEE above information is correct. 1 agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the ve-mentioned property for inspection purposes EXPLANATORY LANGUAGE' SEE REVERSE FOR EXPLE x D - rture of Permittee' Da Os i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0305130001 1 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 30308 LT: 3 5511 HALLOWELL AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ARCD CA 910078418 AS�SSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8586-015-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY LA 100 AMP PANELS, MCC 1.00 PAN 38.85 TOTAL FEES 66.60ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES . 05/13/03 JK 11/09/03 . OWNER: TEL. FINAL DATE FINAL CODE: YIP DS (626) 446-7888- HALLOW /G o`3 5511 HALLOWELL AV ARCD 910078418 DESCRIPTION OF WORK UPGRADE ELECTRICAL PANEL TO 100AMP APPLICANT: TEL. O: SAME AS OWNER - ECIAL CONDITIONS: CONTRACTOR: TEL. N0: APPROVALS DAT INSPECTOR SIGNATURE SAME AS OWNER LIC. NOTEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUI ROUGH WIRING MAIN WATER LINE i. PLASTIC Y/N METAL Y/N UTILITYCOM Y NOTIFIED REPORT ID: DPR265 ROUTE TO: SS0508