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Home My Public Portal About5519 HALLOWELL AVE_Electrical__ 7,6A663-0806 3-69 '�G /y+t�- I--,- COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER TLOCALITY BUILDING AND SAFETY DIVISION J JOHN A. LAMBIE, COUNTY ENGINEER 6'Al COLEMAN-W. JENKINS, SUPERINTENDENT OF BUILDINFOR APPLICANT TO FILL IN . NO. EACH FEE RECEIPT. $ $ OWNER MAIL ADDRESS !J LIGHT TOT L FIRST 20 � .20 - g SWITCH aL----- OVER 20 .10 CITY / �� TEL.NO.,S' PLAN CHECKv LIGHTING TOTAL FIRST 20 .20 d APPLICANT - - FIXTURES '� ADDRESS OVER 20 .10 RANGE_DRYER_WTR. HTR. CITY - TEL.NO. STA. COOK!DISP. _F.A.U. CONTRACTOR 15 IE SPACE HTR. AIR COND'. ADDRESS ,4tj CLOTHES WASH.J DISHWASH. CITY ;;moo( �, �J� TEL.NO. z� FAN OTHER 1.00 LICENSE•NO. CLASS • —.I 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 L05 ANGELES COUNTflAND STATEOF >- 1 - 10 3.00 CALIFORNIA OR THAT 1 AM HE LEGAL OWNEROF, AND INTEND TO RESIDE IN, THE ABOVE DE CRIBED RESIDENTIAL PROPERTY. O 10 - 50 5.001 1 V. SIGNATURE 50 - 100- 10.00 OF PERMITTE - •� 100 - 500 15,00 DISTRICT NO. GRO P ZON� PROCESSED BY U Q� CL W SIGN,GASSIGN AND ONE CIRCUIT. 3.00 'J 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 NSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING b FIXTURES PERMIT FEE' (SUB TOTAL) - PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED J14 SUPPLEMENTARY PERMIT ISSUING'FEE 1.00 O FINAL [ TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION"" CK. M.O. CASH � _PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9708110003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA - PHONE: (818) 285-0488 EXT: BUILDINGLEGAL ID: FEES PAID TR: 30308 LT: 4 5519 HALLOWELL AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ARCD CA 910078418 ASSESSOR0 E NEAREST CROSS STREET: r 8586-015-027 Al PERMIT ISSUANCE.FEE 27.75 THOMAS PAGE: 597 GRID: B3" "LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 TENANT: H2 RES GRBG DISP LT 3HP 1.00 DIS 10.80 ISS 0 PROCESSED H3 RES DISHWASHR LT 3HP 1.00 DIS 10.80 08/11/97 RF _ 08/11/98 H7 RES EXHAUST FANS 1.00 EX 10.80 OWNER: TEL. O: TOTAL FEES 64.05 FINAL DATE FINAL_ BY: CODE: BRUNO JACK A•NORMA V (818_)_ 444-9967 'f - 5519--HALLOWELL 'AV r / ARCD 910078418 DESCRIPTION OF R ELECTRICAL FOR KITCHEN REMODEL APPLICANT: TEL. MC CORMAC CONSTRUCTION (626) 447-6193- SPEC L CONDITIONS: CONTRACT R: TEL. O: ^ 9�� APPROVALS DATE INSPECTOR SIGNATURE MC CORMAC CONSTRUCTION (818) 447-6193- \�UjaU 370 CAMINO REAL LICNO -co TEMPORARY POWER OLE ARCADIDIA, CA. 91006 482011 0 B AUND RGRO ND COND IT CHITECT OR R: TEL. NO: UFER GROUND LIC. NO: I " n _-_�`� ROUGH CONDUIT L ROUGH WIRING ih r �� (� I 14AIN WATER �� I I a �1� PLASTIC Y/N METAL Y/N UTILITY COMPANYT REPORT ID: DPR265 ROUTE TO: BS0508 t WORKERS'COMPENSATION DECLARATION CEA806G 10/81 APPLICATION FOR ELECTRICAL PERMIT I Maieby of firm that I have a certificate of consent to self insure, -,D,,a celtificate of.Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY c590-476702 p thereof(Sec 3800,Lab C) tiV 9 G-4 7 9 7.O 2 Frem011"� FOR APPLICANT TO FILLJN JOB Policy No' `Company ADDRESS .5 519 N. Hallowell ❑ Certified copy is hereby furnished New Residential Bldgs.& Pools_ EACH NO FEE ® 1 & 2-Family, Sq Ft $ — $ LOCALITY Temple Cit Certified copy is filed with the,county building inspection department Multi-family Sq Ft — NEAREST CROSS ST Arden ,Drive Date 4-16-9-1 Applicant AAA 'Con rl gi r Residential Swimming Pools OWNER OR FIRM NAME Bruno CERTIFICATE OF EXEMPTION FROM-WORKERS /- •Outlets Rec— Light Sw. — MAIL COMPENSATION INSURANCE ADDRESS 5519 'N N. " Hallowell (This section need not be completed if the work involved by the First 20 CITY Tel permit is for one hundred dollars ($100) or less.) Total No Additional- Tem le Ci- X44-9967 I certifythat in the performance of the work for which this permit APPLI C NT P p APPLICANT is issued, 1 shall not employ any person in any manner so as to become subject to the Workers'Compensation,Laws Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT ,If:. after making this Certificate of APPLICANT AAA Conditioned Air Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ provisions of the Labor Code, you must forthwith comply with such Oven Dryer _ W M. _ ADDRESS 10160 Valle Blvd. provisions or this permit shall be deemed revoked - Top FAU XX WH _ LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITYE] Monte Tel.t 5 7 9-18 O 0 I hereby affirm that I am licensed4U6der provisions of Chapter 9 Disp Room Air Cond LICENSE OR (commencing with Section 7000) of Division 3 of the Business and REG NUMBER 2.93-529 Class C 2 O Professions Code,and my license is in full force and effect. DISTRICT NO PR SED BY Power Apparatus& Large Appliances • Size& Type HP,KW,KVA, or KVAR License Number 2 9 3 5 2 9 Lic. Class C 2 0 - Up to 1 Incl. FINAL V U Contractor AAA C n n r7 Ai r Date 9--�Q—9 2 �`p Over 1 to 10 Incl. DATE / � VALIDATION Q ❑ Over 10 to-50 Incl FI Ni I am exempt under Sec Over 50 to 100 Inc. BY W B&PC for this reason Over'100 �v • .'n Services,Swbd,MCC & Panelboards •:, _ Z Date. 1 0 00- 200 Amp Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ ' Over 1000 Amp or Over 600 V Exemption for Reg Maint.Elect SINGLE FAMILY Temp.Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit - r•,- i a I hereby affirm that I am exempt from the Contractor's License Law ��•t•s a r for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits E� i Code) i ii�7 ;11�n EJ�M Misc-Conduits &'Conductors -I d EMS - ❑ I,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule) is not intended or offered for sale (Section 7044, Business ® il �� - ® O ` and Professions Code). CONSTRUCTION LENDING AGENCY CHECK 4C#'011 I hereby affirm that there is a construction lending agency for the C performance of the work for which this permit is issued(Sec 3097, PERMIT FEE (Sub-Total) !-i{i�f13G ,!lf} Civ C), PLAN CHECKING FEE Lender's Name 00 00-000 1 4/1 i0,151.L PERMIT ISSUING FEE Lender's Address - 642% 1 AM 8- I °I certify that I have read this application and state that the above TOTAL FEE .� information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives o this County to enter upon the above-mentioned property for ins a tion pupob raw SEE REVERSE FOR EXPLANATORY LANGUAGE David ross Signature of Permittee Date o --