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HomeMy Public PortalAbout5524 HALLOWELL AVE_Electrical__ 76A663_CES06_9-57 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING _ I �j. . ��� ® �®� BUILDING AND SAFETY DIVISION ADDRESS v /+�a JOHN A.LAMBIE,COUNTY ENGINEER / _ CASSATT D.GRIFFIN, SUPT OF BUILDING LOCALITY ��� b"'- �• NEARESTFOR APPLICANT TO FILL 1N CROSS ST PERMT FEES 1 T E M NUMBFRI EACH FEE OWNER OUTLETS: - $ $ MAIL - LIGHTSveZ RECEPT. 8W. .10 D ADDRESS LIGHTING FIXTURES .10Q CITY ' TEL'NO. l.s 20 L�o ELEC.RANGES CLO.DRYERS ELECTRICIAN• - !r/ �� ft�LC• WATER HEATERS -.50 �O ADDRESS ����� vO/�•77 � ELEC.SPACE HTRS. DISHWASHERS ` GARBAGE DISPOSERS - AUTO- CITY B ova 'K TEL.NO WASHERS srA.cooiclNa UNITS .25 STATELICENSE NO. MOTORS: ovER INC H P. DISTRICTNO. JGR UP ZONEREADY FOR INSPECTION O — 1/2 .2 5 - 1y'^ 14 1/2 — 2 .50 INSPECTION RECORD 2 — 5 - 1.00 - 5 — 15 1.50 15 — 50 250 50— 200 5 00 SIGNS: NO TRANS NO. LAMPS SERVICE 0-600V .1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 .p g FIXTURE PERMIT 1.001,014 (' SUPPLEMENTARY PERMIT 50 TOTAL FEE $ p APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE,TO COMPLY CONDUIT WITH ALL -COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING s 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES 2-13 it^R.Gb LICENSED AS' REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR ,THAT I AM THE L L WN R OFTHE ABOVE POWER DESCRIBED RESIDENTLAL PROPERTY. SIGNATURE UTILITY CO.NOTIFIED I , Is w OF PERMITTEE /y, �/ FINAL 3 5"a ` ARTHUR C.VEIT, ' CK mo J,., SUPERVISING ELECTRICAL ENGINEER s J1 3 0 r,�AR.1. ? 2 33G � r FOA663-CESOO 4.60 APPLICATION FOR ELECTRI •AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ,5YQ JOHN A.LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY NEAREST �.4r FOR APPLICANT TO FILL IN CROSS ST PERMIT FEES OWNER 1• o _ I T E'M INUM13ER EACH FEE MAIL OUTLETSt $ $ /1 ADDRESS LIGHTS RECEPT. SW. .10 v LIGHTING FIXTURES .10 CITYTEL.NO ELEC. RANGES CLO. DRYERS ELECTRICIAN f Id _ WATER HEATERS .50 ADDRESS VljZ3 ELEC.SPACE HTRS. DISHWASHERS CITY X.27 ag in TEL.NO. -QS GARBAGE DISPOSERS AUTO.. STATE , LICENSE NO. WASHERS STA.'COOKING UNITS .25 MOTORS: OVER INC. H.P. ' DIS CTC�U.9uP -Z NEP ESSED-BY O — I/2 .25 S 9 X12 - 2 .50 \ INSPECTIONECORD 2 5 1.00 5 — 15 1.5'o O 15 — 50 2.50 O 50 — 200 5.00 G SIGNS: NO TRANS. d NO. LAMPS N Z SERVICE 0.60OV 1.00 SERVICE OVER 600V 5.00 misc. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT S0 TOTAL FEE' S I HEREBY, ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECT •8 SIGNATURE AND STATE,THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 11 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRINGE't/ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR _ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED REST ENT PROPERTY. POWER SIGNATURE UTILITY CO. NOTIFIED h OF PERMITTEE=W 0 twLL:2� — OEM= mm FINA / A LIDATION AR HUR C.VEIT. CK MO CASH 'SUPERVISING ELECTRICAL ENGINEER 2 2 0 8 F E 6 7 2 D 2.8 0 ,BAee�CE8o6.;o.se,,r APPLfCi4TION' FOR ELECTRIC PERMIT 1 BUILDING'AND SAFETY DIVISION Department Of County Engineer• BUILDING J S CiOUIIty Of LOS AIIJeleB ADDRESS JOHN A. L4MBIE. COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY _ NEAREST. FOR APPLICANT TO FILL IN' CROS PERMIT FEES OWNER Cr I, CI L D V Z` R LIGHTS . RECEPTACLES SWITCHES _ / NUMBER ITEM EACH FEE MAIL- ADDRESS TOTALOUTLETS $ .10 1 deo ELEC RANGES, WATERHEATERS,. CITY TEL. NO. , CLOTHES DRYERS :5O � L ELEC. SPACE HEATERS, STAT'Y. COOK' ELECTRICIAN S'A,4/ 1&6:-" /�X e d IN G, UNITS, 'GARBAGE DISPOSERS,' ADDRESS y_ ,�1 Af eR e T AUTO WASHERS, DISHWASHER .25 p LIGHTING FIXTURES .10 / d CITY �VC ,y Gy/q L f'C TEL. NOUN 3G�L/b STATE 9 G /y ' MOTORS LICENSE NO. 7 Q 7' _�6 HORSEPOWER'.. H P. 'OVER INC. DISTRICT NO. GROUP ZONE, READY FOR INSPECTION _ 1/2 &LESS .25 . . / 1/ — 2 .50 . "d INSPECTION RECORD ' 2 5 1.00 5 15 1.50 15 —' 50 2.50 50 200 5.00 MISC. SIGNS I NO.TRANS - LI ' NO. LAMPS SERVICE O-600V 1.00 SERVICE OVER 600V 5.00 -WIRING PERMIT 1.00FIXTURE PERMIT 1:00 'SUPPLEMENTARY PERMIT .50 •APPROVaTS+TOTAL' FEE DATE INSPECTOR'S SIGNATURE IHEREBY ACKNOWLEDGE-THAT I HAVE READ. THIS, APPLICA•AND STATE THAT THE ABOVE'IS CORRECT AND AGREE TO COMPT.•WITH_ ALL •COUNTY ORDINANCES AND STATE LAWS REGULATIq ELECTRICAL.WIRING.' .. - liI HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ ES-LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE CALIFORNIA OR THAT I' AM TH LEGAL OWNER OF THE ABODESCRIBED RESIDENTI PRO E Y. �.' '-�;SIGNATURE CO. NOTIFIED,OF PERMITTEE JOHN A. LAMBIE, VALIDAARTHUR C.VEIT, COUNTY ENGINEER CK Mo • CASH SUPERVISING ELECTRICAL ENGINEER AC-0. 6 8 3,- 'JUL 2 6 ' .2 - 2.8 Q- -Ja 76A663 CE•806(6/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING 4�ND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO, FEE ADDRESSSS� 2 �!/1 ✓.e 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY /�Jn4! /G°d�/�1 Multi-family Sq. Ft. .02 — NEAREST _ /W CROSS ST. Residential Swimming Pools 25.00 OWNER OR FIRM NAME Outlets:Rec Light—Sw. MAIL !/ First 20 .50 ADDRESS.SS� 7" f Total No. Additional .30 CITY ea,el.,M Tel. NO.444;? PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 ADDRESS Additional .30 Toto)No. CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT Range—Heater—D.W. APPLICANT Oven_Dryer_W.M. ADDRESS Top —FAU —W.H._ CITY V Tel. No. Hood_Fan —Other LICENSE OR Disp.—Room Air Cond. 2'50 REG.NUMBER Class. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA. Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&T HP, KW, KVAKVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Type ,or REGULATING ELECTRICAL WIRING. a Up to 1 Inc. 2.50 0 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 29O 25.00 DESCRIBED RESIDENTIAL PROPERT Over 50 to 100 Inc. Lt1) Over 100 40.00 PERMITEE SIGNATURE Services DISTRICT NO. POC SE 8 g 0-200 Amp. Under 600 V 12.50 ZIS 2 — .--- 201-1000 Amp. Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2.00 INSPECTION > INFORMATIONbe Misc.Conduits&Conductors 10.00 ON REVERSE x Other(See Complete Fee Schedule) SIDE Z 0 2 3 .y A Z d {looaoa2 200 $ 950 PERMIT FEE (Sub-Total) Z o10 o 1 9.50P! PLAN CHECKING FEE (One-Fourth Permit Fee) O a Ott 09 —79 PERMIT ISSUING FEE $7.00 TOTAL FEE — > r INSPECTION FINALED W date: /� %may By ; WORKERS' COMPENSATION DECLARATION 20-0019 DPW 3/82 O 1'-hereby,'. that I have a certificate of consent to self 7EA� APPLICATION FOR ELECTRICAL PERMIT insure, or a`certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified--copy thereof (Sec 380Q, Lab. ) , 4 Policy No. Compa FOR APPLICANT TO FILL IN !, JOB ❑Certified copy is hereby furnished New Residential Bldgs. & Pools EACH NO FEE a ADDRESS J 7 PoCertified copy is filed.with the county building inspec- 1 &.2-Family, Sq. Ft. $ — $ LOCALITY ttiioon.clep/arrttmment Multi-family Sq. Ft. NEARECROSSSS Date/ 1% — iAppIicani �(=� � Residential Swimming Pools OWNER ORF . i, FIRM NAME CERTIFICATE OF EXEMPTION FROM'WORKERS' Outlets. Rec Light 4 Sw.— NA COMPENSATION INSURANCE ADDRESS First 20 fi (This section need not be completed if the work involved by Total No. Additional '� CITY � Tel. No. d 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 % so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Total No. Additional� CITY Tel. No Dote Applicant Fixed Appliances Not'Over 1 HP PERMIT NOTICE TO APPLICANT- If, after making this Certificate of APPLICATION — Exemption, you should become subject to' the Workers' Range_ HeaterD.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— TY Tel. Ne 00'1��j LICENSED CONTRACTORS DECLARATION Disp. Room Air Cond. LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER / Class.'G' Z (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. =�� >_ and Professions Code,and my license is infull force and effect. 111 / Size &Type HP, KW, KVA, or KVAR r V Q License Numbe�3Z G �2 Lic. Class Up to 1 Incl FINAL l^ q U Contract Date Over 1 to 10 Incl. DATE -/v` )/ VALIDATION Cr Over 10 to 50 Incl. FINAL O ❑ I am exempt under Sec. Over 50 to 100 Inc BY i jr/11„ LLJ Over 100 CL. &P C. for this reason Ove � Services, Swbd., MCC& Panelboards Z Date: 0-200 Amp. Under 600 V — Signature 201 - 1000 Amp. Under 600 V OOver 1000 Amp or Over 600 V Exemption for Reg. Moint. Eject. SINGLE FAMILY' -I�•I�•T II-T,Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit :_Ir a;`!9 Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits �r = Professions Code): , 1I�ML• ❑ 1, as owner of the property, will do.the work and the Misc. Conduits&Conductors 3; = 2 90 structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— CHt_K ,r o1,? Business and Professions Code). =:����1,,� '' v`i1 CONSTRUCTION LENDING AGENCY -, I hereby affirm ihot 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 ). 91119191-94191 i ;% =i i`F'1 PLAN CHECKING FEE I0-,:,;> i '7, ._• Lender's Name ^' +111 PERMITJSSUING FEE ' 3 Lender's Address 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 upon E the above-mentioned property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ®s nature of Permi ee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0205080040 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING R SS: TR: 12392 LT: 11 5524 HALLOWELL AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ARCD CA 910078417 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8586-013-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 9.00 OUT 17.55 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PRO S 91 D Y: PLAN EXPIRES ON: TOTAL FEES 47.25 05/08/02 JK 11/04/02 OWNER: TEL. N0: FINA 'L DE FINAL BY: CODE: RULON MARGARET R TR (626) 442-5628- (� D 5524 HALLOWELL AV _ ARCD 910078417 DESCRIPTION OF WORK BATHROOM ADDITION APPLICANT: TEL. NO: R J A DESIGN (626) 339-4655- 1144 N EDENFIELD AVE SPECIAL CONDITIONS: COVINA 91722 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ALL TRADES CONSTRUCTION (626) 286-0087- !` 5812 TEMPLE CITY BLVD #208 LIC. NO �;�� �� � TEMPORARY POLE TEMPLE CITY, CA 91780 705760 B I' ? UNDERGROUND CONDUIT ARCHITECT ENGINEER: �� _IUFER GROUN I LIC. NO: I --- - i ,_ ROUGH CONDUIT ROUGH WIRING AIN WATER LIN PLASTIC Y/N METAL Y/N - - UTILITY COMPANY REPORT ID: DPR265 ROUTE TO: BS0508