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