HomeMy Public PortalAbout5534 HALLOWELL AVE_Electrical__ 76A663-CE80611770 APPLICATION FOR ELECTRICAL ERM�ITC
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST �-
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
OWNER
RECEPT.� $ $
MAIL
FIRST 20ADDRESS
LIGHT TOTAL 25
CITY TEL. NO.
SWITCH OVER 20 10 -
PLAN CHECK
LIGHTING 1 TOTAL FIRST 20 *3 125 APPLICANT'FIXTURES OVER 20 10 ADDRESS
7, � •
APPLIANCES CITY T . NO,
RPERMITANGE DRYER_WTR. HTR. APPLICANFXC"
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND.�_ CITY TEL. N0. 3
CLOTHES WASH.' DISHWASH. LICENSE N0. CLASS. Ytj
FAN OTHER / 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING
SIZE & TYPE OVER ' TO '
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNERAND INTEND TO }_
1 - lO •300 RESIDE IN, ' THE ABOV DESCRIBED RESID NTIAL PROPERT�. O
10'- 50500 SIGNATURE V
OF PERM ITT
SO - lOO 1000 DIS�CT NO. CLASS ZON P 0 S BY O
100 - 500 1500 a
SIGN, GASSIGN AND ONE CIRCUIT 500 NOTES: N
TUBE, OR ?
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 .
SERVICEOVER600VOLTS OR200AMP 1000 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT /
WIRING 1V65/7 2-.
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
_ UTILITY CO. NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 300 FINAL
JOS P ROOHAN
TOTAL FEE 0 SUPERV SI ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK M 0. CASH PERMIT VALID ON c1c M 0 CASH
5 _
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,
D89 5-A 12-44 .APPI1CATION FOR•PERMIT
DEPARTMENT OF BUILDING AND 5AFET% �����g
g
R COUNTY OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER
= NAME DISTRIC O. GROUP ZONE PERMIT NO.
Q
U ADDRESS 4?4 3 16 3
FK
�U CITYNO. RECE E BYE READY FOR DATE ISSUED
.l COUNTY FIRST INSPECTION
W CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY • LINED PORTIO1N ONLY
DESCRIPTION OF WORD ADDRESS J
4
NUMBER OF OUTLETS ON CIRCUITS LOCALITY i+
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS' SW:. • PLUGS - FIIiT CROSS ST. 1
RRC A' B' C D `E F_ 'G H K NAME
22 Z MAIL fir{! 4�
ADDRESS Q/° CITY ,�� TEL.NO-AT
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPEJtTY DESCRIBED
ABOVE
I ' OWNER.
CORRECTIONS
J
Q
z
0
TOTAL
NO., OF OUTLETS $ APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING � ^'Y'•�
NO. OF RANGES OR HEATERS $ FIXTURES \'y
MISCELLANEOUS $ POWER
PERMIT FEE $ X UTILITY CO.NOTIFIED �/ r
TOTAL FEE Li.INA I [r ~`
(PERM'i
76AG63-CE306 10-82 APPLICATION •FORELECTRI CAI
COUNTY OF,LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING'AND SAFETY DIVISION ADDRESS .3.� - I-oovr°/
JOHN A. LAM BI E,'COUNTY'ENGINEER
WILLIAM A.-JENSEN, SUPT OF BUILDING _ LOCALITY 19cfe'4 • (�• !/•, `
-FOR APPLICANT TO FILL,IN
NEAREST
CROSS ST. /A,- h .. .
RECEPT. TOTAL NO. EACH FEE '
OUTLETS FIRST 20 $20 $ -OWNER A%✓GI'} /)1f.GE�
LIGHT MAIL
IJJJIJ ADD'L _ ADDRESS
.SWITCH. �•L� OVER 20 •10 „u H 6
TOTAL CITY- pq ( Q Ty!' EL. NO. ' H —tet• '
LIGHTING 1 FIRST 20 20 ' _
FIXTURES Jr ADWL •1D ELECTRICIAN
OVER 20,
-RANGES CLO.DRYERS WTR.HTRS. 1.00. - - ADDRESS �../-3 /3/Ia ova/
-GARB.DISP. STA.COOK.
_ - 'CITY ( TEL. NO. -,Y
DISHWASH,' AUTO.-WASH. STATE • ,
SPACE HTRS. ' 'STA.APP.(M.H.P.MAX-) ,50 LICENSE NO.
-MOTORS: OVER NOT OVER H.P: DIST!,ICT N GRO Z NE P O B
O 1 1.00 y
-iy "• •. '3' 1.so INSPECTION RE�C�ORD;fl..
3 8 - 2.00 wPG �!}• - . /d. a
8 - 15 = •- _ 2.50 .�
15 - 50 3.00 _ / - ne
T
• 50 100 - 5.00 _
SIGNS: •NO.TRANS. - - - LI.
NO.LAMPS -
SERVICE 0.600V-NOT OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00
I
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 - y
SUPPLEMENTARY PERMIT ISSUING FEE. 1.00
TOTAL FEE �' 0
1 HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATUR
DAGE
E '
AND STATE THAT THE ABOVE IS CORRECT ANAGREE TO COMPLY CONDUIT ) A �
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING _-
1 HEREBY CERTIFY THAT I AM PROPERLY, REGISTERED AND/OR
LICENSED AS REQUIRED,BY LOS ANGELES COUNTY.AND,STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE' LEGAL OWNER OF THE ABOVE +' V f
DESCRIBED RESIDENTIAL PROPERTY. _ POWER ♦ '
' •`
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
VALIDATI ARTHUR C.' VEIT
_ - CK M y: CASI•I - SUPERVISING ELECTRICAL•'ENGINEER. , -tv
;
LAC.3 0091.0 NOV 2 9 . , ..2 -O 5..8 0".
t' WORKERS'COMPENSATION'DECLARATION ' 1081
CEA806G APPLICATION FOR ELECTRICAL PERMIT. '.
;•I-hereby affirm that I,have a cegtrficate of consent to self,lnsure,
or a pertificate of Workers' Compensation Insurance,.or'a.certified COUNTY OF`LOS ANGELES " BUILDING,AND SAFETY`
copy thereof (Sec'3800,Lab.C).
Policy Ao µ" Company r FOR APPLICANT'TO FILL IN JOB.
❑ Certlfle .co 'Is hereb furnished., EACH- NO. FEE ADDRESS (/(/
PY - Y w New Residential Bldgs.&'Pools
ob0; $ — $ LOCALITY G "'
Certified copy 'is filed -wit the dounfy building Inspection 1 &'2-Family,Sq.,Ft
department Multi-family Sq Ft NEAREST, �-CROSS V1,
ST t V�1\
`• Residential Swimming Pools
-Date � -Applic8nt'• 5 - ' +' ` "OWNER.OR,CERTIFICATE,OF EXEMPTION FROM WORKERS'. -91
MAIL AME_
` ` •' i MAIL /��_
Outlets Rec— Light Sw 1L�
'COMPENSATION INSURANCE{,. : ADDRESS �j• UQ 1 C` �l
(This section need not be'completed if the work;involved by the - p First-20,
3 .CITY M, ' Tel No.
permit'is for,one„hundred dollars;($100)or less.). Total No Additional IA(��1
•` - ` PLAN CHECK-�. •. �' '
1 certify that•in the',performance of the work for which this permito
•� „ ��b tCl•6f /- -
is issued,•I shall.not employ -manner APPLICANT
any person in any _so as to -• '(`Z s
become subject.to,the Workers'Compensation Laws_ Lighting,Fixtures'9 First 20- ADDRESS
$� "Total No. Additional
Date " .Apphcant ,CITY >d. �� Tel No _ 4
NOTICE 'TO APPLICANT:•.If;a after.,making- this Certificate,:of Fixed Appliances Not Over.1-HP PERMIT, [
Exemption,jou-should become subject to the,Workers'Compensation. Range Heater_ DW APPLICANT, C.^ b
provisions,of'the Labor Code,-you must,forthwith'comply with such Oven �.Dryer _ W M ADDRESS '
rovisions or this ermit shall be deemed revoked Z 1�a
P P .'Top. _-FAU W H CITY” . Tel..No
LICENSED CONTRACTORS DECLARATION .., Hood- k Fan- -V' Other_` -
I ghereby affirm that I,am licensed under provisions of Chapter 9 Disp — Room, Cond' -44
LICENSE OR Ciass`
(commencing with Section 7000) of'Division 3 of the Business and REG.NUMBER ��
Professions Code;aria my license is in full force and effectDISTRICT NO. D SSED BY - h
Power Apparatus& Large Appliances
53Z 6oZ Size& Type HP,KW,kVA,or,KVAR
License Number Llc Class U
Up to 1 Incl FINAL w`A�r
�U ' o 3�t3` .. Over'1 to 1.0 Incl. TB
vAACCT-{i 8
Contractor 7ebP�l Date FlFdLIDATION• .
Over 10 to 50 Iricl -�
❑ y L K -3(]1 ':7. ,
,I am exempt under Sec t Over 50 to 100 Inc �cpf W
BAP C for this reason Over 100 I'G,t� d'.
4 Services,Swbd','MCC& Panelboards a , TOTAL
"Date 0.-
-201-
- 200 Amp.Under'600 V r
Signature. 201 - 1000 Amp.Under 600 V, = ` -NEC 37°
Over;1000'Amp or-Over 600 V
Exemption for Reg Maint Elect ' Nt17�5u
SINGLE FAMILY' .'+' :.,Temp Power Pole&'Appurtenances [[' '
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ttz�tw-�I�Lj1 /1'i/8
I hereby affirm that l,am exempt from the Contractor's License'-Law
Additional Sign Branch Circuits
for the'following reason (Section 7031.5;Business and Professions; APS 9'11'
Code): .
I,•as,owner of the property,will do'the work and the structure' C;s Conduits & Conductors ;
is not intended.or offered for sale (Section 7044, Business Other",See Complete Fee Schedule) :' , •• _
and Professions,Code)
CONSTRUCTION LENDING.AGENCY
I'hereby affi'rm•that there is a"construction lending agency for the
performance of the work for'which,this permit is issued(Sec.3097, PERMIT FEE (Sub-Total)
Civ C)- r
PLAN CHECKING FEE W } }
Lender's Name _ r
s' PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and state-that the above TOTAL FEE f; 3 2 tt='
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 the above-mentioned
property for inspection purposes SEE REVERSE FOR,EXPLANATORY'LANGUAGE• • '
Cay ��
Signature of Permittee Date „
COUNTY OF LOS ANGELES .,j. TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0902240004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR- 12392 LT. 12 5534 HALLOWELL AV _
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( ARCD CA 910078417
(ASSESSOR INFORMATION NUMBER: I - I NEAREST CROSS STREET: '
18586-013-018 IA1 PERMIT ISSUANCE FEE, 27.75 THOMAS PAGE.: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl
I* 1LB 200 AMP PANELS, MCC 1.00 PAN 38.85 1 1
(TENANT: - 1 TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
• I 102/24/09 SR 08/23/09
(OWNER TEL. NO: I IF AL DATE��� FIN BY: CODE:
IMR. & MRS. KEN S ANDY (626) 279-1768-
15534 HALLOWELL AV
(ARCD 910078417 - .. DESCRfPTIOh OF WORK
(INSTALL NEW 200 AMP SERVICE
(APPLICANT: TEL NO:
ITDT CONTRACTOR, INC. (626) 923-9208-
[2402 STRATHMORE AVE. ISPECIAL CONDITIONS: I
IROSEMEAD, CA 91770
ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE
ITDT CONTRACTOR, INC. (626) 523-9708- 1
12402 STRATHMORE AVE LIC. NO 1 ITEMPOR.ARY POWER POLE I I
IROSEMEAD CA 91770 521176 1 1 [ 1
I I (UNDERGROUND CONDUIT I
(ARCHITECT OR ENGINEER: TELNO: IUFER GROUNDI
- �
1 LIC. NO: TROUGH CONDU
I I I
- IROUGH WIRING
IMAIN WATER LINE
1 (PLASTIC Y/N METAL Y/N I I I
(UTILITY COMPANY NOTIFIED1 t" 1
I I I I I I
i I I I I I
I I I I I I
1 I I I I I
I I I I I I
I I I I I I
I (REPORT ID: DPR265 ROUTE TO: BSO508
I I I I
I I I I I I