HomeMy Public PortalAbout5542 HALLOWELL AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY r` 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS- 9701 LAS TUNAS 'EL 0508 040824Crji4
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL -FEES PAIC RESS:
TR: 12392 LT: 13 X542 HALLOWELL AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: -ARCD CA 910078417
ASSESSOR INFO.MATION NUMBER: NEAREST CROSS STREET: I
8586-013-019 Al PERMIT ISSUANCE FEE.. - 2735 TiiOMAS PAGE: 597 GRID: B3 LOCALITY: TEI4PLE CITY, Ci
M1 CONDUITS, CONDUCTORS 1.00 MIS '65.25
TENANT: TOTAL FEES 93.00 ISSUED ZjN: PROCESSED N 2 EXP 0,.:
08/24/04 JK 02/20/05
OWNER: TEL. NC: FINA DA!E FINAL BY: CODE:
DAVIS LAWRENCE E JR CO TR (8818) 44L-8422- ��
5542-HALLOWELI-,AV -/Jf_
ARCD 910078417 D SCR I P i I ON .0, WOR
ELETRICAL TOR PIGEON LOFTS-MISC CONDUITS 'I
APPLICANT: TEL. NO: '
SAME AS OWNER
SPEC1kL CNM IONS: — --!
CONTRACTOR: - TEL. NO: APPROVALS -DATE INSPECTORSIGNATURE
SAME AS OWNER
LIC. NO TEPO�OWER POLE
'- UNDERGROUND CONDUIT !
`.ARCHITECT OR EdGINEEI': FEL. 40: IFETG:20UNO
I
LIC. NO: ROUGH CONDUIT
kOUGN v !
- --- - MnIP7 WATER LINE
PLASTIC
iNEPLASTIC YIN METAL Y/N f�
UT I L 17 Y %O.Ph F.- I I D i
I
i
REPORT ID: DPR265 ROUTE TO: BS0508
D.B.S.} S.$AD2SS�M,�SETS 1110-47�v ny7���p��1 • � p A"111CATIOWN` FOR P P1��
DEPARTMENT ®S FYJSAVJ AN Hl\ll ►7A1�1L11 iaa+���@./a����� 1
Q COIJN'I'Y OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER
Q NAME /� DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESS i1 J� � /
U CITY J� RECEIVED BY READY FOR DATE ISSUED
TEL.NO. /I{ a .� FIRST INSPECTION '/ ��
D COUNTY t
CERT.NO. / EXPIRES
APLICAN'L FILE. IN HEAVILY OUTLINED PORTION ONLY
DESCI;.IP'I`ION OF WORK ADDRESS D /o e t
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NHAREST
LIGHT OUTLETS SW. PLUGS FI1[T CROSS ST. e
CIRCUIT A B C D E I F G JH a NAME i h A?
Z MAIL /
12
2 3 ADDRESS OWe" a 41p-
r o �
! 2 CITY d/OI TEL.NO.
AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGFLES COUNTY CERTIFICATE OF QUALIFICATION.,
r � L
'? ELECTRICIAN.'
�J I AM THE I-ECf,r'19 OWNER OF THE PROPF.,RTY DESCRIBED
ABOVE
7.
2 J 2 a OWNER.
d121 CORREMONS
J
Q
Z_
i7
lY
D
OTAL I
NO. OF OUTLETS $ O APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT `
No. OF SIGNS TRANS. $ WIRING
NO. R HEATERS $ S FIXTURES
MISCELLANEOUS $ LL POWER
PERMIT FEE $ �J UTILITYCO.NOTIFIED
TOTAL P f FiNA "-•�+-r
D13S S-A 6-46 1 "P CATIO FOR PERM
DEPARTMENT ®F BUILDING AND sA�r EI,ECI+���+�+�+�a.
COUNTY OF LOS ANGELES
� WM. J. FOX CHIEF ENGINEER
_� NAME DISTRICT NO. GROUP ZONE PERMIT N
• U ADDRESS
E&d
d'
CITY EL.NO. yE FIRSIVED BY READY
INSPECTION DATE ISSUE�JD
WCOUNTY
CERT.NO. EXPI RM,
��APPLICANT' FILL IN HEAVILY OUTLINED PORTION ONLYJOB -
DESCRE iaON OF WORK ADDRESS - -O 6 �/ 17,0A //o 1/v c '
NUMBER OF OUTLETS ON CIRCUITS. LOCALITY CYO/
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST.
CIRCUIT A B C D E F G H � NAME /
K;Tc
G h G 3 3 ADDRESS ,MAIL �{S 2.2 Q N1/7G �rJ qVG/
O CITY L O.S /"1 h, @/G TEL.NO./j/ /2i
�� em Z a / 1 AM THE LEGAL 'POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
/ `!/1 OG �• J 2, ELECTRICIAN.
ABOVE THE]LEGAL OWNER OF THE PROPERTY.DESCRIBED
L7G l� � / l / •. /,
Q/"R G�Z 2 3 2 2 S OWNER.
v CORREMONS
Nle a X (ll't I.lr%f A a ellJ A!L414 "
�l t
V
• J
Q
Z
• D
TOTAL 8 6 /3 $ $ $ /*
NO. OF OUTLETS S/ $ APPROVALS
NO. OF FIXTURES ' $ / d DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT �• rA,
NO. OF SIGNS TRANS. $ n WIRING r/
NO. OF RANGES OR HEATERS $ / FIXTURES
MISCELLANEOUS $ ` POWER
PERMIT FEE $ �✓ UTILITY CO.NOTIFIED l •y� I /
TOTAL FEE FINAL
76A889-CEB06-7-56 APPLICATION FOR ELECTRIC PERMIT -
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING
County of Los Angeles ADDRESS
13'42 Al -Wadamell
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN.SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT. FEES
NUMBER OWNER
LIGHT OUTLETS MAILr1 .
ADDRESS O
RECEPTACLES - �• '�
WALL SWITCHES' � FEE
CITY TEL. NO.
TOTAL OUTLETS (9 52' •$ ELECTRICIAN � // "b
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
KW EA STATE
FIXTURES S LICENSE NO.
MOTORS DISTRICT NO. GROUP iiZONE READY FOR INSPECTION
NUMBER HORSEPOWER •FEE I I�,•t—`
NEW MVD HP -OVER INC EACH //
lb&LESS $ .25 INSPECTION RECORD
Yi 2 .50
2 5 1.00
5 . 15 1.50
15 50 . 1 2.50
50 200 5.00
misc.
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT: ,
WIRING PERMIT $1.00 �Q _
FIXTURE PERMIT $1.00 O
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ � DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS' APPLICATION CONDUIT `` //� .•�
WITH STATE
THAT COUNTYHORDINANCESCANDECTA ED LAWS TO REGULATING COMPLY
REGULATNG WIRING
ELECTRICAL WIRING. FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY-REGISTERED AND/OR
LICENSED AS•REQUIRED BY LOS ANGELESCOUNTY ND STATE OF POWER
CALIFORNIA OR THAT I AM THE LEGAL OWNER 0 THE ABOVE
DESCRIBED RESID TIAL PROPERTY. UTILITY CO:NOTIFIED
SIGNATURE• "
OF PERMITTEE FINAL
JOHN A. LAMBIE, ARTHUR C. VE
VALIDATI TT.
COUNTY ENGINEER s SUPERVISING ELECTRICAL ENGINEER
GK mo
D
LT; 77n5� MAY 2 2 2 .95 B,
X94
' APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �'�' !/a
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO'FILL IN NEAREST.
PERMIT FEES. CROSS ST.
ITEM NUMBER I EACH FEE OWNER I
MAIL .w
OUTLET J/•D s ADDRESS
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 0 CITY- I TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN arn
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. 'DISHWASHERS CITY TEL. NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO. o
MOTORS: OVER INC. H.P. DISTRICT NO. I GROLJP ZONE P S BY
—
3/2, .25 J7,
1/2--
I/2= 2 so Q INSPECTION RE ORD
2— . 8 1.00
5— Is- 1.50
Is-- 's0 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 �-(?
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE'-IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT -
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERE AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ATE OF FIXTURES 3"'I j L
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF T E ABOVE
DESCRIBED REBID TIAL PROPERTY . POWER ,
SIGNATURE � . � /"'9®/�,�/� UTILITY CO.NOTIFIED
OF PERMIT TE V
FINAL 3�'�� s!`�`7r+-��`
®P Mo T� ARTHUR C.VEIT,
CK
CK MO CASH , SUPERVISING ELECTRICAL ENGINEER
3 6 4 8F� OCT 7 2 A 3.9 U �°
WORKERS' COMPENSATION DECLARATION 76A663 10/81 APPLICATION' FOR ELECTRICAL PERMIT.
I hereby affirm that I have a certificate of consent to self CE-8061-
insure,
E-8061insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copythereof (Sec 3800, Lab C ) y/
Policy No.1[061 1011 Company 0l::,�L� I �� FOR'APPLICANT TO FILL IN JOB C
Certified copy is-hereby furnished , New Residential Bldgs' & Pools EACH ' NO FEE ADDRESS
LOCALITY
Certified copy is filed with the county buil ing'inspec 1 &•2-Family, Sq •Ft
S = $ I f
tion department- i
Ci ►e� Multi-family Sq.
S Ft NEAREST
CROSS ST
_ Residential Swimming Pools F' I OWN'R OR
Date Applicant FIRM NAME'
CERTIFICATE OF EXEMPTION FROM WORKERS' ~ l •MAIL
COMPENSATION INSURANCE Outlets- Rec Light Svi ADDRESSS�
This section need riot be completed if the work involved b First 20
( p Y Total No. Additional CIT - Tel. N8.q44
the permit is.for one hundred dollars ($100)or'less.) -.
.I certifythat m'the performance,of the work for which this PLAN CHECK
P , APPLICANT _
permit is issued, I shall not employ any person in any manner ,
so as to'become sublect to the Workers'•Compensatiori 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 APPLICAN
Exemption, you should become subject to the Workers' Range_ Heater_D W. _ �' `
Compensation provisions of-the,Labor Code, you must forth- Oven _ Dryer W M — ADDRESS 35.
with, comply, with such provisions or th'is'permit shall be ,Top _ FAU —W.H. —
deemed revoked. _ Hood _ Fan _Oilier_ CITY Tel•. No _
1�
LICENSED.CONTRACTORS DECLARATION LICE NS€OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp: ' Room Air Cond REG NUMBER 3� Class
d
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PR BY
and Professions Co e,and my license is in full force and effect. Power,Apparatus 8•Large Appliance's 0
Size &Type HP,.KW,'KVA, or KVAR r 0 U
License,�J�N�umber Lic Cass U to 1 Incl, FINAL CL'
RIGN 2 0 _ �_ „ Over 1 To 10 Incl DATE --/ /
Contractor P / // VALIDATION �
-gip`�- Y_"1 '�'� - Over 10 to 50 Incl. - FINA1 0
Eltam exempt under Sec Over 50 to 100 Inc • BY EL
Cn
B.&P G for.this reason Over 100- Z
Services, Swbd., MCC & Panelboards
Date 0 -200 Amp. Under 6001V /�'•
Signature 201 - 1_000 Amp Under 600 V.
- -- - - -Over 1,000 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 "
I hereby affirm that I am exempt from the Contractor's License Additional Sigri Branch Circuits
Law for the folloviing reason (Section 7031 5, Business.and- ,
Professions Code)--
El1, as owner of the property, will do the work and the Misc. Conduits &Conductors
structure is not intended'or offered for sale (Section Other (See.Complete•Fee Schedule)_
7044, Business and Professions Code) 6 O 4 7 A
CONSTRUCTION LENDING AGENCY
I hereby affirm that-there is o.construction lending agency for o:o o 0 0 2
the performance of the work for which this permit is issued PERMIT FEE "(Sub'To'al)
(Sec 3097, Civ. C ) I -,o-25,50
PLAN CHECKING FEE
Lender's Name `O •
2550:':
PERMIT ISSUING FEE ` 12,02t86
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
the ave-mentioned pro erty for inspection purposes. '
SEE REVERSE FOR EXPLANATORY LANGUAGE '
gnature of Per it a Date.