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HomeMy Public PortalAbout5632 HALLOWELL AVE_Electrical__ 76ABSS-CE6067-66 APPLICATION FOR ELECTRIC PERMIT 1 ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS V JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY rL Z, CC.i FOR APPLICANT TO FILL IN NEAREST J1 /� MUM FEES CROSS ST. h. e- Li 1 T E M NUMBERI EACH FEE OWNER kof-ve-/1 . wo-' OUTLET $ $ MAIL C //� �j / q LIGHTS . RECEPT. , SW. ,1041A ADDRESS C�(D J]] 1 OCt)V LIGHTING FIXTURES .10 CITY r<f,LZ�d TEL. NO. - ^:S ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER H EATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL. NO. STATE WASHERS STA. COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. O— 1/2 .25 DISTRICT NO. GR�IJr NE PROCESSED BY 1h- 2 .50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 IS— 50 2.50 50-200 5.00 NO. TRANS. SIGNS: 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 $ APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LICATION 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES / CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE ,/ D , UTILITY CO.NOTIFIED OF PERMITTEE FINAL CLQ. ALIDATI$N�, ARTHUR C. VETT, CK MO /J SUPERVISING ELECTRICAL ENGINEER ASH 76A663-CE60f_10/74 APPLICATIONF R ELEC�CAL PERMIT COUNTY OF LOS ANGELES ^^�� DEPARTMENT OF COUNTY ENGINEER ADDRESS o< J BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. A OUTLETS NO. EACH FEE OWNER OR FIRM NAME r� O RECEPT._ $ $ MAIL LIGHT TOTAL L 31� I'1d I�V WeI FIRST 20 25 ADDRESS 6 ' OVER 20 CITY 'em TEL. N0. -00 SWITCH .10 PLAN CHECK LIGHTING l TOTAL FIRST 20 25 APPLICANT FIXTURES 10 )} OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL.1NO. PERMRANGE DRYER_WTR. HTR. APPLII ANT I Q' I STA. COOK DISP. F.A.U. ADDRESS,032 094 SPACE HTR. AIR COND. CIT 'rnplV C/ TEL. NO -/, CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER TC.///f'( CLASS. FAN OTHER 1.001 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERSRATING 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }- CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE LL 1 — 10 3.00 DESCRIBED RESIDENTIAL PROPERTY. - V PERMITEE 10 - 50 5.00 SIGNATURE 1- U 50 - 100 10.00 W DISTRICT N0. RO SSED �- 100 - 500 15.00 2-1 � / 0� 9 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE IN SP OR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE _57 �r� PLAN CHECK VALIDATION �p CK. M.O. CASH PERMIT VALIDATION ( M.O. CASH p0 ucer C"1 0 SEE BACK OF APPLICATION FOR COMPP�L.ETE�SCHEDULE - 1SJLV....? �..'llo !/L !-7'!/�'✓1/ l t' / �/ ' 768663-CE806 10/72 APPLICATI N�FELECAL PER T COUNTY OF LOS ANGELES _ DEPARTMENTUILDING ER AND SAFETY DIVISION ADDRESS ✓I�j,�, ��a �� LOCALITYNEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER $ $ � NAME + � � RECEPT._ MAIL LIGHT TOTAL FIRST 20 - 25 ADDRESS ' CITY TEL N0. SWITCH OVER 20 .10 PLAN CHECK LIGHTING 1TOTAL I FIRST 20 25 APPLICANT FIXTURES OVER J} OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY G �I TEL. NO. RANGE DRY EP. WTR. HTR._ PERMAPPLICANT L���i^�' i CC-) ��sy STA. COOK DISP. F.A.U. ADDRESS 2 - ,�'�.16-j7 SPACE HTR. AIR CONO. CITY <f Cp/�"GL• TEL. N0. fa CLOTHES WASH. DISHWASH. LICEN5E ORREG. NUMBER Q CLASS. /(,) FAN OTHER 1.00 P1 HEREBY ACKNOWLEDGE THAT 1 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 HEREBYVRD I AM PROPERLY REGISTERED AND/OR O — 1 100 LICENSED ALS ANG COUNTY AND STATE OF CALIFORNIA H EGAL NER OF THE ABOVE .r 1 — 10 3.00 OESCRI ED RTY. aOPERMITEE 10 - 505.00 SIGNATURE 50 - 100 10.00 DISTRI NO, PROCESS D BY Lu�7 F- 100 - 500 15.00 SIGN, GAS=,,GN ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S--SIGNATURE TUBE, OR MARQUEE AODI TIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICE NOTOVER600VOLTS OR200AMP 3.00 Q UNDERSLAB WORK a SERVICEOVER 600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING r TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED .a UTILITY CO. NOTIFIED FINAL u �. L'a r_ PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 a t9 p TOTAL FEE o 0 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M. cASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - e /� i 76A668-CE8064.60 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE, COUNTY ENGINEER J WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY QJrC FOR APPLICANT TO FILL IN NEAREST CROSS ST. -��� i PERMIT FEES OWNER .�2 /LZt- 1 T E M NUMBER EACH FEE MAIL ^ ) //�� OUTLETS: .5'' $ 4z ADDRESS oC LL �.iitJ�C. LIGHTS RECEPT. SW. .1O 7 (_� ��c6 LIGHTING FIXTURES 10 / C4 - TEL NO ELEC. RANGES CLO. DRYERS ��� ELECTRIC AN cl WATER H EATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. GARBAGE DISPOSERS AUTO.. STATE WASHERS STA. COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DIST CT . O. GR Z NCESSED BY O — I/2 .25 1 +1z - 2 ,50 INSPECTION RECORD 2 5 1.00 a 5 15 1.50 0 15 50 2.50 O 50 200 5.00 U SIGNS: NO TRANS. UJ CL NO. LAMPS N Z 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 1 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. WIRING 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 RESIDENT AL PROPERTY. / POWER SIGNATURE OF PERMITTE UTILITY CO. NOTIFIED FINA IDATION ARTHUR C.VEIT, MO CASH SUPERVISING ELECTRICAL ENGINEER APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS J 3 zl( v� JOHN A.LAMBIE, COUNTY ENGINEER _ WILLIAM A. JENSEN, SUP'TOF BUILDING LOCALITY 7a FOR APPLICANT TO FILL IN NEAREST � PERMIT FEES cRoss sr. OWNER I T E M NUMBER EACH FEE MAIL OUTLETS: S S ADDRESS LIGHTS RECEPT. SW. .10 ir CIT C .G'l' TEL.NO. LIGHTING FIXTURES � .10 / L ELEC. RANGES CLO. DRYERS ELECTRICIAN WATE R H EATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. GARBAGE DISPOSERS AUTO.- STATE / WASHERS STA. COOKING UNITS ,25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO GROUP I Z NEPROCESSED BY O — '/z .25 - I i2 — 2 .50 INSPECTION RECORD 2 5 1.00CL - :I 5 15 1.50 0 15 50 2.50 O 50 200 5.00 I" V NO TRANS. W O_ SIGNS: NO. LAMPS Z SERVICE 0.600V 1.00 SERVICE OVER 600V 5.00 misc. WIRING PERMIT 1.00 � FIXTURE PERMIT 1.00 A " C, SUPPLEMENTARY PERMIT .50 TOTAL FEE S 3 L 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. WIRING 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF 7H ABOVE DESCRIBED RESIDENTIAL PROPERT POWER SIGNATURE n ���Li �/� �� UTILITY CO. NOTIFIED OF PERMITTE FINAL (DATION ARTHUR C.VEIT, MO CASH SUPERVISING ELECTRICAL ENGINEER CK �' 9 0 i ) L ' DE3S S-A 6-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ' COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER Z S A A A) A '�E; 4 DISTRICT NO. GROUP ZONE PERMIT NO. U NAME p ADDRESS 6P,/ s,@ � f i 1. RECEIVED BY READY FOR DATE ISSUED U CITY TEL.NO � - FIRST'INSPECTIONj COUNTY �/�q' G��7�/ /, � ,,[ /�/,LjCERT.NO. (/10E9/� V EXPIREsA Q " � /� • APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS s�sz � � � � e- �.- NUMBER OF OUTLETS ON CIRCUITS LOCALITY--- LOCATION BY LIGHT OUTLETS ROOMS SW. PLUGS FIZT CROSS ST. V , NEAREST CIRCUIT A @ C D E F G H � NAME Z MAIL 3 ADDRESS �`-•�-' `"i. O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE PF QUALIFI ATIO �r1 LECTRICIAN.Fy I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J Q Z_ L7 [7 FTOTALETS $ APPROVALS RES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT , NO. OF SIGNS TRANS. $ WIRING NO. &HEATERS $ FIXTURES d A MISCELLANEOUS $ POWER PERMIT FEE $ / , UTILITY CO.NOTIFIED d /I TOTAL-FEE FINAL v DB 5-A 12-43 25M APPLICATION FOR. PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC � COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER Q NAME DISTRICT NO. GROUP ZONE PERMIT NO. U ADDRESS F RECEIVED BY READY FOR DATE ISSUED IU _CITY TEL.NO. FIRST INSPECTION I COUNTY W CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS IsW.1111 UGS I FIxT CROSS ST. CIRCUIT /A B C D E F G H It NAME w Z MAIL ADDRESS O CITY TEL.NO. AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE"GAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J —— Q Z CD a O TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ UTILITYCO.NOTIFIED TOTAL FEE FINAL WORKER'S COMPENSATION DECLARATION 76A663 9 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A66 I hereby affirm that I have a certificate of consent to self insure, - or a :ertificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab. C.) C -Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS D \ ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOC/jITY G� ❑ Certified co Is filed with the count building inspection 1 &2-Family,Sq.Ft. — — $ $ ' PY Y 9 P NEAREST department. Multi-family Sq.Ftf CROSS ST. (g Date Applicant Residential Swimming Pools 1' ASSESSOR ]]�� MAP POOK PAGE PARCEL {/ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw �, 'IG OWNER E COMPENSATION INSURANCE i O �J FIRM NAME �fq�C S� Ou First 20 o !� MAIL (This section need not be completed if the work involved by the ADDRESS Q Ai/i permit is for one hundred dollars($100)or less.) Total No. Additi- I I certify that in the performance of the work for which this permit I CITY — L� Gl r Tel.No. is issued, I shall not employ any pers n in any'manner,so as to become subject to the Workers' Com en ation Laws. Li htin Fixtures First 20 PLAN CHECK J p 9 9 �' 3 APPLICANT Total No' Additional i •' ( ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTIC TO APPLICANT: If, af .ter aking this Certificate of CITY- Tel.No. I Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3-HP. IT provisions of the Labor Code, you must forthwith comply with such PPPLICANT ��°^ provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances .. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ; ADDRESS f X, eo I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl ; ., (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl: / } LICENSE OR d Oven 50 t0 100 Incl. I 1 REG.NUMBER 'l,� e' Class. d License Number Lia Class Over 100 DISTRICT NO. PROCESS BY 0 (� oG Services;Swbd.,MCC.&Panelboards, :I C)FINAL-�P- 3 Contractors Date 0-399 Amp.Under 600 V DATE El I am exempt under Sec. 400-1000 Amp.Under 600 V '�—; F,VALIDATION V Over 1000 Amp.or Over 600 VPINAD LU B.&P.C.for this reason V15 HCIRCUIT FEES BY or 20A,120V,'Lighting or Recept... Z Date: 1 To 10 Branch Circ"vits _ Signature ! 11 To 40 Branch Circuits - ❑ 41 Or More Branch Cl Guilts. > Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circui q SINGLE FAMILY ( J- Temp.Power Pole&Appurtenances I:' � -- w t,f HOME OWNER-BUILDER DECLARATION j Sign with One Branch Circuit j' I hereby affirm that I am exempt from the Contractor's License Law lf'..'""'"" for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits tU Code): I a j I EMM ❑ I, as owner of the property,will dd the work and the structure Misc.Conduits&Conductors { !i _.. • is not intended or offered for sale (Section 7044, Business Other(See,Complete-Fee Schedule) and Professions Code). {_,``t^?HttnnECK i-3 CONSTRUCTION LENDING.AGENCY t• �3�ii- nr =' I hereby affirm that there is a construction lending agency for the I ; performance of the work for which this permit is issued (Sec. 3097, PERMIT FF.E l (Sud-Total) Civ.C.) f ;RIM-a—t 1i?I!i ( I •-•! PLAN CHECKING FEE I 1 _ .. C' tT Lender's Name " .I.'�'ri_I i Art ;=R'f'=' PERMIT ISSUING FEE {i ILill Lender's Address TOTAL FEE 1 i I certify that I have read this application and under penalty of purjury state that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize t. representatives of this County to enter upon the above-mentioned property for inspecti purposes. -;�:.;% �� y SEE REVERSE FOR EXPLANATORY LANGUAGE' SIGNATURE PERMITTEE DATE