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