The URL can be used to link to this page

Home My Public Portal About10618 HALLWOOD DR_Electrical__ _ L 171 76A663-CE606 9-66 6 /rVll ll u �+ - d�C��G30C�Qd G°�C�G3�n10��/e��g�® a, `CO)INTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING y : BU-ILDING AND SAFETY DIVISION ADDRE88 JOHN A. LAMBIE, COUNTY ENGINEER / COLEMAN W. JENKINSI SUPERINTENDENT OF BUILDING LOCALITY 1.+ NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT, l TOTAL NO. EACH FEE OUTLETS FIRST 20 6.20 $ OWNER O LIGHT T MAIL SWITCH OVER 2 10 ADDRESS Cy.YL� 3 OVER 20 LIGHTING TOTALFIXTURES FIRST 20 .20 Q CITY TEL, NO 1 FIXTURES J( ADD'L CONTRACTOR 3__J OVER 20 .10 .RANGES DRYERS WTR.HTRB. 1.00 ADDRESS 7 GARB,DISP, STA.COOK / [ CITY " TEL. NO.90�f- J- DISHWASH. AUTO.-WASH. STATE SPACE HTRB. STA. APPL. ,50 LICENSE NO. ',. MOTORS: OVER NOT OVER H.P. DISTRICT } NO. GR P ZONE P E 0 1 1.00 4� ' 6) Q t 3 1.50 INSPECTION RECORD 3 a 2.00 8 15 2.50 is 50 3.00 i' 50 100 5.00 Q SIGNS: NO.TRANS. NO.LAMPS O 1•- SERVICE 0.600V-NOT OVER 200A 1A00 do CL / SERVICE 0.600V-OVER 200 A. 2.00 h z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 (�V SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIR D BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM THE LEGAL OWNE , AND INTEND TO POWER RESIDE IN,THE ABOV DESCRIBED RESIDENT PROPERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE -,.- FINAL LIDATION JOSEPH C. ROOHAN K MO CASH SUPERVISING ELECTRICAL ENGINEER 'C COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer • DIVISION OF BUILDING & SAFETY LEC H WILLIAM J. FOX, County Engineer FOR R CANT FILL IN ISTRICT NO. GROUP ZONE PERMIT NO. ELECTRIC RECEIVED BY READY FOR DATE ISSUED ADDRESS - FIRST INSPECTION CITYEL. NO� COUNTY LICENSE NO. EXPIRES BUILDING �J / PERMIT FEES ADDRESSAe FEE NumsqR EACH LOCALITY LIGHT OUTLETS NEAREST CROSB ST. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS SO $ MAIL ELEC. RANGES 85 ADDRESS A ELEC. HEATERS 26 - CITY TEL. NO. FIXTURES 6 I HEREBY AC' I:- THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, ]�I,,AM THE LGAL OWNER NEw MVD. HP ❑VER INC. EACH OF THE RESIDENTI P PEREBCR AEDOVE. %2 6 LESS $ .25 SIGNATURE OF I/2 2 .50 - PERMITTE --_ ---- 2 5 1.00 _ INSPECTION RECORD 5 15 1.50 15 50 2.50 5O 200 5.00 200 _500 10.00 J _ 5130 1 O0O 1S.00 Q _Z OVER 1000 20.00 (7 M.G. SET/FREE[). CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - !SVA TEMP. MOTORS (7S% OF ORIG•) MOVED MOTORS (75% DF DRIG.) misc. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $7,00_ CONDUIT FIXTURES _ _$1.00 —!- r WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED y FINAL 76A663 DBS#5A 2-53 J� WORKER'S COMPENSATION DECLARATION 76A663 DPW(12-91) APPLICATION FOR ELECTRICAL u�u u PERMIT ' ,1 I hereby affirm that., have a certificate of consent to self insures 1 , u� or a certify! te`Qf worker's Compensation Insurance, orOa certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy ttiereof(Sec.38QQ Lab. C.) Policy No.La. Company-�e FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO, EACH FEE is — $ $ LOCALITY (_ Certified co s filed with the count building inspection 1 &2-Family,Sq.Ft. PY Y 9 P NEAREST depa ment. � Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSORMAPI PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' WNER OR Outlets:Rec�Light Sw. FFIIRM NAME COMPENSATION INSURANCE jW'20 p CSO �U MAIL y--�-��..-- (This section need not be completed if the work involved by the Total No. Additional ADDREss !J L� V permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY el.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT ' LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS bYL '�ILI y 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 CIT Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR /• Class. Over 50 t0 100 Incl. REG.NUMBER l a License Number)tz Lic.Class Over 100 DISTRICT NO. O� Pk ISSED BY Services,Swbd.,MCC&Panelboards O Contracto+ "��Date �^'-�� 0-399 Amp.Under 600 V DATE ❑ 400-1000 Amp.Under 600 V H I am exempt under Sec. VALIDATION V Over 1000 Amp.or Over 600 V FINAL W B.&P.C.for this reason BRANCH CIRCUIT FEES BY Date: 15A,or 20A,120V,Lighting or Recept. 4Z_ �� 1 To 10 Branch Circuits Signatur — 11 To 40 Branch Circuits El 41 Or More Branch Circuits Exemption for Reg. Maint.Elect. 15A,20A,.208V To 277V Lighting Br.Circuits • , SINGLE FAMILY Temp.Power Pole&Appurtenances yrrry g HOME OWNER-BUILDER DECLARATION ACCT.®r I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit -0 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 3303 37-3 Code): ITEMS Elas owner of the property,will do the work and the structure Misc.Conduits&Conductors, T _, is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL r AL 37 m`0 and Professions Code). -' V!�,C�� CONSTRUCTION LENDING AGENCY .00 I hereby affirm 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) /6 Civ. C.) PLAN CHECKING FEE 0000-0001 4/27/96 Lender's Name7 5991 AM 90 1e PERMIT ISSUING FEE 0 7! Lender's Address / �y I certify that I have read this application and under penalty of purjury state TOTAL FEE to that the above inf tion is correct. I agree to comply with all County ordinances an a laws regulating Electrical wiring,and hereby authorize represents' es this County to enter upon the above-mentioned property foyirtypeio purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE r -