HomeMy Public PortalAbout10651 HALLWOOD DR_Electrical__ • COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY. L � '
WILLIAM J. FOX, County Engineer
FOR ANFILL I DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICI — — i
RECEIVED BY READY FOR DATE ISSUED
ADDRESS ,.-� p�, FIRST INSPECTION
CITY TEL. N -td��yVN /— ��✓
COUNTY LICENSE NO. EXPIRES G BUILDING
PERMIT EES ADDRESS Vf !
FEE
NUMBER EACH LOCALITY
i
LIGHT OUTLETS - NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER `A/I
TOTAL OUTLETS Sc $-41 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES B
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 18 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 I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEe /ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC• EACH OF THE RESIDENTIA P PERTY DESCRI ED E.
I/2 a LESS $ .25 SIGNATURE OF
%2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 is 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
_ 500 1000 15.00 a
Z
OVER 1000 20.00 I'
M.G. SET/FREQ. CHANGER-HP IY
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO, NO.TRANS.
APPROVALS _
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSP
ECTOR'S NAME
CONDUIT
WIRING _ !81.00
FIXTURES $1.00 WIRING
SUPPLEMENTARY _ ,50 FIXTURES ' r.
POWER i
TOTAL FEE $ i0 UTILITY CO.NOTIFIED .i� nJD
FINAL • t r7
75A553 DBS#SA 2-53
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•- ' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Ai16i
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING
NEAREST'.
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE
OWNER
RECEPT./4 $ $ MAIL
LIGHT� TO'�AL FIRST 20
ADDRS V0/
'ZV OVER 20 CIT
f Q
TEL. NO,j `I-_4V6
SWITCH PLAN CHE
'
LIGHTING 1 FIRST 20
TOTAL 20 APPLICANT
)y
OVER 20 ADDRESS
FIXTURES .10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR._ APPLICANT
STA. COOK DISP, F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 ) if V 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
S Q� AMC) STATE THAT THEABOVE 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
/ O — 1 A 100 v LICENSED. AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10 3.00 RESIDE IN, THE ABO DEBCRIP, D RES DENTIAL OPER1TY. >-
SIGNATURE O.
10 — 50 5.00 OF PERM1TTE 0
V
50 — 100 10.00 be
DI STRI CT NO. CLASS GROUP ZONE PROCESSED BY O
100 — 500 15.00 og Z/ V
W
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: h
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00 4v
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI CE OV ER 600 VOLTS OR 200 AM P 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00 -
ROUGH CONDIUT
r
WIRING �a
FIXTURES
.PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE) /
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
FINAL n,r>
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 -
JO 'EfPH..C. ROOHAN
TOTAL FEE / �O SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CD
M.O. CASH
:An 6 4 8 8AUG 26. 2 D 1 0.20
SEE BACK'OF APPLICATION.FOR COMPLETE SCHEDULE