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HomeMy Public PortalAbout10660 HALLWOOD DR_Electrical__ C _'_6A663_�EB°6 "7 APP_LICAT_ION__FOR. ELEC_T_RICAL__ _ RMIT IJ COIeNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING . BUILDING AND SAFETY DIVISION ADDRESS LOCALITYNEARE FOR APPLICANT TO FILL IN CROSS 5T. Ji.7V, Q w OUTLETS NO. EACHI FEE OWNER � RECEPT._ $ $ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS g" %twit OVER 20 CITY ^ ,I�R'� TEL. NO. SWITCH_ '10 PLAN CHECK FIRST 2025 APPLICANT LIGHTING TOTAL FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PER RANGE-DRYER WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS,\ l�iJ1�11.1 t76J �Q. , SPACE HTR. AIR COND. CITY ty , t�? TEL. NO. CLOTHES WASH. DISHWASH. LICENSE kO.?_sloAk CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - I 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �^ CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF, AND INTEND TO �- A �� i RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL' PRO ERTY. //�� �'\\Q t„!Jtzzl•L x 1 - 10 3.001 0 d I ,' V SIGNATURE 10 - 50 5.00 OF PERMITTEE - O 50 - 100 10.00 1- DISTRICTNO. CLASS ZONE PROCESSED BY 1U 100 — 500 15.00 ©� �� /� 3 L'y--c_ IL V) SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT, SYSTEM 3.00 ROUGH CONDI UT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 ><J TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMITV L ATIO N CK. M.O. CASH 27/Y JUN 8 2 D SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663A-CE806A-4/-72 APPLICA-TIOWFOR ELECTRICAL-PERMIT---- --- -- --------- - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING • BUILDING AND SAFETY DIVISION ADDRESS LOCALITY .1� NEAREST FOR APPLICANT TO FILL IN CROSS ST, OUTLETS NO. EACH FEE OWNER $ $ RECEPT.- MAIL FIRST 20 ADDRESS LIGHT, TO:;AL U SCITY TEL. NO. WITCH OVER 20 PLAN CHECK LIGHTINGTOTAL FIRST 20 - APPLICANT FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY 44TEL. NO. PERMIT RANGE DRYERWTR. HTR._ APPLIC NT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. ! CLAS FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY p MOTORS, TRANSFORMERS RATING W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C7 IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO 0 IHEREBY CERTI TH I AM P 0 RLY REGISTERED AND/OR O — 1 LICENSED AS RE IRE D Y LOS AN S COUNTY AND STATE OF W CALIFORNIA OR AT AM THE LE WNER OF, AND INTEND TO 1 — 10 �Jv —� RESIDE IN, AB DESCR E RESIDENTIAL PROPERTY. 10'— 50 SIGNATU OF PER 50 — 100 DISTRICT NO. CLASS Z E CESS ED BY 100 — 500 ,Q� -3 SIGN, GAS SIGN AND ONE CIRCUIT NOTES: - TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVICE NOT OVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200 AMP TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES TEMP LIGHT OR RECEPT. SYSTEM UNDERSLAB WORK ROUGH CONDIUT O � WIRING VA FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) .�j� UTILITY CO. NOTIFIED h PLAN CHECK FEE Ys FINAL PERMIT ISSUING FEE TOTAL FEE PLAN CHECK VALIDATION CK. M O. CASH PERMIT VALIDATION CK. M.D. CASH 8 3. 6 t2OC7 21 2 D 1 4.7 0 A9-8 �v 2 w COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DYVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer D STRICT NO. GROUPJ ZONE PERMIT NO. FOR PL ANT FILL IN 11,4 --- ELECTRIC N 1 4 e / EC El ED BY READY FOR DATE ISSUED ADDRESS — �. j /'I FIRST INSPECTION CITY / TE . NO l COUNTY LICENSE NO. XPIRE9 i—f'IgL BUILDING PERMIT FEE IADDRESS FEE NUMBER EACH LOCALITY'' LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES « 7 OWNER TOTAL OUTLETS 5D $ 4150 MAIL ELEC. RANGES 85 ADDRESS ELEC. HEATERS 25 ` CITY / TEL. NO. FIXTURES .,� 6 e G! I HEREBY ACKNOWLE&G7 THAT I 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH DF THE RESIDENTIAL RTYDE RISEDBOV %2 & LESS $ .25 SIGNATURE OF �/2 2 .50 PERMITTEE 2 s 1.00 INSPECTION RECORD 5 1s 1.50 15 50 2.50 50 200 5.00 200 500 10.00__ J 500 1000 15.00 Z OVER 1000 20.00 (� M.G. SET/FREQ. CHANGER-HP Q' 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 INSPECTOR'S NAME WIRING $1.00 CONDUIT j FIXTURES $1.00 WIRING - /V SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED FINAL v, - a� 1/./,� ✓/ .../� 76A653 DSS#SA 2-53 76A663-CE806 11/70 ' APPLICATION FOR ELECTRICAL PERMIT lJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FADDRESS BUILDING AND SAFETY DIVISION COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING FOR APPLICANT TO FILL-IN OUTLETS N0. EACH FEE 7 $ $ OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 25, ADDRESS OVER 20 CITY TEL. N0. SWITCH_ .10 23 PLAN C7qECK or LIGHTINGTOTAL FIRST 20 25 APPLICANT OVER 20ADDRESS FIXTURES .10 APPLIANCES CITY /_ TEL. N 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 b01 HEREBY ACKNOWLEDGE THAT I 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 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE DESCRIREST DENTIAL PROPERTY. CL 1 - 10 3.00 BE Q SIGNATURE V 10 - 50 5.00 OF PERMITTEE��' � 50 - 100 10.00 � DI C,TT CLASS JZO PROCES Y V 1 00 - 500 15.00 (/ 0- SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: N Z TUBE, OR — MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOT OVER 600 VOLTS OR 200 AMP ! 3.00 vo APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AM P 10.00 TEMP.POWER POLE TEMRSERVI CE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRING FIXTURES - PERMIT FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO. NOTIFIEDPLAN CHECK FEE FINAL i PERMIT ISSUING FEE 3.001k 3 JOSEPHF2QOHAN TOTAL FEE Gp SUPER VISI ELECTRICAL EN GI NEEP. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDUI cK. M.O. cASH L;AUo 7 4 8L t-l"? AFR 14 7 D 7.0 Q- v SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WQRKERS'COMPENSATION DECLARATION 76A663 10/81 hft-by affirm'that I have a certificate of consent to self insure, CE-806G , APPLICATION FOR ELECTRICAL PERMIT {J or a'certificate'of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY LI copy thereof pl(Sec�.3800,Lab. C.) _ IrVA- Policy No�c/ r'rfT3 Company �� �� � FOR APPLICANT TO FILL IN JOB Nx9,60Certified copy is hereby furnished. _ New Residential Bldgs.& Pools EACH NO. FEE ADDRESS x9,60 ❑ 1 & 2-Family,Sq.Ft. $ — $ LOCALITY �""�J''/�%��� Certified copy is filed with the county building inspection — NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant �� Residential Swimming Pools OWNER OR rr,, FIRM NAME ,�• CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec G— Light �First 2MAIL ��Q ��'�� COMPENSATION INSURANCE t 20 � -ADDRESS V 004 This section need not be com leted if the work involved b the G ( p y Total No. /� Additional CITY T/^ (�� Tel.No. permit is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT is issued, I shall not employ any person in any manner so as to ,/� become subject to the Workers'Compensation Laws.. Lighting Fixtures First 20 °`'�-� ADDRESS Additional Total No.� CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE, TO APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. _ CITY a7� Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ I hereby affirm that I am.licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR / Class. (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. �8 PROCESSFY Size& T e HP,KW,KVA,or KVAR License Number '�/ �� Lic.Classt Up to 1 Incl. , FINAL U QS Over 1 to 10 Incl. DATE �1 1 VALIDATION Q Contractor, Date Over 10 to 50 Incl. FINAL r( V ❑ I am exempt under Sec. Over 50 to 100 Inc. BY W Over 100 (L B.&P.C.for this reason N Date: Services,Swbd.,MCC&Panelboards ION. Z 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 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 Law for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits Code): El1,as owner of the property,will do the work and the structure Misc.Conduits&'Conductors RCT.V is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , and Professions Code). 3303 92070 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the ITEMS E �pgt•t�+S �re5� performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) �� TOTAL J 72 o �f'0. Civ.C.).. /•��/+�/ ECK PLAN CHECKING FEE 4 92070 Lender's Name PERMIT ISSUING FEE Z DME °00 Lender's Address I certify that I have read this-application and state that the above TOTAL FEE ?2.70 1tft�tn_ f11 information is correct. I agree to comply with all County ordinances ty�,►t,ft1-0001 8/ 395 and State laws regulating Electrical wiring, and hereby authorize s e qq�M representatives of this County to enter upon the above-mentioned 1675 1 Al r 9.004• property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE cq_-g�_os— na ure of Permittee Date