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HomeMy Public PortalAbout10672 HALLWOOD DR_Electrical__ \ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY �? WILLIAM J. FOX, County Engineer F❑ PL ANT F PLL IN DISTRICT NO. GR�O—UP ZONE PERMIT NO. ELECTRI 7 l A—' � r RECEIVED BY READY FOR DATE ISSUED A D D R E S!�� — FIRST INSPECTION CITY TEL. NO. .Clo y""'_ COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEE ADDRESS r NUMBER EACH FEE. LOCALITY LIGHT OUTLETS NEAREST' CROSS ST. RECEPTACLES WALL SWITCHES - OWNER TOTAL OUTLETS 5O $ MAIL ELEC.-RANGES 25 —ADDRESS .. -ELEC. HEATERS 25 CIT �, TEL. NO. - FIXTURES - _. - S _ _ l" HERESY ACKNOWLEUIS THAT 1 HAVE 'READ'THIS MISC. - APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBEROF 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 I AM THE LEGAL OWNER NEw MVD. HP OVER INC. EACH OF THE RESIDENTIA PROPERTY D CRIBE AB %2 & LESS $ .25 SIGNATURE OF %2 2 .50 PERMITTEE ,.. z s 1.00 INSPECTION RECORD 5 IS 1.50 is so 2.50 _ 50 200 s.00 _ 200 .00 10.00 ..J _ 5110 1 Doo 15.130 _ Q _Z OVER 1000 20.00 (g M.G. SET/FREQ. CHANGER-HP WELDERS:AC-ICVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF CRIB.) MOVED MOTORS (75% OF CRIB.) MISC. - SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 �—� CONDUIT _FIXTURES $1.013 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED FINAL 76A663 DSS#SA 2-53 rs• i' � ('"gipp �(� 2 nn 22 ��//�'� 5'� 76A663-CE806 8-62 li�lPPU *CA lI-OR RE MCAD, IPER II� ll COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ffCROSS A/ BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUP'.T OF BUILDING FOR APPLICANT TO FILL IN L- RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 r $20 $ OWNER i` LIGHT MAIL ` ADD'L ADDRESS M' SWITCH. C- OVER 20 •10 TOTAL CITY L. -F; LIGHTING FIRST 20I .20 d FIXTURES } I ADD'L 10 ELECTRICIAN OV R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS ? S, '. GARB.DISP. STA.COOK CITY �V��°Y' - TEL.NO. �7 Y6 y� 'T <I, DISHWASH. AUTO.-WASH. STATE 'n SPACE HTRS. STA.APP.(Vz H.P.MAX.) ,50 LICENSE NO. v�O MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP Z NE CESSED B)( v t - us O 1 1.00 - I 3 1.50 INSPECTION RECORD 3 8 2.00 8 15 2.50 15 50 3.00 D- 50 100 5.00 0 x_ SIGNS: NO.TRANS- NO.LAMPS O SERVICE 0.60OV-Nor OVER 200A 1.00 V ©i W SERVICE 0-60OV-OVER 200 A. 2.00 to SERVICE OVER 600V 5.00 ? MISC. - �t i Til PERMIT ISSUING FEE 2.00 'ff_ SUPPLEMENTARY PERMIT ISSUING FEE 1.00 Q TOTAL FEE 6 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE D S AND 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 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ' CALIFORNIA OR THAT I AM T E LEGA OWNER OF TH AB VE j DESCRIBED RESIDENTJ41.PRO RT Y. POWER SIGNATURE �- UTILITY CO.NOTIFIED ��/ Ca,�f}t`,Z ^.�?--. - v,',d' � OF PERMITTEE FINAL ` VALIDATI ARTHUR C. VEIT CK ID `ASH SUPERVISING ELECTRICAL ENGINEER 76A663-CES06 8-62 APPLICATION FOR ELECTRICA PERMIT COUNTY OF LOS ANGELES DEPARTMENT LDINER G AND SAFETY DIVISION BUILDING BUILDING ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER a y. WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY ST FOR APPLICANT TO FILL IN CROSS ST. PIS VA zr RECEPT. TOTAL NO. EACH FEE I OUTLETS FIRST 20 s 20 $ MWNER ki 4�/TH0fnA S LIGHTel SWITCH. / _ OVER 2ER 2O .10 ADDRESS <" NO.CTEC. LIGHTING TOTAL l F1Rsr 20 /1 .20 �J ITY FIXTURES ADD'L .10 ELECTRICIAN (- c 1� OVER 20 /' rr RANGES CLO.DRYERS WTR.HTR3. 1.00 ADDRESS M 1 , ✓ GARB.DISP. STA.COOK CITY TEL.NO. .I � DISHWASH. AUTO.-WASH. STATE / SPACE HTRS. STA.APP.('/.H.P.MAX.) .50 LICENSE NO.� MOTORS: OVER NOT OVER H.P. DISTR CI NO. GRO ZO E PR=ES D BY O 1 1.00 J 1 3 1.50 INSPECTION RECORD 3 S 2.00 8 15 2.50 15 50 3.00 - a 50 100 5.00 0 SIGNS: NO.TRANS D� NO.LAMPS O SERVICE 0.60OV-NOT OVER 200A 1.00 V w SERVICE 0.60OV-OVER 200 A. 2.00 N SERVICE OVER 600V 5.00 Z MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE >$ irCr' 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 CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDEN�T{�L P(R[�PERTY. POWER SIGNATURE F/ /.,rf.�� 1L- UTILITY CO.NOTIFIED OF PERMITTEE_ �'P / 10- FINAL VAUDATjQN- ARTHUR C. VEIT CK MO( CASH/ 11 SUPERVISING ELECTRICAL ENGINEER WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT �f I hereby affirm that.I have a certificate of consent to self insure, 76A663 or a certificate of Worker's Compensation Insurance. or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. cupy thereof of(Sec. 3800 L �C.), ,p Policy No. 7 Company S ` N FOR APPLICANT TO FILL IN JOB 7,7 A// /r � El Certified l:J"' ( A/ 41v Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY $ Q l El Certified &2-Family,Sq.Ft. — $ Certified copy is filed with the county building inspection NEAREST n � 4/ d partment. y Multi-family Sq.Ft. — CROSS ST. &W .� �� �O�I'�' Residential Swimming Pools ASSESsoR Date Applicant 14 -, MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' � OWNER R % V n COMPENSATION INSURANCE Outlets:Rea Light First 20 �^ ✓ FIRM NAMOE C� (This section need not be completed if the work involved by the MAIL permit is for one hundred dollars($100)or less.) Total No. Additional ADDRESS �Tiv r I certify that in the performance of the work for which this permit CITY /e 6—/-Ay Tel.No. is issued, I shall not employ any person in any-manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 PLAN PLICANTK Total No. Additional ADDRESS Date pplicant `" 441 NOTICE TO APPLICANT: If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP. CITY Tel.No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT rh , provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT (? LICENSED CONTRACTORS DECLARATION Size&Type P,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. �� D (commencing with Section 7000),of Division 3 of the Business and CITYNi41_1 Lo MTel.No.714"791 Q Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE Class. Over 50 t0 100 Incl. REG.NUMBB ZER (� d /'� Over 100 DISTRICT NO. PED BY O License Number -ZZp5$ Lia Class" w V Services,Swbd.,MCC&Panelboards' cc Contractor "" 0t'V'e 4( ! lq_'� mp. Under 600 V D DIATE O F-1I am exempt under Sec. 400-1000 Amp.Under 600 V ~ VALIDATION U Over 1000 Amp.or Over 600 V FINAL W B.&P.C.for this reason BRANCH CIRCUIT FEES BY CL Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 2 El 41 Or More Branch Circuits ACCT.Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits ACCT e e SINGLE FAMILY Temp.Power Pole&Appurtenances 3303 89.00 HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit t i ITEMS for the-following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits CII Code): TOTAL 89 - 00 ❑ 1, as owner of the property,will do the work and the structure Misc.Conduits&Conductors CHECK 89.00 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) CHANGE n,t and Professions Code). D CHANGE .00 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the 3 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) 6021 1. /�h/1iry�'1�� i� Civ.C.) / 601 1. AM10:21 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE ;2 Q Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property forinspectionpurposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERIMITfEE DATE - fi COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1001250037 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID I BUILDING ADDRESS: ITR: 19189 LT: 57 1 1 10672 HALLWOOD DR - I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917804124 I (ASSESSOR INFORMATION NUMBER: I' NEAREST CROSS STREET: 18585-028-010 1A1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 I (TENANT: 1G2 LIGHTING FIXTURES 4.00 LGT 7.80 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: i I I TOTAL FEES 43.35 101/25/10 SR 01/25/11 1 1OWNER: TEL. NO: I (FINAL DATE FINAL Y: CODE: 1 IREGALADO, GONZALO (323) 697-0338- I 1 110672 HALLWOOD DR (TEMP 917804124 I (DESCRIPTION OF WORK I I 1ELECTRICAL FOR REMODEL FULL ATHROOM AND 1/2 BATHROOM 1 (APPLICANT: TEL. NO: I I I ISAME AS OWNER - I I I ISPECIAL CONDITIONS: I I I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I LIC. NO I (TEMPORARY POWER POLE I - I (UNDERGROUND CONDUIT I 1ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I LIC. NO: I IROUGH CONDUIT I IROUGH WIRING I IMAIN WATER LINE I I I IPLASTIC Y/N METAL Y/N I I (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I I