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HomeMy Public PortalAbout10673 HALLWOOD DR_Electrical__ 76;$.663ACE&06,10/72 Qppd�(c o ® EC7QpCQL pC G3�nlO� COUNTY OF LOS ANGEL DEPARTMENT OF COUNTY ENGINEER �FADWIESS 10673 Hallwooa BUILDING AND SAFETY DIVISION LOCALITY Temple City NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR $ $ FIRM NAME C OS RECEPT._ MAIL �nL a LIGHT TOTAL FIRST 20 25 ADDRESS 106 AallwOOa CITY Temple City TEL. NO. SWITCH OVER 20 .10 PLAN CHECK LIGHTING FIRST 20 25 APPLICANT TOTAL FIXTURES OVER 20 .10 ADDRESS ' RESIDENTIAL APPLIANCES CITY TEL. N0. I PERMIT RANGE DRYER_WTR. HTR. APPLICANTMbra,leS Electric STA, COOK DISP. F.A.U. ADDRESS 1 Ave, SPACE HTR. AIR GOND. CI T1RoSemea.a Calif. TEL. NO-280-4260 CLOTHES WASH. DISHWASH. RECER G.N USE MBER 227962 CLASS.13-10 FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY h MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I. IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGA 0 NER OF THE ABOVE 1 - 1 O 1 3.00 DESCRIBED RESIDENTIAL PRO TY. c- 3 00O PERMITEE _ V 10 - 50 5.00 SIGNATURE CC O 50 - 100 10.00 v DISTRICT NO. PRO SSED BY W 100 - 500 15.00 /ti SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTO SSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK 3 00 SERV.ICEOVER600VOLTS OR200AMP 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: _ 3-3o.✓SJT•-: PLAN CHECK FEE , PERMIT ISSUING FEE 3.00 3 00 TOTAL FEE 00 PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH -2 9 Q&N;ov is u 9.6> ® p-Ij SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE COUNTY OF LOS ANGELES _ APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING &SAFETY WILLIAM . FOX, COUNTY ENG][NEER FOR LI ANTLL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICI 10 ADDRESS RECEIVED BY READY FOR DATE ISSUED . FIRST INSPECTION A r CITY TEL. N YC�J7 COUNTY LICENSE NO: . EX IRES ' BUILDING PERM FEES ADDRESS re NUMBER EACH FEE LOCALITY LIGHT.OUTLETS �3 NEAREST RECEPTACLES' -SAO--S ST WALL SWITCHES OWNER TOTAL OUTLETS Sc $ QLD i MAIL ELEC. RANGES 25 ADDRESS i ELEC.-HEATERS - -25 FIXTURES 5 CITY Twgft�A� EL. NO. MISC. I. HEREBY 'ACKNOWLEDG THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUIT - AND-STATE LAWS REGULATING 'ELECTRICAL WIRING. MOTORS 1 'CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER - HORSEPOWER FEE, ANGELES COUNTY LIC SE, OR'1 AM THE LEGAL OWNER w Mvo. NEHP OVER INC., EACH OF THE RESIDENTIAL RTY�D SCRIB '•A _ I/z&-LESS $ .2s" • SIGNATURE OF I/2 •. .E.- .50 PERMITTE i 5 1.00 INSPECTION RECORD", 15 1.50 15, 50 - 50 .200`. 5.00 200 500 . 10.00 :J 500 1000 . 15.00 Q OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA - - O GENERATORS -KW - - TRANSFORMERS-KVA - TEMP. MOTORS (75%OF O'RIG.) MOVED MOTORS (75% OF ORIG.) MISC. - - SIGNS NO.': NO. TRANS. ■�R* - NO. NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00_� B-7j CONDUIT q - FIXTURES- - $1.00 d O WIRING d+ - �• u _ ' t » SUPPLEMENTARY. a.so __ FIXTURES A y�y• pf ,p - POWER- g ./.� ��i7 TOTAL FEE $ — /,o A UTILITY CO. NOTIFIED ,d'iV,y FINAL' ,v I - 75A 663 -7554 SA. 4-52 * . WORKERS'COMPENSATION/DECLARA BION CE 86 6G (2-8G) QPPUCAMN T o Q ELECT° CALF PC�RMT I hereby affirm that I have a certificate of consent to`self COUNTY OF LOS ANGELES BU D AND$AFETY insure, or a certificate of Workers'Compensation Insurance,or u a certified copy thereof(Sec. 3800,Lab..C.) FOR APPLICANT TO FILL IN JOB / Policy No. Company EACH NO. E ADDRESS (9 /w New Residential Bldgs.&Pools F1 Certified copy is hereby furnished. 1 &2-Family,Sq: Ft.' $ — $ LOCALITY C� Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST depariment. Residential Swimming.Pools / p N ER 0 NAME Date Applicant Outlets: Rec.!a_Light(Sw. V MADAIL DRESS 40 weed First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY. (� Tel No. COMPENSATION INSURANCE } PLAN CHECKd APPLICANT (This section-need not be completed if'the work involved 0 Lighting Fixtures by the permit is for one hundred dollars ($100) of less.) First 20 ADDRESS Additional Total No.I certify that in:the performance of the work for which this Fixed Appliances Over VHP CITY Tel No. U permit is issued,'I shall not employ any person in any manner PERMIT f, so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT wNO , CA WCn p_ Oven _ Dryer_W.M. ADDRESS,kO G E, h uw4p H.._ Z _ ' e [SDate Applicant Top FAU W. CIT tc� Tel No.L4 Hood._ Fan Other_ r NOTICE TO APPLICANT: If, after making this Certificate of Disp. — Room Air Cond.. ���� 7 LICENSE OR Exemption, you should- become subject to the Workers' REG. NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. P C SSED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR ©� deemed revoked. (Jy' ' Up to 1 Incl. _ FINAL Over 1 to 10 Incl. DATE � LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDAT ON' I hereby.affirm that I am licensed under provisions of Chapter - Over 50 to 100 Inc. FINAL — BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions.Code, and my license is in full force and effect. Services License Number Lic.Class 0-200 Amp. Under 600 V 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances ;9-.419 0.7 A I hereby affirm that I am exempt from' the Contractor's Sign with One Branch'Circuit -00 0 0 0'2 Additional Sign Branch Circuits License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): . Misc.Conduits&Conductors , I as owner of the -property, will do the work and the Other (See Complete Fee Schedule)— o i0 0 2 1,51 structure is not intended or offered. for sale.(Section 7044, Business and Professions Code). 0 2 3—8 1 CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) - issued(Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) ' 6 Lender's Address PERMIT ISSUING FEE I certify-that\I have read this application and state that the TOTAL FEE �; I 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 ove-mentioned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signatu Permittee I Date