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HomeMy Public PortalAbout9807 HALLWOOD DR_Electrical__ 7GA663-CES0610-62 APPLICATION FOR ELECTRICAL PERMIT ' 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS9807 N l�rw JOHN A. LAMBIE' COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY NEAREST Tempi Is Ci ty FOR APPLICANT TO FILL IN I CROSS ST. WeSt RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 s.20 $ 20 OWNER $ LIGHT 4L� MAIL V,, ,7 swlrcH. OVER'LO .10 ADDRESS 9807 Ha.11wood TOTAL CITY C' TEL.NO. LIGHTING I FIRST 20 .20 FIXTURES ADD'L 10 ELECTRICIAN Pa,C1fiC Installers -38192 OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK 1. 1 CITYSe�e �Q TEL.NO. ZIZIP-123), DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(I/&H.P.MAX.) ,50 LICENSE NO. 2J1898 MOTORS: OVER NOT OVER H.P. DISTRICT NO, I GR PO7EPR E ED BY O 1 1.00 I s 1.50 INSPECTION RECORD s S 2.00 8 15 2.50 0 15 so 8.00 50 100 5.00 SIGNS: NO.TRANS. O_ NO.LAMPS N Z SERVICE 0-600V-NOT OVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. autn_ timer for sprinkler PERMIT ISSUING FEE 2.00 2,00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE Is 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 HE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PRO RTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE _ ' FINAL i A IDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER 9 6 7 7:S SEP 3 ) D 2.2 0'" i I , 4-68 - TEMPLE CITY LICENSE # 04061 76A663-CE806 rPPMCAU OFOR ElEcupflQu i m u . COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILpING AND SAFETY DIVISION ADDRESS 9807 Hallwood JOHN A. LAMBIE, COUNTY ENGINEER f7 } COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temple CZ 1 -- - NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. [EACH FEE $ $ OWNER BOOHER RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS 80 allwoo ' SWITCH_ OVER 20 .10 CITY p (''-j ,Nj TEL. NO. PLAN CHE LIGHTING TOTAL FIRST 20. .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER_WTR.HTR._ CITY TEL. NO. STA.COOK_DISP._F.A.U.— COiJTRACTOR Ce W. GARTSIDE ELECT SPACE HTR. AIR CONO. ADDREss20627 Calora Street CLOTHES WASH._DISHWASH., CITY Covina- fj'7,;p/ZTEL. NO. 6 -222 FAN—OTHER 1.00 LICENSE NO. 204628 CLASS.(--j >V MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q/`��, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING f l d 3 AL 0 - 1 1.00 ELECTRICAL WIRING. FAV g I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 - 50 5.00 RESIDE IN, THE ABOVE DESCR D RE IDE NTIAL PROPERTY. SIGNATURE 50 - 100 10.00 1 OF PERMITTEE 100 - 500 15.00 - - ,•. -' U DIST�IC O. GI �RUP �N,E O SED BYLLJ TUBE, OR CL SIGN AND ONE CIRCUIT 3.00 �:©, /S I GN,GAS �/ Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE -TEMP. POWER POLE UNDERSLAB WORK �'.ROUGH CONDUIT WIRING / PERMIT FEE (SUB TOTAL) / ? FIXTURES PLAN CHECK FEE (50% PERMIT FEE) n, ,,�,POWER AUTHORIZED • PERMIT ISSUING FEE 2.00 6CS ;. . LITYCO.NOTI /FIED�' -7,� .� SUPPLEMENTARY PERMIT ISSUING FEE 1.00 •: FINAL p JOSEPH C. ROOHAN TOTAL FEE Q SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATIONCK. M.O. CASH r Ar, -02 3 0c, 32 'D. 4.00 WE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS'COMPENSATION DECL.A.RP.JION CE-8 63 n fD�fD711 C n 1�� N FOR RECT(7 IC !�1 L fD�ER ILLI T CE-806-G (2-80) � /�11!'I!'L� G�1 U I1 C1 lr IIS LS U IIS (�,1 I!'LSII�UC/U 0 I hereby affirm that I have a certificate of.consent i LE COUNTY OF LOS ANGELES 1. BUILDING,AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.), ­!!7v c,vv­? FOR APPLICANT TO FILL IN JOB j Policy No.— Company EACH NO. FEE ADDRESSI? L` <� '� ❑ New Residential Bldgs.&Pools Certified copy is hereby furnished. 1'&2-Family,Sq. Ft. $ $ LOCALITY Multi-family Sq. Ft. — NEAREST ❑ Certified copy is filed with the county building inspection , CROSS ST Q 4 _ s' 7 ment. Residential Swimming Pools J departORM NAME I L Date Outlets: Rec. Light Sw. Applicant MAIL !�yy ,(� �W ADDRESS b® First 2 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. r� Additional CITY Tel No. J/: COMPENSATION INSURANCE PLAN CHECK d APPLICANT (This section need not be completed if the work involved a(pC� oa 0 Additional by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures, First ADDRESS U Additional Total No. 0 I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. 0 permit is issued, I shall not employ any person in any manner PERMIT O. so as to become subject to the Workers' Compensation Laws: Range_ Heater_D.W. APPLICANT A — W Oven _ Dryer_W.M. ADDRESS FF07cA Date Applicant Top _ FAU _W.H.. Hood — Fan ' _Other— CITY _ •Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air.Cond-_ LICENSE R 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. PROCESED BY W ith comply with such provisions or this permit shall be deemed revoked. Size&Type HP, KW, KVA,or KVAR Up to.1 Incl. v U FINAL ', �, LICENSED CONTRACTORS DECLARATION .Over 1 to 10 Incl. DATE Over 10 to 50 Incl. VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL (/ 9 (commencing with.Section 7000) of Division 3 of the Busi- Over 100 BY r 1 ess and Professions-Code, and my license is in full force and �J ffect. Services cense Number Lic.Class 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V ontractor Date' Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances ' hereby affirm that I. am exempt from.the 'Contractor's . Sign with One Branch Circuit sense-Law for the following reason .(Section 7031.5, Busi= Additional Sign Branch Circuits s and Professions Code): Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule) — tructure.is not intended or offered for sale (Section 0 4;739 A 7044, Business and Professions Code). ; CONSTRUCTION LENDING AGENCY • , # 000002 reby affirm• that there is aconstruction lending agency the performance of the work for which this permit is PERMIT FEE (Sub-Total) — 2 o o 2 1. 1 0 J (Sec. 3097,Civ.C.). i Z er's Name PLAN CHECKING FEE (One-Fourth Permit Fee)' o'o - 2 1, 0'r�- er's Address PERMIT ISSUING FEE $ 0 7.0 2-8 2 ' tify that I have read this application and state that the TOTAL FEE e information is correct.I agree to comply with all County ances and State "laws regulating Electrical wiring, and y authorize representatives of this County to enter upon ove-mentioned property finr inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE !Vf nature of Permittee Dater ��