HomeMy Public PortalAbout9823 HALLWOOD DR_Electrical__ 76A663 CE 606/Rp10X77 FOR EL ECUMC(/"NLPER-Wr
COUNTY OF LOS ANGELES _ _
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS 9823 gall Od
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
1 &2-Family,Sq. Ft. $ .025 - $ CROSS ST. Golden West
OWNER OR
Multi-family Sq. Ft. .02 — FIRM NAME Maxi
Residential Swimming Pools 25.00 MAIL.
ADDRESS 9823 HaUwood
Outlets:Rec.Light_Sw. CITY Te le City Tel. No.
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel. No.
Additional .30 PERMIT
Total No. APPLICANT- Norales Electric
Fixed Appliances Not Over'l HP ADDRESS 880 Mission Drive
Range_Heater_D.W. CITYRDaSem' ead Tel.No.280„ 260
Oven Dryer_W.M. LICENSE OR
Top —FAU —W.H. REG. NUMBER 227962 Class. C.�.,20
Hood_Fan _Other— 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Dlsp. Room Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN.
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&.Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND ATE OF AL1 ORNIA OR THAT I AM �•^
Up to 1 Incl. 2.50 THE LEGAL OW F'TFTrdBOVE DESCRIB RESID PROPERTY.
Over 1 to 10 Ind. 5.00--i– v
Over 10 to.50 Incl:. 1 2.50 PERMITTEE C'
25.00 SIGNATOR G O
Over 50 to 100 Inc. U
40.00 v�
Over 100 DISTRICT NO. /y� ,.PROCESS D BY nW..
Services
C� � z
0- 200 Amp.Under 600 V 12.50 APPROVALS DATE INSPE OR'S
201-1000 Amp.Under,600 V
25.00 SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
2.00 WIRING `O4 w"
Additional Sign Branch Circuits'
FIXTURES
Misc.Conduits&Conductors 10.00 .
Other ISee'Complete Fee Schedules POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
v
PERMIT FEE (Sub-Totoll NOTES '
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $7.00 7
0
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION : M.O., CASH
JUL 21 2 0 1 -2.0 G �li
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE !
�„� r
76A666-CEBOB 3-68 A P u U C A T M N FOR
ELECT
�j91�C PER 1���Tj
COUNTY OF LOS ANGELES 1111 IIS FIIC�I1 11`/_ III\`VW11111 IIII
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRE$$ L WOO
JOHN A. LAMBIE, COUNTY ENGINEER
AVE
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY I
It FOR APPLICANT TO FILL IN NEAREST L T
PERMIT FEES
OWNER l X
ITEM NUMBER EACH FEE
o OUTLETS: $ $ MAIL LIGHTS RECEPT. SW. / .10 J JJ ADDRESS
LIGHTING FIXTURES :10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAyyN
WATER HEATERS .50 ADDRESS
LF=C.SPACE HTRS.!'DISHWASHERS -CITY "G�S�%H�/� DTEL. NO. T(-7Z 7,P
o GARBAGE DISPOSERS'_ AUTO.- //� ^ STATE
WASHERS STA.COOKING UNIT3� .2S LICENSE NO.
e
MOTORS: OVER INC. H.P. s D1STRl�lO. I GaQwP I ZQNE [��FD Y
0— 1/2 (jG 2S 2
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
IS— 50 2.50
v,
50-200 5.00
SIGNS: NO.TRANS. _
p NO.LAMPS ,g
SERVICE 0-600V f 1.00 1 C7 Q
SERVICE OVER 600V 5.00
MISC.
v
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
n
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ (?
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE, ABOVE
�. DESCRIBED RESIDENTIAL PROPERT . POWER C
�k
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
o -xaa •a anrr>:: - - -. FINAL
OF. DAT ARTHUR C.VETT,
CK MQ"
SUPERVISING ELECTRICAL ENGINEER
�' 7 9 5 5- NOV 2 3 2 A -7,.6 0n
;WORKERS'COMPENSATION DECLARATION 76,663 10/81 �y��n ��a���ON 2®R E ECTMICA PERMT
thereby affirm .that I have a certificate of consent to self insure,
CE, P� LL. �o IIYI I!- L4�L�l� L� IIN/II
or a certificate.of Workers' Compensation Insurance,,or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.3800,Lab.C.)
Policy No. - Company FOR APPLICANT TO FILL IN - JOB (j
Certified copy is hereby.,furnished. New Residential Bldgs.&Pools
-, •EACH NO.
FEE ADDRESS • 'SZ
❑ 1 & 2-Family,Sq.Ft. $ _ $ LOCALITY
Certified "copy is.filed with the'county building inspection
NEAREST 1. y
department. Multi-family Sq.Ft. CROSS ST.
Residential Swimming Pools OWNER OR
Date Applicant - - - - FIRMNA
ME _
M CERTIFICATE'OF EXEMPTION FROM WORKERS'. �C�' MAIL
COMPENSATION INSURANCE Outlets:Rec Light Sw.; ADDRESS
if
(=This section,need not be completed 'the work.involved by the
First 20
p r�J CITY Tel;No Q
-permit is for one hundred dollars($100)or less.) Total No. —/ .Additional' L� Gl
certif that in the performance of the work for which this.permit PLAN CHECK ,p
v p p f APPLICANT
TD V
is issued,,l:shall not employ any person in any manner so as to
become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS
'. Total No. lY' Additional, 'CITY Tel.No:,
h��'�i�...III"'
Date���� Applicant Fixed Applianc Not Over 1 HP PERMIT
NOTICE 'TO APPLICANT: If;:.after mak' . .this Certificate of v
Range D.W. •• APPLICANT
Exemption,you should become subject to a kers'Compensation - 9 �-•. ,-
provisions.of the Labor Code, you must o. w(j= omply with such Oven — Dryer W.M.— ADDRESS 7
.provisions or this permit shall'be deemed revoked. Top r - FAU W.H.
LICENSED CONTRACTORS DECLARATION. CITY Tel.No.
' Hood — Fan Other_
I;hereby affirm'that I am licensed under provisions of.Chapter 9 LICENSE OR
Disp. Room Air Cond.. 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. PROCESSED•BY
p
Size&Type HP,KW,KVA,or KVAR r/ : ' U
License Number Lic.Class ' Up to 1 Incl. FlNAL
- Over 1'to 10 Incl.. " DATE VALIDATION.:
Contractor Date Over.10 to 50 Incl.
I am exempt,under Seo, - Over 50 to 100 Inc.• - d
FINA
BY
B.&P.C.for this reason
Over 100
Services,'Swbd.,MCC& Panelboards•'
Date: 0-200 Amp.Under 600 V D -
Signature 20i,- 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
1 hereby affirm that I am exempt from the Contractor's License Law t
for.,the following reason(Section 7031.5,Business,and Professions Addition al Sign Branch-Circuits
Code):
�q ',Misc.Conduits& Conductors
IJ I,as owner of the property,will do the work and the structure,
is-not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)
and Professions Code).: D �• -+'
- .. C,
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work'for which this permit is issued(Sec.3097, PERMIT FEE "(Sub-Total) s tc t
ry i71«
Civ.C.).
PLAN CHECKING FEE
t
Lender's Name � � )i •Y
r
PERMIT ISSUING FEE / { •� - I
Lender's Address
1 certify that I'have read this application'and state that the above TOTAL FEE. (� .
information is correct.'I agree to'comply with all County ordinances
and State laws regulating Electrical wiring, and hereby authorize
representatives of his County to enter upon the above-mentioned
propertfor in ec on purposes.
'-SEE REVERS E.FOR EXPLANATORY.LANGUAGE --
Sig rii6ture f eFrn i to Date
CQUNTY OF LOS ANGELES TEMPLE CITY # 0508 JELECTRICAL;PERMIT
" DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ELS-05089.7.09040037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID �BUI'L"DING;.ADDRESS:
TR: 14908 LT: 6 ;_':'19823"'HALLWOOD�DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: •w...:_-TEMP=CA=917803917
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8589-021-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 26.00 OUT 47.10
TENANT: G2 LIGHTING FIXTURES 5.00 LGT 9.75 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 84.60 09/15/97 UT 09/15/98
OWNER: TEL. NO: FINAL DATE FINAL B CODE:
HO RAYMOND;CHUN C )
9823 HALLWOOD DR ( !7-1 U
TEMP 917803917 DESCRIPTION OF WORK
ELECTRICAL FOR NEW ADDITION
APPLICANT: TEL. NO:
YAM (714) 288-0308-
SPECIAL CONDITIONS:
� LES 0,
CONTRACTOR: TEL: NO: �� O/] APPROVALS DATE. INSPECTOR SIGNATURE
WAI TAK CONSTRUCTION (816-285-7931- (/u//l
611 E. MISSION DR. LIC. NO /�^ TEMPORARY POWER POLE
SAN GABRIEL, CA 91776 586138 B v�
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
CREATIVE ARCHITECTURAL AND PLANNING (714) 288-0308-
P. 0. BOX 4535 LIC. NO: �i 1,` ROUGH CONDUIT
ORANGE, .CA 92667 53582 S � {.
U ROUGH WIRING Q Q
P v(� B Uc W9(311���� MAIN WATER LINE
�JU �/ PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508