HomeMy Public PortalAbout9828 HALLWOOD DR_Electrical__ 76A66 4!E806'1/70 QppdOC�Q40'OO BOO Q Ed[ UMC AL pE°- 'T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY 'r
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
OWNER\
$ $ MAIL
l /�
RECEPT._ ADDRESS L U
LIGHT TOTAL FIRST 20 .20 CITY y L. N
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
OVER 20 ADDRESS
FIXTURES .10
APPLIANCES CITY TEL. NO.
PERMIT a
RANGE DRYER WTR. HTR. APPLICAN
STA. COOK DI SP. F.A.U. ADDRES
SPACE HTR, AIR COND. CITY L. N - �
CLOTHES WASH. 01SHWASH. LICENSE NO. 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
I HEREBY CERTIFY THAT I AM PR OPE LY REGISTERED AND/OR
0 - 1 100 LICENSED, AS REOUIRED BY LOS ANGEL COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL NER OF, AND INTEND TO
1 - 10 3.00 co RESIDE IN, THE ABOVE D GRIPEDgREDENTIA PROPERTY. >_
SIGNATURE CL
10 - 50 5.00 OF PERMITTEE 0
U
50 - 100 10.00
DISTRICTPt O. CLASS GROUP Z RO ESSED BY
100 - 500 15.00 rt a 0
SIGN, GASLu
SIGN AND ONE CIRCUIT 3.00 NOTES: 3�x CL
TUBE, OR
MARQUEE ADDITIONAL.CIRCUITS 1.00 Z
2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICED 1R600V LTSOR200AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR-RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL).
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
I UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00 ZZ 62
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER,
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH
? ' nv . 30 2 ® 9.00'
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -
76.0663-C E806 3-69
COUNTY OF LOS ANGELES
n UILDING '?.k2-
--.... ,
DEPARTMENT OF COUNTY ENGINEER � .6
BUILDING AND SAFETY DIVISION ADDRESS /dZ�' r9LLwat�
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY TG/YI Le
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. 09011�C / L
NO. EACH FEE
$ $ OWNER S Ne-L/L-
RECEIPT. MAIL
LIGHT_ TOTAL FIRST 20 � .20 OD ADDRESS �fsZ � GL L.leaq
SWITCH J OVER 20 •10 CITY TM �� Cj� _ TEL NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 2-99 APPLICANT
. FIXTURES l OVER 20 .10 ADDRESS
RANGE - DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK L DISP. L F.A.U. CONTRACTOR j P,
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH.� CITY SqgW m.4s TEL.NO.�3�-/Zj'L
FAN OTHER 1.00 -
Q LICENSE N0. b 4 CLASS. 9:n--IG
U
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -°
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING t
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
.LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND 5TATEOF }
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED,RESIDENTIAL PROPERTY. 0
10 - 50 5.00 V
SIGNATURE �
50 - 100 10.00 OF PERMITTEE IO
441 .. .r it
100 - 500 15.00 DISTRICT NO. GROUP' ZONE PROCESSED BY V
O �
CL
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 N
TUBE, OR t� Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: 'rz )(JyClj rL(. .���•
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
Jr, �
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE R' G LURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
2 C I
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL b
Zd JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECT ENGINEER
PLAN CHECK VALIDATION CK M.D. ✓ CASH PERMIT VALIDATION CK. M.O. CASH
6 1 09 juL30 .2 D 1 020'
SEE BACK OF APPLICATION FOR COMPLETE FEE SCH F.OIILE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0806190015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: 1 FEES PAID BUILDING ADDRESS: I
ITR: 13986 LT: 5 1 1 9828 HALLWOOD DR 1
I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803916 1
IASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18589-020-005 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A5 LOCALITY: •TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 36.00 OUT 60.60 1 I
(TENANT: JG2 LIGHTING FIXTURES 18.00 LGT 35.10 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
J JHA FAU LESS 3HP 1.00 FAU 10.95 106/19/08 SR 12/16/08 1
1 JH2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 1 I
DOWNER: TEL. NO: JH3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 (FINAL DATE FINAL BY: CODE: 1
1KASUBUCHI, GREGG/TAMMY (626) 215-5279- JH4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 I 2 I
19828 HALLWOOD DR. JH5 RES WASH MACH LT 3HP 1.00 WAS 10.95
1TEMP 917803925 1JB AC UNITS +3-10HP 1.00 AC 19.65 ID SCRIP ION OF WORK
1 1LB 200 AMP PANELS, MCC 1.00 PAN 38.85 JELECTRICAL FOR NEW ADDITION, REMODEL AND UPGRADE SERVICE 1
1 1 TOTAL FEES 236.70 (PANEL TO 200 AMP J
JAPPLICANT: TEL. NO: 1
IQUAN ALBERT (626) 202-8328- I
13139 HEMPSTEAD AVE. D (SPECIAL CONDITIONS:
ARCADIA, CA 91006 1 I I
I I I I
(CONTRACTOR: TEL. NO: I 1APFROVALS DATE INSPECTOR SIGNATURE 1
INEW DESIGN CONSTRUCTION, INC. (626) 202-8328- I _ 1 I
13139 HEMPSTEAD AVENUE LIC. NO 1 1TEMPORARY POWER POLE 1
JARCADIA, CA 91006 668583B I _ 1
I JUNDERGROUND CONDUIT I I
JARCHITECT OR ENGINEER: TEL. NO: 1 JUFER GROUND I 1 1
1 LIC. NO: 1 (ROUGH CONDUIT 1 J
. 1ROUGH WIRING I J
I IMAIN WATER LINE J 1 I
D I 1PLP.STIC Y/N METAL Y/N 1 1 I
D J 1UTILITY COMPANY NOTIFI I1 1
1
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
I (REPORT ID: DPR265 ROUTE TO: BS0508 1 I I 1
I I I I I I