HomeMy Public PortalAbout9837 HALLWOOD DR_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0211180026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13986 LT: 12 BL: .001 9837 HALLWOOD DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803917
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: AGNES
8589-021-004 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY'
G1 OUTLETS-LGT,SW,RECP 127.00 OUT 183.45
TENANT: G2 LIGHTING FIXTURES 20.00 LGT 39.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
JB AC UNITS +3-10HP 1.00 AC 19.65 11/18/02 JK 05/17/03
LB 200 AMP PANELS, MCC 1.00 PAN _ 38.85
OWNER: TEL. NO: TOTAL FEES 308.70 FINAL DATE FINAL BY: CODE:
KWOK KING H;WONG LINDA L (626) 285-8920- lj
9837 HALLWOOD DR X30-C7� Y v
TEMP 917803917 DESCRIPTION OF WORK
ELECTRICAL FOR ADDITION
APPLICANT: TEL. NO:
RAY YOUNG CORP
6006 RENO AVE SPECIAL CONDITIONS:
TEMPLE CITY 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
RAY YOUNG CORP. (626) 286-8762-
6006 RENO AVE LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 570197 C10
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND
KAO, JUSTIN (626) 839-9385-
2321 FALLEN DRIVE LIC. NO: ROUGH CONDUIT
ROWLAND HEIGHTS, CA 91748 322022
ROUGH WIRING fp
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
it„ ,,yy��r��r KERS'COMPENSATION DECLARATION 720
6A669DPw3iez ���������Onn �O� �������a�� ������ O
eby$ffi m,that I have a^certificate of consent to self CE806G n (J�f (�
insure or.a certificate of Workers' Compensation Insurance, G L• _*0 COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or.a certi{i/e'd ccopyy tthereof (Sec. 3800, Lea'b. C.) _ 1la
Policy No.ZL47 L—Company 7 /TTE t"`NIQ FOR APPLICANT TO FILL IN JOB �q� ®�
Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 7
Fified cois filed with the count buildin ins ec- .1 &2-Famil S Ft. $ — $ LOCALITY �fk�(,(r CL GA
rtpY y g p y q NEAREST
n department. Multi-family Sq. Ft. CROSS ST.
Date-4Applicant Residential Swimming Pools `-
OWNER OR
FIRM NAME /h t f/b
CERTIFICATE OF EXEMPTION FROM W RKERS' Outlets: Rec�LightSw. 4 MAIL
COMPENSATION INSURANC ADDRESS S
This need not be f L First 20
( s seeee coPleted if the work involved b Y Total No.� Additional CITY Tel. No.
the permit is for one hundred dollars ($100)or less.)
I certify that in .he performance of the work for which this PLAN CHECK
• Y P APPLICANT
permit is issued, I shall not employ an'y person in any manner
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First.20 ADDRESS
Additional
' Total No.� CITY TeL No.
y Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of
Exemption, you should become subject to the Workers' Range.— Heater D.W. _ APPLICATION Faft Jt1�'1+SJ�.I
Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS Z,
with comply with such provisions or this permit shall be Top — FAU W.H. —
deemed revoked. Hood — Fan CITY �� fN Tel. o. �2
LICENSED CONTRACTORS DECLARATION ' Other_
Dis Room Air Cond. LICENSE M 'L��
I hereby affirm that I am licensed under provisions of Chapter 9 p• REG. NUMBER "� Class.
(commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT N PROCESSED BY
0
and Professions Code,and my license is in full force and effect.
Size&Type HP, KW, KVA, or KVAR lj Q
License Number. ✓ Lic. Class � Up to 1 Incl. FINAL U
Contractor Date Over 1 to 10 Incl. DATE VALIDATION cc
❑ Over 10 to 50 Incl. FINAL �uYr
I am,exempt nder Sec. Over 50 to 100 Inc. BY 0
B.&P.C. for this reason Over 100 A t1
Services, Swbd., MCC & Ponelboards V Z
Date: ' 0-200 Amp. Under 600 V A D + —
Signature 201 - 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
I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ACCT°
A
Sign Additional Si Branch Circuits
Law for the following reason (Section 7031.5,' Business and g - -
Professions Code): 33017 1.00
I, aslowner of the property, will do the work and the
Misc. Conduits &Conductors 1 ITEMS
structure is not intended or offered for sale(Section 7044, "Other,(See Complete Fee Schedule)_ D TOTAL �
Business and Professions Code).
o
CONSTRUCTION LENDING AGENCY ,,CHECK 51°01l
I hereby affirm that there is a construction lending agency for
t H6IC1E .00
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) _
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE �n-
Lender's Name 0DOG-000l 6/ 9/89
PERMIT ISSUING FEEza -
Lender's Address 3M 1 AM'8-43
I certify that I have read this application and state that the TOTAL FEE
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-mntione property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permit ate x Os
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 CEL'ECTRICAL-PERMIT-
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL--0508-9803250022 .(
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13986 LT: 12 BL: .001 09837=HALL"W000-D-,FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803917
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST
8589-021-004 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75
TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 41.40 03/25/98 UT 03/25/99
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
KWOK KING H;WONG LINDA L p
9837 HALLWOOD DR �-27�� ►Jade,
TEMP 917803917 DESCRIP_T-ION_OF WORK------------
,ELECTRICAL-FOR-NEW PATIO ENCLOSURE
APPLICANT: TEL. NO:
HUNT INTERIORS (626) 285-8439-
1100 S. SAN GABRIEL _ SPECIAL CONDITIONS:
SAN GABRIEL, CA
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
HUNT INTERIORS, INC. (626) 285-8439-
1100 S. SAN GABRIEL BLVD. LIC. NO \ TEMPORARY POWER POLE
SAN GABRIEL, CA 91776 6565246 j
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: �
� \'� UFER GROUND
LIC. N0: _ ( ``�1111�1`y ;' ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
- - -- - T Y
i
U ILII COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508