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HomeMy Public PortalAbout4904 MCCLINTOCK AVE_Electrical__ D.B.S.SA 25M SETS ID-47 ' - L•PMCATj ON FOR -' :DEPARTMENT OF Buiz.DnvG AND SAFETY ELEaC��t_ IC � COUNTY OF LOS ANGELES WM. J. OX CHIEF ENGINEER a NAME )� n DIST r�T�NO. GROUP ZONE PERMITNO. U ADDRESS yyC' i iC� / "1 / / 836-77 CCITY rg- OUNTY — NO. �. EIV -3 READY FOR DATE ISSUED FIRST'INSPECTION / W CERT.NO. EXPIRES �' APPLICANT FILL IN HEAVILY OUTLINE D PORTION ONLY H3E.�sCI�IIPTION OF WORK JOB ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS low. PLUGS FIIfT CROSS ST. ' ,�l/( / CIRCUIT A B C D E F G. H E NAME Ti &Vj Af7�IJ.- r Z ADDRId AILESS l �O_L� 1��C��Y/�.. CITY Ll .-(.y_ TEL.NO. J 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICAT$ OF QUALIFICATION.. ELECTRICIAN. - i AIA THE LEGAL OWNER OF THE PRO DESCRIBED ABOVE �P�RTX� // WRIER. CoRREcmNS Ir J - Q Z G OTAL NO. OF OUTLETSAPPROVALS NO. OF FIXTURES $ DATE INSPECTORS NAME NO. OF MOTORS H.P. $ CONDUIT / NO. OF SIGNS, TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES ♦t a / MISCELLANEOUS $ POWER PERMIT FEE $ UTILITYCO.NOTIFIEd / 7 7 'V ey,.., i TOTAL O I � FINAL f 7BAB63 DSS 8A 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES ' WILLIAM J. FOXv CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. / &I ELECTRICIAN F RECEIVED BY READY FOR DATE ISSUED ADDRESS �7 FIRST INSPECTION Z6- CITY TEL NO. �+ — W 50 COUNTY LI ENSE NO. EXPIRES BUILDING q PERMIT FEES ADDRESS f NUMBER OUTLETS EACH FEE LOCALITY y 2 LIGHT 513 NEAREST S CROSS ST. RECEPTACLES 5 v t/� FIXTURES 5 OWNER A-- Q//. ZVL WALL SWITCHES 5 MAIL �dJ1 ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. MIBC. 1 HEREBY ACKNOWLE GE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTAL APPLICATION AND STATE THAT THE ABOVE 18 CORREC LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NumsEn HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NEW ' Mvo. HP OVER INC. EACH ANGELES COUNTY'LICENSE, OR 1 AM THE LEGAL OWNER %2 A LESS $ .25 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 2 .50 SIGNATURE OF 2 S 1.00 PERMITTE 5 is 1.60 INSPECTION RECORD 15 50 2.50 50 200 5.00 200 500 10.00 5013 1000 15.00 Q OVER 1131313 20.00 Z M.G. SET/FRE0. CHANGER-HP O_ WELDERS:AC-KVA R� GENERATORS - KW ° O TRANSFORMERS - KVA TEMP. MOTORS (75% of ORIo.) MOVED MOTORS 1,7s% OF ORIBJ MIBC. SIGNS TYPE. NO.TRANS. TYPE: NO.LAMPS - APPROVALS FOR EACH PERMIT: DATE INSPECTORS NAME WIRING $1,00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $3 `L� UTILITY CO.NOTIFIED FINAL 76A663-C.ES0610/72 APPLICATIO R ELEGTR AL PE IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS LOCALITY NEAREST FOR APPLICANT TO FILL IN _ CROSS ST, OUTLETS NO. EACH I FEE OWNER OR $ s FIRM NAME RECEPT._ MAIL LIGHT TOTAL FIRST%20 25 ADDRESS OVER 20 CITY TEL. NOy SWITCH_ 10 PLAN CHECK LIGHTING FIRST 20 25. APPLICANT TOTAL FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERIT RANGE DRYER_WTR. HTR. APPILI ANT STA. COOK DISP. F.A.U. ADDRESS 0 SPACE HTR. AIR COND. CITY q„S s TEL. N0 �- CLOTHES WASH. DISHWASH. LICENSE OR - CLASS. REG. NUMBER .�. 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 W IR ING. SIZE & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 'CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE. 1 — 10 3.00 DESCRIDRED DENTIAL PROPERT v CD 1PERMITEE C.1)0 - 50 5.00 SIGNATURE C cc O 50 - 100 10.00 DISTRICT N0. PROCESS-91) BY W 100 - 500 e 15.00 s y SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTO TUBE, OR SIGNATURE MARQUEE ADDITIONAL CIRCUITS 1.00 'TEMP. POWER POLE SERV I.CENOT 0VER600.VOLTS 0R200AMP 3.00 3 IV 400 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING 12 — r TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES' POWER AUTHORIZED UTILITY CO.'NOTIFIED FINAL ��7 PERMIT FEE (SUB TOTAL) NOTES:' PLAN CHECK FEE PERMIT ISSUING FEE 3.00 D E'/ TOTAL FEE 6,,g e,7 PLAN CHECK VALIDATION CK. ' .0. CASH PERMIT VALIDATION, CK. i .O. CASH X12:2 59 OCT e4 2 D 9 . 6..0 0 � SEEBACK OF APPLICATION FOR COMPLETE%SCHEDULE 76AS68 DBS SA 11-50 APPLICATION FOR PERNIIT DEPARTIVIENT OF BUILDING AND;SAFETY ELECTRIC COUNTY OF LOS ANGELES ' WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN / / ` RECEIVED BY READY FOR DATE ISSUED ADDRESS /.� �, rvn' FIRST INSPECTION /+ CITY '�t e. /i`' /�a--'?�'i✓� EL. NO. _ p,q� _ 1 COUNTY LICENSE.NO.l EXPIRES BUILDING /y� C J I �1(� PERM FEESF ADDRESS [ /�Ll 1•�,y _ ; b�• �,+ • FEE v NUMBER EACH LOCALITY , LIGHT OUTLETS NEAREST -77 CROSS ST . t���V'� �� ✓ Z RECEPTACLES f�/' WALL SWITCHES OWNER / �► TOTAL OUTLETS SC S 'S- MAIL ELEC. RANGES 25 ADDRESS ✓+ ,� i.' 1.'r^'' ., r ��l''. f ELEC. HEATERS 25 CITY /�i/.1j'�r�` Y �V� /rITEL. NO. FIXTURES 5 v I HEREBY ACKNOWLEDGF�THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER MVD. HP OVER HORSEPOWER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE'LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. NEW SIGNATURE OF 1/2 2 .50 PERMITTER * - 2 5 1.00 INSPEC„ • N RECORD S 15 1.50 15 So 2.50 So 200 S= 200 Soo 10.00 J Soo 1000 15.00 a Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP Ir WELDERS:AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (7S%OF ORIG.) MOVED MOTORS (75%OFORIG. j ? MISC. d �l� rvff 1✓1 /, SIGNS S / f I NO. NO.TRANS. I I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING 51.00 �/ 10 d CO DUIT FIXTURES $1.00 [RING SUPPLEMENTARY .S0 FIXTURES J POWER TOTAL FEE / UTILITY CO. NOTIFIED ® I FINAL q� JAI , ' s 7GA663 DBS 6A 11-50 , DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERNIIT COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FII�+L/11 ~ DISTRIICCT O. GROUP ZONE PERMIT NO. ELECTRICIAN v X RECEIVED BY READY FOR DATE ISSUED 17 5r:5 ADDRESS FIRST INSPECTION _ CITY TEL. NO. (r ����))+}} /fr /���✓ ,r��.J1r COUNTY LICENSE NO. EXPIRES BUILDING ADDRESS �� \�� V/� l�1L<1.✓6'!1 •�iJ�' 6 ' PERMIT FEES ` ' NUMBER EACH FEE LOCALITY I'i C' LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER a1 TOTAL OUTLETS Sc $ MAIL 'way yy //Y3� � ELEC. RANGES 25 ADDRESS 'way L i //1" / .•C;t,bb a-4 o l �D ELEC. HEATERS 25 CITY A'-f .� f_ Aolf-V TEL. NO. FIXTURES 5 I HEREBY~ ACKNOWLEDp/E THAT 1 HAVE READ THIS MISC. ' APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I 1/2 9 LESS $ .25 SIGNATURE OF PERMI'17EE !�i— �a•'�' e 'YrT �A�/ 1/2 2 .50 y 2 s 1.00 INSPECTION RECORD s 15 1 1.50 1s so 2.50 so 200 S= - 200 Soo 10.00 ti J Soo 1000 15.00 ' Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (7s%OF ORIG.) MOVED MOTORS (75%OFORIG.) MISC. SIGNS NO. No.TRANS. I I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.00 FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED ® I FINAL i ;0 WORKERS'CO.MPL'N$;4TdONfCLARATION 20-0019DPW 3/87APPLICATION FOR ELECTRICAL PERMIT O affirm that I have a certificate of consent to self CEso6G 'r sure,.or a certificate of.Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof(Sec. 3800, Lab. C.) , Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS06t CA. M1 Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE Certified co is filed with the count building inspec- 1 &2-Family, S Ft. $ — $ LOCALITY �'• °(r� PY Y 9 P Y� 9 tion department. Multi-family S Ft. i NEAREST P Y 9• r / Residential Swimming Pools CROSS O �/ Dote Applicant I OWNER M t e 11�� 111' FIRM NAME ��+�+�-rti CERTIFICATE OF EXEMPTION.FROM WORKERS' Outlets: Rec_L6_Ught_J J_Sw._ MAILQ COMPENSATION INSURANCE ADDRESS T Cilil (1n First 20 (This section need not be completed if the work involved byTotal No. Additional CITY r Tel. No. Z the permit is For one hundred dollars($100)or less.) I certify that I'n the performance of the work for which this PPPLICANTK L-1 Sf& permit is issued, I shall not employ any person in any manner 04 Lighting Fixtures First 20 ADDRESS so as to bec me subject to the Workers' ompention L' , ��s. ` y L + `� Lit Additional Date O Applicant Total No:__1 L_ CITY Tel. No. NOTICE TO PPL NT: If, after making this Certificate of Fixed Appliances Not.Over 1 HP PERMIT APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top .— FAU —W.H. — deemed revoked. Hood — Fan- —Other CIN Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. Room Air Cond. — Class. I hereby affirm that I am licensed under provisions of Chapter 9 1 REG.NUMBER (commencing with Section 7000)of Division 3 of the Business Parer Apparatus&Large Appliances DISTRICT NO. PROCESSE , a I and Professions Code,and my license is-in full force and effect. Mize&Type HP, KW, KVA, or KVAR �/ ` U License Number Lic. Class Up to 1 Incl. FINAL Over 1 to f.0 Incl. DATE 3-_ VALI ON Contractor Date. Over 10 to 50 Incl. U ❑ FIIVA I am exempt under Sec. Over 50 to 100 Inc. g W B.&P.C. for this reason Over 100 a Date: Z Services, Swbd., MCC&Panelboards z® 0 200 Amp. Under 600 V Signature .•201 - 1000.Amp. Under 600 V Exemption for Reg. Maint, Elect. ,Over 1000 Amp. or Over 600 V' SINGLE FAMILY ;20920A HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I S'gn with One Branch Circuit 0 0 0 0 0 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ditional Sign Branch Circuits #,0 0 3 a / Professions Code): o o a 3 a 7 55 lJ 1, as owner of the property, will. do'the work and the iTisc, Conduits&Conductors structure is not intended or offered for sale(Section 7044, gther(See Complete Fee Schedule)— 0. 1-7-88 Business and Professions Code). I ► 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 PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name I PERMIT ISSUING FEE Lender's Address 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 hereb authorize representatives of this County to enter upon the e-mention property for-inspection rpose . SEE REVERSE FOR EXPLANATORY LANGUAGE 0/l� i natureof Permittee Dat ®� / WORKEGS'•COf•,1PE1VS8TIONDECLARATION 7 DPW 3/87 APPLICATION FOR -ELECTRICAL PERMIT o r- J,.heeiiliy affirm that I have a certificate of consent to self CE-606G InaJre, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ora certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOBCH (� f Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS 1 J � /A- Certified co is filed with the count building $ — $ LOCALITY I e copy ' y g inspec- 1 &2-Family, Sq. Ft. tion department. Multi-family Sq. Ft. NEARESTT. Date Applicant Residential Swimming Pools' CROSSOWNER OR '.I FIRM NAME e CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCEADDRESS First 20 (This deetion need not be completed If the work involved by Total No. Additional CITY Tel. No. the permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this AP LICANT permit is issued', I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS / so as to be ome subject to the Workers'Compensation Laws. Additional Total No. CITY Tel. No. Date �l Applicant���(.L AS Fixed Appliances Not Over 1 HP PERMIT NOTICE. Y6 APPLICANT: if, after making this Certificate of APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven —. Dryer —W.M. ADDRESS with comply with such provisions or this permit 'shall be Top — FAU —W..H: — deemed revoked. Hood — Fan —Other— CITY Tei. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Disp.. — Room Air Cond. — Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&.Large Appliances DISTRICT NO. PROCESSED BY d and Professions.Code,and my license is in full force and effect. " Size&Type HP, KW, KVA, or KVAR (// U License Number Lic. Class. Up to 1 Incl. .FINAL Over 1 to 10 incl. DATE����.- VA TION t Contractor Date Over 10 to 50 Incl. U FINAL ^ .I am exempt under Sec. Over 50 to 100 Inc. BY LLI B.&P.C:for this-reason Over 100 U) Services, Swbd.,MCC.&Ponelboards Z Date: 0-200 Amp. Under 600 V 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 off irrri that I am exempt from the Contractor's License Sign with One Branch Circuit i b Z p A Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits ' jPro�fessions Code): o 0 o a o .2 L'J I, as.owner of the property, will do the work and the Misc. Conduits&Conductors ,( o o 2 5,5 0 sirucfure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ _ Business and Professions Code). ® o 0,0 2 5,5.G 6 CONSTRUCTION LENDING AGENCY �� O 4;m 8 8 1 hereby affirm that there is a construction lending.agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE U Lender's Address I certify that I have read this application and state that the U TOTAL FEE ar� 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 abov entioned erty for inspection /urpo e�s.(� SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Permittee to ( i