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