HomeMy Public PortalAbout4932 MCCLINTOCK AVE_Electrical__ (!�" .. - -I
76A669;CE606 8-62 APPLICA ION OR ELECT ICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. E. COUNTY ENGINEER
A.JEN
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST v 1
FOR APPLICANT TO FILL IN CRO13 ST.
RECEPT. TOTALNO. EACH FEE '
OUTLETS FIRST 20 S.20 $ a1 OWNER �IAoe
LIGHT VMAIL
�j`1 ADO'L i0 - ADDRESS v
SWITCH. OVER 20
LIGHTING TOTAL IRST 20 .20 CITY $
FIXTURES AWL .10 ELECTRICIAN
1_#_KV9R 2O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK CITY TEL.NO.
DiSHWASH. AUTO.-WASH. STATE
SPACE HTRB. STA.APP.(Va N.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST ICT NO. GROUP ZO E O PRD BY
O 1 1.00 c
ri-
i s 1.50 INSPECTION RECORD
e s 2.00
s is 2.50
is s0 8.00 a
so 100 5.00 VO
SIGNS: NO.TRANS•
NO.LAMPS OO
SERVICE 0.60OV-Nor ovER 200A 1.00 1 Lu
b
SERVICE O-SOOV-OVER 200 A. 9.00 to
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 6 ig 3-0
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT AM PROPERLY R 'STEREO AND/OR ✓" "'
LICENSED AS REQUIRED LOS ANGELES CO TY AND STATE OF FIXTURES
CALIFORNIA OR T. AM THE LEGAL O F E OVE
DESCRIBED REGI L PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMI
FINAL
YAIIDATION ARTHUR C. VEIT
JMO CASH SUPERVISING ELECTRICAL ENGINEER
L_iia 6 7 0 3'1231 JUN 6 2 D 8.2 V~
76A663-CE806,&63 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMINT OF COUNTY ENGINEER CNEAR
LDING
BUILDING AND SAFETY DIVISION RESS _ T 3 y C
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING ALITY.
SS T eFOR APPLICANT TO FILL INSS ST.
RECEPT TOTAL NO. EACH OWNER
FEE
OUTLETS FIRST 20 $.go $ -
L161(T MAIL r-3 Gy f�IJv�
ADD'L .10 ADDRESS ..a ! ilAoir
SWITCH. ! OVER 20 I r
LIGHTING 1t TOTAL FIRST 20 .20 CITY �s' / CS TEL.NO.PL r-'/
WS
FIXTURES1 ADD'L 1O ELECTRICIAN
OV R 20
RANGES _CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. ! BTA.COOK
/ CITY EL.NO.
DISHWASH.q. - AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Va H.P.MAX.) ,SO LICENSE NO.
MOTORS+ OVER NOT OVER H.P. DIST ICT d • GROUP ZONE P SEED BY
O 1 1.00 L)
I 3 1.50 INSPECTION RECORD)
3 8 2.00
8 is 2.50
1S SO 3.00 v `�
so 100 5.00. i U
SIGNS: NO.TRANS. ` / ad
0
NO.LAMPS
SERVICE 0.600V-NOT OVER 200A 1.00 ' {yl
a
SERVICE O.600V-OVER 200 A. 2.00 0)
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
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 CONDUIT
WITH ALL-COUNTY ORDINANCES.AND STATE LAWS REGULATING
ELECTRICAL WIRING. :WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY RE&ISTE AND/OR
LICENSED AS REQUIRED BY LOS AN 8 COUNTY.A ST E FIXTURES
CALIFORNIA OR THAT I AM THE GAL OWNER T B
DESCRIBED RESIDENT I L E PO ER
SIGNATURE ILITY CO.NOTIFIED
OF PERMITTEE 7
FINAL:
V LIDATION ARTHUR C. VEIT
MO CASH SUPERVISING ELECTRICAL ENGINEER
4 7 7 '1,S, i( 15 ? D 4.60—
'r—
.60'r—
2
r
714663-CW06.Pr67a PPLICATION FOR ELECTRICARMIT
r~ roUNTY-OL PE
F LOS ANGELES
•�'' v0ARTMENT OFCyOUNTY ENGINEER BUILDING C. c i /
BUILDING AND'SAFETY DIVISION ADDRESS ` d�
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NO. EACH FEE
�J $ $ OWNER }�
RECEPT.L MAIL ` / /+�
LIGHT TOTAL FIRST 20 o .20 MADRESS 3 �I�C�1 Q�./p\
SWITCH OVER 20 .10 CITY ctLTEL. N04LiZ"39.S 3
LIGHTING 1TOTAL FIRST 20 .20 CONTRACTOR
FIXTURES J( OVER 20 10 ADDRESS
RANGE—DRYER—WTR.HTR.— CITY I TEL. NO.
STA.COOK_DISP.—F.A.U._ LICENSE NO.
SPACE HTR. AIR COND. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS GELES COU TY AND STATE OF
MOTORS,TRANSFORMERS RATING .CALIFORNIA OR THAT I AM THE EGAL OWNE F, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE D CRIBED RE ENTIAL PE TY.
SIZE Sc TYPE OVER TO SIGNATURE
0 - 1 1.00 OF PERMITT
1 - 10 3.00 1 DISTRICT GR ZO E P V
10 - 5o 5.00 O
50 - 100 10.00 NOTES: G
W
100 - 500 15.00SIGN GAS
�-
h
TUBE, OR SIGN AND ONE CIRCUIT 3.00.
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, Sc APPURTENANCES 3.00
APPROVALS DATE INS CT RIS GNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
ISSUING FWIRING A
EE 2.00 / 11
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00
POWER AUTHORIZED
PERMIT FEE �Z UTILITY CO.NOTIFIED f l-v /P, �</��,pp•��r/�/
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
L&O o' 3 o Sip 5 2 D '7.5 0- 4
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
e&MIT
78A683-CE8081/90+ APPLICATION FOR ELEC L
` COUNTY OF LOS ANGELES
DEBUILDING AND SAFETY DIVISIONARTMENT OF COUNTY FADISS JOHN A. LAMBIE. COUNTY ENGINEER ITYCOLEMAN W. JENKINS. SUPERINTENDENT OF BUILDINGST
FOR APPLICANT TO FILL IN ST.
OUTLETS NO. EACH I FEE
$ $ OWNER
RECEPT._ ADDRESS L�
MAI L
LIGHT � �L FIRST 20 .20
OVER 20 CITY TEL. NO.
SWITCH / .10 PLAN CHECK
LIGHTING FIRST 2020 APPLICANT
TOTAL
OVER 2ADDRESS
FIXTURES _� 0 .10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER—VTR. HTR. APPLICANT G
STA. COOK DISP. F.A.U. ADDRESS .J�;
SPACE HTR. AIR COND. CITY �, TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO.�g� CLASS.`rl-
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ja
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 PROPERLY REGISTERED AND/OR
0 — 1 1.00 O O LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA Q AT 1 AM THE.LEGAL OWNER OF, AND INTEND TO
1 — 10 3.00 RESIDE IN, VR,H OVE DESCRIBED RESIDENTIAL PROPERTY.
a
SIGNATURE
2�������
10 — $0 5.00 OF PERMITT 0
U
$O — 100 1040 DISTRICTNO, CLASS GROUP E PR E ED BY O
100 - $00 15.00 �'
SIGN, GAS ISIGN AND ONE CIRCUIT 3.00 NOTES: )
Lu
TUBE, OR 7 CL
MARQUEE ADDITIONAL CIRCUITS 1.00 Z
SERVICENOTOVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT
WIRING a la
PERMIT FEE (SUB TO TALI FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
UTILITY CO. NOTIFIED,I0 t .0
PERMIT ISSUING FEE 2.00
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1.001
JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION eK. M.o. CASH
r �r„
05 5 8� RAY 28 2 0 3.80-
cil
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
7GA663-CESOG 5-64 APPLICATION FOR EL TRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING G
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL I NO. I EACH FEE
OUTLETS FIRST 20 !$2O R OWNER' i,I� �•• CJS
LIGHT MAIL IL
/ �y
SWITCH. , OVER 20 .10 ADDRESS VM � p
LIGHTING TOTAL FIRST 20 .20 CITY es TEL.NO.. ��/. .��
FIXTURES } ADD'L .10 ELECTRICIAN
OVER 20
RANGES CLO.DRYERS W'rR.HTR8. 1.00 ADDRESS
GARB.DISP. BTA.COOK
CITY TEL.NO.
DIBHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.CIA H.P.MAX.) .50 LICENSE NO.
MOTORS. OVER NOT OVER H.P. DISTR CT O. GROUP Z NE IP=D
0 1 1.00
1 s 1.50 INSPECTION RECORD y
- a
s S 2.00 O
V
8 Is 2.50
1s so 3.00
V
so too 5.00 a
ZSIGNS. NO.TRANS•
NO.LAMPS
SERVICE O-SOOV-Nor OVER 200A 1.00
SERVICE 0-SOOV-OVER 200 A. 2:00
SERVICE OVER SOOV 5.00
.Misc.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI TION APPROVALS DATE INBPECTOR'SSIGNATURE
AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM ROPERLY RE ANDIOR
LICENSED AS REQUIRED BY LO ANGELES COU 8T OF FIXTURES
CALIFORNIA OR THAT 1 AM' HE LEGAL OW O
DESCRIBED RESIDEN .P PERTY. POWER own
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT r FINAL
V LIDATION ARTHUR C. VEIT
O CASH SUPERVISING ELECTRICAL ENGINEER
CK�� R
Au6 2 E� f-10V 2 3 2 D 7.60-
v
SA663_CEH0e•10-e. APPLICATION FOR ELECTRI AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS "1— /
97
JOHN A. LAMBIE, COUNTY ENGINEER '
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST. r c)
RECEPT. TOTAL NO. EACH FEE I
OUT E 5 FIRST 20ff MAIL
$2O �O OWNER
LIGHT
SWITCH. ADDRESS
OVER 20 .10 I
TOTAL CITY TEL.NO. L-S-- !S
LIGHTING 1 FIRST 20 .20
FIXTURES 1 ADD L .10 ELECTRICIAN
OVER 20 �
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Vg H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT N G Z NE PR D
O 1 1.00 (f
1 s 1.50 INSPECTION RECORD
a 6 2.00 O
8 is 2.50 V
ac
15 50 8.00 W
s0 100 5.00
o.
SIGNS: NO.TRANS. f�
NO.LAMPS z
SERVICE 0-600V-NOT OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 4
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI ATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT M PROPERLY R GISTERED AND/OR t
LICENSED AS REQUIRED B OS ANGELES TY AND STATE OF FIXTURES
CALIFORNIA OR TH 1 M THE LEGAL ER THE OVE
DESCRIBED REBID A PROPERTY. POWER
SIGNATURE 1 Qhs! UTILITY CO.NOTIFIED
OF PERMITTE .6
FINAL
LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LJ�►l,o 4 3 6 3 JAS!13 2 D 4.00- ,1,
BASE3-CESOO-9-57 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUP'T OF BUILDING LOCALITY
NEAREST �
FOR APPLICANT TO FILL IN cRoss sr.
PERMIT FEES
ITEM NUM13ERI EACH FEE OWNER
OUTLETS: $ $ MAIL r
CAI
LIGHTS RECEPT. SW. .10 ADDRESS
LIGHTINJ FIXTURES .10 CITY r T .NO. /11
�
ELEC.RANGES CLO.DRYER ELECTRICIAN
WATER HEATERS •50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
GARBAGE DISPOSERS AUTO.- CITY TEL.NO. �v
STATE D 0
WASHERS STA.COOKING UNITS .25 LICENSE NO. 1 °in�1
MOTORS: oVER INC. H.P.
0— +/g 25 DISTR C NO. GROUP ZONE READ POR INSPECTION
ME — 2 .50
2 — s 1.00 INSPECTION RECORD
a — 15 1.50
1S — 50 2.50
So— 200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-660V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 •�
SUPPLEMENTARY PERMIT .50
TOTAL FEE g APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUI BY LO NGE ES COUNTY AND STATE OF
CALIFORNIA OR T E L OWNER OF THE ABOVE POWER
DESCRIBED REBID TIA R
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL �• I��' �� �`/–
ATION ARTHUR C.V/EIT.
SUPERVISING LECTRICAL ENGINEER
CK MO CASH
U
' L&5.7 8-I S JAN 2 8 2 A .7 0
9A6B3-f.E80610.0 •.�. APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
NG
BUILDING AND SAFETY DIVISION SS
JOHN A. LAMBIE. COUNTY ENGINEER m City WILLIAM A.JENSEN,SUPT OF BUILDING ITY 1e= le Ci 1.
Fairview Ave. nFOR APPLICANT TO FILL IN 9T. & .Grant
I T E M NO. EACH FEE
OUTLETS: (FIRST 20) $$20 $ OWNER Ken Coles
LIGHTS RECEPT. W. `� MAIL
OUTLETS: (ADo'L UNITS) ADDRESS 539 West .92 St.
LIGHTS RECEPT. BW. .10 Los Angeles PL 5-9V15
LIGHTING FIXTURES. (FIRST 20). ,2O CITY TEL.NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN Allied Electric Co.
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 7626 So• Vermont Avenue
GARB.DISP. STA.COOK PL 8_6100
CITY os 'Angeles TEL.NO.
DISHWASH. AUTO.-WASH. STATE 202540
SPACE XTRS. BTA.APP.(1/y H.P.MAX.) .80
LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. G Z N P BY 62
C 1 1.00 i
1 s 1.50 IN PECTION; C RD }
!,� f I
s 8 2.00 D_r f LL� �f t" al , - O
. 8 15 2.50 _ U
15 SO 3.00 0 .
50 100 ` 5.00 {1J
NO.TRANS.
SIGNS: t
NO.LAMPS
SERVICE 0.60OV-Nor OVER 200A 1.00 _
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE n
I HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS PLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING QC.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/AR-
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANG STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL VlfNjWLQ0 ITHE ABOVE
DESCRIBED RESIDENTIAL PROP Y. - POWER
SIGNATURE / r UTILITY CO.NOTIFIED
OF PERMITTEE .. FINAL G
LIDATION ARTHUR C. VE(7'
SUPERVISING ELECTRICAL ENGINEER
MO CASH
LAAO 0 8 3 OG FEB 13 2 D 7.60-
75A553-CEB06f/70
APPLICATION FOR ELECTCALVRMIT�1 L1
• 'COUNTY OF LOS ANGELES air
DEPARTIjiENT;OF COUNTY ENGINEERBUILDING C !
BUILDING AND SAFETY DIVISION ADDRESS hL
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY C
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
lovL
NEAREST
FOR APPLICANT TO FILL IN CROSS S
LETS N0. EACH FEE
OWNEr�
RECEPT. •$ $ MAIL �'
LIGHT TOTA FIRST 20 r - .2p �' (`� ADDRESS Q
CITY EL. N0.
SWITCH 1 �1 OVER 20 .10 PLAN CHECK
FIRST 20 2p j APPLICANT
LIGHTING TOTAL
FIXTURES .f0
OVER 20 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 13 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 14
.M PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY OS ANGELES CO TY AND STATE OF
CALIFORNIA OffH THE LEGAL OWN OF D 1 NO
- 1O 3.00 RESIDE IN, DESCRIBE R ID I L E
SIGNATOR
10 - 50 5.00 OF PERMITT 0
50 - 100 10.00 DISTRICTNO. CLASS IT ZONE •' PROCE ED BY 0
100 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: V Y��lJ�G� }'� �S-3 N
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 ?
SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED /
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00 ..
jr
FINAL
SUPPLEMENTARY PERMIT ISSUING FE 1.00
JOSEPH C. ROOHAN
TOTAL FEE ? �� � SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
7 3 0 9" OCT 215 2 D :5,;L 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
4v
f l
7SA663-CES06 I 1/70 APPLICATION FOR ELECTRICALdPER. IT �Iuli
f'COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7TTY
G G 1
BUILDING AND SAFETY DIVISION S 3y 1
COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING V6
T
FOR APPLICANT TO FILL IN ST.
OUJLETS NO. EACH FEE
/ OWNER
RECEPT._ $ $ MAIL CI l
'--- G
LIGHT FIRST 20 TOTAL 25 ADDRESS t 1A
OVER 20 CITY TEL. NO.
SWITCH , .10 PLANH CK
LIGHTING FIRST 20 .25 � APPLICANT
TOTAL
OVER 20ADDRESS
FIXTURES 10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. 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 PROPERLY R ISTERED AND/OR
0 — 1 100 LICENSED AS REQUIRED BY S ANGELES CO Y A D STATE OF
CALIFORNIA OR THAT 1 A HE LEGAL OWNE OF D 1 NO 0 }.
I — 10 3.00 RESIDE IN, TH BO DESC E R IDE E
SIGNATOR V
10 — 50 5.00 OF PERMI E
0:
50 — 100 10.00 0
DISTRICT NO. ASS ZON PROC SEED BY ' �
100 — 500 15.00 Lu
1 9L
SIGN, GAS S '
GN AND ONE CIRCUIT 5.00 NOTES: h
TUBE, OR A ?
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00
SERVICEOVER600VOLTSOR200AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMPSERVICE,POLE,&APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK X
ROUGH CONDI UT /N 1
WIRING, Vf 1,11 1 a
FIXTURES a
POWER AUTHORIZED �• r
PERMIT FEE (SUB TOTAL) ,
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00 V JOSEPH C. ROOHAN
TOTAL FEE , " SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
LACo6 5 las m1-9 2 D 4.00
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12.91) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to pelf insure, 76A663
or a certificate of Worker's Compensation Insurance, or certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec.3800 Lab.C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB �.,
Certified co is hereby furnished. NO. EACH FEE ADDRESS gg3Z 1Y� CLirQTUL1.- S4_
copy y New Residential Bldgs,&Pools LOCALITY e` 11
❑ 1 &2-Family,Sq.Ft. — $ $ I w't I -
Certified copy is.filed with the county building inspection _ NEAREST
department. Multi-family Sq.Ft. CROSS ST.
Date Applicant Residential Swimming Pools ASSESSOR
MAP BOOK I PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. FIRM NAME OWNER OR j r� 1_e_S
COMPENSATION INSURANCE u l 1
First 20 MAIL t� t C.(L
(This section need not be completed the work Involved by the Total NoAdditional ADDRESS �( m C!u/r,J �-.
permit Is for one hundred dollars($7000 .)or less.) I
I certify that in the performance of the work for which this permit CITY j_ 6e- C, r Tel.N0.5 7,j S 79
is issued, I shall not employ any person in any manner so as to PLAN CHECK
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT
O te Total No. Additional ADDRESS
ate 1-2 a' q Applicant -Dc,le-IOTICE TO APPLICANT: If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP.
CITY Tel.No.
Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code, you must forthwith comply with such APPLICANT
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. CITY Tel.No.
(commencing with Section 7000) of Division 3 of the Business and
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR
Over 50 to 100 Ind. REG.NUMBER Class' d
License Number LIC.Class Over 100 DISTRICT NO. ® SSED BY
Services w d., ���}'�&-�aa' ards
Contractor Date 0�3,9�5 OI P1 a DATE
❑ I am exempt under Sec. 400-!00 mp.Under 600 V VALIDATION V
Over 1000 Amp.or Over 600 V FINAL LJ I
B.&P.C.for this reasonBRANCH CIRCUIT FEES BY + co
Date: 15A,or 20A,120V,Lighting or Recept. Z_
1 To 10 BranchCircuits
Signature 11 To 40 Branch Circuits
❑ 41 Or More Branch Circuits
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits �.r
SINGLE FAMILY Temp.Power Pole&Appurtenances' !.W
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Law
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuitsf7 ;_
Code): a I.l......
lel 1,as owner of the property,.will do the work and the structure Misc.Conduits&Conductors -''•�'± '--? '=a
�\ is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule)
and Professions Code).
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) -
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE �O
Lender's Address
I certify that I have read this application and under penalty of purjury state TOTAL FEE
that the 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-mentioned property
for i speotion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
P -7—ZF3 W
SIGNATURE OF PERMITTEE DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1308010037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 4902 LT: 5 BL: D ] 4932 MCCLINTOCK AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT-1 TEMP CA 917804103
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18574-023-008 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY CAI
I IF1 120V, 15/20A BR CKTS 2.00 BR 34.60 I I
TENANT: IF2 208, 277V LGT BR CKT 2.00 BR 54.60 ISSUED ON: PROCESSED BY: PLAN BY:
IG1 OUTLETS-LGT,SW,RECP 25.00 OUT 45.70 108/01/13 SR
IG2 LIGHTING FIXTURES 11.00 LGT 22.00 ]
OWNER: TEL. NO: ]H2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 ]FINAL DATE FINAL BY: CODE:
ILU, XIAOLI - ]H3 RES DISHWASHR LT 3HP 1.00 DIS 11.00
14932 MCCLINTOCK AV ]H4 RES RANGE HDS LT 3HP 1.00 HOO 11.00
TEMP 917804103 ]H7 RES EXHAUST FANS 1.00 EX 11.00 IDESCRIPTION OF WORK
TOTAL FEES 228.70 14 BRANCH CIRCUITS, 25 OUTLETS, 11 LIGHT FIXTURES, DISHWASHER
RANGE HOOD, GARBAGE DISPOSAL AND EXHAUST FAN
APPLICANT: TEL. NO:
WANG, ORVILLE (626) 945-8355-
2640 SO MYRTLE AVE I ISPECIAL CONDITIONS:
MOROVIA CA 91016
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
ICASTLINK CONTRUCTION CORP (626) 945-8355- I ] ]
12640 SO MYRTLE AVENUE A4 LIC. NO I ITEMPORARY POWER POLE I I
]MONROVIA CA 91016 977911 I I I
UNDERGROUND CONDUIT I I
ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I
I LIC. NO: I IROUGF CONDUIT
(ROUGH WIRING %J
]MAIN WATER LINE
IPLASTIC YIN METAL YIN I I I
]UTILITY COMPANY NOTIFIED( 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
] I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1310160026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS: ]
1TR: 4902 IT: 5 BL: D I I 4932 MCCLINTOCK AV ]
[FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917804103 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18574-023-008Al PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY CAI
I IF1 120V, 15/20A BR CKTS 3.00 BR 51.90 1 1
TENANT: I TOTAL GI OUTLETS-LGT,SW,RECP 17.00 OUT 134. 0 13.70 110/16/13N: PROCESSED BY: PLAN BY:FEES
SR
(OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: I
ILII, XIAOLI (626) 678-3947- 1 1 1 �
14932 MCCLINTOCK AV I I 1 VVV (L
ITEMP 917804103 1 IDIESCRIPTION OF WORK I
1 1 13 BRANCH CIRCUITS AND 17 LIGHT FIXTURES I
APPLICANT: TEL. N0:
I I I
SAME AS OWNER
[SPECIAL CONDITIONS: 1
I I I
ICONTRACTOR: TEL. NO: - 1 (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER I I I
LIC. NO ITEMPORARY POWER POLE I I ]
I (UNDERGROUND CONDUIT I I
ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND I I I
ICHIEN, HSI-HWA - 1 I I
1550 PAULARINO AVE APT D-108 LIC. NO: I IROUGH CONDUIT I I I
]COSTA MESA, CA 92626 NONE 1 I
I 1 TROUGH WIRING
1 ] ]MAIN WATER LINE I 1 I
1 I IPLASTIC Y/N METAL Y/N [ 1 1
]UTILITY COMPANY NOTIFIED[ [ 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
I I I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 I ]
I [ I I I [