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Home My Public Portal About4951 MCCLINTOCK AVE_Electrical__ 78A669-CE606 1-67 APPLICATION FOR ELECTRICAL G ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING • ��11LDING AND SAFETY DIVISION ADDRESS 1 JOOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN. CROSS ST. RECEPT. 1 TOTAL NO. EACH FEE • I OUTLETS S S eo OWNER' LIGHT J} FIRST 20 .20 MAIL OK SWITCH ADD'L 10 ADDRESS OVER 20 TAL FIRST 20 .20 a CITY TEL.NO. LIGHTING 1 FIXTURESTO FIXTURES J( ADD'L 10 CONTRACTOR OVER 20 RANGES DRYERS WTR HTRS. 1.00 1 ADDRESS GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE. SPACE HTRS. BTA. APPL. .SO LICENSE NO. MOTORS, OVER NOT OVER H.P. DIqXRICjTG ZCINE PROCZE D B O 1 1.00 1 9 1.50 INSPECTION RE ORD s a 2.00 8 is 2.50 is so 3.00 s0 100 5.00 U SIGNSS NO.TRANS. OC NO.LAMPB IO SERVICE 0.000V-NOT OVER 200A 1.00 LL1 SERVICE 0.000V-OVER 200 A. 2.00 .SERVICE OVER GOOV 5.00 ? OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S BIGNATURN TOTAL FEE R 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSEAS WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING O ELECTRICAL WIRING. WIRING �! 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO POWERRESIDE IN,THE ABOV DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE 12 UTILITY CO.NOTIFIED OF PERMITTEE. FINAL o .. ff VALIDAT JOSEPH I CK MO CASH SUPERVISSINGG ELEC ELECTRICAL ENGINEER L&9603% AL14 2 D 320cd - • � � e 76.0'1663-CES 0611.70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES r V DEPARTMENT OF COUNTY ENGINEER BUILDING < BUILDING AND SAFETY DIVISION ADDRESS COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL.IN CROSS ST. OUTLETS NO. EACH FEE A OWNER $ $ .LI` RECEPT.14 MAIL L a� FI RST 20 25 ADDRESS LIGHT TOTAL CITY TEL. NO. SWITCH OVER 20 Ip PLAN CHECK LIGHTING FIRST 20 29 ov APPLICANT FIXTUREST T L ' OVER 20 ADDRESS . .10 APPLIA CES 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. .I� LICENSE NO. CLASS. FAN�QTHER 1.00 LTU I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE,ABOVE 15 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 - 1 100 LICENSED AS REDU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OW E OF, AND INTEND TO �.. 1 - 10 3;00 RESIDE IH; TH ABOVE %/A RIBED Z�:7 RTY. CL SIGNATURE � SOV 10 - 50 5.00 OF PERMITTE&& p. 50 - 100 10.00O DISTRICT NO SS RO SS Y 100 - 500 15.00 ,-Q LU SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: N Z TUBE, OR - MARQUEE ADDITIONAL CIRCUITS 1.60 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRIN 1 FI XTU R POWER AUTHORIKED PERMIT FEE . (SUB TOTAL) UTILITY CO'. NOTIFIED PLAN CHECK FEE FINAL � �%L7 � PERMIT ISSUING FEE 9.00 ,JOS PROOH TOTAL FEE So SUPERVISING ELECTRICAL ENGI P. PLAN CHECK VALIDATION CK. 44.D. CASH PERMIT VALI CK. M.O. CASH Law.--7 .0 8 41303 SEP 14 2 D 9.5 0- � SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -e" a4-c e�;"y . 75,4tb',63-CEBO611-71 APPLICATION FOR ELECTRICAL PERMIT P CO1. 'fl . . UIJ.Y OF LOS ANGELES V-t DEPARTMENT bF COUNTY ENGINEER BUILDING r ,1 BUILDING AND SAFETY DIVISION ADDRESS LOCALITY �✓ - �(,` „ NEAREST FOR APPLICANT TO FILL IN CROSS ST,. "I OUTLETS NO. EACH FEE _ /J OWNER n 1R / 6� w ,&oe RECEPT._ $ $ MAIL ` L LIGHT TOTAL. FIRST 20 25 ADDRESSL CITY `>+! �ti�f TEL. NO -.ko SWITCH OVER 20 ,10 PLAN CHECK LIGHTINGFIRST 20 .25 APPLICANT TOTAL OVER 20 ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT f° It RANGE DRYER_WTR. HTR. APPLICANT �J STA. COOK DISP. F.A.U. ADDRESS, ee t ,; . SPACE HTR. AIR COND. CITY �• �� w EL, N0. CLOTHES WASH. DISHWASH. LICENSE NO. 0, CLASS. �+ U• FAN OTHER 1.00 I 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 B TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1,00 LICENSED AS. REQUIRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO I - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. V �J 10 - 50 5.00 SIGNATUREOF PERMITTEE df 10 f T O 50— 100 1oA0 U DISTR_!jC.TNOCLASS P SSED BY W 100 - 500 15.00 15r i* a ti h SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES, Z •TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVE R 600 VOLTS OR 200 AMP 3.00 3. APPROVALS _ DAE _TE _- INSPECTOR'S SIGNATUR SERVICEOVER-600VOLTS-OR20OAMP Y0:00._ - TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINALZ PERMIT ISSUING. FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALID ON DCKJ M.O. CASH LCD:. s 1.4 l 2 •o � 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE i' COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGWEER ELECTRIC � DIVISION OF BUILDING & SAFETY Wmum 1. FOB, COUNTY ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN d V ADDRESS O LG?�'�� &"0j 'T 71 BY READY FIRST INSPECTION DATE IgB'SUF,D CITY L. TEN 3S� 71v/� COUNTY LICENSE NO. dPl EXPIRES O BUI IN �p PERNIIT FEES ADDRESS NUMBER EACH FEE `� LOCALITY- ^ fm LIGHT OUTLETS D NEAREST RECEPTACLES s'r O WALL SWITCHES /d OWNER TOTAL OUTLETS 3 r Sc MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 2s FIXTURES Q 5 ] CITY TEL. NO. MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT 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 HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MvD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/a 9 LESS .2S SIGNATURE OF I/a 2 .50 PERMITT 2 s 1.00 INSPECTION RECORD _ 5 15 1.50 /• 15 SO 2.50 Aw 50 200 5.00 -El::::::::I 200 500 10.00 v .J SOO 1000 15.00 z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP m WELDERS: AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75% of cRla.) MOVED MOTORS (75% OF ORIG.) MISC. im SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAM FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 PC� WIRING SUPPLEMENTARY ,50 FIXTURES �L POWER TOTAL FEE S r� UTILITY CO. NOTIFIED I n FINAL, 76A 663 DBS# BA. 4-S& WORKERS'COMPENSATION DECLARATION I CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I herebyaffirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY I insure, or a certificate of Workers'Compensation Insurance,or � a certified copy thereof(Sec.3800,Lab.C.) / T Policy No. Company I FOR APPLICANT TO FILL IN JOB DDRESS �?w�/ /� /�� New Residential Bldgs.&Pools EACH NO. FEE ❑ Certified copy is hereby furnished. I 1 &2-Family,Sq. Ft. $ — Is LOCALITY �y / Multi-family Sq. Ft. — NEAREST y ❑ Certified copy is filed with the county building inspection CROSS ST y' II Residential Swimming Pools r department. I FIRM NAMEAZ,1J ► �ISR- 1 C.G Date Applicant I Outlets: Rec/ Light�' Sw. MAIL e ADDRESS First 20 M CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY �/�� Tel No 3 -�(j y } COMPENSATION INSURANCE PLA CHECKd (This section need not be completed if the work involved 30 PPLICANT �� V by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS r,G.Z G' �i h �� Total No.-3 Additional O I certify that in the performance of the work for which this ' Fixed Appliances Not Over 1 HP CITY6,44F Tel No. fd L permit is issued, I shall not employ any person in any manner PERMIT 1 r�� W so as to become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT 3 L /—(/�� a /� '� ] Oven _ Dryer_W.M._ ADDRESS )� Z Datet f� �/APPlican , 4�6 Top ^ FAUN W.H.,_ 1i 7� ' �A /10 ood Fan . =Other_ CITY / Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. oom Air Cond._ LICENSE OR -yam Exemption, you should become subject to the Workers' i REG.NUMBER 93 Class 13 Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT N� P SED BY with comply with such provisions or this permit shall be Size&'Type HP,KW,KVA,or KVAR /! ` deemed revoked. I Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION ji Z Over 10 to 50 Incl. VALIDATION� � r I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professions Code, and my license is in full force and effect. Services ��//// ��jj I 0-200 Amp.Under 600 V License Number r Lic.Class i x �jt7 ��2��d � 3 �� 201-1000 Amp.Under 600 V Contractor Date l Over 1000 Amp.or Over 600 V o HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits - {I 0 c it r ness and Professions Code): Misc.Conduits&Conductors #, 0 c 0 c 0 ❑ I, as owner of the property, will do the work and the I Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section ? 0 0 2 7 5 n 7044,Business and Professions Code).. CONSTRUCTION LENDING AGENCY r, 0•c '� 't ^ Y I hereby affirm that there is a construction lending 'agency for the performance of the work for which this permit is - n S; issued(Sec. 3097,Civ.C.). PERMIT FEE (Sub-Total) c.() Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE i certify that I have read this application and state that the TOTAL FEE L-T 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 t7he rty for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Brate