HomeMy Public PortalAbout5131 MCCLINTOCK AVE_Electrical__ 76A669CE-/806(1(1%78) APPLICATION FOR ELECTRICAL PERMIT-" _
COUNTY OF LOS ANGELES BUILDING AND SAFETY s
FOR.APPLICANTTO FILL IN JOB. 7
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 3
'1'& Y, 4•&2-Famil S Ft. $ .025 — $ LOCALITY,
Multi-family Sq.-Ft. .02 — NEAREST
E�
Residential Swimming Pools. 25.00 CROSS ST._ OWNER OR . -
' .� FIRM NAME E. .� - .•-- ••- -
Outlets!Rec Light �'Sw. MAw IL
First.20 •50 ADDRESS 3 -l 0n GG
Total No_ Additional ,30 CITY%P /gyp_ �T' Tel.No.:yy1/
PLAN CHECK
APPLICANT.
Lighting Fixtures First 20 '•50 ADDRESS -
Additional 30 - - -
Total No. CITY Tel.No.
Fixed Appliances Not Over 1 HP PERMIT - --
._ W — APPLICANT :,` -` _x:.
Range_HeaterD, .
Overt—Dryer_W:M:— i1'� ADDRE$ i T, +:T:
Top —FAU —W:H.
Hood—Fan —Other, LICENSE OR . ,: „�: . •r r 1 �J'
DisP.,_Room Air Cond. 2.50 REG.NUMB 'CPc3s�:
"f'HEREBY'ACKNOWI EDGETHAT IHAVE READ-THIS APPC'ICA-
Power Apparatus&Large Appliances TION AND STATE TWAT THE'ABOVE IS CORRECT.,AND AGREE TO
COMPLY WITH ALL COUNTY'-ORDINANCES:'.AND;$TA,TE LAWS
Size&Type HP,KW,KVA,or KVAR REGULATING ELECTRICAL WIRING. • _•, . ,.
0 ri•
Up to l Inc 2.5 I HEREBY CERTIFY`,IHA7'F A'NI PROPERLY REGISTERED AND/ORV
Over 1 to.10 Incl. 5.00. QCENSED AS REQUIRED BY LOS ANGELES COUNT*ANp,BTATE OF 0
Over 1.0 tp 50 Incl. 12.5.0 CALIFORNIA OR THAT 1 AM THE LEG6 OWNER OF,TH ABOVE C
DESCRIBED R ENTJAL'RROPER.TY.
Over 50.to 100 Inc. 25.00 -• - s ...� ,ire•' •,.
40,00 PERM
10Over 100 SIGNATOR -r
tn
Services • DIST O. P - ED 1- Z
0-Y 200 Amp.L der 600 V 12.50
201.1000 Amp.-Under 600 V 25.00
Over 1000 Amp.orOver 600 V 50.00 Z '
Temp:Power Pole&Appuitenances 1.0.00
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuits 2:00 INSPECTION >
" l:o.00 INFORMATIONid
Misc.Conduits&Conductors ON REVERSE x
Other(See Complete Fee Schedule) u
SIDE . . Z 0 5,B 8.O A
d # 00..000 ?
PERMIT FEE ;(Su6-Total)
_Z
PLAN CHECKING FEE t (One:Fourth Permit Fee) O ° 09,50-1
PERMIT ISSUING FEE - $.7,00 ' - -D j —70
TOTAL FEE >SS
INSPECTION IIVAL D a
W
date: �� % ? 'By ®s /
[�e
I6A663 CE-80816%78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS
I &2-Family,Sq-.Ft. $ .025 — $ LOCALITY >-
Multi-family Sq.Ft. .02 CROSS NEAREST
TG �'E f�
Residential Swimming Pools 25.00 .OWNER OR
FIRM NAME
Outlets:Rec_X_Light_/__Sw.• MAIL
First 20 •50 ADDRESS.S"/.3 el, &Z 7C✓'C
Total No. Additional .30 CITY7L2_i-0 O,<,,= ���-. Tel.No. lelSf 0 .
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
Additional .30
Total No. CITY Tel.No.
Fixed Appliances Not Over 1 HP . PERMIT
Range_Heater—D.W._
APPLICANT
Oven—Dryer_W.M. ADDRESS
Top _FAU W.H._ CITY Tel.No.
Hood_Fan X' Other_ LICENSE OR
Disp._Room Air Cond. 2.50 2 REG.NUMBER Class.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO
Size&Type HP,KW,KV'A,or WAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Yp REGULATING ELECTRICAL WIRING.
2.50
Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 1.0 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl.
12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over.5 0 to 100Inc.
25.00 DESCRIBED RESIDENTIAL PROPERTY ,
Over 100 40..0.0 PERMITEE
SIGNATURE
Services DISTRIC �opaiosva
OCESSED BY Z
0-200 Amp.Under 600 V 12.50
201-1,000 Amp.Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 Z
O
Temp..Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00 0
Additional Sign Branch Circuits 2.00 INSPECTION >
Misc..Conduits&Conductors 10.00 INFORMATIONON REVERSE M
Other(See Complete Fee Schedule! SIDE W Q 3 It S'5 A
Z
g Poo 0 0 0 2
IL
, 200 ; 1.50
PERMIT FEE (Sub-Total
00011.50:
!PLAN CHECKING FEE (One-Fourth Permit Fee) O
PERMIT ISSUING FEE' .$7.00 0 0
j
TOTAL FEE �� >
INSPECTIOIy FINALED
date: ��/I
iI? By �� 9 as
76A663-CE606 8-69 ,I -
APPLICAT[ON;:'FOR ELECTRI I I�
COUNTY OF LOS-'ANGELES'
DEPARTMENT OF COUNTY ENGINEER :BUILDING
BUILDING AND SAFETY DIVISION 'ADDRESS
JOHN A. LAMBIE., COUNTY ENGINEER'
',COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING "LOCALITY
FOR APPLICANT TO'FILL'.IN •NEAREST
CROSS ST. 4
NO. EACH FEE
S $ OWNER r
RECEIPT.j. MAIL
ADDRESS E DC'
LIGHT TOTAL FIRST 20 '.20. O
SWITCH OVER 20 ,10 CITY 'ter �( 'TEL.N0.
7
PLAN CHECK f
LIGHTING TOTALFIRST 20 PO APPLICANT
FIXTURES } OVER 20 10 ADDRESS
RANGE_DR'YER_WTR.-HTR. CITY TEL.NO.
CONTRACTOR
STA. COOK_DISP.._F.A.U.lk '
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._13ISHWASH. CITY" TEL.NO.
FAN_OTHER 1.00 'LICENSE NO: CLASS.
MOTORS,TRANSFORMERS RATING -1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION
-IND. HEATERS, ETC. HP. A
KW. KVA. AND STATE THAT THE ABOVE IS,CORRECT ANO AGREE TO COMPLY
SIZE & TYOVER' .TO WITH ALL COUNTY ORDINANCES' NO STATE LAWS REGULATING
ELECTRICAL WIRJNG. .
••0 — 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY-REG I STERED 'AND/OR
_ --LICENSED AS REQUIRED BY'LOS ANGE LES_COUN-T,.Y 'AND-STATEOF
10 3.00 - CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND- TO'
_ •.RESIDE IN, THE ABOVE DESCRIBED RESIDE TIAL pR OPERTY.•
.'10 — 50 5.00
SIGNATURE _ 9
SO _ 100 1000 OF PERMITTEE F
100SOO 115' DISTRICT NO. GROUP ZONE P By C
SIGN'GAS SIGN AND ONE CIRCUIT 3.00 5.
TUBS, OR.
MARQUEE` ADDITIONAL CIRCUITS- 1.00 '' NOTES:
.SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP• 6.00
-TEMP SERVICE;POLE, 81 APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK .
ROUGH CONDUIT
_ WIRING �f"'"Y' 07n
PERMIT FEE (SUB TOTAL) . FIXTURES -
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 . FINAL
[TOTAL FEE- " ' JOSEPH C. ROOHAN
�✓' SUPERVISING ELECTRICAL ENGINE
PLAN CHECK VALIDATION. oK. :M•o• CASH PERMIT VALIDATION CK. M. CASH
J .
'•SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ,
TEMPLE COW
76A88C-CE#BOB 5.61
APPLICATION FOR ELECTRICAL PERMIT 111......111
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER FNEAREST
G r �
BUILDING AND SAFETY DIVISION S .S/3 ,0. /rR �°�' d E9� -
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING Y 7W,0/0 6:C B
FOR APPLICANT TO FILL IN T. 7!;A6 dC-"
PERMIT FEES OWN ER�` Ila A0 0
ITEM 'NUMBER EACH FEE MAIL
ADDRESS �/ 3 f Irl"M -6 e [4 ,
LCIGHTP TS. RECEPT. SW.. S _ g� CITY � �. � `/� EL. NO.� k'
LIGHTING FIXTURES .10 �J
ELEC.RANGES CLO.DRYERS ELECTRICMNW
WATER HEATERS .80 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS ,25 -LICENSE NO.
MOTORS: OVER INC. H.P. 'DISTRI GRO�IP Z NE PRO D BY
0- 1/2 .2S • ..� ent
1/2— 2 6S0 INSPECTION RECORD
2— 5 1..00
O
1.50 V
1S— SO .2.50 C
SO— 200 5.00 V
W
SIGNS: NO TRANS. , N
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
M ISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE ,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE. IS CORRECT AND AGREE TO COMPLY I -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ,� • �p
ELECTRICAL WIRING. s�,,ff [[gg `�"1•� 'r fjf'l
WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ,� •y. �.,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES J1 51 I• /L 11
CALIFORNIA OR T T i A THE LEGAL O ER OR THE ABOVE
DESCRIBED RESIDE 1 ERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTil -EE
EE FINAL '�,,/f ,__� - `, .fes'
VALIDATI ARtHUIR C.VEIT " r/
CK MO CASH
SUPERVISING ELECTRICAL ENGINEER
LAC-0'-74 O �. APR 9 .2 D 2.6 0
7+6A669-CJFF8061/70 APPLICATION FOR ELECTRICAf PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS / Ile, fl Fe lw7-cie
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN CROSSNEAREST.
T.
OUTLETS N0. EACH FEE /
OWNER � T��D •I�'-��
RECEPT.� � $ $ MAIL
LIGHT . TOTAL 20 .20 ADDRESS
CITY/ •i
°YS i / TEL.
NO.�L/�
SWITCH 20 f0 � Q
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES
OVER 20 .10 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 1 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 1 AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ROVE DESCRIB ESIDENTIAL PROPERTY.
O.
SIGNATURE 0
10 - 50 8.00 OF PERMITTEE V
50 - 100 10.00 DISTRICT NO Im
LASS GROU ZONE P 0 SS Y O
100 - 500 15.00 O
W
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: OL
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDI UT
r
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
�� 7�
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
D JOS PH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
_4rl. 8 6 9 3 r FEB'f o 22 D F.4 0 c
4A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1307110034
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 13384 LT: 23 BL: .001 1 5131 MCCLINTOCK AV I
I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803557 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18574-004-009 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY CAI
V2 <=10KW ELE VEH SPLY 1.00 # U 27.90 I 1
(TENANT: TOTAL FEES 55.70 (ISSUED ON: PROCESSED BY: PLAN BY: I
107/11/13 SR
(OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: I
1JANKLY, DANIEL (562) 440-9396- [
15131 MCCLINTOCK AV [
ITEMP 917803557 1 I S RIPTI OF WORK I
IINSTALL A LEVEL-2, 32A/240p, ELECTRIC CAR CHARGER IN I
IDRIVEWAY
IAPPLICANT: TEL. NO: I I [
IJORDAN, JIM (951) 737-8875- [ [ 1
11240 RAILROAD ST I [SPECIAL CONDITIONS:
ICORONA CA 92882 I
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IIES RESIDENTIAL (951) 737-8870- [ I
11240 RAILROAD STREET LIC. NO [ ITEMPORARY POWER POLE 1 I
ICORONA CA 92882 912189 * 1 I I I I
(UNDERGROUND CONDUIT I 1 I
(ARCHITECT OR ENGINEER: TEL. NO: - I IUFER GROUND I I I
LIC. NO: I IROTIGH CONDUIT
440
IRCUGH WIRING I
IMAIN WATER LINE I I I
IPLASTIC Y/N METAL Y/N I I I
1 1 [UTILITY COMPANY NOTIFIED( I [
1 1 I
I I
[ [ I I I I
i
I I I I I I
I
I I* ADDITIONAL DATA ON FILE I I I I
I I I I [ I
[ IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 I
I