HomeMy Public PortalAbout5134 MCCLINTOCK AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY O T I C 1
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE oPERMIT NO.
ELECTRICIAN �_, _ J '0- If-"/ rd sq
V.7
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY TEL NO. /-1—
CpUNTY LICENSE NO. FEES EXPIRES BUILDADDRESNG S
� ' 00,
y ' ®( •� �/] �
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREBT
RECEPTACLES CR09BBT.
WALL SWITCHES
EL CO OUTLETS 90
RANGES
28 ADDMAILRE89 )�`x �
ELEC. HEATERS 25 CITY s TEL. NO. 2 `
FIXTURES S
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IH 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 I POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWERFrE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MvD. HP avER IND- OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
lz a LESS SIGNATURE OF%z2 PERMITTE 5 INSPECTION RECORD
5 15 1.50
1'S SO 2.50
50 200 5.00
200.; 500 10.00 '� "
500 1000 15.00 ' AJI It
Z
OVER 1000 20.00 0
_MOVED_MOTORS (75% aF DRIB.) 16 I i
M.G. BET/FREq. CHAMBER-HP O
WELDERS:AC-KVA 1 Q p
GENERATORS - KW
TRANSFORMERS - KVA
MIBC. • . V0 Tit
SIGNS IV, fir
NO. NO.TRANS.
NO. NO.LAMPS
APPROVALS
FOR EACH PERMIT: DATE INSPECTORFB NAME
WIRING $1.00 J CONDUIT
1s1.00 WIRING •�'
FIXTURES _
ISUPPLEM ENTARY .50 FIXTURES T
POWER
TOTAL FEE 7 UTILITY CO.NOTIFIED
FINAL
7G"r.3 DBS#BA r b 12-53
L 7e^889 DBS BA 11-56 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELEC'T'RIC 1
COUNTY OF LOS ANGELES -
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT GROUP E PERMIT NO.
ELECTRICIAN
�`° '
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION Q
CITY TEL. NO. G/ J
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS41
FEE
NUMBER EACH LOCALITY /
LIGHT OUTLETS NEAREST.
•
RECEPTACLES J I
CROSS ST.
WALL SWITCHESAg
OWNER,
E I�IF .,
TOTAL OUTLETS .7 i Sc $ MAIL
Z ELEC. RANGES 2S ADDRESS a 'y1�
�v ELEC. HEATERS 25 CITYA0 J f / TEL NOA q—1142
♦♦♦♦ FIXTURES 7—;
s I HEREBY ACKNOWLED E THAT 1 HAVE READ THIS
0_ 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 ' I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTI L PROPERTY DES [BED ABOVE.
NEW MVO. HP OVER INC. EACH
I.EBS.i.5 .25 SIGNATURE OF
1/2 211,
"• .50 PERMITTE
z s" 1.do INSPECTION RECORD
s .15 1.501
is 50 2.50
50 200 s,06
200 500 10.00 ..1
Boo 1000 15.00 Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP 0'
WELDERS:-AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%oFoR16.)
MOVED MOTORS (75%OFORIG.)
MISC.
SIGNS
NO' NO.TRANS. I I• APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTO 'S NAME
CONDUIT' R
WIRING 51.00
FIXTURES $1.00 U WIRING �' )J�:r''
SUPPLEMENTARY .S0 FIXTURES
POWER 1
TOTAL FEE 5 �I UTILITY CO. NOTIFIED fl 1
® FINAL
Tl'- srIL� C RW,
16AS63-CES06 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING / [� /? �,C
BUILDING AND SAFETY DIVISION ADDRESS l
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY /'7 90I�
NEAREST /1
FOR APPLICANT TO FILL IN CROSS ST. LT AF14 Al
RECEPT. TOTAL NO. I EACH FEE
�� OUTLETS FIRST 20 $20 $ d OWNER
LIGHT MAIL /
ADD'L .f0 ADDRESS, 3 C
d /L//1 O
SWITCH: OVER 20 w J
LIGHTING TOTAL F1asr20 Z .20 CITY C' ,�P �' LT,EL.NO.
FIXTURES } , ADD'L 1O ELECTRICIAN Gv 1–
OVFR 20 .dy
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS / Z 7—
GARB.
GARB.DISP. STA.COOK J AA
CITY/ O �QK L.NO. / 0
D18HWABH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Vs H.P.MAX.) .50 LICENSE NO. (p
MOTORS: OVER NOT OVER f1l DISTIjL6TON G P Z PRO S p Y
O 1 1.00 ``7
1 s 1.50 INSPECTION RECORD
3 e 2.00
8 15 12.50
Is 50 3.00 }
a
50 100 5.00 O
CJ
SIGNS: NO.TRANS.
NO.LAMPS eg
0(�
SERVICE 0-600V-NOT OVER 200A 1.00 UILI
SERVICE O-SOOV-OVER 200 A. 2.00 !L
h
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 – IS I"
rL
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR /�/�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEG OWNER OF THE ABOVE
DESCRIBED RESIDENTIA ROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE : v -
ft
FINAL
VALIDAT� ARTHUR C. VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
(LO 2 6 3 6:o AUG 14 2 D 4..0 0-
i -r-- - 1•x•'•11 -
WORKERS'C.OMPENSATIONDECLARATION ., '76A663 APPLICATION FOR LECTRICAL PERMIT ~
CE$06G (2- 0
I hereby affirm that I have a certificate of ceRsent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec.3800,Lab.C.)
Policy No9Q8ot8pany
9' TT14 FOR APPLICANT TO FILL IN SOB
New Residential Bldgs.&'Pools � EACH NO. FEE ADDRESS
® Certified copy is hereby furnished. 1 &2-Family.Sq. Ft. $ — $ LOCALITY
Certified copy is filed with the county g inspection Multi-family Sq.Ft. — NEAREST
department. Pection Residential Swimming Pools CROSS ST ( A .
OWNER OR
FIRM NAME
Date—Applicant
Outlets: RecULLight 4 Sw.4
First 20 MAIL 5134 b4nninbork
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY 2 Tel N .213 448-1W }
'COMPENSATION INSURANCE
PLAN CH CK a
(This section need not be completed if the work involved APPLICANT . . m 0
by the permit is for one hundred dollars ($100) or less.) Lighting Fixture's First 20 ADDRESS V
Total No.,�_ Additional F tr
I certify that in the performance of'the work for which this CITY Tel N 0
permit is issued, I,shall not employ any person.in any manner Fixed Appliances Not Over 1 HP
PERMIT
so as to become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT W
Oven ^ Dryer_W.M._ ADDRESS 709 W
Top _FAU _W.H.,— Z
Date Applicant 8
• Hood _ Fan _Other_ CITY Tel N 0(714)
NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond— LICENSE OR
Exemption, you should become subject to the Workers' REG.NUMBER 425570 Class
Compensation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCE ED BY
with comply with such provisions or this permit shall beR
deemed revoked. Size&Type HP,KW,KVA,or KVAR J7,
Up to 1 Incl. FINAL 0
Over 1 to 10 Incl. DATE p /� VALIDATION
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. 1 APA
'�`
I hereby affirm thatI amlicensed under provisions of.Chapter Over 50 to 100 Inc. FINAL
BY
9 (commencing with Section 7000)of Division 3 of the'•Susi- Over 100
ness and Professions.Code, and my license is in full force and -
effect. Services
4MM Lic.Class 0-200 Amp.Under 600 V
License Number B
201-1000 Amp.Under 600'V
Contracto ate B-21-M Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp.Power Pole•&Appurtenances 4 1 1,2 A
I hereby affirm that I' am exempt from the Contractor's Sign with One Branch Circuit :' p'c coo
License Law for the following reason (Section 7031.5, Busi-• Additional Sign Branch Circuits
ness and Professions Code): c.
Misc.Conduits&Conductors S '�•a ? `
❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— L c:
structure. 'is not intended or offered for sale (Section.
7044,Business 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 PERMIT FEE (Sub-Total) "
issued(Sec.3097,Civ.C.).
Lender's Name• PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address P PERMIT ISSUING FEE ZQ 110.
1
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
o finances and State laws regulating Electrical wiring, and
e
Mby authorize representatives of this County to enter upon
he "bove-n ntiol property for inspection purposes.
SEE`REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date '