HomeMy Public PortalAbout5444 MCCULLOCH AVE_Electrical_7/29/1965_ 76A663 CE606 16S APPLICATION •08R BELE TRIC L PERM
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER BUILDING
UILDING AND SAFETY DIVISION ADDRESS
JAJOi4hkA. LAMBIE, COUNTY ENGINEER /
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EAC FEE
RECEPT._ $ $ 6WNER
MAIL
LIGHT TOTAL FIRST 20 .20 A D D R E S.5
SWITCH_ OVER 20 .10 CI EL. NO
96
PLKN CHEgK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
I
RANGE—DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP._F.A.U.— CONTRACTOR a
SPACE HTR. AIR COND. ADDRES
CLOTHES WASH._DISHWASH._
FAN_OTHER 1.00 LICENSE W CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS-APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 OR 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA THAT I AM THE LEGAL OWNER OF, AND INTEND TO Oa.
10 - 50 5.001 RESIDE IN, THE CRIRED RESIDENTIAL PROPERTY. O
50 — 100 10.00 SIGNATURE V
OF PERMITTE ime.
100 — 500 15.00
DISTRICT . GRO_LUPi Z NE ED
TUBE,
, OR SIGN AND ONE CIRCUIT 3.00 GAS vui
MARQUEE ADDITIONAL CIRC TS 1.00 N
NOTES: Z
SERVICE NOT OVER 600 V L S 200 MP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
VRH
S WORK
NDUIT
PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE (50% PERMIT FEE)
THORIZED
PERMIT ISSUING FEEFJ92.00 O.NOTIFIED
SUPPLEMENTARY PER IT ISSUING FEE 1.00 t� FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECT)CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CKM.O. CASH
.Q0EE - LRLO JUL 2 9 2 D 3.00-
EE
BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
BA889.CE808-f0-88 APPLICATION FOR. IELECTRIC PERMIT
BUILDING AND SAFETY DMMON
Deportment of County Engineer BUILDING Lo
County of Los Angeles
JOHN A. LAMBIE.COUNTY ENGINEER
CASSATT'D.GRIFFIN. SUPT OF BUILDING LOCALITY I e
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PMUM FEES OWNER /(J—Z&e.„
LIGHTS RECEPTACLES SWITCHES
i1AIL '
NUMBER ITEM EACH FEE ADDRESS
TOTAL OUTLETS $ .10 $ 1'
ELEC. RANGES, WATER HEATERS, CITY TEL.NO.
CLOTHES DRYERS .50
ELEC. SPACE HEATERS, STAT'Y. COOX- ELECTRICIAN
INS UNITS. GARBAGE DISPOSERS, ADDRESS
AUTO WASHERS, DISHWASHER .25 �-y
LIGHTING FIXTURES10 CITY TEL. w r
MOTORS STA-ft d .9 6
LICENSE NO.
HORSEPOWER
H.P. OVER INC. DISTR.I I'NO. GRN JP ZONE READY FOR INSPECTION
V/2 B:LESS .25
2 .50INSPECTION RECORD
2.. — 5 1.00
5. 15 1.50
15. — SO 2.50
50 200 5.00
MISC.
I. .
SIGNS NO.TRANS i
I, NO.LAMPS
SERVICE O GOOV 1.00
SERVICE OVER GOOV1 5.00
WIRING PERMIT 1.00 �-
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
APPROVALS
TOTAL FEE s I
I HEREBY ACKNOWLEDGE THAT I' 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED' AS REQUIRED 8Y ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 E LEGAL OWNER OF THE ABOVE pOWER
DESCRIBED RESIDENT O RTY. I
SIGNATURE. UTILITY CO.NOTIFIED
OF PERMITTE FINAL
iOUN A.LGINEER T LIDATION ARTHUR C.1LEIT,
:OUNTY ENGINEER ��KJ MO CASH SUPERVISING ELECTRICAL ENGINEER
.^�
0 1 4 1L-- JUL 1 1 2 -d 0s
'SAGS-CESOS-10.58 APPLICATION FORELECTRIC PERMIT 1
BUILDING AND SAFETY DMSION
Department of County Engineer 'BUILDING ;0 /
B
County of LOS Angelis ADDRESSJOHN A. LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY•NEAREST
FOR APPLICANT TO FILL INJ9d2PERr�aT FES OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER 1 T E M EACH FEE (MAIL
ADDRESS
TOTAL OUTLETS $ .10 $ELEC. RANGES, WATER HEATERS, CITY EL.CLOTHESDRYERS .50
ELEC. SPACE HEATERS, STAT'Y. COOK. ELECTRICIAN Cb A4ZU."
INO UNITS, GARBAGE DISPOSERS, ADDRESAUTOWASHERS, DISHWASHER .25LIGHTING FIXTURES ,1O CITY TEL.N 2MOTORS STATE
LICENSE NO,
HORSEPOWER
H.P. OVER INC. DISTRICT NO. I GROUP I ZONE READY FOR INSPECTION
I/p Be LESS .25 `
1/2 - 2 .50 1 INSPECTION RECORD
2 5 1.00
S 15 1.50
15 50 2.50
50 200 5.00
MISC.
i •
SIGNSI NO.TRANS �.•
NO.LAMPS
SERVICE O-GOOV 1.00
SERVICE OVER BOOV 5.00
WIRING:PERMIT 1.00
FIXTURE PERMIT 1.00 I
I�
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ICATI N
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY :CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED. AND/OR FIXTURES
LILOF
ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CRNIA OR THAT THE LEGAL OWNER OF E ABOYE POWER _
DBED REBID T PERTY. I 7
STURE UTILITY CO.NOTIFIED 1�I , •�,;M, .w ;�'
.ERMI FINAL �i r ! �y • .;� +.: •�•tit!:;.
IOHN A. ..AMBIE. ALMATION ARTHUR NGC-fVgIT.C
UWff NOINNER MO CASH SUPERVISING EELETRICAL ENGINE
=C
' f;^�
0 1 4 ?V-) JUL 12 ? 1 .2 0
EAS83-CESOG•10.56. APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Dep Pry of County Engineer BUILDING
County of Los Angeles ADDRESS
JOHN A. LAMBIE..COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN Ross
PERMIT FEES
LIGHTS RECEPTACLES SWITCHES OWNER
NUMBER _ITEM EACH FEEMAIL
ADDRESS
TOTAL OUTLETS .1.
' S 0 $
ELEC. RANGES, WATER HEATERS., CITY j TEL.N
CLOTHES DRYERS ,SO ELECTRICIAN
y. ELEC. SPACE HEATERS, STAT-Y. COOK-
f1�
IN 6 UNITS, GARBAGE DISPOSERS, ADDR S.
AUTO WASHERS, DISHWASHER .25 1"
LIGHTING FIXTURES f0. C'1-TZT
MOTORS LICENSE NO, (2-/10
HORSEPOWER
H.P. OVER INC. DISTRICT NO. I GROUP ZONE READYFOR INSPECT'IOH
Va&LESS .25
Yz - 2 so TNSPECTION RECORD
2 5 1.00
5 15 1.50
IS SO 2.50
SO 200 5.00
MISC.
SIGNS I NO.TRANS
NO.LAMPS
SERVICE O-G.00V 1.00
SERVICE OVER GOOV 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE I$
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA ION 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR DTHAT
1 HE LEGAL OWNER O TH ABOV$ POWER
J
DESCRIBED RES1TI RTY. ! _
SIGNATURE UTILITY CO.NOTIFIED
OFMI
�!s+.1. 6.�-1�.•�
" y/
FINAL 7� �./�.•lbl.•�v6i+J
OHN A LAMBIE. ALIDATION ARTHUR C.VEIT.
.OUNTY ENGINEER MO CASH SUPERVISING EELECTRICAL ENGINEER
76A683•¢E806 9-69 APPLICATION FOR ELECTRICAL ERMIT - ---
a Ce)UNTY OF LOS ANGELES \
DEPARTIWI.ENT OF COUNTY ENGINEER
'BUILDING AND'SAFETY DIVISION FBDING
ESS 5�7ie
1�irHh*A. LA)VAIE. COUN71Y ENGINEERf /aCOLEMANW.dIENK1119S. SUPERINTENDENT OF BUILDING �LITY +� V_��f��$
FOR APPLICANT TO FILL IN EST Freer Street
NO. AC FEE
RECEPT._ $
$ OCROSS ST.
OWNER Ai.raShi KMaj
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS 5Q} McCull h
SWITCH_ OVER 20. .10 CITY TeMPle City TEL. NO.®
LIGHTING TOTAL FIRST 20 :20CONTRACTOR Pacific
FIXTURES OVER 20 .10 ADDRESS10920 Ss Grand Avenue
RANGE—DRYER—WTR.HTR.— CITY Temple CZ TEL. NO 2- 0
STA.COOK_DISP.—F.A.U.— LICENSE NO. 211898
SPACE HTR. AIR COND. X_ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS. CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN—OTHER 1 1.00 1100 1 HEREBY CERTIFY THAT 1 AM PROPER RE STERED AND/OR
LICENSED AS REQUIRED BY OS ANGELES OU AND S TE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I A LEGAL W OF, AND IN7 ND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABO D C D- IDENTIAL P PERTY.
SIZE & 'TYPE OVER TO SIGNATURE
0 - 1 1.00 OF PERMITTEE d
IN
1 - 10 3.00 DIS��jRICT NO. GROUP ZONE PROCESSED BY V
1 O - 50 5.00 " " _T_ { I=310
50 - 100 10.00. NOTES: 1-
,. VW
100 - 500 15.00 O.
h
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 Z
TUBE, OR
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, &APPURTENANCES 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE.
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
ISSUING FEE 2.001 9
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00
POWER AUTHORIZED
PERMIT FEE UTILITYCO..NOTIFIED -
go
PLAN CHECK FEE (50% PERMIT FEE) FINAL .
TOTAL FEE JO EPH C. ROOHAN
SUPERVISING ELE CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
3.00
.E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
WORKER'S COMPENSATION DECLARATION 20-00S3 DPW 9/89 APPLICATION FOWELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent.to self insure,
' or a certificate of Worker's Compensation Insurance, or a 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 ` / L
L
Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ADDRESS J `y$Ft $
S
il
Certified copy is filed with the county building inspection 1&2-Family, q. . LOCALITY
❑ _ NEAREST T
�i g
department. Multi-family Sq.Ft. CROSS ST. ] /VE_5
Date Applicant Residential Swimming Pools ASSESSOR
�f 4AP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. °� OWNER CR O� /
COMPENSATION INSURANCE ` FIRM NAME
First 20 ' MAIL
(This section need not be completed If the work Involved by the Total No. Additional ADDRESS
permit Is for one hundred dollars($100)or leas.)
I certify that in the performance of the work for which this permit CITY TeL No.
Is issued, I shall not employ any person in any manner so as topLANCHEC -
re
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT
"IA �� 0610b ^ Total No._� Additional ' 0 170 ADDRESS MCC ���/
Date - - Applicant� f/!\ 15 OR 20A,120V BRANCH CIRCUITS
NOTICE TO APPLICANT: If, after making this Certificate of CITY C— Tel.No t1_o777
Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH
provisions of the.Labor Code,you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT APPLICANT APPLICANT //�� �/
provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH
LICENSED CONTRACTORS DECLARATION ADDRESS d.
I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH O
(commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. U
Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR O Class. QQ
(�J /�( Power Apparatus&Large Appliances REG.NUMBER (J O
License Number / �' / / / Lic.Class ? 1 Size&Type HP,KW,KVA,or KVAR DISTRICT NO. PROCESSED BY
�j Up to 3 Incl. Wd
Contractor;u{I J w Date —3O l� Over 3 to 10 Incl. DATE fA
❑ Over 10 to 50 Incl. VALIDATION Z
I am exempt under Sec. Over 50 to 100 Incl.
AL
B.&P.C.for this reason
Over 100 BY AL .
-.4 2 Services,Swbd.,MCC&Panelboards
/ Date: 0-200 Amp.Under 600 V
Signal 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 i 1
I'="'' ',
Sign with One Branch Circuit s
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 Circuits ,3__ ' tip =
Code):
❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors
is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) 7jvi --p�� c
and Professions Code). 1V v,.
' I._I,:,� -.7v: .-.. �
Ch.li
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the -Lr `'-I`I
performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total)
Civ.C.)
PLAN CHECKING FEE iii".• i_v",;_I_i +'sLj `?
.s...
Lender's Name
PERMIT ISSUING FEE I Ca P
Lender's Address
1 certify that I have read this application and state that the above TOTAL FEE a
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-mentloned
property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGNATURE OF APPLICANT OR AGENT DATE