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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