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Home My Public Portal About5532 MCCULLOCH AVE_Electrical__ .10 } :COUNTY OF Los ANGELES -APPLICATION FOR PERMITDepatlt meat of County Ea SAF ELECTRIC DIVISIONSIONOF BUILDING & SAETY WILLIAM J. FOX, County Engineer FOR APPLI A14T TO FILL/N FILL/NDISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN ADDRESS S S ` ECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION �/1 CITY TEV NO-4a ',L� l�/�I� . /'i �9�_57� COUNTY LICENSE NO. EXPIRES BUILDING [� / PERMIT FEES ADDRESS QJ p_,( NUMBER EACH FEE LOCALITY LIGHT OUTLETS Q NEAREST ' RECEPTACLES CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS 3 5C B MAIL ra ELEC. RANGES gg ADDRESS n ELEC. HEATERS 26CITY ✓pt ! FIXTURES S O (_L�J TEL NO,p 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 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 -2, AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I PDBBEBB THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW Mvo. HP OVER INC. EACH OF THE RESIDENTIAL PROPERT DESCRIBED ABOVE. UZ A LICBB $ .25 SIGNATURE OF 1 %z 2 .50 PERMITTE . a s 1.00 5 is 1.5500 INSPECTION RECORD T5 50 2.50 P iZ 6 JFi+r+--I- s0 200 SAID '200: ,. ' SnD 10.00 - 'c.— + 500 1000 15.00 OVER IOOO 20.00 Z 0 F-MMOVED MOTORS (7S% OF DRIB.) � I ET/FREq. CHANGER-HP OERS:AC-KVA RATORS - KW SFORMERS - KVA SIGNS NO. NO.TRANS. NO. NO.LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTORPS NAME WIRING $1.00 CONDUIT O•IXTURE9 $1.00 WIRING �t'�4l �' �f[',.yC•t�%t ��/, bUPPLEMENTARY .60 FIXTURES POWER TOTAL FEE Tv UTILITY CO.NOTIFIED FINAL A +��jA �.C/.•x,�y-rs.E7 76A668 DBS#" C` b 12.53 78.0669-CE808,10/74 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER5JADDREss BUILDING AND SAFETY DIVISION OCALITI i EARESTop FOR APPLICANT TO FILL IN ROSS ST. O�ITLETS f0. EACH FERM NAR RECEPT./_ $ 5 AIL LIGHT TO AL FIRST 20 �5DDRESS I TEL. NO. SWITCH OVER 20 .10 N C ECLIGHTING l FIRST 20 .2y . PLICANT T TOTAL FIXTURES �_ OVER 20 10ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR, AIR GOND. CITY TEL. NO. CLOTHES WASH.�DISHWASH. Lk�GENNUMBER r CLASS. FAN OTHER 1.00 "� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS, RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HE IND. ATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING. BILE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - ) 1,00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR 1' I AM LEGAL OWNER OR THE ABOVE 1 - 10 8,00 DESCRIBED E TIAL RTY p C7 10 - 50 8.00 PERMITE 91 GNAT o 50 - 100 10.00 v DIST N0. ESBED BY 100 - 500 15.001 E SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 8.00 UNDERSLAS WORK SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT _ TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING `�.?Q•>>� ,.,�" TEMP LIGHT OR RECEPT. SYSTEM 8.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL - -2-5- PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 8.00 TOTAL FEE PLAN CHECK VALIDATION 1%0. CASH PERMIT VALIDATION cK. 1 M.O. CASH 25 0 N nrT 41 2 D 7_5 () 0916 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE I S i11titORkE;$ia have cerci DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT +"1.hereby.af¢irm fiat I have a certificate of consent to self CE-806G insure; or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or d'certified copy thereof(Sec. 3800, Lab. C.) y Policy No. Company FOR APPLICANT TO FILL IN JOB 2 Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS �J F-1 IV Ce ied copy is filed with the county ilding inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY t' dep t t. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. D WNER OR Appli nt FIRMNAMENAME C1`T IFICA E OF EXEMPTION FROM W RKERS' - MAIL COMPENSATION INSURANCE { Outlets: Rec Light Sw. ADDRESS This section neenot completed if the work i''volved b First 20 need b t ( y Total No. Additional •; CITY Tel. No. d2.�SS the permit is for one hundred dollars($100)or leis.) PLAN CHECK I certify that in the performance of the.work for hich this APPLICANT permit is issued,I shall not employ any person in anI manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS .. Additional :Total No. CITY o. Date Applicant NOTICE TO APPLICANT: If, after .making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range_ Heater_.D.W. APPLICANT Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M..— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood = Fan _Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm thaf I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG.NUMBER Class. (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCESSE and Professions Code,and my license is in full force and effect. Power Apparatus$Large Appliances Size&Type HP, KW, KVA, or KVAR- �� D O _License Number Lic. Class Up to 1 Incl. FINAL' V 09 Over 1'.to 10 Incl. DAT - VAU ATION Contractor Date: Over 10 to 50 Incl. FI.N L Sm ❑ I am exempt under Sec. Over 50 to 100 Inc. I BY ! LU Over100 &7.8 3 7 A V)B.&P.C. for this reason ' # 000002 Services, Swbd.,MCC&Ponelboards ® Z Date: 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V1 o 0 1 2 0 0 ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V o o. 0 1 Z`0 0 U SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 09.03-87 1 hereby affirm that lam exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): ❑ Misc.Conduits$Conductors I, as owner of the property„will do the work and the structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 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 issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). ' PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address 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 or and State laws regulating Electrical .wiring,-and hereby authorize representatives of this County to-a ter upon th -menfio a roperty for inspec'ones. SEE REVERSE FOR EXPLANATORY LANGUAGE oegll Signature of. ermittee Date . i ^,WPRKERS;.�PMPENSATION DECLARATION 76A663 10/81 `APPLICATION FOR ELECTRICAL PERMIT I hexis affirm that I'have a►c�Ptiflcgte of consent to self. CE-8066 insure, or a''certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES I BUILDING AND SAFETY .ora certified topy thereof(Sec. 3800, Lab. C.) PolicyNo.—Company1 FOR APPLICANT TO FILL IN JOB' �� l► ❑ EACH NO: FEE ADDRESS V 1. , Certified copy is hereby furnished. New Residential Bldgs. &Pools ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ = 6 LOCALITY _ tion department. Multi-family Sq. Ft. NEAREST CROSS ST .. .i-� Date .Applicant Residential Swimming Pools OWNER FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Ree Light Sw._ MAIL �� COMPENSATION INSURANCE ADDRESS �- lei ,i (This section need not be completed if the work involved by, First 20 CITY l the permit is for one hu d dollars($100)or less.) Total No. Additional Tel' N I certify that in the pe ormance of the work for which this APPL ANTK permit is is 1 sha not mploy any person in any manner s s to o o. .e Workers'Compensation La Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Dat pli NOTI P ANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject .to the Workers' Range— Heater D.W. _ APPCICA Compensation provisions of the Labor Code, ,you must forth- Oven —Dryer W.M.— ADDRESS& x,� with comply with such provisions or this permit shall be Top — FAU —W.H. — CITY Tel..IVa. deemed revoked. Hood _ Fan —Other_ LICENSED CONTRACTORS DECLARATION . LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air CondREG.NUMBER Class. (commencing with Section 7000)of Division 3 of the BusinessDISTRICT NO. PROCESSED BY and Professions Code;and my license is in full force and effect.. Power Apparatus$Large Appliances. DISTRICT Size 8 Type HP, KW, KVA, or KVAR' O License Number Lic. Class FINAL u Up to 1 Incl. Over 1 to 10 Incl. DA VALIDATION 009 Contractor Date Over 10 to 50 Incl. FIN � ' r V ❑ I am exempt under Sec. Over 50 to 100 Inc. BF\ UJI BAP.C. for this reason Over 100 Date: Services, Swbd., MCC&Panelboords 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under'600'V 07810 A ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. # 0 0 0 0 0 2 SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION .Sign with One Branch Circuit I o o29. 00 I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits o 0 0'29.006 Law for the following reason (Section 7031.5;.Business and P ofessions Code): I, as owner of the property, will do the work and the M!sc. Conduits&Conductors 0 go4 -87 structure is not intended or offered for sale (Section Other See 9omjPIp Fee Soed le) 7044, Business and Professions Code). G CONSTRUCTION LENDING AGENCY a I.hereby affirm that there-is:a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name -PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE above informa*56 is correct. I agree to.comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize sen'tatives of this County to enter upon ' the a e-mentioned roperty for inspection Purpose _ SEE REVERSE FOR EXPLANATORY LANGUAGE .11` Signa ure f ermi ee. - ate T VIfORKERS"CO.MPENSATION DECLARATION I 78-883 70/87 APPLICATION FOR ELECTRICAL PERMIT I CE-806G'I hereby affirm dhat I have a certifica#e of Consent to self insure, .or a Eertificate of Workers' Coftentation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy No. Company i FOR APPLICANT TO FILL IN JOB �� F1 Certified Residential Bldgs.&Pools Certified copy is hereby furnished. I EACH NO. FEE j ADDRESS J E] Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ — $ LOCALITY department. Multi-family Sq.Ft. — NEAREST a Residential Swimming Pools CROSS ST. . Date Applicant OWNER OR _ FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL 7 Outlets:Rec—Light.—.Sw.— � �'• COMPENSATION INSURANCE ADDRE - First 20 j � 't � (This section need not be completed if the work Involved by the Total No. Additional CITY Tel.No._,,-_ ' permit is for one hundred dollars($100)or less.) "✓� I certify that in the performance of the.work for which this permit PLAN/CHECK APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws.. Lighting Fixtures First 20 ADDRESS Total No. . Additional CITY , Tel.No. Date Applicant . NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HIP PERMIT — Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT (✓ �� (�/,t' provisions of the Labor Code,you must forthwith comply with such Oven — Dryer_ W.M._ ADDRESer yo , ! ' _•. provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ CIT. J.� ' r Tel.No. -S--'�_ J j LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that.I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. .UQEOR R (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Class. Professions Code,and my license is in full force and effect. Power Apparatus&Large A ppliances DISTRICT NO. PROCESSED B Size.&Type HP,KW,KVA,or KVAR License Number Lic.Class Up to 1 Incl. FINAL ✓ 8 Over 1 to 10 Incl. DATE no Contractor DateFlN VALI A ION 0 Over 10 to 50 Incl. ❑ I am exempt under Sec. Over 50 to 100 Inc. g W BAP.C.for this reason Over 100 Services,Swbd;,MCC&Panelboards Iln Date: 0-200 Amp.Under 600 V �s Signature 201 - 1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. ']C,a SINGLE FAMILY I Temp.Power Pole&Appurtenances # o 0 0 0 0 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit o 0 2 5 C Q 1 hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits = for the following reason(Section 7031.5,Business and Professions o 0 -2.55 C 5 Code): I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors o91 4 -87 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ pop.and Professions Code). -I - +• CONSTRUCTION LENDING AGENCY I hereby affirm that.there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE l Lender's Address I certify that I have read this application and state that the above TOTAL FEE 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-mentioned property for inspections oses. SEE REVERSE FOR EXPLANATORY LANGUAGE. SIbriatungof Permittee Date