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Home My Public Portal About5629 MCCULLOCH AVE_Electrical__ 78A888-CE808 8-s4 APPLICATION FOR EL RICAL .PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS wu too JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST �. FOR APPLICANT TO FILL IN CROSS ST. 4 RECEPT. r TOTAL NO. EACH FEB OUTLETS FIRST 20 $�2O S OWNER uIlASevy LIGHT ADD'L .10 ADDRESS SWITCH. 3 OVER 20 TOTAL LIGHTING 1 FIRST 20 .20 CITY TEL.NO. FIXTURES ADD'L ADD'L .tp ELECTRICIAN ��. ov R 20 A/J RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS A GARB.DISP. STA.COOK kJ CITY � EL.NO. a DISHWASH. AUTO.-WASH. STAT EF SPACE HTRB./ kA.APP.('y H.P.MAX.) .so LICENSE NO. jp1.4 G MOTORS, OVER NOT OVER H.P. DIS�TRIC3 N G P I WE P E D 0 1 1.00 I s 1.50 INSPECTION. RECORD a 9 2.00 V 9 is 2.50 IN is so 3.00 OR so too 5.00 ca NO.TRANS. _ Z ca SIGNS, NO.LAMPS SERVICE O-SOOV-NOT OVER 200A 1.00 SERVICE O.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INBP 'S SIGNATURE AND STATIC THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT _ WITH ALL-COUNTY ORDINANCES•AND STATE LAWS REGULATING ' ELECTRICAL WIRING, / WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 1 CALIFORNIA OR'THAT 1 AM THE LEGAL OWNER OR HE ABOVE DESCRIBED RESIDENTI OPER7Y. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL " A,W i /-VAJI A HUR C. CK MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER LACO 9 5 5". FS 14 2 0 5.40-- .e„BBB.CfiBGB7•BB APPLICATION FOR ELECTRIC PERMIT - ], COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER •`r•i!'J CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY J G 10 FOR APPLICANT TO FILL IN NEAREST MUM FMS CROSS ST I T E M NUMBER EACH FEE OWNER OUTLE $ $ MAIL LIGHTS RECE SW:� .10 ADDRESS LIGHTING FIXTURES .10 / CITY TEL. NO. ELEC. RANGES CLO. DRYERS ELECTRICIA +�� WATER H E A T fi R H •50 ADDRESS / v ELEC.SPACE HTRS. DISHWASHERS - CITY TEL. N RBAGfi D 6 pUTO.- S7` TE EN 71r/ &,—/o WASHERS STA. COOKING UNITS .25 LICENSE NO. MOTORS: OVER. INC. H.P. DISTRIP NO. G AVP Z N/ PRO.CC SED BY y� O- +/2 .2S b +i2- z so INSPECTION RECORD 2— S. 1.00 5— Is 1.50 Is- 50 2.50 150-200 5.00 SIGNS: NO. TRANS. NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 .TOTAL FEE $ APPROVALS' I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LI ATION DATE INSPECTOR'S SIGNATURE` AND STATE THAT THE ABOVE IS CORRECT AND-AGREE TO COMPLY CONDUI �_`\ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - ELECTRICAL WIRING. WIRING •/:±_ I HEREBY CERTI AT I AM PROPERLY EGISTERED AHD/OR o �y LICENSED AS RE° R D BY LOS ANGELES LINTY AND STATE OF .FIXTURES. �� +SC ✓ CALIFORNIA OR T I THE L GAL WN OF-THE ABOVE ' DESCRIBED RESIDE AL PERTY. POWER SIGNATURE UTILITY CO.NOTIFIED �S r7^V OF PERMI INAL TION ARTHUR. C. VEIT, CK NO CASH SUPERVISING ELECTRICAL ENGINEER 9.9 5 LA�Co 7 6 6 0 �Ul g 2 A TEMPLE rHT . MA663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEE4-FEE BUILDING �� a BUILDING AND SAFETY DIVISIONADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDINGLOCALITY NEAREST FOR APPLICANT TO FILL INCROSS ST. O. . Q M RECEPT. TOTAL NEACH ! OUTLETS_ FIRST 20 $.2O $ ,/., OWNER LIGHT 7v MAIL -se, ADD'L .10 ADDRESS SWITCH. OVER 20 f� I 'G. LIGHTING TOTAL l FIRST 20 ' .20 C,TY TEL.NO. /�f FIXTURES 1 / ADD'L1O ELECTRICIAN ` OV R 2O y RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS p2�'3 0eg� of GARB.D18P. STA.COOK CITY TEL.NO. .DISH WASH. AUTO.-WASH. STATE �1 SPACE HTRS. BTA.APP.(Va H.P.MAK.) .50 L"7CENSE NO. MOTORS: ,OVER NOT OVER H.P. DISTRICT NO. G�OUP ZONE PROCESSED BY 0 1 1.00 pp 5-P Fool, 1 s 1.50 ° !j) 2 rINSPECTION RECORD g'., 8 2.00 �,!R��+J ��S,r. a 15 2.50 1 18 50 5:00 6" I > _ a• 50 100 IS= - O SIGNS: NO.TRANS. NO.LAMPS O SERVICE O-SOOV-NOT OVER 200A 1.00 - SERVICE o.6 OV-Ov-200 A. 2.00 O_ N SERVICE ER SOOV 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.. l DAT& INSPECTOR'S SIGN)CTURB A. STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY g' a J�If n WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATINGIFINAL CONDUIT C�p l-/rS_�+ `) "•: ,.��=6�;! ELECTRICAL WIRING. WIRING /fi •.,ate,: 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR • r LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OFFIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIA PROOPERTY. POWER SIGNATURE �(J r UTILITY CO.NOTIFIEDOF PERMITTIT /�1 A I �K MO ICAS ARTHUR C. VETT ' CK MO CASH SUPERVISING ELECTRICAL ENGINEER 5 1 2 2, "M 7 2 D 3.6 0 M .y W PCECOMPENSATION DECLARATION 10/81 APPLICATIONFOR ELECTRICAL PERMIT I hereby affth CE-806 that I have a certificate of consent to self CE-806G insure,•or attertificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY II or a certified copy thereof(Sec.3800, Lab. C.) i LI Policy No, Company I FOR APPLICANT TO FILL IN JOB }LTJ EACH NO. FEE i ADDRESS Certified copy is hereby furnished. I New Residential Bldgs. 8 Pools _ ❑ y q LOCALITY Certified copy is filed with the county building inspect 1 8 2-Famil S Ft. $ tion department, i Multi-family Sq. Ft: — NEAREST �C Residential Swimming Pools 1 CROSS ST. L/J O Date Applicant I FlRMER NAME F S L� CERTIFICATE OF EXEMPTION FROM WORKERS•' j Outlets: Rec Light Sw._ 'MAIL COMPENSATION INSURANCE i First 20 ADDRESS (This section need not be completed If the work Involved bi Total No. Additional i CITY Tel. No. the permit is for one hundred dollars($100)or less.) I certify that in the performance of the.work for which this PLAN CHECK: permit is issued, I shall not employ any person in any manneS i I APPLICANT so as to become subject to the Work Comp sation Laws{ j Lighting Fixtures First 20 i ADDRESS i TAdditional Total No. CITY Tel. No. Date Applicant ' I NOTI TO APPLICANT: If, a makingthis Certificate of I Fixed Appliances Not Over 1 HP PERMIT I I APPLICANT Exemption, you should be me subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth-i Oven — Dryer —W.M.— ADDRESS AA A with comply with such provisions or this permit shall bei Top _ FAU —W.H. — deemed revoked. fj CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ I Disp. _ Room Air Cond. LICENSE Class I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMM BER (commencing with Section 7000)of Division 3 of the Business, DISTRICT NO. Prc! BY and Professions Code,and my license is in full force and.effect.' Power Apparatus.&Large Appliances Size&Type HP, KW, KVA, or KVARV License Number Lic. Class Up to 1 Incl. FINAL (� -� 'Over 1 to 10 Incl. pp' DATE f1� -��/� VALIDATIO ❑ Contractor Date Over 10 to 50 Incl. I FINAL W I am exempt under Sec. i Over 50 to 100 Inc. I BY N -B.&P.C. for this reason ! Over 100 i Services, Swbd., MCC&Ponelboards Date. I i 0 -200 Amp. Under 600 V i Signature 201 - 1000 Amp, Under 600 V ❑ I Over 1000 Amp. or Over 600 V , Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I'here.by affirm that I am exempt from the Contractor's License 1 � Law for the following reason (Section 7031'.5, Business and• it Additional Sign Branch Circuits Prof ssions Code): j I, as owner of the property, will do the work and the I Misc. Conduits&Conductors structure is not intended or offered.for sale (Section) Other(See Complete Fee Schedule.)_ , ;15 3 1.8 A 7044, Business and Professions Code). 0 0 0 0 0 2 • CONSTRUCTION LENDING AGENCY ' I hereby affirm that there is a construction lending agency for ' t ° o 3 2 5 0 the performance of the work for which this permit is issued 'I PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). ,, i j; a o o 3 2 5 0 H PLAN CHECKING FEE $ Z 6—$b Lender's Name PERMIT ISSUING FEE 6 , 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 , ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon - th ove-me ironed property for inspection 7/. i SEE REVERSE FOR EXPLANATORY LANGUAGE } �' Signature.of Permittee Dath