HomeMy Public PortalAbout5225 MCCLINTOCK AVE_Electrical__ 76AS63C- Ceaese I2/75 APPLICATION OR ELECTRICAL PERMIT
BUILDING AND 'SAFETY DIVISION .
FOR APPLICANT TO FILL IN ,JOB
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS -f22'S 'CeL1 C�C U
1 &2 Finaily Sq. Ft. $ — $ LOCALITY �LAl'
Multi-family.Sq.Ft. — NEAREST
Residential Swimming Pools CROSS
OWNER OLe9A�
FI R.M_NAME �'7
Outlets: Light,Switch&Receptacle MAIL
First 20 ADDRESS
Additional CITY C Tel. No.
44w-
PLAN CHECK �v
Lighting Fixtures APPLICANT
First 2G ADDRESS
Additional CITY ,4-ce el.No. �S
Fixed Appliances Not Over 1 HP APPLIC NT_ � � C ILt/,,f 104''J
Range_ Heater_ D.W.
Oven _ Dryer _ W.M. ADDRESS �j ZZs (/,r/ 49
Top _ FAU — W.H. CITY C Tel.No.
Hood Fan LICENSE OR fp�-
REG,NUMBER Class. p
Disp. A.C. ca
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING.
Size&Type HP,KW,KVA,,or KVAR ELECTRICAL WIRING; 53
�
Up to 1 Incl. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR H
2C
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED.RESIDENTIAL PROPERTY.
Over 50 to 100 Incl. PERMITEE . a
Over 100 SIGNATUREIS
DISTRICT NO. rRqCESIFE BY
Services
0-200 Amp. Under 600 V — — •G
201 -1000 Amp. Under 600 V APPROVALS E INSPECTOR'S
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP.POWER POLE
Temp.Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total)' UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE "
NOTES
TOTAL FEE 00
PLAN CHECK VALIDATION CK. M.O. ' CASH PERMIT VALIDATION CK. M.O. CASH
3 4 11--JUN 30 2 Q' - 9D C3 �►:�3