HomeMy Public PortalAbout5339 MCCULLOCH AVE_Electrical__ 76p663-CE806 10,72 APPLICA'f Oh OR ELE&RICAL PERMIT 'u
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERaDDRESS dd
BUILDING AND SAFETY DIVISION J-l"S IS, C`.-v_tcc(-f
LOCALITY C�C� C7
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH I FEE111FI
OWNER OR r� � n
5 $ RM NAME `
RECEPT.� MAIL
ADDRESS
FIRST 20
LIGHT,—,� TOTAL 25 p 4
CITY TEL. NO. V
SWITCH S OVER 20 .Ip
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 V APPLICANT .
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS 4 .
SPACE HTR._Leff'—AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR
t REG. NUMBER CLASS.
FAN OTHER 1.00 fj I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
v AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Op
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE }
I — 1O 900 DESCRIBED REST E TIAL P PE C
PERMITEIE 1 v
10 — 50 5.00 SIGNATURE ✓ ( G
50 — 100 IOAO DISTRICT NO. SED BY
100 — 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPE 'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 3.00 v UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00
WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) 0� NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.001 13.Cl C9
TOTAL FEE �J _ (j O
l n
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH
5 3 0 ARRR 4 2 D 1 2,0 0 &to
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE