HomeMy Public PortalAbout5340 MCCULLOCH AVE_Electrical__ t°'" APPLICATION FOR ELECTRICAL PERMIT
Z:OUNTY OV LOS ANGELES
DE.QARTMENT OF COUNTY ENGINEER 108 77
BUILDING AND SAFETY DIVISION ADDRESS -Q Q 0�
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
ST.
1 &2-Family,Sq.Ft. $ .025 — $ CROSSOWNER OR
Multi-family Sq.Ft. 02 — FIRM NAME tf�
Residential Swimming Pools 25.00ADDRESS191410770eZ ,
Outlets:Rec Light—Sw. CITY </ .gyp " No. ' s^�• �/
First 20 .50 PLAN'CH K
Total No. Additional .30 APPLIC T
ADD 7—&
Lighting Fixtures First 20 .50 CI Tel.No.
Additional .30 RMIT
Total No. APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W.— CITY Tel.No.
Oven—Dryer��rr W.M._ LICENSE OR
Top —FAU l—W.H. REG.NUMBER Clots.
Hood_Fan _Other- A 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _Room Air Cond. 2.50 F THAT THE ABOVE.IS CORRECT AND AGREE TO COMPLY WITH ALL.COUNTY ORDIN•
ANCES AND STATE-LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP,KW,KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND.STATE OF CALIFORNIA OR-THAT I AM
Upto1Ind. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBEDRESI NTIALPROPERTY. C
Over 1 to 101ncl. 5.00 — v
Over 10 to 50 Incl. 12.50 PERMITTEE
CD
Over 50 to 100 Inc. 2500 SIGNATURE
Over 100 40.00 DISTRICT NO. PR BY y
Services
7a
0.200 Amp.Under 600 V 12.5071 INSP OR'S
201.1000 Amp.Under 600 V 25.00 . APPROVALS DATE 51 ATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE
Temp.Power Pole&Appurtenances
10.00 PNOTES
WORK
Sign with One Branch Circuit 10.00 NDUIT
2.00
Additional Sign Branch Circuits
Misc.Conduits&Conductors 10.00
Other(See Complete Fee Schedule' HORIZED
NOTIFIED
PERMIT FEE (Sub-Total)
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE p27 d.4
`PLAN CHECKIV'AMD3T1"Rt® nNs116son® SH PERMIT VALIDATION �.0. CASH
POLICY HOLDER
3 4 8 CAU 2 7.0 0
�P+�j H
UMBER:
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SEE"CK 6 P LICA �E�R G'YI/(. /S�/U L� l"T
7GA663C*CE6069 12/75 APPLICATION FOR ELECTRICAL PERMIT
t CITY OF TEMPLE CITY
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL 1N JOB
ADDRESS FEE
New Residential Bldgs.&Pools EACH NO. � � T
1 &2 Finaily.Sq. Ft. $ — $ LOCALITY
Multi-family Sq.Ft. — NEAREST I
Residential Swimming Pools CROSS ST.
OWNER /J
FIRM NAME
Outlets: Light,Switch&Receptacle MAI L
First 20 /
ADDRE L
44
Additional CITY Tel. N
PLAN CHECK
APPLICANT
Lighting Fixtures
First 20 ADDRESS
Additional
CITY Tel.No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICAN
Range_ Heater_ D.W. _ gD.DRES$
Oven _ Dryer _ W.M.
Top _ FAU _ •W.H. _ CITYQ]� I. No.
Hood Fan CD
REG. NUMBE Q Class.
Disp. A.C.
&A b6V—
■I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 0
I/y^��' Y AND STATE THAT THE ABOVE IS CORRECT Al.. AGREE TO COMPLY U
Power Apparatus& ge IianCBS WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W
Size&Type HP, KW,KVA,or KVAR ELECTRICAL WIRING.
U to 1 Incl. Z
Up 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LO COUNTY AND STATE OF
CALIFORNIA OR THAT 1 A HE LEGAL BR OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL OPERTY.
Over 50 to 100 Incl. MITEE
Over 100 GNAT U RE
Services
DISTRICT NO. (RIOLSSELDY&
�^
0-200 Amp. Under 600 V _.J , U
201 -1000 Amp.Under 600 V APPROVALS DATE I PECTOR'S
Over 1000 Amp,or Over 600 V -
/SIGNATURE
t-FIXTURES
P.POWER POLE
Temp.Power Pole&Appurtenances DERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits UGH CONDUIT
(Other) I NG �7
_ rO 4A
ER AUTHORIZED # G 4.
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) Q
FINAL B 7 .
PERMIT ISSUING FEE
NOTES
TOTAL FEE'
PLAN
e�iLACHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. - CASH
-70
76AB68 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
15-
ELECTRICIAN Pn/,-,r ",��- ' h- ,. ^1::$ Z
/ RECEIVED BY READY FOR DAT ISSUED
ADDRESSr1. 7 /�/� A I �/ FIRST INSPECTION
CITY /^ A A/5r/C' TEL. NO.PIS' /=f 1^1 D /;" ?�
COUNTY LICENSE NO. J Q 17 ;Pb-A BUILDING -4��j�0y+fy
PERMIT FEES ADDRESS
FEE
NUMBER EACH LOCALITY
l/ LIGHT OUTLETS % NEAREST (�
CROSS ST.
RECEPTACLES J
WALL SWITCHES OWNER p/ ,, J tl /) Al 7-
TOTAL OUTLETS S Sc $ AMAIL
DDRESS
ELEC. RANGES 25
ELEC. HEATERS 25 _ CITY h-/ 4 TEL. NO.
FIXTURES 5
MISC. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER I ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL P OPERTY
INC. EACH DESCRIBED ABOVE.
NEW MVD. HP OVER
1/2 S LESS $ .25 SIGNATURE OF
1/2 2 .50 PERMITTEE. •C!�-a L 1� •���'LCQ
J ✓
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
so 200 5.00
200 Soo 10.00 .1
Soo 1000 15.00 - Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (750%OFORIG.)
MOVED MOTORS (75%OFORIG.)
M ISC.
SIGNS
NO. NO.TRANS. I I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING $1.00
FIXTURES $1.00 f WIRING
SUPPLEMENTARY .50 FIXTURES
Jy POWER
TOTAL FEE $ 1 UTILITY CO. NOTIFIED
® FINAL - / L