HomeMy Public PortalAbout5411 MCCULLOCH AVE_Electrical__ /BABS:f-3BssA f t-ss APPLICATION FOR ELECTRIC PERMIT �• •1
DMSION OF BUTT ING AND SAFETY
. Deparbnont of County Engineer BUILDING
JOHN ACOIIn{{ppLAIViOfBIE,LCOUNTY EON AngelesNGINEER ADDRESS V ,
.
CASSATT D.GRIFFIN,SUPIT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES Coss ST. //��
NUMBER OWNER , 4
25 LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE -fir
CITY TEL.N 6
TOTAL OUTLETS @ 5¢ $
ELECTRICIA11V _
EC.RANGES 25
ADDRESS '
ELEC.HEATERS 25
KW EA CITY TEL,NO.
STATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRI NO. GROUP ZONE READY FOR INSPECr1ON
NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC. EACH
EL
&LESS $ .25 INSPECTION RECORD
Ya 2 .50
2 5 I.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC.
A(O.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .501 APPROVALS
TOTAL FEE I$ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. s
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF w
CALIFORNIA OR THAT I AM THE.LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDE PROPERTY. " UTILITY CO.NOTIFIED
SIGNATURE
OF P€RMITTEE ✓ 01
•
FINAL
�� ✓ e.- .• vii,
IOHN A.I.AMB[E.COUNTY ENGINEER ATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
C.5MO CASH
,A08 6' 4 6 Zrol JUL 27 2 2.6 0
75A993 +
DDS-51A 8.99 APPLICATION ■ ®R ELECTRIC PERMIT 1
DIVISION OF BUMDIIIG AND SAFETY
Deportment of County Engineer
Couatp of Los Angeles ADDREIss =7 . 1�C ;
WM.J.
M.COUNTY ENGINEER e rJ B`
CASSATT D.GRIFFIN,SUP•TOF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PEMM FEES CROSS ST. r
NUMBER EACH FEE r
LIGHT OUTLETS OWNER - - -
RECEPTACLES MAIL
ADDRESS .
WALL SWITCHES _
r TOTAL OUTLETS g¢ S CITY1� .%�s'liA/' 4 6r�. TEL.NO.i44'
ELEC.RANGES 25 ELECTRIOIAN
_ELEC.HEATERS 25 ADDRESS
KW EA CITY TEL.NO.
FIXTURES 5 01 LICENSE NO.
NUMBER OF LIGHT CIRCUITS -
DISTRICTNO. I GR UPI ZCE,��READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS .�.� //����
MOTORS
�• NUMBER HORSEPOWER FEE INSPECTION REPORD
NEW MVD. HP OVER INC. EACHr C �•
I/2&LESS $ .25 O
V2 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
i
?
MISC.; I
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT
WIRING $1.00 11170 ;.
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ �b . DATE INSPECTOR`S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT / o
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Jl
WITH ALL COUNTY ORDINANCES AND STATE LAWS. REGULATING WIRING
ELECTRICAL WIRING. r
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF k
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY. ,
SIGNATURE � N-J' i) f UTILITY CO.NOTIFIED
OF PERMITTEE-•� + '^ r •'9 n i-� Sl r 4 + '
FINAL ✓ i' r. i? t:t 6
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR
:542 - FEB 2 2.5 D in
- m