HomeMy Public PortalAbout5422 MCCULLOCH AVE_Electrical__ 76A663-CE60610/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER F
BUILDING AND SAFETY DIVISION
TYFOR APPLICANT TO FILL IN NEARET
OUTLETS NO. EACH I FEE -FIRM NAME
S $
RECEPT._ MAIL
.e
LIGHT TOTAL FIRST 20 .2g
CITY a TEL. N0.
SWITCH_ OVER 20 .10 PLAN CHECK
FIRST 20 .25 APPLICANT
LIGHTING TOTAL
OVER 20 ADDRESS
FIXTURES •10
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR CLASS.
REG. NUMBER
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS 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/OR
O - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE �.
1 - 10 3.00 DESCRIBED RESIDENT]�ROPERTY. / O
PERMITEE � U- /
10 - 50 5.00 SIGNATURE
CD
50 - 100 10.00 c~:,
DISTRICT NO. /��
PROCESSED BY d
100 - 500 15.00 15 G! y
SIGN, GAS ][SIGN ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.001 TEMP. POWER POLE -5�—rl -7A
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.001 1 UNDERSLAB WORK
SERVICE OVER 600 VOLTSOR200AMP 10A0 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING fir• °��J G1� �1,�J��,;�..�
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED '�.�® 7 c 1
FINAL
LPERMIT
(SUB TOTAL) NOTES; ���'f/��'�gA,,;.
FEE /.I "
ING FEE 3.00 1 Jr
E aa
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION M.0. CASH
7 37L--WR 29 2 D 8.00A,
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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76p663-CE806 ,0,72., APPLICATION FOR ELECTRICALEP RMIT -4 u
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRES
�: -
BUILDING AND SAFETY DIVISION ITY
ST
FOR APPLICANT TO FILL IN STOUTLETS NO. EACN FEE7 OR
0 $ s FIRM NAME
RECEPT� IL
ADDRESSL.
LIGHT TOTAL FIRST 20 ,Zg. OO - Al,
SWITCH OVER 20 CITY _� TEL. NO .
10 PLAN CHECK
LIGHTING TOTAL
FIRST 20 25 APPLICANT
FIXTURES -&- OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITYPERMIT
�9 TEL. NO.
RA6NGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP.2—F.A.U. ADDRESSM-3 �r
SPACE HTR. AIR COND. �'�CITY / TEL. NO. (6
CLOTHES WASH. 'L /'j� REG NNUMBER 2V7 y CLASS -10
FAN OTHER VV 1.00 /7� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
v AND STATE THAT THE ABOVE IS 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
1 HEREBY CERTIFY THAT 1 AM PROPERLY R GISTERED AND/OR
O — 1 2 100 D O LICENSED AS REQUIRED BY LOS ANGELES CO N Y AND STATE OF
CALIFORNIA OR THAI AM THE LEGAL OW ER OF THE ABOVE y.
1 — 1O 9.00 DESCRIBED RESID N AL PROPERTY. C
PERMITEE C.2
10 - 50 5.00 SIGNATURE C
50 - 100 1 oAoI~
Gi
DISTRICT NO. OCE ED BY yJ
100 - 500 15.00 AZ 1
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECMAS SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 O UNDERSLAB WORK
e
SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR R.ECEPT. SYSTEM 3.00 FIXTURES -7 `
POWER AUTHORIZED
UTILITY CO. NOTIFIED i
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 d 0
TOTAL FEE
' /a zn d
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
5 0 79"7-JUN 14 2 D 2 7.1 0 eya
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE , /�