HomeMy Public PortalAbout5424 MCCULLOCH AVE_Electrical__ 75A669-CE30e I0/72 .,_APPLICATION FOR ELECTRICAL�PiRMIT 4 ! u
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB CL
BUILDING AND SAFETY DIVISION ADDRESS' G,
LOCALI TY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME G �% /LL.. V7 .
RECEPT& $ $ MAIL 2 q h
FI R 25 ST 20 a 6 ADDRES rCJ a V 7�
LIGHT TOTAL •
CITY Rg_=Lg--pj_"'n_ TEL. N 096
SWITCH 33— OVER 2013- AD 1 .30 PLAN-CFIFCK
FIRST 20 .25 b� APPLICANT
FIXTURES OVER 20 ADDRESS
LIGHTING TOTAL ✓
f0
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERIT
RANGE DRYER_WTR. HTR. APPLICANT Yt -K-19
STA. COOK OfSP.-J—F.A.U. ADDRESS AM
SPACE HTR. AIR COND. /� CITY TEL. N0. <
CLOTHES WASH.LDISHWASH.• LICENSE OR , /`9 ' ••
7 REG. NUMBER [ CLASS'.
FAN OTHER J 1.00 1 HEREBY ACKNOWLEDGE THAT I .HAVE READ THIS APPLICATION
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 W IR ING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PR OPE Y REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELE OUNTY AND STATE OF
CALIFORNIA OR T 7" 1 AM THE LEGAL 0 NER OF THE ABOVE
1 - 1O 3.00 DESCRIBED RE NTIAL PROPERTY. p
V
10 - 50 5.00 PERMITE
SIGNATUR CD
I-
50 — 100 1040 W
DISTRICT NO. PROCE SED BY CL
100 — 500 15.00
V �
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTO SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP ` 3.00 UNDERSLAB WORK
S ERVI CE OVER 600 VOLTS OR 200 AM P 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) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 o Q
TOTAL FEE IR
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. 0. CASH
5 01 2 A JUN 14 2 .D 1 8.0 5 a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /