HomeMy Public PortalAbout5426 MCCULLOCH AVE_Electrical__ 76p663-CE806=0,72--APPLICATION FOR ELECTRICiC FPERMIT U
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
J • C�L.GG�
BUILDING AND SAFETY DIVISION
f
FOR APPLICANT TO FILL IN ST.
OUTLETS NO. EACH FEE FIRM NAME
RECEPT3 L.. 5 $ �O ADDRESS J
AIL
FIRST 20 .25 /)
LIGHT + TOTAL CITY 1�� TEL. NO 7
SWITCH �� OVER 20 .10 �D
PLAN CHECK
LIGHTING TOTAL FIRST 20 .25 jK APPLICANT
ADDRESS
FIXTURES �_ OVER 20 •10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERIT
RANGE DRYER_WTR. HTR. APPLICANT && r c
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY �� TEL. N
CLOTHES WASH. LICENSE OR DISHWASH. / /
REG, NUMBER CLAS SJec
FAN OTHER 1/P 1.00 0 .I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
VVV 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 PROPER REGISTERED AND/OR
0 - 1 1.00 D LICENSED AS REDU IRED BY LOS ANGELES 0 TY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL O N R OF THE ABOVE
1 - 10 3.00 DESCRIBED RESIDE IAL PROPERTY. C7
V
PERMITE
10 - 50 5.00 SIGNATOR + C
F-
50 - 100 10.00 yV�
DISTRICT PRO SSED BY 4tL
100 - 500 15.00 - V V
SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.001 TEMP.POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 3 d UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING 7
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES Jr A/
POWER AUTHORIZED
UTILITY CO. NOTIFIEDi`� � %
FINAL �7 r7
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
5069JUN 14 2 U 27.10my8
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE