HomeMy Public PortalAbout5435 MCCULLOCH AVE_Electrical_7/14/1976_ 76A663 CE-806R 9/76. APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
' DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS 5435- NO, MC CTMT.00T4
FOR APPLICANT TO FILL IN LOCALITY T LE CITY
New Residential Bldgs.&Pools EACH NO. 7FEE CROSS ST.
1 &2-Family,Sq.Ft. $ 025 — OWNER OR
Multi-family Sq.Ft. .02 — FIRM NAME �,,B013 CONROY
Residential Swimming Pools 20.00 ADDRESS 5y;35 NO. MC CULLCCH
Outlets:Rec Light_Sw. CITYTEMPLE CITY Tel.NA44-4641
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Total No. Additional 30 IT
APPLICANT AQUATIC POOLS
Fixed Appliances Not Over 1 HP ADDRESS 101 E. HMINGTON DRIVE
Range_Heater_D.W. CITYARCADIA Tel.446-4661
Oven_Dryer—W.M. LICENSE OR ��rr
Top —FAU —W.H._ REG.NUMBER 33-5620 CIOSV-53
Hood—FOn _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _Room Air Cond. 2.00 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
Up to 1 Incl. 2.00 THEUIRED BY LEGALLEGAL OWNER NGELES COUNTY AND STATE OF OVE DESCRIBED RESIDENTIAL CALIFORNIA OR THAT I AM
Over 1 to 10 Incl. 5.00
Over 10 to 50 Incl. 10.00 PERMITTEE
Over 50 to 100 Inc. 20.00 SIGNATURE U `
30.00 0
Over 100 DISTRICT NO ItJ � CE ED;Y
Services
0-200 Amp.Under 600 V 12.50 INS TOR'S to
201.1000 Amp.Under 600 V
25.00 APPROVALS DATE 519NATURE Z
Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE
Tem Power Pole&A 10.00 UNDERSLAB WORK
Temp. Appurtenances Q
10.00 ROUGH CONDUIT 7`]f j
Sign with One Branch Circuit �+e_
Additional Sign Branch Circuits 2'00 WIRING 74? N
Misc.Conduits&Conductors 15.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL f!ry «2
PERMIT FEE (Sub-Total) NOTES/- 44 _jA
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $6.00
TOTALFEEt Mrmr-:ar .3.,-®
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
�j7 6
POLICY o ,0�r� -JUL 14 a � 3 2-.0 0
PAIO ter/
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ®s
76p.663-CE80610/72
APPLICATION F .RELEC ICAC PER T
COUNTY OF LOS ANGELES
DEPARTMENT
BUILD NG AND SAFETY DIVISION ER .IOB 4-� �s' �G� CJD1`O.G�Z
ADDRESS
LOCALITY cZ�, ` o"44
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE OWNER OR
$ 5 FIRM NAME ✓
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
SWITCH OVER 20 10 CITY �' TEL. NO.
PLAN CHECK'
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. - F.A.U. ADDRESS f�
SPACE HTR. AIR COND. CITY.
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER QQp�.. CLASS.I
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.
51Z.E & TYPE OVER TO
INEREBY CERTIFY THAT i AM PROPERLY PEG TBRED AND/OR
0 —'1 100 LICENSED AS REQU RED BY LOS ANGELES COUNT AND STATE OF
CALIFORNIA O HA I AM THE LEGAL OW NE OF THE ABOVE p.
I — 10 3.00 DESCRIBED SIDE IAL PROPERT
O
PERMITEE C7
10 — 50 5.00 SIGNATURE
O
50 — 1.00 10.00 DISTRICT NO. ROCESS D BY
100 _ 500 15.00 !� Q Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR' NATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WOKK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,IN APPURTENANCES 5.00 WIRING `� f --
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED V � �� 1 �
FINAL
is",/.Z
PERMIT FEE '(SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT IS FEE 3.00 `3100
TOTAL FEE 00
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH
7 3 0 APR 1f3 2
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -�