HomeMy Public PortalAbout5447 MCCULLOCH AVE_Electrical_4/9/1968_ 76A66'3-CE606'9-67 APPLICATION FOR ELECTRICAL PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /�
BUILDING AND SAFLQTY DIVISION ADDRESS .2 eGOLLO�/l
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. ACH FEE
$ $ OWNER go
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NO. -DJ
LIGHTING �TOTAL FIRST 20 .20 CONTRACTOR (,EGMONIG rl_MH6W
FIXTURES OVER 20 .10 ADDRESS q1��
RANGE_DRYER—WTR.HTR._ CITY I ,CCTEL. N0.373- 1O
STA.COO K_DISP.—F.A.U._ LICENSE NO. 24 [ 0ZZ C-2 -1 0
SPACE HTR. AIR COND. _ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN-OTHER 1.00 1 HEREBY CERTIFY THAT 1 AM JFROPE REGISTERED AN OR
LICENSED AS REQUIRED BY LOS GE COU AND S OF
MOTOR S,TRANSFORMERS RATING CALIFORNIA OR THAT I AM TH EG OWNE O , AND
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE SCR 0 R 1 NTIA Y.
SIZE & TYPE OVER TO JINOTES:
IGNATURE
0 - 1 1.00 F PERMITT1 — 10 3.0o ISTRICT G ZO E PR SE U10 - 5o 5.00 l IM50 - 100 10.00 G
W
100 - 500 15.00 O.
N
TUBE,GAS z
OR SIGN AND ONE CIRCUIT 3.00
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS.OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
]UNDERSLAB WORK
ROUGH CONDUIT
ISSUING FEE 2.00
]FINAL WIRING
FIXTURES
SUPPLEMENTARY ISSUINGFEE 1.00 POWER AUTHORIZED
PERMIT FEE UTILITYCO.NOTIFIEPLAN CHECK FEE (50% PERMIT FEE)
TOTAL FEE Z JOS PH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
Lk04 2. 1 41'81 APR
=E 13ACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A668 _!68061312;75 APPLICATION FOR ELECTRICAL PERMIT
i
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN ,JQB•
New Residential Bldgs.&Pools
EACH NO. FEE ADDRESS
1 &2 Finaily Sq. Ft. $ — $ LOCALITY GZY
Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools CROSS ST.OWNER OR
FIRM NAME
Outlets: Light,Switch&Receptacle ADDRESS C d LL D G
First 20
ha
Addi.tibnal CITY , Tel. No.
PLAN CHECK
Lighting Fixtures APPLICANT'
First 20 ADDRESS
Additional
CITY Tel.No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT L fC G
Range_ Heater_ D.W. ADDRESS E/�
Oven _ Dryer _ W.M.
Top _ FAU _ W.H. _ CITY 7 ;. C , Tel.No.. a-
4-/IP2 02
Hood Fen LICENSE OR
NUMBER Class.
REG'..NUMBER C- U CD
Disp. A.C.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 0
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LU
Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING.
Cn
Up to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Z
Over 1 to 10 Incl. 'LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TNAffPR1
LEGAL OWNEROF T ABOVEOVer 1O LO 5O InCI. DESCRIBED RESIDENTY.
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE
ServicesDISTRICT NO. PRO SED BY
0-200 Amp. Under 600 V 0
201 -1000 Amp.Under 600 V APPROVALS DATE INSPECTOR'S
SIGNATURE
Over 1000 Amp,or Over 600 V '
4ROUGHCONDUIT
MP.POWER POLE
Temp. Power Pole&Appurtenances NDERSLAB WOR_K
Sign with One Branch Circuit
Additional Sign Branch Circuits
(Other) WIRING
FIXTURES. ,
POWER AUTHORIZED
PERMIT FEE (Sub-Total) 0 UTIL'ITYCO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee)
FINAL
PERMIT ISSUING FEE
TOTAL FEE 0 NOTES
PLANCHECK VALIDATION CK M.O. CASHb 6 J itRMJTrVA.'. ION• CK ��.muAc ASH
76A663Cir10E�''ab6B iZ�7S APPLICATION FOR ELECT CAI. PERMIT ..
a
BUILDING D SAFETY DIVISI
POR APPLICANT TO PILL IN.
New Residential Bldgs.&Pools
EACH ' NO. FEE ADDRESS
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
Multi-family Sq.Ft. — NEAREST 6
Residential Swimming Pools CROSS O .
OWNER M
FIRM NAME
Outlets: Light,Switch&Receptacle
First 20 O ADDRESS/`
Addi.tibnal CITY. Tel. No �30
PLAN`CHECK
Lighting Fixtures / 0 APPLICANT
First 20' r ADDRESS
Additional CITY Tel.No.
PERMIT.
Fixed Appliances Not Over 1 HP APPLICANT <!L. 0
Range_ Heater_ D.W. ADDRESS
Oven _ Dryer — W.M. r
Top _ FAU _ W.H. CIT G�li (S Tel.No. P? —
Q
Hood _ Fan n�-
REGNNWMBER r./ Class p
Disp. _ A.C. _ c..2
1-HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION =,
AND S 0
Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 1--
CU
Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. LU
Up to 1 Incl. I HEREBY CE IPY T AT I AM PROPER GISTERED AND/OR N
Over 1 LO 10 InCI. / _ LICENSED. AS OUIR ED Y LOS ANGELM UNT NO STATE OP
Z
CA LIF.ORNIA R THAT THE LEG S WNE F T14H ABOVE
Over 10 to 50 Incl. DESCRIBED E PER
Over 50 to 100 Incl. P.ERMITE
Over 100 SIGNAT RE
DISTRICTWO. PROCESSED BY
Services
0-200 Amp. Under 600 V �` P- 7 11-OV
201 -1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'S
Over 1000,Amp.or Over 600 V - SIGNATURE
TEMP.POWER POLE
Temp.Power Pole&Appurtenances UN.DERSLAB WORK
Sign with One.Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT p
(Ot WIRING --;p �p F ✓
FIXTURES
]POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL ��/.L C,
PERMIT ISSUING FEE NOTES / eG.t4 dt 04
PLAN-CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
POLICY f-EOLQER: Vf /I c N d, CO
G�O?. :Y [3r :4BER: 6' 3 ? 6- o 1. 8 01r'_0Gf 3 • 2 9 7.60s%
76A669 CE 606R 10/77 APPLICATION FOR ELECTRICAL PERMIT
e ' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADRE8S
BUILDING AND SAFETY DIVISION /!!
FOR APPLICANT TO FILL IN Y
New Residential Bldgs.&Pools EACH NO. FEE NEARE
T1 &2-Family,Sq.Ft. $ '025 — $ OR
Multi-family Sq.Ft. 02 — FIRM NAME J`
Residential Swimming Pools 25.00 MAILC �� _
ADDRESS
Outlets:RecLightSw. CITY- Cfj Tel.No.
/ter, First 20 •50 PLAN CHECK
Total No.,Iv Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Teel.No.
Total No. Additional 30 APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS f�'l ����
Range_Heater-/—D.W._ CITY Tel.No I/'
Oven_Dryer_W.M. LICENSE OR
Top —FAU —W.H._ REG.NUMBER
Hood—Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _ Room Air Cond. 2.50 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
REQUIRED BY LOS ANG ES COUNTY AND STATE.OF CALIFORNIA OR THAT I AM Y
Up to 1 Incl. 2.50 THE LEGAL OWNER E ABOVE DESCRIBED ESIDENTIAL PROPERTY. C
Over 1 to 10 Ind 5.00 c-D
Over 10 to 50 Incl. 12.50 PERMITTEE 9=
CD
Over 50 to 100 Inc. 25.00 SIGNATURE
Over 100 40.00 DISTRICT NO. (rR!OZCES§kD BY ti
Services 1
0-200 Amp.Under 600 V 12.50 INSPE R'S
201-1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE
10.00 UNDERSLAB WORK
Temp.Power Pole&Appurtenances 10.00 4ROUGH CONDUIT �
Sign with One Branch Circuit
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL �j/� /z �`a �dQ Kt 1174-
F
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE L •
I - OMPSNSA1°(' JOKO SH PERMIT VALIDA N' CK: M.O. . CASH
-_r.r
POLICY HOLDER:
SEE11Vb�j � SC
�LCOMPLETE
V/ J 7 _
v -
n COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1208020011'
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
[ ID: I FEES PAID I BUILDING ADDRESS:_
ITRTR:: 1 13613 LT: 100 I 5447 MCCULLOCH AV
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917863516
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: I
18573-007-028 1AI PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE:. 597 GRID: D3. LOCALITY: TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 14.00 OUT 28.00 1
(TENANT: G2 LIGHTING FIXTURES 2.00 LGT 4.00 ISSUED ON: PROCESSED BY: PLAN BY:
IH2 RES GREG DISP LT 3HP 1.00 DIS 11.00 108/02/12 SR'
1 1H4 RES RANGE HDS•LT 3HP ' 1.00 HOO 11.00 I 1
(OWNER:_ TEL. NO: I TOTAL FEES 81.80 1F , DATE FI BY: CODE: I
1CHIII, YOK YEE (626) 807-5716-
15447 MCCULLOCH AV
ITEMP 917803516 I 1
1DESCRIPTION OF WORK
14 OUTLETS, 2 LIGHT FIXTURES, GARBAGE DISPOSAL AND RANGE 1
(HOOD FOR KITCHEN AND BATHROOM REMODEL I
1APPLICANT: TEL. NO:
ISAME AS OWNER _
I1 ISPECIAL CONDITIONS: I
I
I
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER I I
LIC. NO I ITEMPORARY POWER POLE 1 I I
1UNDERGROUND CONDUIT I I I
ARCHITECT OR ENGINEER: TEL. NO: - I IUFER GROUND
I I I
l LIC. N0: I .• TROUGH CONDUIT I I 1
1 I TROUGH WIRING I
IMAIN WATER LINE
]PLASTIC Y/N METAL Y/N ,I
I
UTILITY COMPANY NOTIFIEDI
_ I I
I
I I 1 1 1
I I I I I I
I I I I
I I I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508 I I 1
I I I