HomeMy Public PortalAbout5453 MCCULLOCH AVE_Electrical_10/12/1976_ �AA-- ;CITY..
76A663' -E801 1/,70, APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPAIRTMENsT OF COUNTY ENGINEER BUILDING ] jf �U
BUILDING AND SAFETY DIVISION/
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY `�
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NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE
OWNER � G
RECEPT._ $ S MAIL
FIRST 20 /(7 C) ADDRESS
LIGHT TOT . CITY TEL. NO(�
SWITCH_ OVER 20
PLAN CHECK
FIRST 20 APPLICANT
LIGHTING � TOTAL �� `�
FIXTURES 1A I
OVER 20 Af
ADDRESS
APPLIA GES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS .7
SPACE HTR. X _AIR COND.-X _ _2 C) CITY � rJa iia, TEL. NO
CLOTHES WASH. DISHWASH. �y4 V LICENSE NO. �� v CLASS.C-/
FAN OTHER 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 WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM HE L AL OWNER OF, AND INTEND TO a
1 - 10 300 RESIDE IN, THE AS SC BED RESPEN PROPERTY.
SIGNATURE 0
70 - 50 5.00 OF PERMI! EE a,
50 - 100 10.00
DISTRICT NO. ICLASS Z EG YV100 - 500 15.00 a:.
a
SIGN, GAS ISIGN AND ONE CIRCUIT5.00 NOTES: h
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOTOVER 600 VOLTS OR 200 AMP / Al O-V
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTUREIS
PERMIT FEE (SUB TOTAL) v / POWER AUTHORIZED
�
UTILITY CO. NOTIFIED
PLAN CHECK FEE /
PERMIT ISSUING FEE /�' � FINAL 1H/-7 -r C lG7Ve
moi" JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
6 3 1 OCT 12• 2 1 9.6 0 Ago
SEE BACK OF APPLICATION FOR COMPLETE SCHEOULF (/u