HomeMy Public PortalAbout5510 MCCULLOCH AVE_Electrical_11/10/1977_ NA869C_ 0,48;:,'75 1. APPLICATION FOR ELECTRICAL PERMIT
3
BUILDINND SAFETY DIVISION �y p
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&fools
' EACH NO. FEE ADDRESS
1 &2 Finaily Sq. Ft. $ — $ LOCALITY TF 1. fy
Multi-family Sq..Ft. CROSS ST. ( l:
Residential Swimming Pools OWNER OR
FIRM NAME923
Outlets: Light,Switch&ReceptacleMAIL
First 20 O ADDRESS /
Additional CITY Tel._No, 14k(q! .e 4
PLAN CHECK/
Lighting Fixtures APPLICANT
First 20 0 ADDRESS
Additional
CITY Tel.No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater_ D.W. ADDRESS /10 L.
Oven Dryer _ W.M. `� f
Top FAU 0 W.H. CITY Tel.No. �7 B tQ
Hood ' Fan LICENSE ORO
REG. NUM ER. Class.
Disp. A.C.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION O
AND STATE THAT THE ABOVE.IS'CORRECT AND AGREE TO COMPLY W,
Power Apparatus'&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING, CA-
Up to 1 Incl.
p 1.HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. _DESCRIBED RESIDENTIAL PROPERTY.
Over 50 to 100 Incl. PERMITEE `
Over 100 SIGNATUR
[DRT NO. C SED BY
Services f�
0-200 Amp. Under 600 V
201 -1000 Amp. Under 600 V PPROVALS DATE P.ECTOR'S
Over 1000 Amp.or Over 600 V
SIGNATURE
OWER POLE
Temp.Power Pole&Appurtenances LAB WORK
Sign with One Branch Circuit
Additional Sign Branch CircuitsCONDUIT
(Other) b-/ES
AUTHORIZED
PERMIT FEE (Sub-Total) UTI'LIT'Y CO.NOTI.F ICED I 1
PLAN CHECKING FEE '(One-Fourth.Permit Fee) FINAL v E . Owl
f R
PERMIT ISSUING FEE
TOTAL FEE NOTES3
o
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
0 5 7c'--NOV 10 2 D 2 5.8 5
11AGGS-CEe0e-9-57 APPLICATION FOR ELECTRIC PERMIT 1`
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS J�"Ja AN -
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMffT FEES
ITEM INUMSERI EACH FEE OWNER Ct.�7- O
OUTLETS: $ $ MAIL
LIGHTS RECEPT. SW. .10 ADDRESS -
LIGHTING FIXTURES .10 CIT[ TEL.NO.
ELEC.RANGES 'CLO.DRYERS ELECTRICIAN
WATER HEATERS .50
ELEC.SPACE HTRS. DISHWASHERS ADDRESS' S
GARBAGE DISPOSERS AUTO.- CITY TEL.NO.
WASHERS STA.COOKING UNITS .25 STATE
LICENSE NO. !o
MOTORS: OVER INC. H.P.
O— V2 .25 DISTR NO. G ZON READY FOR INSPECTION
I/2— 2 .50
2 — 5 t:oo INSPECTION RECORD
5 — 15 1.50
is — .50 2.50
50— 200 5.00
r •
SIGNS: NO.TRANS. ;
NO.LAMPS
SERVICE 0-600V 1.00 O C
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 / 1 ()0
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50'
TOTAL FEE S Q. 00 APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT'
WITH ALL ELECTRICAL WIRING,ORDINANCES AND STATE LAWS REGULATING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE. ABOVE' : POWER
DESCRIBED RESIDENTIAL PROPERTY r
SIGNATURE UTILITY CO.NOTIFIED 9
OF PERMITTE � I
FINAL
ATfON ARTHUR C.VEIT.
CIC NO. CASH SUPERVISING ELECTRICAL ENGINEER
LGO.6 6 IS MAY 8 2 p 2..0 O V
r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1305290080
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
IBK: 60 PG: 40 PC: 2 I 5510 MCCULLOCH AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802943 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK
18573-013-037 IA1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY CAI
I IG1 OUTLETS-LGT,SW,RECP 29.00 OUT 51.10 1
TENANT: IG2 LIGHTING FIXTURES 12.00 LGT 24.00 [ISSUED ON: PROCESSED BY: PLAN BY: I
TOTAL FEES 102.90 105/29/13 SR 1
(OWNER: TEL. NO: I IFINAL FI BY: CODE: [
IGHALI, MOUNIR (626) 422-0855- [ 1 [
15510 MCCULLOCH AVE
ITEMP 917802971 [ IDpSCRkPTION OF WORK
I 129 OUTLETS AND 12 LIGHT FIXTURES 1
(APPLICANT: TEL. NO: [ [ I
1 SAME AS OWNER - I
I I 1SPECIAL CONDITIONS: 1
I I I I
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE [
ISAME AS OWNER - I I I
1 LIC. NO 1 TEMPORARY POWER POLE
I I (UNDERGROUND CONDUIT [ I [
1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
I - I �` 'I I I I
I LIC. NO: M� 4RODGH CONDUIT [ I
TROUGH WIRING
1 `y IIMAIN WATER LINE ' I
PLASTIC YIN METAL YIN I 1 I
I 1UTILITY COMPANY NOTIFIED( I 1
I I I I I I
I I ► 1 I 1
I I I I
I I I I I I
I I I I I I
I I I I I
1 1 1 I
[ IREPORT ID: DPR265 ROUTE TO: BS0508 I I [
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0207300026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: S PAID-- G S:
BK: 60 PG: 40 PC: 2 5510 MCCULLOCH AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802943
ASSESSOR FOR 0 SER: NEAREST CROSS STREET: LIVE OAK
8573-013-037 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
E1 TEMP SERV POWER POLE 1.00 TMP 43.65
G1 OUTLETS-LGT,SW,RECP 11.00 OUT 21.45 ISSUED PROCESSED N EXPIRES ON:
G2 LIGHTING FIXTURES 3.00 LGT 5.85 07/30/02 JK 01/26/03
H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95
OWNER: TEL. NO: H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 FINAL DATE FINAL BY: CODE:
GHALI;MOUNIR S - H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95
5510 MCCULLOCH AVE H5 RES WASH MACH LT 3HP 1.00 WAS 10.95
TEMPLE CITY 91780 H7 RES EXHAUST FANS 2.00 EX 21.90 DESCRIPTION OF WORK
LB 200 AMP PANELS, MCC 1.00 PAN 38.85 REWIRE MASTERBD & BATH DUE TO FIRE, ELECTRICAL FOR KITCHEN
TOTAL FEES 203.25 REMODEL
APPLICANT: 0:
ADEL SALAMA (626) 533-2734-
5818 ROSEMEAD BLVD SPECIAL CONDITIONS:
TEMPLE CITY
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
SAN MICHALE GENERAL CONTRACTOR (626) 533-2734-
5818 ROSEMEAD BLVD. LIC. NO " /. �.• TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 777203 B y1 j = '� 'E
UNDERGROUND CONDUIT
ARCHITECT OR R: TEL. NO: - l! '' '. �\\ UFER GROUND
• f
LIC. NO: �� _ ROUGH CONDUIT
ROUGH I R
MAIN WATER LINE
/ PLASTIC Y/N METAL Y/N
UTILITY COMPANY 0 FI D
REPORT ID: DPR265 ROUTE TO: BS0508