HomeMy Public PortalAbout5518 MCCULLOCH AVE_Electrical__ 7GA663-CEB0610/74 APPLICATION FOR ELECTRICAL PERMIT LI
COUNTY OF LOS ANGELES 111111110
DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION ER FADRE .t+��� 11/�� � `�dQ� �R
' «7
TY / C� le C! f
FOR APPLICANT TO FILL IN NEAREST
ST. CZ 1/iJPrs
OUTLETS N0. EACH FEE FOWNER OR
IRM NAME ��AX L+ G„+J�'�C/L✓
RECEPT,_ MAIL
$ ADDRESS )~�I�o
LIGHT TOTAL FIRST 20 .25
CITY /e TEL. NO. T�66G�
SWITCH_ OVER 20 tp
PLAN CHECK
LIGHTINGTOTAL FIRST 20 .25 APPLICANT
OVER 20 ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CITY ice �/ //STEL.ANO.
PERIT
RANGE DRYERX-WTR. HTR. APPLICANTMIX I 4 • C7/G eEAi
STA. COOK DISP. F.A.U. ADDRESS A194 Do,Ilo&h
SPACE HTR. AIR COND. CITY r, TEL. NO.&_9 6&X
CLOTHES WASH. DISH.WASH. LICENSE OR ICLASS.
REG. NUMBER
FAN OTHER1.00 I HEREBY ACKNOWLEDGE THAT,I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTOR9, 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 1 AM THE LEGAL OWNER OF THE ABOVE p�
1 - 1O 9.00 DESCRIBED RESIDENTIAL PROPERTY O
V
10 - 50 5.00 PERMITEE
SIGNATUR CD
50 - 100 10.00 15
DISTRICT. PROCES BY d
100 - 500 15.00 ti
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS Da INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 9.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 9.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
A
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK. O. CASH PERMIT VALIDATION CK. M.O. CASH
r
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,.