HomeMy Public PortalAbout5522 MCCULLOCH AVE_Electrical__ rIgNPLE CET 510�2 _Zr
76A663-CE-806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 13UILDING �.Z! G S/a4 -
BUILDING AND SAFETY DIVISION ADDRESS CJ
�'
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A..lENSEN,SUPT OF BUILDING LOCALITY r
NEAREST'
FOR APPLICANT TO FILL IN CRo88 ST. L t, a•5 /�
RECEPT. '7 TOTAL NO. EACH FEE ,✓^ i' -�c.
�, OUTLETS FIRST 20 to 6.20 8 b0 MWNER
LIGHT /
'A ADD'L ADD[tESS ;7,0c) ��r�/�"• e
SWITCH.42 - 7 OVER 20 .10 �,. ��
LIGHTING TOTAL FIRST 20 20 / CITY �';'°°'�� TEL.NO. 3eZcs4c7'[��
FIXTURES } ADD'L .10 ELECTRICIAN _;L /Tf-c
0V9R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00, ADDRESS Sec) 3 E' /3� -amu-�•
GARB.DISP. / STA.COOK �,A.Vel
CITY .� GH TEL.NO. lL 677-33
DI_SHWASH. AUTO.-WASH. STATE
�j J LICENSE NO. _�
�+
SPACE HTRS. BTA.APP.(�•H.P.MAX.) c7 .50 /
MOTORS: OVER NOVOVER H.P. DISTRI T GRE
P ZONE " PRO SSED BY
O 1.00 I l{
1 a 1.50 I' INSPECTION RECORD '
5 a 2.00
13 1s 2.50 ` !
18 50 5.00 ` -" w i' }
d
50 100 5.00 •�_ d Lunt.,.,—
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0.60OV-NOT OVER.200A 1.00 Lvxi ¢ W
SERVICE 0.600V-OVER 200,A. 2:00
SERVICE OVER 600V 5.00 'YG wiox A/
MISC. " J
l
PERMIT ISSUING FEE 2.06
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 8
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES'AND STATE LAWS REGULATING � " r
ELECTRICAL WIRING. WIRING :Mv
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR . -
LICENSED.AS REQUIRED.BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA. OR THAT 1 M THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA OPERTY. POWER
SIGNATURE ^ y UTILITY CO.NOTIFIED 3��d'6Q
OF PERMITTE FINAL 3"2'6
"LIDATION ' ARTHUR C..VEIT
CK
NO CASH SUPERVISING ELECTRICAL ENGINEER
j_; 3 .7 0 4 G DEC 19 2 D 1 3.0 ON
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1211080011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE I 5522 MCCULLOCH AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802943
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: SANTA ANITA
18573-013-031 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY CAI
I ILB 200 AMP PANELS, MCC 1.00 PAN 38.90
TENANT: I TOTAL FEES 66.70 ISSUED ON: PROCESSED BY: PLAN BY:
11/08/12 SR [
OWNER: TEL. NO: ] FINAL T FINAL BY: CODE:
IDURAZO, NORMAN (626) 455-0818- I
15522 MCCULLOCH AV
ITEMP 917802943 I IDB CRI ION OF WORK
I [INSTALL 200 AMP ELECTRICAL SERVICE PANEL UPGRADE
(APPLICANT: TEL. NO:
ISAME AS OWNER -
IISPECIAL CONDITIONS: ]
I I I I
I
I
(CONTRACTOR: TEL. N0: I (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I
ILIC. NO I [TEMPORARY POWER POLE I I I
]UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
I - I
(
LIC. NO: I ROUGH CONDUIT ] I I
ROUGH WIRING
] MAIN WATER LINE I I I
]PLASTIC YIN METAL YIN I ] I
] I (UTILITY COMPANY NOTIFIEDI
] I I I I
I I I I I I
I ] I I I I
] I I I I I
I ] ] I I I
I I I I I I
I I I I I
] ]REPORT ID: DPR265 ROUTE TO: BS0508 I ] I I