HomeMy Public PortalAbout5533 MCCULLOCH AVE_Electrical__ 76ASSS-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER fNEAREST
UILDING
BUILDING AND SAFETY DIVISION DDRESS S$ !c
JOHN A. LAMBIE. COUNTY ENGINEER J ® �L
WILLIAM A.,JENSEN,SUPT OF BUILDING OCALITY
FOR APPLICANT TO FILL IN ROSS ST.
RECEPT. TOTAL NO. EACH - FEE .
OUTLETS FIRST 20 S.20 S OWNER
LIGHT MAIL
ADDADDRESS
2
SWITCH. OVER 20 10
TEL.NO.
LIGHTING TOTAL i FIRST 20 .20 CIT
FIXTURES 1 ADD'L 1O ELECTRICIAN A
OV R 20
1 1 RANGES ! CLO.DRYERS WTR.HTRS. 1.00 d 00. ADDRESSIf 7,,v
GARB.DISP. STA.COOK p;;E
CITY � TEL.NO. C DISHWASH. AUTO.-WASH. STATE (_b _SPACE HTRB. BTA.APP.('/=H.P.MAX.) .SCLICENSE NO.MOTORS, OVER NOT OVER H.P. DIST T GROUP ZONE 'PRD Yh
O 1 1.00 1 .
I S 1.50 INSPECTION REC RD
8 S 2.00
S 15 2.50
15 50 9.00 }
a
so too S,00 V
SIGNS: NO.TRANS. (Y
NO.LAMPS O
SERVICE 0.600V-NOT OVER 200A 1.00 b
SERVICE O'600V-OVER 200 A. .2.00 ND-
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00 d Q
SUPPLEMENTARY PERMIT ISSUING FEE_ 1.00
TOTAL FEE r$
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL CATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 6
pl-
LICENSED AS REQUIRED BY LOS ANGELES,COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL _._HER OF THE. ABOVE
DESCRIBED RESIDENTIAL PR POWER
SIGNATURE /� UTILITY CO.NOTIFIED 90qt, .tir
OF PERMITTEES FINAL
LIDATION A HIJR C. VETT
SUPERVISING ELECTRICAL ENGINEER
MO CASH f r
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0405050033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL' ID: FEES PAID D G DD SS:
TR: 13613 LT: 107 5533 MCCULLOCH AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802940
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER
8573-008-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS'PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN Y: EXPIRES ON:
HA FAU LESS 3HP 1.00 FAU 10.95 05/05/04 VG 11/01/04
JB AC UNITS +3-10HP 1.00 AC 19.65
OWNER: rEL. NO: LB 200 AMP PANELS, MCC 1.00 PAN 38.85 FINAL DATE FINAL BY: CODE:
FOGT DAVID (626) 975-6177- TOTAL FEES 101.10
5533 MCCULLOCH AV "
TEMP 917802940 DESCRIPTION 0 OR
ELECTRICAL FOR HVAC
APPLICANT: TEL. NO:
FAST TRAK PERMIT SERVICE -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
AIR TRO (626) 357-5311-
1630 MYRTLE AVE LIC. NO TEMPORARY POWER POLE
MONROVIA CA 91016 258228C10
UNDERGROUND CONDUIT
ARCHITECT OR NGINEER: TEL. N0: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH-WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTI ITY COMPANY NOTIFIED
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508