HomeMy Public PortalAbout5538 MCCULLOCH AVE_Electrical__ DB S-A 12-43 23M
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
AUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
NAME `r, DISTRICT NO. GROUP I ZONE PERMIT NO.
U ADDRESS 1-4 �r y�3 E 3
4.
CITY 64:'sy TEL.NO. RECEIVED 13Y FIRCS]T DY FO/RI[O�N DATE ISSUED
COUNTY e
CERT.NO. I EXPIRES / l r /� !�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIP'T'ION OF WORK ADDRESS 3 -a-o ll1 o- C U L L 0 G
NUMBER OF OUTLETS ON CIRCUITS LOCALITY F t Z7 6 iv
LOCATION BY ROOMS
NEAREST ry U �7 n h-LIGHT OUTLETS SW. PLUGS FI7LT CROSS ST. f`�
CIRCUIT A B C D E F G/ H S NAME R. P .
L/ 3
ADDRESS
' O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGEL.ES COUNTY CERTIFICATE OF QUALIFICATION°.
ELECTRICIAN.
I AIV!TAE LBGAL ONINER-OF TIM PROPFXT.Y DESCRIBED
r /
ABOY6 D ,c
OWNER.
CORRECTIONS
Q
Z
D
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TOTAL 3 /
NO. OF OUTLETS �` ffi U P1 APPROVALS
NO. OF FIXTURES ffi /�:' DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT �j
NO. OF SIGNS TRANS. ffi WIRING %// 5 tl 4 r h
NO. OF RANGES OR HEATERS ffi FIXTURES I
MISCELLANEOUS ffi POWER
PERMIT FEE ,>ri ffi UTILITY CO.NOTIFIED
FINAL
L FEE -0
�7% h:
DBDEPAR 9TMENT OF BUH,DING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRICW . J. FOX CHIEF ENGINEER
NAME ? DISTRICT 0. GROUP I ZONE PERMIT NO.
CADDRESS r�7 3
CITY jfAeAA TEL.NO. j ( 'RECEIVED 13Y READY FOR DATE ISSUED
/� , FIRST INBPECTION .
d CEUNTY
PI
RT.NO. /. EXRES �/ �• �/�"+�� �ffe
APPLICANT FlI IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS -5.2 0 C(o)L u
NUMBER OF OUTLETS ON CIRCUITS LOCALITY A Rt A D
LOCATION BY ROOMS
NEAREST J
LIGHT OUTL law.I UGS Rui'r CROSS ST. L.
QArM
CIRCUIT A B CID E F G H W NAME I -I<L-
/ Z MAIL
v 3 ADDRESS
CITY TEL.NO.
® ®A 1 AM THE .LEGAL POSSESSOR OF THE ABOVE LOS
® ANGI:LEB COUNTY CER IFIC� F UALIFICATIO
N..
13 h7`4
C
. , ELECTRI
LCOEs'C ? _ IAM 8116 MAL OWNER OF THE PROPEJITY 10=68=
ABOYB
Q / OWNER.
CORRECTIONS
del / �• .
J
- Q
Z
CJ
p
TOTAL 17iA
NO. OF OUTLETS ® � II A APPROVALS
NO. OF FIXTURES a ® roll"" DATE INSPE/C'TOWS NAME
NO. OF MOTORS H.P. S CONDUIT /;
NO. OF SIGNS TRANS. WIRING
r.
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS Jffi POWER `
PERMIT FEE IB UTILI.TY'CO:NOTIFIED ��
TOTAL FE FINAL U IP'
F&AAM`E "1 78' APPLICATION FOR ELEC RICAL PERMIT i J+
COUNTY OF LOS ANGELES BUILDING AND_SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldds:&Pools ," EACH iNO. FEE ADDRESS _ a. +
1 &2 Family,Sq.Ff. e025 — $ LOCALI ' !
Multi-family Sq.Ft.. •02 NEARECROSS ST. C�
Residential Swimming Pools 25.00
OWNER OR.
FIRM NAME
Outlets:.Rec—LLight. .Sw. - MAIL _
First 20 .50 3 0ADDRESS/ - .• �,
Total No. Additional -30 CIT. r Tel..-No �.--`
PL NC E K
APP.LICANT:..>_..
Lighting Fixtures First 20. •50 ADDRESS .
Additional .30
Total No. CITY Tel.No..
Fixed Appl ionces Not Over 1HP •-PERMIT -
Range_Heater D.W._ APPLICANT �. � S
Oven_Dryer_'W.M.- 7 ADD.RES J
Top _FA.0 -W.H._ CIT el..No: _
Hood_Fan -Other_ LI NS OR.
Disp:_Room Air Cond, 2`50 ��IR G.NUMBER Class.'
I HEREBY ACKNOWLEDGE:'TIjAT I HAVE READ THIS APPLICA=
Power Apparatus&Large Appliances- TION AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO
COM#LYr WITH-ALL COUNTY'ORDINANCE$'AND-STATE LAWS
Size&Type HP,KW,KVA,or KVAR REGULATING ELECTRICAL WIRING.•
Up to 1.Incl. 2'50 1 HEREBY CERTIFY THAT I AM-PROPERLY'REGISTERED AND/OR (®j
Over) to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES,COUNTY.AND STATE OF
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM ITHE,LEGACOWNER OF THE ABOVE. O
,,, -DESCBED R ID TIA..L..P .PE i p.
Over 5.6 to'10.01nc. ' 25.00 r y
Over 100 40.00 PERMI.TEE' xi
SIGNATU r 1A
Services + ' DISTRICT NO. PROCESSED.'-Y .,;Z.
0-200.Amp.Under 6p0 V 12.50
201-1000 Amp. Under 600'V 25.000/ d
'Over 1000 Amp.or Over 600 V 50.00 Z „
0
Temp.Power Pole&Appu.rtenances 10.00
Sign with One Branch Circuit 10.00 C
Additional Sign Branch Circuits. 2'.007 1 1.9
INSPECTION +
t INFORMATION u r� ° e ° 02
Misc.Conduits&Conductors 10.00 ON REVERSE` mm'
Other(See Complete Fee Schedule)----.6- SIDE 'j , 2 0 0 W
Z
g ° ° 1 .6p�
0,09'-71
PERMIT FEE- (S66-Total) ZM
PLAN CHECKING FEE (One-Fourth Permit Fee) 0 p c o o
PERMIT ISSUING FEE $7:00
TOTAL FEE. r F 10 0' 0 110
INSPECTION FINALED W�' CH
date: By d ®s
a
• u
r64663CE-806(11 /78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS
New Residential Bldgs.&Pools EACH NO. FEE
1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY
Multi-family Sq.Ft. :02 — NEAREST
CROSS ST.
Residential Swimming Pools 25.00 OWNER O -
FIRM NAME
Outlets:Rec Light_Sw. MAIL "
First 20 .50 ADDRESS
Total No. . Additional .30 CIT Tel.No. �_.
fP AN CHECK
PPLICANT
Lighting Fixtures First 20 .50 ADDRESS
Additional .30
Total No. CITY Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
APPLICANT
Range—Heater—D.W._ - ••- -
Oven—Dryer_W.M. ADDRESS
Top _FAU —W.H._ CITY'
Hood_Fan —Other LICENSE OR
Disp._Room Air Cond. 2.50 REG.NUMBER Class.
I HEREBY ACKNOWLEDGE THAT 1 HAVE.READTHISAPPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Size&Type HP,KW,KVA,or KVAR 2 50 REGULATING ELECTRICAL WIRING.
Up to 1 In . I HEREBY CERTIFY;,THAT,j AM PROPERLY REGISTERED AND/OR U
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF &
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I'AM THE L AL OWNER OF THE ABOVE
25.00 DESCRIBED RESIDE l.PROP RT .
Over 50 to 100 Inc. -40.00 PERMITEE' 'M
Over 100
SIGNAT E y'
Services DISTRICT NO. /PRO SED BY ,
0-200 Amp.Under 600 V 12.50
201-1000 Amp. Under 600 V 25.00 �L
Over 1000 Amp.or Over 600 V 50..00 Z
O
Temp.Power Pole&Appurtenances 10.00 Q
Sign with One Branch Circuit 10.00 C
Additional Sign Branch Circuits 2'00 INSPECTION >
D INFORMATION u
Misc.Conduits&Conductors 10.00 ON REVERSE
Other(See Complete Fee Schedule) SIDE u
Z c. r 0 n
5
PERMIT FEE (Sub-Total) ' c °
PLAN CHECKING FEE (One-Fourth Permit Fee) O
PERMIT ISSUING FEE $7.00 0
n a
TOTAL FEE A057, 7,) 1, >
INSPECTION FINALED .'
date: By / Y,� F 1 y r` rZ`f 6 es
d `
BASS9
DBS-SA 9.65 D A L.ICATION FOR ELECTRIC E _ l'1'
DMSION OF WED= AND SAFETY EVD _ -
Department of County Engineer
County of Los AngelesBUILDING ,t- L Q /J
WM.J.FOX,COUNTY ENGINEER ADDRESS : (%� L.
CASSATT D.GRIFFIN.SUPT OF BUILDING
- LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER EACH FEE
OWNER
LIGHT OUTLETS /
r
RECEPTACLES MAIL
WALL SWITCHES
TOTAL OUTLETS $ t CITY TEL.NO.
ELEC.RANGES 25 ELECTRICIIIAN
_ELEC.HEATERS 25 ADDRESS 7 ` / d�
KW EA CITY • L � /09'/f
TEL.NO.
FIXTURES 5 LICENSE NO. d
NUMBER OF LIGHT CIRCUITS - DISTRICT 1GROUP1 ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS y 14 /J
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
I/2 B LESS $ .25
1/2 2 .50
2 5 1.00
5 15 Lao
G 15 50 2.50
50 200 5.00
M ISC.
r NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT: t
WIRING $1.00 L`0
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ✓
ELECTRICAL WIRING. s �
1 HEREBY CERTIFY THAT I 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 PROPER T.
SIGNATURUTILITY CO.NOTIFIED
E A �7
OF PERMITTEE FINAL
WILLIAM J.FOX,COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR
2.=? 5
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