HomeMy Public PortalAbout5598-5600 MCCULLOCH AVE_Electrical_7/11/1975_ 76p663-CE806 I0/72APPLICATION FOR- ELECT IC ki. PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ItNGINEER pDDRESs.sf`
BUILDING AND SAFETY DIVISION pF .S-660 60 .sr oP
LOCALI T �•
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACHI FEE FIRM
OWNER NAM (
RECEPT._ S S MAIL �/
LIGHT TOTAL
FIRST 20 25 ADDRESS /e OL Lee .�
SWITCH OVER 20 10 CITY TEL. NO.flq'j?LG lb-
PLAN
PLAN CHECK
LIGHTING
TOTALF •10 IRST 20 .25 APPLICANT
FIXTURES 1
OVER 20 ADDRESS ' jfl�fj
RESIDENTIAL APPLIANCES CITY j TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, 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 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI 1 AM THE LEGAL OWNER OF THE ABOVE .y
1 - 10 300 OESCRIRED RESID NTIAL PROPERTY, 3
PERMITEE
V
10 - 50 5.001 SIGNATURE
O
50 - 100 10.00 v
DISTRICT NO. PROC ED BY s
100 — 500 15.00 Z
SIGN, GAS=SIGN ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.001 TEMP. POWER POLE .2
SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT-SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED --
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 GO
TOTAL FEE 0
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
2PP1AY 27 D 8.0 ®z�0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76.0887-CEBQ6 10/74 APPLICATION FO EL CTRI AL PERMIT W.
i+ COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS O
LOCALITY L L
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.ri/ (/IV
OUTLETS N0. EACH FEE FOWNER OR
IRM NAME
RECEPT.116 S $ v ADDRESS
LIGHT I el TOTAL FIRST 20 0 ,25
CITY L L/T TEL. N0.
SWITCH� OVER 20 .10 J PLAN CHECK
LIGHTING TOTAL
FIRST 20 .25 APPLICANT
FIXTURES
OVER 20 •10 ADDRESS
'
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER'_WTR. HTR. APPLICANT ` / 6
STA. COOK DISP F.A.U.
ADDRESS
SPACE HTR, AIR CON CITYs/vl (. % TEL. N0. �aU
CLOTHES WASH. DISHWA§H. LICENSE OR
REG. NUMBER CLASS.
FANov—OTHER1.00 s) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
(/ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTER AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ELES COUNTY TATE OF },
CALIFORNIA OR TH T I AM TH L .AL OWNER HE ABOVE C7
1 - 10 9.00 GO DESCRIBED RESI NTIAL PR 67
PERMITEE n=
10 - 50 5.00 SIGNATURE
50 - 100 IOAO Lu
OISTRI Oyr� PROC SED 13Y y
100 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS V DATE INSPEC RIS SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 1UNDERSLAB WORK
-25
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES 5.00J30
WIRING J l- ./.YI /r�r<
•
TEMP LIGHT OR RECEPT. SYSTEM 3.00FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED �y
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH
3 2 U 4 0.3 0 A-%
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE