HomeMy Public PortalAbout5618 MCCULLOCH AVE_Electrical__ 78A66C CE#308 5-61
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEERfA
G
BUILDING AND SAFETY DIVISIONS 5
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OR BUILDING Y
FOR APPLICANT TO FILL IN T.
PERMIT FEES.I T E M NUMBER EACH FEEOUTLET I $ S
LIGHTS RECEPT. Bw. 10 TEL.NO.
LIGHTING FIXTURESELEC.RANGES CLO.DRYERS RICIA JN
WATER. HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS / .25 LICENSE NO.
er
MOTORS: OVER INC. H.P. f ,DIST CT O. GROUP Z N PROC ED BY
0— 1/2 / .28
'/a— 2so INSPECTION R ORD
2— s 1.00
a— 15 / V
f.50
fiIs,— 50 2.50 �
. 0
DO— 200 5.00
W
SIGNS: NO TRANS. H
NO.LAMPS Z
z
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
M ISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 Z 66
SUPPLEMENTARY PERMIT .50
TOTAL FEE S 0
I 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 p
ELECTRICAL WIRING. WIRING ®$'� /a or
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR __y ,'
LICENSED AS REQUIRED BY LOS ANGELES C TY AND STATE OF FIXTURES '-,�'r'�
CALIFORNIA',OR T2' ,1�ATHE LEG OWN O E ABOVE
DESCRIBED EBIDRTY. POWER
SIGNATURE UTILITY CO.NOTIFIED �l�Jlp1 >� jJr
OF PERMITT �F4 .�yf _�. c
FINAL /�� 17!`x•- ,.-s�.a. :J i%'
LIDATION ARTHUR C. VEIT
cK Mo CASH SUPERVISING ELECTRICAL ENGINEER
.. Lr Y
4COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0405210009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 5618 MCCULLOCH AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802941
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8573-013-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES ON:
05/21/04 VG 11/17/04
OWNER: TEL. 0: FINAL ATE FINAL BY: CODE:
BACKHAUS, DAVID/SUSAN (626) 446-8936-
5618 MCCULLOCH AV (/b
TEMP 917802941 D S R T OF WORK
UPGRADE ELECTRIC SERVICE TO 100 AMP
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORAR POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR-ENGINEER: TE O: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
TILITY EOMPANY COMPANYNOTIFI D Z,
i
REPORT ID: DPR265 ROUTE TO: BS0508