HomeMy Public PortalAbout5621 MCCULLOCH AVE_Electrical__ 70AB63_CEBDB 12.5BAPPLICATION F®®n ELECTRIC PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERDDRENG
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER ig
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY I k 'wo/' e
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. S
PERMIT FEES
ITEM UMBER EACH FEE OWNER
OUTLEg $ MAIL
LIGHT RECEP SW. ,1Q ADDRESS
LIGHTINGFIXTURES .10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER WATER HEATERS .50 ADDRESS �@
ELEC.SPACE HTRS. DISHWASHERS "
CITY TEL.NQKII—lfif
AGE DISPOSERS AUTO.- STATE G. l/
WASHERS STA.COOKING UNITS .25 LICENSE NO. V
MOTORS: OVER INC. H.P. N DISTRIC("Z.NO. GRQ�LP ZONE PROC SED BY
0— 1/2 .25
+i2- 2 s0 INSPECTION RECORD
2— 5 1.00
F
5— 15 1.50 r• R--
I
15— 50 2.50 -
50-200 5.00
SIGNS: NO.TRANS. I` •a , !��fi'-'� Fsa �I E-'°�"0�� � �_ .
-
NO.LAMPS
SERVICE 0-600V 1.00 �®•
SERVICE OVER BOOV 1.5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ; DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT l-.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. ) -
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/
WIRING , / r I'
LICENSED AS R RED BY LOS ANGELES CO TY AND STATE OF FIXTURES
CALIFORNIA O TH T 1 AM THE L77,
ER F THE ABOVE
DESCRIBED RE IDEN IAL OPERTY. POWERSIGNATUREUTILITY CO.NOTIFIED 4 c
OFPERMITT
FINAL ARTHUR C. "'may
MATION SUPERVISING ELECTRICAL ENGINEER
CK MO CASH "
jG7659IVl JUN 8 2 A 10,90 � "
TEMPLE CUTY
78A86C.`E#SOB 8-61 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �Vul
JOHN A. LAMBIE. COUNTY ENGINEER a_
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY
NEAREST C
r FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES R
I T E M NUM13ERI EACH FEE MAIL
OUTLETS: $ $ ADDRESS
LIGHTS RECEPT. SW. .10 CITY TEL.NO.
LIGHTING FIXTURES 10 R d
ELEC.RANGES CLO.DRYERS ELECTRICIAN `
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
clTY TEL NO. - a3
GARBAGE DISPOSERS AUTO:
STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DIST IC G Z NE ESSED 1py
0— 1/2 .25
2 .50 INSPECTION RECORD
2— 5 1.00
5— 1S 1.50
is— SO 2.50 + �ig
`j '
0
SO— 200 5.00
SIGNS: NO TRANS. ,AQnA�,�,
.NO.LAMPSya.
SERVICE 0-60GV 1.00 �� c✓�� _
r:
SERVICE OVER 600V 5:00
M ISC.
WIRING PERMIT 1.00 i
FIXTURE PERMIT 1.00 /
SUPPLEMENTARY PERMIT .50
TOTAL FEE g A 1D
1HEREBY ACKNOWLEDGE THAT I 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
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRINGjfy 'y ��-d�,:�d
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR SHA AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEN PROP TY. POWER
SIGNATURE UTILITY-CO.NOTIFIED 1
OF PERMITTE FINAL I - �+ -
a
VA DATION ARTHUFi C. VEIT
r�' SUPERVISING ELECTRICAL ENGINEER
CK (( ����MO
UCASH ,
' o
+ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
EL 0508 0910260001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BIIILDING ADDRESS: I
ITR: 24579 LT: 16 I I 5621 MCCULLOCH AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917802942 I
]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18573-011-024 jAl PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
G2 LIGHTING FIXTURES 2.00 LGT 3.90 I I
ITENANT: I TOTAL FEES 31.65 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
110/26/09 SR 10/26/10
(OWNER: TEL. NO: ] IFINAL DATE FINAL BY: CODE:
IJIN, LI (626) 448-8636- ] 1 I
5621 MCCULLOCH AV 1
TEMP 917802942 I ]DESCRIPTION OF WORK
1ELECTRICAL FOR BATHROOM REMODEL
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER
I
I ISPECIAL CONDITIONS:
I I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I [
I LIC. NO I ITEMPORARY POWER POLE
I I 1IINDERGROUND CONDUIT
I I
ARCHITECT OR ENGINEER: TEL. NO: - i JUFER GROUND
LIC. NO: 1 TROUGH CONDUIT
IROUGH WIRING
I
IMAIN WATER LINE I I I
I ] ]PLASTIC Y/N METAL YIN
I I I
I I (UTILITY COMPANY NOTIFIED[ I I
I I I I [ I
EXPI REDa�i�
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! ! ! ! ! !
IMEPORT ID: DPR265 ROUTE TO: BS0508 I I I [
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