HomeMy Public PortalAbout5640 MCCULLOCH AVE_Electrical__ DBDEPARTMENT. OF BUILDING'AND'SAFTYE ,
APPLICATION FOR PEE=.
COUNTY OF L03 ANGELES ELECTRIC
WM. J. FOX CHIEF.ENGINEER
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U ADDRESS c .C+All /0; �p^tx' a l� L
V �j cf` �, RECEIVED BY READY FOR DATE ISSUED
fu CITYEL OV')' 1 'TEL.NO./aCI� i✓ .r.s�.1e FIRSTINSPECTION
J
CCOUNTY
ERT.N42AY+�r t'4ems`+ `(
W O'. J EXPIRES
APPLICANT FILL 19 HEAVILY OUTLINED PORTION ONLYJOB
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DESCRIPTION OF WORK - ADDRESS - / fe�[e P_ an T f)
NUMBER OF OUTLETS ON CIRCUITS LOCALITY -
LOCATION BY ROOMS =
NEAREST
LIGHT OUTLETS SW. PLUGS FIRT CROSS ST.J4.
F5C7,
UIT ABC D E F -G H W NAME 1 ,; r A k M 5 AO?� 'if n'+ F ! 3 MAIL ADDRESS S .dF} .9(✓� !d_.
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGF9..ES COUNTY CERTIFICATE 60F6QUALIFICATION..
ELECTRICIAN.
i AM THR LEGAL OWNER'OF TH6 PROPFXTY DESCRIBED'
ABOVE
OWNER.
' CORRECTIONS
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TOTALS
NO. OF.OUTLETS
APPROVALS
1 NO. OF FIXTURES ffi s s� DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. /�y ffi / +�41e CONDUIT
NO. OF SIGNS TRANS. r ffi WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS ffi POWER
PERMIT FEE UTILITY CO.NOTIFIED
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DEPAR STM M OF BUILDING AND SAFETY APPT.iCATiON FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC
WM. J.-FOX. CHIEF ENGINEER
:5: NAME DISTRICT NO.. GROUP ZONE PERMIT NO..
U—a, 71 5"T
ADDRESS-
TEL.
C>`// RECEIVED BY READY FOR DATE ISSUED
d COUNTYCITY FIRST INSPECTION
CERT.NO1 EXPIRES+� ✓ •� ...
AFpUCANT =T rr IIN BEAVILY OUTLINED PORTION ONLY
JOB
HDESCEIF'Il'ION OF WORK DDRESSJ /J- -�
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS F17LT CROSS ST. +
CI U17' A B C D E F G li NAM •
Id MAI G, /► e
z ADD rl h/
C CITor# jd TEL.N4rA,� �9
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGKLCB COUNTY 55CERT 6 QU�1p IF CA ON..,00
112-1
ELECTRICIAN.
H ER WAN TH13 LEGAL OWNOF THE PROPERTY DESCRIBED
AVrb
OWNER.
1 C®RRECTIONS.
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TOTAL
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NO. OF OUTLETSEl8Z
APPROVALS
NO...OF FIXTURES +, DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. 7 `� CONDUIT / -2,6-YS / ) ) -Of)
ff ls�V V
NO. OF SIGNS TRANS. WIRING
NO. OF RANGES OR HEATERS FIXTURES
MISCELLANEOUS ! POWER
PERMIT FEE UTILITY CO.NOTIFIED IfTOTAL FEE9 Q FINAL C.L)
mom DBS sA 5-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
�����'
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN A r t-c. : s 3/1-
6168
�e� R 1VED BY READY FOR DATE ISSUED
ADDRESS L%fIe- K 4aFIyRSTINSPECTION
CITY TEL. NO. 4® lbovL°- I-q -S
COU TY LICENSE NO. EXPIRES BUILDING ,nom
S Q q-jLfp'3 PERMIT FEES ADDRESS CA �_ 6' Cy o��
FEE �� cot
NUMBER va.� �l.OUTLETS EACH LOCALITY Q Q o.{`5:::
LIGHTS SC 00 NEAREST
RECEPTACLES 5 CROSS ST. i� O Vdr ® Vk
S 0 I FIXTURES s OWNER -T �y��" p i/ M.
WALL SWITCHES 5 MAIL -
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 I CITY TEL NO.
MISC. Feik v-, lk 4. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED: y APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
LIGHTS Z- RECEPTACLES // AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NuMsER HORSEPOWER1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
FEE
NEW MVO. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
I OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
&LESS $ .25
2 .50 SIGNATURE OF
TE
2 5 1.00 PERMIT
s Is 1.50 INSPECTION REC RD
1s so 2.30
50 200 5.00
200 00 10.00
00 1000 15.00 "I
Q
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA lz
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORICI.
MOVED MOTORS 75°° OF ORIG.)
0 MISC. I
SIGNS
TYPE: NO. TRANS.
TYPE= NO. LAMPS APPROVALS
FOR EACH PERMIT- DATE INSPECTOR'S NAME
�,
WIRING $1.00 CONDUIT Z �, ✓ �
FIXTURES $1.00 r WIRING
UPPLEMENTARY 5O FIXTURES
7 � POWER _Y
TOTAL FEE UTILITY CO. NOTIFIED � c� p ,
FINAL