HomeMy Public PortalAbout5642 MCCULLOCH AVE_Electrical__ 7 A663C- C680619 18/75 APPLICATION F R ELECTR CAL PERMIT
BUILDING AND SAFETY DIVISION
POR APPLICANT TO FILL IN ,JOB.
New Residential Bldgs.&Pools
EACH NO. FEE •ADDR'ES
1 &2 Finaily Sq. Ft. $ — $ LOCALITY e
Multi-family Sq.Ft. NEARS ST.
Residential Swimming Pools
OWNER OR
FIRM NAME e
Outlets: Light,Switch&Receptacle
First 20 ADDRESS
Additibnal CITY -Q L Tel. No.
PLAN.CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional' CITY Tel.No.
PERFixed Appliances Not Over 1 HP APPLICANT 'S E
Range_. Heater_ D.W. _ ADDRESS
Oven Dryer _ W.M.
Top FAU _ W.H. _ CITY _Z, Tel.No. �Z
LICEN OR �
Disp. A.C. I
Hood Fan REG. NUMBER P�Class. p
cD
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Size&Type HP, KW,KVA,or KVAR ELECTRICAL WIRING. Ed
U to 1 Incl.
ZUp 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGA NER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RES NTIAL PROPERTY.
Over 50 to 100 Incl. PER MITE
Over 100 SIGNATURE
DISTRICT NO. P OCE S D BY
ServicesO,Q
0-200 Amp..Under 600 V V
201 -1000 Amp. Under 600 V APPROVALS ATE INSPECTOR'S
SIGNATURE
Over 1000 Amp.or Over 600 V
JF
MP.POWER POLE
Temp.Power Pole&Appurtenances NDERSLAB WORK
Sign with One Branch Circuit '
Additional'Sign Branch Circuits OUGH CONDUIT
(Other) RING
XTURES
WER AUTHORIZED
PERMIT FEE (Sub-Total) ILITY CO.NOTIFIEDPLAN CHECKING FEE (One-Fourth Permit Fee) NALPERMIT ISSUING FEETOTALFEE OTES
_
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALI.DATI C K. M.O. CASH
6 2 39-AUS 12 2 •6 X9.4 O AA
76A669C--COSB 12/75 A PLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN ,JOB
New Residential Bldgs.&Pools
EACH NO. FEE ADDRESS OC
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
Multi-family Sq.Ft. — NEAREST
Residential Swimming Pools CROSS ST.
OWNER OR
FIRM NAME
Outlets: Light;Switch&Receptacle MAI L �/
First 20 ADDRESS C/
Additibnal CITY , C / Tel..No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADD:RESS
Additional CITY Tel.No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater_ D.W. — ADDRESS
Oven Dryer _ W.M.
Top FAU - W.H. _ CITY Tel.No.
Hood Fan R G.NNUMBER ps•a/ Clas
Disp. A.C.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus&Large Appliances WITH ALL .COUNTY ORDINANCES AND STATE LAWS REGULATING W
Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING, y
U to 1 Incl.
P 1 HEREBY CERTIFY THAT I AMR
EGI9TBRED ANO/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS HE S COUNTY AND STATE OF
CA.LIPORNIA OR T AM T EG L OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RES ENTIA PROP Y.
Over 50 to 100 Incl. PERMITE
Over 100 SIGNATU E �-
DISTRICT NO. OC O BY
Services ..�
0-200 Amp. Under 600 V d
201 -1000 Amp. Under 600 V APPROVALS ATE INSPECTOR'S
Over 1000 Amp,or Over 600 V
SIGNATURE
TEMP.POWER POLE
Temp.Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED Jill
PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL '®®"'�
PERMIT ISSUING FEE
TOTAL FEE NOTES
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH
SAGES-CEeoe.to-so APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION /,�
Department of County Engineer BUILDIN &ca
County of Los Angeles
JOHN A. LAMBIE.COUNTY ENGINEER /J
CASSATT D. GRIFFIN.SUPT OF BUILDING LOCALITY NIP 171,
�(�r�
FOR APPLICANT TO FILL IN CRROSR ST. —
PERNIIT FEES �a
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER I ITEM EACH FE MAIL
TOTAL OUTLETS $ ,10 S
ADDRESS
ELEC. RANGES, WATER HEATERS, CITY E
CLOTHES DRYERS .50
ELEC. SPACE •Y. COOK. ELECTRICIA -il
/ ING UNITS, GARBAGE DISPOSE ADDRESS,
AUTO WASHERS, DISH .25 ^^//
LIGHTING FIXTURES 10
O CITY TEL,N (/
MOTORS STATE
LICENSE NO.
HORSEPOWER
H.P. OVER CINC. DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION
LESS .25 4�
Ih — 2 .30 INWECTION RECORD
2 5 1.00
5 15 1.301 1
15 50 2.50
50 200 5.00
MISC.
SIGNS NO.TRANS
NO.LAMPS
SERVICE 0-GOOV 1.00
SERVICE OVER SOOV 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT �101AMOVAM
,
SUPPLEMENTARY PERMIT
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGETH l HAVE READ THIS APP ION
AND STATE THAT THE ABOV CORRECT AND AGREE TO C CONDUIT
WITH ALL COUNTY ORDI LACES AND STATE LAWS R ULATING
ELECTRICAL WIRING. WIRING -r'
I HEREBY CERTIFY A I AN R Y REGIST AND/OR TURES +.
LICENSED AS REOUIR LOS E OUNTY TATE OF
CALIFORNIA OR TH N TH GA ER POWER
DESCRIBED RESIDE I
SIGNATURE UTILITY CO.NOTIFIED y
OF PERMITTEE
FINAL I A
IOHN A.�.AMBIE. V},u,m- ON ARTHUR C.VETT.
.OUNTY ENGINEM MO CASH SUPERVISING ELECTRICAL ENGINEER
JyiCo 4 5 7 6 BR Nov 2 5 2 7.9 5 M