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HomeMy Public PortalAbout5648 MCCULLOCH AVE_Electrical__ SA66S-CE506-10.56 APPLICATION FOR ' ELECTRIC PERMIT 1 MOM AND SAFETY DMSION Department of County Engineer BUILDING JZ County of LOB Angeles ADDRESS JOHN A. LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN. SUPT OR BUILDING LOCALITY NEAREST F R APPLICANT TO FILL IN CROSS ST. 41 PERMIT FEES OWNER LIGHTS RECEPTACLES SWITCHES NU 1 T E M EACH MAIL OTAL OUTLETS i .10 $ ADDRESS ELEC. RANGES, WATER HEATERS, CITY TE CLOTHES DRYERS .50 ELECTRI f ELEC. SPACE HEATERS . 6/ ,[No UNIT S GE DISPO ADDRESS AUTO WASHERS .25 LIGHTING FIXTURES ,10 CITY TEL.NO. MOTORS STATE LICENSE NO. HORSEPOWER H.P. V INC DISTR NO. JGROUP ZONE READY FOR INSPECTION &LESS .25 14 - 2 .50 INSPECTION RECORD 2 — 5 1.00 5 i5 1.50 15 50 2.50 50 — 200 5.00 MISC. SIGNS I NO.TRANS NO.LAMPS SERVICE 0-SOOV 1.00 SERVICE OVER SOOV 1 5.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 A APPROVALS TOTAL FEE $ I DATE INSPECTORS SIGNATURE 1 HEREBY ACKNOWLEDGE TH j I HAVE READ THIS A LI TION AND STATE THAT THE ABOVE CORRECT AND AGREE 0 COMPLY CONDUIT WITH ALL COUNTY ORDIN S AND STATE LAWS RE TING ELECTRICAL WIRING. WIRING f 1 HEREBY CERTIFY T 1 AM ERLY REGISTER D ND/OR FIXTURES LICENSED AS REQUIR Y LOS GE OUNTY AN ATE OF CALIFORNIA OR THA TH E A ER OF A POWER i DESCRIBED RESIDI - SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL 1OHN A.LAMBIE. VLALIDATION ARTHUR C.VEIT. :OUNTY ENGINEER GK U MO CASH SUPERVISING ELECTRICAL ENGINEER - ,.Ar,o 4 5 7 8 NOV 2 5. 2 7.9 5 0 78A889C� CB888�fE/78 APPLICATION F R ELECT CAL PERMIT BUILDING AND SAFETY DIVISION POR APPLICANT TO RILL IN JOB New Residential Bldgs.&Pools N0. FEE EACH ADDRESS 1 &2 Finaily Sq. Ft. $ — $ LOCALITY e ` C Multi-family Sq.Ft. — NEAREST Residential Swimming Pools CROSS ST.OWNER OR FIRM NAME Outlets: Light,Switch&Receptacle MAI L First 20 ADDRESS Additibnal CITY a I. No. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel.No. PERMIT Fixed Appliances Not Over 1 HP APPLbCANT Range_ Heater_ D.W. ADDRESS Oven _ Dryer _ W.M. - Top _ FAU _ W.H. CITY Tel.No. e2- Hood Fan LICENSIE CK C REG.. Disp. A.C. NUMBER Class ' 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 O ELECTRICAL WIRING. Size&Type HP,KW,KVA,or KVAR � Up to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGI RED AND/OR Z Over 1 to 10 Incl. LICENSED AS REQUIREDBY LOS ANGELES COON A D STATE OP CALIFORNIA OR THAT I AM THE LEGAL OWN R O THE ABOVE Over 10 to 50 Incl. DESCRIBED RE ENTIAL PROPERTY Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE DISTRICT NO. CES BY / Services e./Q r� �./ 0-200 Amp. Under 600 V t7 Q 201 -1000 Amp. Under 600 V APPROVALS &fE 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 PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL �"��•�.t� PERMIT ISSUING FEE TOTAL FEE NOTES PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH I 6 2 Or:Avc �2 2 ® J . 9.4.0 A98 76A663C-:CEeoeB 12/7s APPLICATION FOR ELECTRI e AL RMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN ,JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1 &2 Finaily Sq. Ft. $ — $ LOCALITY Multi-family Sq.Ft. — NEAREST �� .. Residential Swimming Pools CROSS ST.OWNER oR v FIRM NAME Outlets: Light,Switch&Receptacle AMAI L DDRESS First 20 Additional CITY f + Tel. No. PLAN CHECK Lighting Fixtures APPLICANT 1' First 20 ADDRESS Additional CITY Tel.No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D.W. _ ADDRES 02 A*2 Oven _ Dryer _ W.M. Top _ FAU _ W.H. _ CITYdzTel. No. 13- Hood Hood Fan LICENSE o REG. NUMBER Clog v Disp. A.C. oe 1 HEREBY ACKNOWLEDGE THAT 1 HACK READ THIS APPLICATION 0 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V Power Apparatus& Large Appliances WITHA'LL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. W �.. Size&Type HP,KW,KVA,or KVAR rn U to 1 Incl. P 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS i LES COUNTY AND STATE OF CALIFORNIA OR TH AM TH LE AL WN MR OF THH ABOVE Over 10 to 50 Incl. DE9CR IB EO RESIDE 1 PROPS Y Over 50 to 10.0 Incl. PERMITEE Over 100 SIGNA.-II - Services DISTRICT NO. ppjPRCjCE_%VD BY 0-200 Amp. Under 600 V V 201 -1000 Amp.Under 600 V APPROVALS E INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP.POWER POLE Temp.Power Pole&Appurtenances UND,ERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT s (Other) WIRING FIXTURES POWER AUTHORIZED• PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL '� PERMIT ISSUING FEE TOTAL FEE 49, NOTES PLAN CHECK VALIDATION CK. M.O.• CASH PERMIT VALI TION CK. M,O. CASH p 0 � 7 22 2gAw- 17 2 C. .