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.
.