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HomeMy Public PortalAbout5650 MCCULLOCH AVE_Electrical__ t254 76. C1980613 C1980613 ,:,>g APPLICATION FO ELECTR AL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO.FILL IN ,JOB �`� New Residential Bldgs.&Poo ls EACH NO. FEE ADDRESS 1 &2 Finally Sq. Ft. $ — $ LOCALITY . Multi-family Sq. Ft. — NEARSST. 41Residential Swimming Pools r OWNER OR FIRM NAME Outlets: Light,Switch&Receptacle MAIL r First 20 ADDRESS Additibnal CITYIk No. PLA CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel.No.. PERMIT f, h Fixed Appliances Not Over 1 HP APPLICANT Range.— Heater_ D.W. _ ADORES Oven _ Dryer _ W.M. / Top _ FAU _ W.H. _ CITY Tel. No. 9 Hood _ LICENSE OR �' D s _ A.C. REG. NUMBER Clas p. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 0 Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. LV o_ Up to 1 InCI. THEREBY CERTIFY THAT IAM PROPERLY REGI REO AND/OR Z Over 1 to 10 Incl. LICENSED AS ....IRE. BY LOS ANGELES COUN ND STATE OF CALIFORNIA OR THA. AM THE LEGAL OWN THE ABOVE Over 10 to 50.Incl. DESCRIBED RESIDE 1 .PROPERXY. Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE DISTRICT NO. ES BY Services ��- 0-200 Amp. Under 600 V 201 -1000 Amp.Under 600 V APPROVALS D INSPECTOR'S SIGNATURE Over 1000 Amp.or Over 600 V IF EMP..POWER POLE Temp.Power Pole&Appurtenances NDERSLAB_ WORK Sign with One Branch Circuit Additional Sign Branch Circuits OUGH CONDUIT (Other) IRING IXTURES OWER AUTHORIZED PERMIT FEE (Sub-Total) TI LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Feel INAL PERMIT ISSUING FEE OTES TOTAL FEE P PLAN CHECK VALIDATION CK. O.. CASH 'PERMIT VALIDATION I CK, I M.O. CASH d. t°Aus © g.,4'0 e9E 76A863C-.CE80813 112/75 APPLICAT ION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN ,JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1 &2 F•maily Sq. Ft. $ — LOCALITY Multi-family Sq. Ft. — N.EAREST C $ CROSS ST. Residential Swimming Pools 'OWNER OR FIRM NAME Outlets:'Light,Switch&Receptacle MAI L ADDRESS ZAll to CA F First 20 a Additibnal CITY Tel. No. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel.No. PERMIT Fixed Appliances Not Over 1°HP APPLICAN Range_ Heater_ D.W. ADDRESS Oven _ Dryer _ W.M. Top _ FAU — W.H. CITY _a Hood — Fan EG NUMBER Class p R Disp. ._ A.C. v 1 HEREBY ACKNOWLEDGE THAT 1 HAVE ROAD THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 0 Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATIC LAWS REGULATING ELECTRICAL WIRING. Size&Type HP,KW,KVA,or KVAR LAJ o_ Up to 1 Incl. I HEREBY. CERTIFY THAT 1 AM P POR 4Y REGISTERED ANO/OR N Z Over 1 to 10 Incl. LICENSED AS RE O BY LOS G LE9 COUNTY ANO STATE OF CALIFORNIA ' THA 1 AM TH L AL WNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED SIDON A PROP T Over 50 to 100 Incl. PERMIT E Over 100 SIGN^ URE DISTRICT P 0 ES BY Services - �� � 0-200 Amp. Under 600 V INSPECTOR'S. 201 -1060 Amp. Under 600 V IRA PROVALS DIVE SIGNATURE .Over 1000 Amp.or Over 600 V , WER POLE Temp.Power Pole&Appurtenances LAB WORK Sign with One Branch Circuit ONDUIT Additional Sign Branch Circuits (Other) WIRING S UTHORIZED PERMIT FEE (Sub-Total) CO.NOTIFIEDPLAN CHECKING FEE (One-Fourth Permit Fee) '',� A�—�..,.,�,PERMIT ISSUING FEE TOTALFEE !� PLAN CHECK VALIDA N CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 7 2:3 tItmx 1.7. 2 0 9.0 () A9e :. GASBS.CESOO.10.66 APPLICATION FOR .ELECTRI-C PERMIT 1 13UMDMG AND SAFETY DMSION Department of County Engineer BUILDING County Of LOS Angeles ADDRESS JOHN A. LAMBIE.COUNTY ENGINEER CASSATT D. GRIFFIN.SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNER LIGHTS RECEPTACLES SWITCHES - NUMBER f ITEM EACH FEE MAIL TOTAL OUTLETS $ .10 ADDRESS $ ELEC. RANGES, WATER HEATERS, CITY A N CLOTHES DRYERS .50 ELEC: SPACE HEATERS, ST ELECTRIC I ING UNITS, E DISP ADDRESS AUTO WASHERS, R .25 LIGHTING FIXTURES .10 7 CITY TEL.NO. ROTORS STATE / LICENSE NO. HORSEPOWER H.P. O INC. 'DISTRICT NO. GROUP ZONE READY FOR INSPECTION @ LESS .2S — 2 so INSPECTION RECORD . 2 5 1.00 5 15 1.50 Is• — so 2.50 SO 200 5.00 MISC. SIGNS I NO.TRANS [ NO.LAMPS SERVICE O-GOOV ' 1.00 SERVICE OVER GOOV 5.00 �y WIRING PERMIT 1.00 L/ FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE S DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINAN AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING j 7vp"�-1r►' 1 HEREBY CERTIFY THA I AM PROPERLY REGISTER ND/OR FIXTURES 3�' y LICENSED AS REQUIRED LOS AN LES COUNIY AN SATE OF CALIFORNIA OR THAT THE GAL NER OF T ABOV POWER DESCRIBED RESIDENTi� O ER SIGNATURE I/ UTILITY CO. NOTIFIED OF PERMITTEE FINAL IOHN A.�-AMBIE. ���]ATION ARTHUR C.VEIT. .OUNTY NGINEER 3'� SUPERVISING ELECTRICAL ENGINEER U MO CASH a 454579I—n NOV 2.5 2 7.95 9