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HomeMy Public PortalAbout5011 PAL MAL AVE_Electrical__ .V DEPARTMENT OF $UILDING AND SAFETY Arfri:aa,sxfivi� avm- ��A..,sx ,�- • COUNTY OF LOS ANGELES- ELECTRIC M. J. FOX CHIEF ENGINEER NAME :'DISTRICT NO. GROUP I ZONE PERMlT,NO. ADDRESS •;,.RECEIVED BY READY FOR DATE ISSUED CITY TEL.NO. • CO. FIRST INSPECTION COUNTY ' CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF-WORD ADDRESS h` to NUMBER OF OUTLETS ON CIRCUITS 40CALITY��i�:. C!d I) 6 LOCATION BY ROOMS _ NEAREST LIGHT OUTLETS JSW.. PLUGS FdT CROSS ST. ::gL� CIRCUIT A 113 C D E F' I G i'i k Id NAME Y'` Fi d'a1�41°�Ir vlj �f _CDRED7l.�C....��wo? ..1•sf ..ss�._ b�. ��l q ,® ilk-NO - 1 A����Mp,�jHE LEGAL POSSESSOR C5F THE ABOVE LOS }1bi6.,.w COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. ;SOAM THE ZXgAL OWNER OF THE PROPF,RTY DESCRIBED av, (�(� (� �• OWNER. 1 - CORRECT oris- . � Q Z T I IY TOTAL T- ss No. OFouTLETsAPPROVALS -.NO. OF FIXTURES '' �/ DATE INSPECTOR'S NAMENO. OF MOTORS H.P. CONDUIT NO. OF SIGNS TRANS. WIRING NO. OF RANGES OR HEATERFIXTURES MISCELLANEOUS •POWERPERMIT FEE '7 UTILITYCO.NOTIFIED TOTAL FEE 4e FINAL WWRKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICA7'I N FOR ELECTRICAL PERMIT i. re affirm,that I have a certificate''of consent to self CE-8066 �torvafgr 1I co%edifed icate Workers' Compensation LInsurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. _GBnpany FOR APPLICANT TO FILL IN JOB w Certified copy is hereby furnished. EACH NO. FEE ADDRESS © ,vV New Residential Bldgs. & Pools LOCALITY CF- Certified cop �l1is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ Ca^ C e� tion deport�jli.4t. Multi-family Sq. Ft._, — NEAREST CROSS ST. K (°-3' Residential Swimming Pools Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec4Light S MAIL COMPENSATION INSURANCE F t 2t] ADDRESS (This section need not be completed if the work involved by Total No. Additional /S �i CITY Tel. No. the permit is for one hundred.dollars($100)or less.) 3 I certify that in the performance of the work for which this PLAN CHECKAPPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'.Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No.- Additional Date Applicant CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' flange_ Heater_D.W. APPLICANT Compensation provisions of the Labor Code, you must forth- Oven —.Dryer _W.M. _ ADDRESS ,with comply with such provisions or this permit shall be Top _ FAU —W.H. _ deemed revoked. CITY Tel. No.Hood _Fan _Other_ LICENSED CONTRACTORS DECLARATION LICENSE OR Dis _ Room Air Cond. I hereby affirm that.I am licensed under provisions of Chapter-9 p' REG.NUMBER Class. (commencing with Section 7000)of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO. O SSED BY and Professions Code,and.my license is in full force and effect. j Size&Type HP, KW, KVA, or KVAR Q License Number Lic. Class Up to 1 Incl. FINAL a: Over 1 to 10 Incl. DATE , p VALID TIO Contractor Date Over 10 to 50 Incl. I ~ FINAL L�..1�1-' / W. I am exempt under Sec. Over 50 to 1DO.Inc: BY p; B.&P.C. for this reason Over 100 Date: Services, Swbd., MCC&Panelboards Poo 81 9.4 A' 0 -200 Amp. Under 600 V !^ Signature 201 - 1000 Amp. Under 600 V # 0 6 0 0 02 JOver 1000 Amp. or Over 600 V Exemption for Reg. Maint: Elect. 016, / SINGLE FAMILY Temp. Power Pole&Appurtenances f' I o.•o g g 8 0 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ! ` �' Q °"8 7I hereby z(affirm that I am exempt from the Contractor's License 2 6 Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and rof sions Code): j Misc ,1 ,I I, as owner of the property, will do the work�and the structure is not intended or offered for sale (Section Other Conduits& Conductors-her(See Complete Fee Schedule)_ OR+r I 7044, Business and Professions Code). , CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which.this permit is issued PERMITTEE (Sub-Total) 2 (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE +Lender's Address I certify that I. have read this'application and state that the TOTAL FEE ll above information is correct. I agree to comply with oilCounty 1 ordinances and State laws regulating Electrical wiring, and 1 hereby authorize representatives of this.County to enter upon i the above-mentioned property for inspection purposes.. SEE REVERSE FOR EXPLANATORY LANGUAGE S nature.. ermittee Date I D8 S-A 12-43 25M I DEPARTMENT OF DUILDING AND SAFETY AimCATION FOR PERMM COUNTY OF IAS ANGELES ELECTRIC M. J. FOX CHIEF ENGINEER . NAME • s DISTRICT NO. GROUP I ZONE PERMIT NO. ADDRESS'_� CITY i �q TEL.NO. RECEIVED BY READY FOR FIRST INSPECTIONDATEISSUED COUNTY CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORE` ADDRESS ��+ . [ rs.®1n"r_7,41i ..o -e—�! NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST e LIGHT OUTLETS SW. PLUGS FOLT CROSS ST. CIRCUIT A B C D E F IG H 19 NAME .,eI��J� /.�� -;::'r>.f�-•is•+�°� W �/� 3 ADDRESS ��� .;��,L''� ?efe■ '. cITY s.+�L•Y.'�e i,.f.. TEL.Nor'��!w.s���1.-��" 1 App��M .THE LEGAL POSSESSOR OF THE ABOVE LOS ANGFJ COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. 1 AM THE LUML OWNER OFJTAB PROP§R7Y DESCRIMD ABOVE i ";Q, ;,;?i,•�y t.e* w O ••-_ r OWNER. colluenoNs J J' Z 17 O TOTAL No. OF OUTLETSS � APPROVALS NO: OF FIXTURES 10 DATE INSPECTOR'S NAME NO. OF MOTORS H.P. E CONDUIT NO. OF SIGNS TRANS. $ WIRING NO, OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS ffi POWER • PERMIT FEE. $ eG a UTILITY CO.NOTIFIED TOTAL FES lz W/,,5,5FINAL