HomeMy Public PortalAbout5119 PAL MAL AVE_Electrical__ 76AG63-CESOG 10/74 APPLICATIO : F ECTRICCAL PERMIT
,,,t COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION
LOCALITY �~
NEAESS
REST /►
FOR APPLICANT TO FILL IN CROSS ST. ^
FRECEPT.-I
TS NO. EACH FEE OWNER OR
FIRM NAME C%7
$ Is I MAILFIRST 20 ADDRESSAl
TOTAL d •CI T n TEL. N0OVER 20 10PLAN CHECK-f 09
FIRST 20 APPLICANT
T TALOVER 20 ADDRESS
.10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT F
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER CLASS,
FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
51ZE & TYPE OVER TO
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI' I AM THE LEO AL OWNER OF THE ABOVE
1 - 10 3.00 DESCRIBED RESIDENT) PROPERTY. CD
10 - 50 8.00 PERMITEESIGNATURE H
50 - 100 10A0 DISTRICT NOf_ SS BY d
100 - 500 13.00 -5 . 09
SIGN, GAS
TUBE, OR SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC 'SSIGNATURE
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200AMP 8.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES 8.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL —7d
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEE'
PLAN CHECK VALIDATION CK. M.O. 9 CK.PERMIT VALIDATION M.O. CASH
i
0 1~,i P! 9 2 0 7.7 0 ago
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
79
o]DEPARTMENT OF ENDING AND SAFETS � �'���®1� FOR �E�Ii�'Il°
COUNTY OF 'LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER r
a tdAM lj. 1, y �, •v DISTRIC GROUP ZONE,-' PERMIT NO.
ADDRESS �`•� -
a EIVED BY READY FOR DAT ISSUED
CITY -Ae-KV TEL. OI. � l� +,�� - FIRST INSPECTION
.1 COUNTY �j A c�L f lam• .'� t 1 !Y I 1 f ���. ; `✓/i
41 CERT.NO. �( � EXPIRES' 22AL^:•
APPLICANT F LAN HEAVILY OUTLINED PORTION 0NNLY A
]DESCRIPTION OF WORK JO6 ADDRESS d� �'�'=`' ' ' l? ✓
r
NUMBER OF OUTLETS ON CIRCUITS LOCALITYulc�dde;'3,, 't�+L�
LOCATION BY ROOMS
NEAREST Jj
LIGHT OUTLETS JSW. PLUGS JF&T C OSS M.
CIRCUIT A 113 C I D I E F C3 I H G HAMS /-
ZMAIL G T
ADDRESS b�
O
CITY TEL.NO. `
1 AM THE LEGAL POS5 SSOR OF E ABOVE LOS
ANGELES COUNTY CERT] 3 F 1 ICATI
' - �-�.-• Gam'
ELECTRICIAN.
I OA g'[HK LEGAL Ol{9fNER OF 71119PROPff=Y DESCRIBED
OWNER.
coaRWmlis
'J
_ Q
Z_
L7
E
D
TOTAL
NO. OF OUTLETS To ;
APPROVALS
L
FIXTURES DATEINSPECTOR'SNAME
MOTORS H.P. CONDUIT SIGNS TRANS. WIRING
RANGES OR�.,..n�.& _ FIXTURES
LANEOUS POWER FEE UTILITY CO.NOTIFIED.yFEEJ%-f1 FINAL I i' 1 k-
n �
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1011160039
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID BUILDING ADDRESS: I
ITR: 12205 IT: 9 I I 5119 PAL MAL AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803434
'ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: FREER
18585-022-010Al PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
I IFI 120V, 15/20A BR CKTS 5.00 BR 86.60 I I
(TENANT: IGl OUTLETS-LGT,SW,RECP 10.00 OUT 19.40 (ISSUED ON: PROCESSED BY: PLAN BY:
IG2 LIGHTING FIXTURES 2.00 LGT 3.90 11/16/10 SR
IH2 RES GRBG DISP IT 3HP 1.00 DIS 10.90 1 I
(OWNER: TEL. NO: 1H3 RES DISHWASHR IT 3HP 1.00 DIS 10.90 IFINAL DATE FINAL BY: CODE: I
(TAYLOR NORMAN A;MERRILLEE M (909) 599-1620- IH4 RES RANGE HDS IT 3HP 1.00 HOO 10.90 1
819 WALNUT AV ILN OTHER PNL 0-399 AMPS 1.00 PAN 38.80 I I
ISDIM 917731926 1 TOTAL FEES 209.20 IDESCRIPTION OF WORK 1
I I (INSTALL NEW ELECTRICAL WIRING, UPGRADE ELECTRICAL SUB-PANEL I
I I 170 AMP PANEL EVERYTHING TO CODE FOR INSPECTION I
1APPLICANT: TEL. NO: I I I
IPINTO, DAVID MARC (626) 203-6240- 1 1
1317 N. BALTIMORE AVE I ISPECIAL CONDITIONS:
IMO NTE REY PARK 91755 I 1
I
I I I I
1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
ITRUELINE ELECTRIC CO. (818) 447-6803-
12314 S BALDWIN AVE LIC. NO I TEMPORARY POWER POLE 1
[ARCADIA CA 91006 427755 C10 I I !
I I (UNDERGROUND CONDUIT I 1
1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
I LIC. NO: I IROUGH CONDUIT I I I
I I I I �/ I I IROIIGH WIRING 1 1
I I IMAIN WATER LINE I I I
I I 1PLASTIC YIN METAL YIN I I I
(UTILITY COMPANY NOTIFIED( I I
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I (REPORT ID: DPR265 ROUTE TO: BS0508 I I I I
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