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Home My Public Portal About5241 PAL MAL AVE_Electrical__ T6A6fiC CE x'606 5.61 LE A �� APPLICATION FOR CTRIC L PERMIT L� COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS —C JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNER 1 T E M NUMBERI EACH FEE MAIL OUTLETSI S f ADDRESS LIGHTS REDEPT. ..-Y .fO CITY TEL. NO. LIGHTING FIXTURES AZ .10 a ELEC. RANGES CLO. DRYERS ELECTRICIANp. WATER HEATERS .50 ADDRESS O ELEC.SPACE HTRS. DISHWASHERS CITY LfXJEL N GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS ,25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRI IGZ NE RMp, B 0— Vs 25 Ih— 2 50 IN ECTION RKORD a 2— 5 t.00 O a— In 1.30 U 15— 50 2.50 _ O 50— zoo a.00 u SIGNS: NO TRANS. NO.LAMPS N SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT i,pp FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 50 TOTAL FEE S I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INS OR'B SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR JT'�fJ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED �- OF PERMITTEE FINAL TI9PF ARTHUR C. VETT I CK "'0 mo /c�ws� SUPERVISING ELECTRICAL ENGINEER Ll . .9 2 9 7 APR 2 2 D X4.0 0 / i�O7?/12�i�v 76AG63C- CE806e 12/75 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO PILL IN JOB / I New Residential Bldgs.&Pools EACH NO. FEE ADDRES9l 4Inn L 1 &2 Finally Sq. Ft. $ — $ LOCALITY 777 C Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. FIRM NAME S F.•rLZON,ty Outlets: Light,Switch&Receptacle MAI L ADD RESS I /e/L First 20 Additional CITY Tel No. PLAN CHECK Lighting Fixtures APPLICANT - -- First 20 ADDRESS _ Additional CITY ` Tel. No. Fixed Appliances Not Over 1 HP APPLICANT SAA, G C Range_ Heater_ D.W. _ ` Lill k Oven _ Dryer W.M. _ ADDRESS J Top _ FAU W.H. _ CITY s Tel. No. ^0 d Hood — Fan LICENSE OR O REG. NUMBER Class. Disp. _ A.C. z Neweev AT THE ABOVE THAT 1 HAVE ECT w 5 APPLICATION p AND arwre rxUN THE ABOVE 16 CORRECT OT wxo LGNee TO REGULATING U Power Apparatus& Large Appliances wnx ALL couxrr owomwxeu AND arwre Lwwa waou Lwnxc la.t Size&Type HP, KW, KVA,or KVAR cLecrR C.L w.R.xo. a Up to 1 Incl. Z new[ev REQUIRED r x PGOPER Lr COUNTY S wxo/OR Over 1 to 10 InCI. LICENSED ws Rea.A co x r �o• ANGELES LEGAL ver xo arwre oP Cw LIRONNIw OiItLeOwL O- e Over 10 to 501ncl. oesceueo wea�o r.� Over 50 t0 100 I nCI. PE R M I TE E Over 100 SIGNATURE DISTRICT NO. PROCESSED BY Services 0-200 Amp. Under 600 V 201 - 1000 Amp. Under 600 VI NSPECTOR'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 '7 PERMIT ISSUING FEE TOTAL FEE � _ - N PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH a9o�1-APR 25 111 9.00 •5d DBS SA 25M SETS 7-49 APPIICATLON FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC M. J. FOXCHIEF ENGINEER rlNAME DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS CITY TEL.NO. RECEIVED BY FIRST INSPECTION DY FOR DATEISSUED COUNTY CERT.NO. EXPI REB APPLICANT FILL. IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORD ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS few. PLUGS I FlXT CROSS 6T. CIRCUIT A B C D E F G H E NAME Z MAIL 3 ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J Q Z D 0 TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOU $ POWER PERMIT FEE $ UTILITY CO.NOTIFIED TOTAL FEE FINAL 4•' i� 1 Y aWfirm that COMPENSATION DECLARATION CE 806 10/91 APPLICATION FOR ELECTRICAL PERMIT � hCroby affirm that I have a cerhFicate of consent to self CE 9066 insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or o certified copy thereof (Sec 3800 Lab C ) Pali cy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADMss 1. (I} 2-Family S Ft t — f LOCALITY � G Certified copy is filed with the county building mspec- '� Y q tion department ulti-family Sq Ft — NEAREST Residential Swimming Pools OWN R OR C Date Appbmnt CERTIFICATE OF EXEMPTION FROM WORKERS '� I FIRM NAME Ci Outlets Rec�Light Sw 1 ADD S•� ` M / G COMPENSATION INSURANCE ADDRESS lr (This aMron need not be completed if the work involved by Fust 20 the permit Is for one hundred dollars ($100) or less ) Total Na Additional + CITY PLIC2 �'\ Tel No EC I certify that in the performance of the work for which this AHPPLILICAANTTK permit is issued I shall not employ any person in any manner ST so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS lky r XC-1 Total No�— Additional Data E T�` •^- O NT if scant C Fixed Appliances Not Over 1 PERMIT = Tel No NOTICE TO APPLICANT If after making this the Wale of APPLICANT Exemption you should become subject to the Workers Range_ Heater Cbe Compensation provisions of the Labor Code you must forth Oven _ Dryer _ W M — ADDRESS S with comply with such provisions or this permit shall beTopf�iU —W H deemed revoked /Fan _Other_ CITY �y Tel No Hood ` '7P LICENSED CONTRACTORS DECLARATION LICENSE OR m I hereby offirthat I am licensed under provisions of Chapter 9 %isp — Room Air Cond REG NUMBERYUZY Class (commencing with Section 7000) of Division 3 of the Business DISTRICT NO PROCESSED BY and Professions Code and my license is in full force and effect13. Power Apparatus 8 Large Appliances Size 8 Type HE KW KVA or KVAR O License Number Lic Class Up to I Incl FINAL 11 Over I to 10 Incl DATEJ/ ✓ VALIDATION IM Contractor Date Over 10 to 50 Incl G EJBFINA I am exempt under Sec Over 50 to 100 Inc Y � B 8P C for this reason Over 100 H Date Services Swbd MCC 8 Panelboords = 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V F-1 Exemption 1000 Amp or Over 600 V Exemption for Reg Mount Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances G O S H HOME OWNER BUILDER DECLARATION Sign iSwith One Branch Grant I hereby affirm that I am exempt from the Contractor s License Sgn with Sign Branch Grants Law for the following reason (Section 7031 5 Business and Professions Code) 2 o n � 3 00 F1I as owner of the property Mrsc Conduits 8 Conductors do the work and the c o o S 0r structure is not intended or offered for sale (Section Other (See Complete fee Schedule)_ 7044 Busi ness and Professions Code) ► Q L'� _ U 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 PERMIT FEE (Sub Total) (Sec 3097 Civ C ) PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE Lender s Address I certif at have rood this application and state that the TOTAL FEEIL abo infer rho s c t I agree to comply with all County mance an ws re ting Electrical wiring and ereby th town inhis County to enter upon the o pro inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE i natu /PolimittedDate - COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1206040043 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 12205 LT 1 BL 001 UN 002 5241 PAL MAL AV FEE DESCRIPTION QUANTITY DOM AMOUNT I TEMP CA 917803436 I (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET FREER 18585-022-001 IAl PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY Cl ITENANT IG1 OUTLETS-LGT SW RECP 7 00 OUT 14 00 I I G2 LIGHTING FIXTURES 7 00 LOT 14 00 ISSUED ON PROCESSED BY PLAN BY H2 RES GREG DISP LT 3HP 1 00 DIS 11 00 106/04/12 SR TOTAL FEES 66 80 TOWNER TEL NO (FINAL II�(C��Py�/y��, �D`�rppL,1l,AALL BY CODE IHERNA PAL GUSTAVO/AURELI (626) 279-1890- �/\PIT ,b.F./ 15241 PAL MAL AV TEMP 917803436 DESCRIPTION OF hORR 17 OUTLETS, 7 LIGHT FIXTURES AND GARBAGE DISPOSAL FOR XITCHENI IAPPLICANT IREMODELING TEL NO SAME AS OWNER - (SPECIAL CONDITIONS I I I I (CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE 1 (SAME AS OWNER - I LIC NO (TEMPORARY POWER POLE I I IONDSRGRODND CONDUIT I I ARCHITECT OR ENGINEER TTL NO IUFER GROUND II LIC NO I IROUGH CONDUIT I I 1ROUGH WIRING IMAIN WATER LINE PLASTIC Y/N METAL YIN ( I 1 JUTILITY COMPANY NOTIFIEDI I I I I I I I I III I I I I I I I I I I I I I I I I I I I I I I IREPORT ID DPR265 ROUTE TO ES0508 I