HomeMy Public PortalAbout5332 PAL MAL AVE_Electrical__ 766661-CESOG 1,70 APPLICATION F EL TRICAL PERMIT u
• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 414 y
JOHN A LAMBIE COUNTY ENGINEER LOCALITY L G
COLEMAN W JENKINS SUPERINTENDENT OF QUI.ING
NEAREST 1
ROv
FOR APPLICANT TO FILL IN CSS ST
OUTLETS NO
S S OWNER MAIL
A
RECEP
LIGHT-1- TOTAL FIRST 20 2p ADDRESS 3.7 �/ G
SWITCH OVER 20 / 10 D CITY 4E TEL NO
PLAN CHECK
AL
LIGHTING FIRST 20 m APPLICANT
T T
OVER 20 ADDRESS
APPLIANCES CITY TEL NO
PERMIT c
RANGE_ORYER_WTR HTR_ APL FIXTURES 10 ICANT G EGI
STA COOK_DISP -t-F A U _ ADDRESS /
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH / DISHWASH_ LICENSE NO I 1pf7,2 CLASS
FAN OTHER 1001 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AMD STATE THATTHE ASOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE f Type OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY RESISTER[D ANOMM
O - ) 100 LICENBCD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CA LIf ORMIA OR THAT I AM TH! GAL OWNER OF AND INTEND TO
1 - 10 300 RESIDE IN THE ABOVE DE REOENTIAL OPENTY
SIGNATURE f t A d
10 - SO BOG OF PERMITTE
SO - 100 1000 OL
D IB[D I CT NOCLASSCLASS GROUP ON[ D BY O
100 _ Soo 1600 5017 _z-
SIGN
SIGN GAS SIGN AND ONE CIRCUIT 300 NOTES d
TUBE OR U
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOT OVER 600 VOLTS OR 200 AMP 200
SERVICEOVER 600 VOLTS OR 200AMP 500 APPROVALS DAT[ ULPECTDIPS SNOMTURC
TEMP POWER POLE
TEMP SERVICE POLE, Q APPURTENANCES 300
UNDERSLAS WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO NOTIFIED
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL TO
JO PH C ROOHAN
TOTAL FEEAw SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION cx M O CASH
c I A� 6 9 4 7?- SEP28 2 D 14.50- 9
t[E BACK OF APPLICATION FOR COMPLETE SCHEDULE