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HomeMy Public PortalAbout5438 PAL MAL AVE_Electrical__ SA663-CE806 6.62 APPLICATION FOR ELECTRICAL , ERMIT11 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS O JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JEN6EN, 6UP'T oP BUILDING LOCALITY /+- NEAREST t FOR APPLICANT TO FILL IN cRosS 87. ✓C !- RECEPT. TOTAL NO. RACK] R[ OUTLETS FIRST 20 {.20 i OWNER r /PI+ LIGHT MAIL `ADD �� , w', SWITCH. OVER L dO ADDRESS J / 8 TY G / TEL. NO. LIGNTING � TOTAL FIRST 20 .20 CI1 FIXTURES ADD-L OVFR ZO .10 ELECTRICIAN G of i T stMMOM CLO.DItY[RE WTR.HTR". 1.00 ADDRESS RAM.DIP. ETA,ODOK eITY Cr TEL. No. DIBNWAM. AVTO.•WAM1. STATE SPACE HTML, RA.APP.(VI MJ.MA[.1 .50 LICENSE NO. / d 0 MOTORSI ov[R MOTORIZE M.P. DISTRICT N G OUP ZX FT PR B O t 1.00 /E� 1 t a 1.50 IN PECTION RECORD a a 2.00 a — is 2.50 0_ O is — so 3.00 v 0 ao too 5.00 O BIONfI NO.TRANSU NO."MPG lL d N SERVICE O•SOOV-Nm OVER 200A 1.00 F Z SERVICE O-SOOV-OVER 200 A. 2.00 SERVICE OVER GOOV 5.00 misc. PERMIT ISSUING FEE 2.00 SUPPLEMENTASY PERMIT ISSUING FEE 1.00 TOTAL FEE E 3 CV I HEREBY ACKHOWLEOGE THAT I HAVE READ THIS APPLICATION AMR VAL WT[ INli M-0 SIGNATURE ANO STAT[ 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 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNS F THE ABOVE DESCRIBED RESIDEN AL ROP RfV. POWER SIGNATUREL UTILITY CO.NOTIFIED OF PERMITTE FINAL LI ARTHUR C. VEIT CK MOO CASH SN SUPERVISING ELECTRICAL ENGINEER L`ILo 4 8 9 9:d SEP P'7 2 D 3.00- Q APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELESVMAIL ppgg D PAR7MEW OF COUNTY ENGIN1ADDRESS 3Aq MAL A j =11IN SAFETY D r FOR APPLICANT TO FILL INLOCALITY New Resdentiol Bldgs &Pools EACH NEAREST 1 &2 Family Scl F S 025T WN Multi family Sq Ft 02 FIRM NAME O Residential Swimming Pools 2500ADDRE55 /.Outlets Rec Light_SwCITY ^ T I NoFirst 20 50PLAN HTotal No Additional 30APPLI NT ADDRESS Lighting Futures first 20 50 CITY Tel No Tocol No PAPPLICANT E Additional 30 RMIT Fixed Appliances Not Over I HP ADDRESS Ronge_Heater_D W _ CITY Tel No Oven_Dryer—W M_ LICENSE OR Top —FAU —WH — REG NUMBE Oars Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE MEAD THIS AMICAt10N AND STATE Dnp _ Room Air Cord — 250 THAT THE ABOVE 15 CORRECT AND AGREE TOCOMiEY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGLKAT WG ELECTRICAL WIEHG Power Apparatus&Large Appliances Size&Type HP KW KVA or KVAR I HEREBY CEO" THAT I AM PROPERLY REGISTERED AND/Oe LICENSED AS Up to 250 REOLPRED BY LOS ANGELES COWY AND SLATE OF CALIFOBiA OR THAT I AM Over Ito 500 THE LEGAL OWNER OF THE ABOVE DESCBBED RSI WL PROPERTY o Over 1 to 101nc1 C� Over 10 to 50 Ind 1250 PERMITTEE Z IY Over 50 to 100 Inc 2500 SIGNATURE 1 Over 100 4000 DISTRICT fJbD BY x services 0 200 Amp Under 600 V 12 50 APPROVALS DATE I Ol S 201 1000 Amp Under 600 V 2500 U Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Pole&Appurtenorces 1000 Sign with One Branch Circuit 1000 ROUGH CONDUIT I L/07 Additional Sign Branch Circuits 200 WIRING Misc Conduits&Conductors 1000 FIXTURES Its Other(See Complete Fee Schedules POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (Sub Total] NOTES PLAN CHECKING FEE IOne Fourth Permit Feei PERMIT ISSUING FEE $700 TOTAL FEE -95-v- RAN CHECK VALIDATION CK M O CASH PERM VALIDATION CK M 0 2 9 2 NN 30 2 D 1 9.5 0 ��- SEE BACK OF APPLICATHDN FOR COMPLETE SCHCOULE ` © r v— I 16A6e7-CE6041 6411: APPLICATION FOR ELECTRICAL �PRM�IT COUNTY OF LOB ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS jP JOHN A LAMBIE, COUNTY ENGINEER v ,p WILLIAM A JENSEN,BUP T OF BUILDING LOCALITYFO APPLI ANT TO FIL NEAREST N I CROSe 8T RBctPT TOTAL No OUTLETS PIR6T 20 SIID a OWNER LI/MT MAIL ADD-L f0 ADDRESS SWITCHavt*20 TOTAL CITY TE NO LIGHTING F1R6T 20 to ' FIXTURES ADD•L aY R 20 f0 ELECTRIC/IAN 114140[6 CLO KXIYt1M WTR Mb too ADDRESS L OARS 01" WA COOK CITY ( TIC NO DIWWA/If AUTO MAIM STATE "AM 14TNI ✓ STA AIM (W H P WX 1 00 LICENSE NO MOTORS, ora NOT ova NPDIST CT G UP 2014E P CE E BY o f 1100 I — a too INSPECTION RECORD B — B 200 e — IS St so e Is So 300 0 Ifo foo e00 G: O SIGNS, Mo TRANI G No LAII►I W 0 BERVICB o-000V NOT OVER SODA 100 H Z elolvlu o eoov oYa aao A 200 SERVICE OVER e00V S Oo MIeC PERMIT 19BUING FEE 200 2- 876 SUPPLEMINTABY PERMIT ISSUING FE too TOTAL FEE • 1 M[11[SY ACKNOWLtOO[ THAT I MAK KIAO T1111 A IGTION OATS INSPZ I IA AND [TATS THAT TN[ ABov[ IR CORRECT AIID AGRZ[ TO COMPLY CONDUIT WITH ALL COGMTY ORDIMANCU AMD RAT[ LAWI 11[OULATING •� W1111MG WIRING I ^I IG11t0Y CORIIY THAT I AN PROPB11LY R[61[T[RED AMDf011 1.1 a AI IROUIRZD BY L MMI II COUNTY AND [TAT[ OR FIXTURES CALIFORNIA OR THAT I AN THE OAL a OR THE ABOVB D[ IIMO WIOBNT POWER SIGNATURE UTILITY CO NOTI 1 / OF PO FINAL �U ARTHUR C VER CK MOO CASH SUPERVISING ELECTRICAL ENGINEER L&p8 1 9 Sco DEC 10 2 D 250~ WORKERS COMPENSAT90N DECLARATION 7eA1 10/at I lege that 1WWkare as candor;tem oonsent(( or elf+ icer4*'ad �, APPLICATION FOR ELECTRICAL PERMIT {� COPY thereof(Sea 3800 Lan C) if COUNTY OF LOS ANGELES BUILDING AND SAFETY LJ Pohcy No Company FOR APPLICANT TO FILL IN A�OORESS C3Candiedcopy a hereby furnfahW New Restlential Bldge 6 EACH NO FEE ❑ Certified COPY Is hien with the county build, nch apeon 1 8 2-Family,SO Fi E — S department Mulb•famey Sq Ft — QST D81e Appu;arfResidential Swm snrig Pools CROSSST OW ER OR JC FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Oinleta Rec 2 Light Sw FIRM COMPENSATION INSURANCE ADDRESS (This section need not ba Competed N the work inv~by the First 20 permit b for one hundred dollen($100)or less 1 Total No Additional CITY Tel No I certify that m the performance of the work for which the perms PLAN CHEC e *sled I shall not employ any person In any manner so as to APPUCANT become subject to the Workers Compensation Laws Ughhng Faturen Z First 20 ADDRESS Date Applicant Total No AdditionalADDRESS Tel No NOTICE TO APPLICANT It alter maknlp the Certificate of Fuad Appliances Not Over 1 HP PERMIT Exemption you should become subject to the Wic"m Co opel*aton Range_ Heater_ DW _ S TT prowsbre of the Labor Code you must brthwilh Comply with such Oven _ Oryer _ W M _ ADDRESS pro,+sore or the Permit shell be doomed revoked Top _ FAU WH _ LICENSED CONTRACTORS DECLARATION Hood — Fen Other_ QTY Tel No I hereby affirm that I am IcasW under proreom of Chapter B Dap _ Room Gond 110ENSE OR (comnencin g win Section 7000)of Denson 3 of the Maness and REG NUMBER Professions Code and my license is In full lace and effect power Apparatus 8 Large Appliances DISTRICT NO Size 8 Type HP KW KVA or KVAR 5. Ofd Liceree Number Lc Class Up to 1 Ind FlNAL /Ir / /'1 Over 1 to 10 Incl �Th// v 6; �v VALIDATION CantrectorDate Over 10 to 50 kid ❑ I am exempt under Sec O 50 100 Inc FINAL va o BY 0 !/ 86PC for the reason Over 100 9onices Swbd MCC d Parelboerds N Gate 0•200 Amp Under 800 V ► .Z+ Signature 201 • 1000 Amp Under 800 V ❑ Exemption to Reg Main Elect Over 1000 Amp or Ova 800 V SINGLE HOME OWNER-BUILDERLY DECLARATION Temp Power Pica b Appwtenencee 2 1 hereby aNrrm that I am exempt from the Contractors Licee Law Sign with One&arch CA=d or the following reason(Socton 70315 Bimuless and Profeeaw Additional Sign Branch Cocoa ACCT.i Code) ❑ 3307 27.011I as owner of the Property,will do the work and the sticture Mac Conduits 8 Caductont Is not mended or offend far sale (Sedan 7044 Business Otter(Sae Compete Fee Schedule) , TOTAL ITEMS 00 and Professors Code) CONSTRUCTION LENDING AGENCY 1 hereby affirm that then Is a construction lending agency, for the CHECK 27.00 C"Performae cof the work for which the permit is low (Sec 3087 PERMIT FEE (Sub-Total) PLAN CHECKING FEE Condone Name PERMIT ISSUING FEE 3 8/21/90 Lenders Address I cerhlY that I have rem this application and sate that the above TOTAL FEE O 25D4 1 AN 9:L inform hon Is correct 1 agree to comply with all County ordinances and State laws re"Ifing Electrical wining and hereby authorae re"itentatives of the Ccuny, to enter upon the aboe-rrtentonlad a ter inn n purpo es /,iSEE REVERSE FOR EXPLANATORY LANGUAGE 0 1 rmdG to COUNTY OF LOS ANGELES TEMPLE CITY # D508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0304040024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID: FEES PAID BUILDING ADDRESS TR 7690 LT 17 UN: 002 5438 PAL MAL AV FEE DESCRIPTION QUANTITY UN( AMOUNT TEMP CA 917802846 ASSESSOR INFORKA, ION mumsm NEAREST CROSS STREET DAINES 8586-030-020 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 597 GRID: C3 LOCALITY TEMPLE CITY G1 OUTLETS-LGT,SW RECP 10 00 OUT 19 50 G2 LIGHTING FIXTRES 4 00 LGT 7 80ISSUED ON PROCESSED BY- PLAN BY EXPIRES - TOTAL FEES 55 05 04/04/03 JK 10/01/03 . OWNER TEL NO- OWE _AIMAL BY 5438 PALM MALCAVENUE HA T <626) 444-5618- /� /p� TEMPLE CITY 91780 6E9C9I1y11�1�d ELECTI(ICAL fORADDITION APPLICANT- TEL NO: SAME AS OWNERCONTRACTOR TEL NO APPRaVALS DATE INSPECTOR SIGNATURE - SPECIAL CONDITIONS. SAME AS OWNER - LIC NO TEMPORARY POWER POLL ARCHITECT OR ENGINEER TEL 90 UFMrCMD LIC MO ROUGH CONDUIT ROUGH WIRING PLASTIC Y/N METAL Y/M UTILITY COMPANY 190TIFIED REPORT ID: DPR265 ROUTE TO BSO508