HomeMy Public PortalAbout5445 PAL MAL AVE_Electrical__ TeAsel Ce .w lanes APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES 'p 6UILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS J e.
New Residenhol Bldgs &Pools EACH D10 FEE
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1 6 2 Family Sq F f 025 — f _relly es
Multi family Sq k 02 — s
Residential Swimming Pools 2500 N ST s 1Y�e-S ^J'J�!`i V e-
FIRM NAME
OWNERORSe-
Outlets Rec_Light_Sw MAIL
First 20 50 ADDRESS t'�ny
o l M0.1 Vie—
Total
2Total No Additional 30 CITY T. (� , Tel No _
P N K
A I NT
Lighting Fixtures First 20 50 ADSS
Additional 30
Total No CI Tel No
Fixed Appliances Not Over I HP P IT
Range_Hearer_D W _ APPLRD T
Oven—Dryer_W M_ ADDRESS
Top _FAU _WH _ CITY 9
WTel No
Hood_Fan —Other— LICENSE OR
Disp _Room Air Cond 250 REG NUMBER Class
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apporotus&Large Appliances TON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP KW,KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS y
2 50 REGULATING ELECTRICAL WIRING (6a'
Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl 5 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Ind 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OFTHE ABOVE
Over 50 to 100 Inc
25 00 DESCRIBED RESIDENTIAL PROPERTY
Over 100 40 00 PERMIT U /L_. _
SIGNATURE YV�
Services DISTRICT NO Eq B
0 200 Amp Under 600 V 1250 u
J/D "
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V 5000 Q=
Temp Power Pole&Appurtenances 1000 `
Sign with One Branch Circuit 10 00
Additional Sign Branch Circuits 2 00 INSPECTION >
INFORMATION
Mist Conduits C &late I"ton 10 ON REVERSE 5 :131 8 6 A
Other(See Complete Fee Schedule)— SIDE
2 • . 1950
PERMIT FEE (Sub Twoll e e e 1 9.50Z
PLAN CHECKING FEE (One Fourth Permit Feet
� 0312-79
PERMIT ISSUING FEE $700 ••�� 7�
TOTAL FEE 9.JlJ >
INSPECTION FINALED
dote S / u,'7 17 By ms
ISASSB CIIME 10 91 APPLICATION FOR ELECTRIZL!/ 2 IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS L �L
JOHN A LAMBIE, COUNTY ENa1NEER
WILLIAM A JENSEN. SUP T OF GU ILD INN LOCALITY
FOR A
PPLICANT IN GROSSB ST
0) MNO(FIRST 20) B 20 • OWNER O��� E\V MAIL(AGO L UNITS ADDRESSIacEPr Evr f0 /'1FIXTURES. (FAIR 20) 2O CITY TRL NOG FIXTURES, (AODTONAL) 10 ELECTRICIANCLO SIYIIS WTR WAS 100 ADDRESSRA COON
CITY TEL NO
OIWWABH AUTO-WASH STATE
DACE HTIS RA APP I%N} MAI ) BD LICENSE NO
MOTORS, OYER NOT OYER HR DISTRICT N G ZONE C E Y
o 1 100
1 a 1 1150 INSPECTION CORD
r
a 6 1 200 ( � j Y,l ! �. d
O
B — 16 260 V
e
16 — eo 1 300
60 100 600
d
SIGNS, NO LLANs
NO AIpV�
E
SERVICE0600V NOT OVER 200A 100
SERVICE 0 600V OVER 200 A 200
SERVICE OVER BOOV 600
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE f 00
TOTAL FEE 6
I HERMW ACME THAT 1 MAVC RIAD THIS APPLICATION AP v LS G12 INY[CIOR'R EONA
AND RATE THAT TIS AWY[ IS 00.1 AND ACIR[ TO COMPLY CONDUIT
WTI ALL COUNTY ORDINANCER AND STATC LAWS ISODLATINO
ff"CTMC WIRING WIRING • a- _ _
1 HE®Y CERTIPT THAT 1 AM PROPERLY ISOST[MD AND/OR JJ
LICIDIiD AT ISOGIRtD BY LOS ANGEL[/ COUNTY AND WAIT OF FIXTURES I10�
CALIFORNIA OR'=T T I AM THS LEGAL OWNER OF E A—K
DIKRIEED RLI IAL POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITT
FINAL S
VAL9m) A HUS C VETT
No
QC MO CABX SUPERVISING ELECTRICAL ENGINEER
Lz,)1313Q? VR 18 2 D 2.80
/ff C
1 , ,
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7601663 a W6 T114781 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL INg yys•
New Residential Bldgs 8 Pools EACH Fs0 FEE A DRESS J
1 6 2 Family Sal Ft E 025 — 5 LOCALITY p-T L F i t
Multi family Sal Ft 02 — R S7 Ad —S
Residential Swimming Pools 25 00 O NW R
RM NAME O 3 O r C—
Outlets Outlets RecLphrJI—Sw _ U MAILADOSS�SVgS- pGlTAC
--77 First 20 50
Total No _i.2_ Additional 30 CITY ���� ,.r PC P -Ce 1- Tel No
APPLICANT
Lighting fixtures First 20 50 ADDRESS
Additional 30
Total No CITY Tel No
Feed Apphonces Not Over 1 HP FERMI
Range_Hearer_D W _ APPLICANT iV O �L O
Oven_Dryer_W M— ADDRESS / rZ b N C, Or N
Top _FAU WH G7Y 7—e— I P/ cs Ctr I,No —j
f9
Hood—Fan _Ocher_ IKENSE OR
Disp _Room Air COnd 250 REG NUMBER �0 00't— C
I HEREBY ACKNOWLEDGE THAT I HAVE REAPUCA
Power Apparatus&Large Applwnces TION AND STATE THAT THE ABOVE I$CORRECT EE TO
Size 8 Type HP KW KVA Or KVAR COMPLY WITH ALL COUNTY ORDINANCES ANLAWS
2 50 REGULATING ELECTRICAL WIRING O
Up to 1 Ind I HEREBY CERTIFY THAT 1 AM PROPERLY REGID/OR W
Over 1 to 10 Ind 500 LICENSED AS REWIRED BY LOS ANGELES COUNTTE OF
Over 10 to 50 Incl 12 50 CALIFORNIA OR THAT I AM THE LEGAL OWNERBOV
25 00 DESCRIBED RESID IAL PROPFRTY
Over 50 to IOO Inc PERMITEE
Over 100 a0 00
SIGNATURE
Services NDISTRICT NO PROCESS 0 200 Amp Under 600 V 1250
f/ '
201 1000 Amp Under 600 V 25 DOTQ v ,
Over 1000 Amp or Over 600V 5000
Temp Power Pole&Appurtenances 1000 t
Sign with One Branch Circuit 1000
Additional Sign Branch Circum 200 INSPECTION
Mac Conduits 6Conductors 1000 INFORMATION
ON REVERSE x
Other(See Complete Fee Schedulel, SIDE
3 9187H
2 k . . . . 92
PERMIT FEE 'Sub Total, 2 • • • 050
PLAN CHECKING FEE (One Fourth Permit Fee _
F • a • * [; 5C1z
PERMIT ISSUING FEE $700 0229-810
TOTAL FEE U >
INSPECTION FINALED
dare By '� �t 1. (+ ®s
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