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Home My Public Portal About5524 PAL MAL AVE_Electrical__ ""al—V'D"' APPLICATIONLE ECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER �7 BUILDING AND SAFETY DIVISION `�RE� pAly LOCALITY U NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS FOWNER OR IRM ME I I MAS L RECEPT S ADDRESS �`sa v LIGHT_ TOTAL FIRST 20 25 G OVER 20 Cl iY T4 { EL NO SWITCH_ 10 PLAN CHECK LIGHTING FIRST 20 E5 APPLICANT TOTAL FI%TURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE-DRYER_WTR MTP_/ APPLICANT STA COOK_DISP_F A U 1 ADDRESS SPACE HTR AIR COND CI Ty TEL NO CLOTHES WASH DISHWASH _ REG „MW ER CLASS FAN OTHER /C 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION J AND STAT[ THAT THE ABOVE ID CORRECT AND AtR[[ TO COMPLY MOTOR/ TRANSFORMER/ RATI NO WITH ALL COUNTY ORDINANCES AND STAT[ LAW/ RE/ULATINS IND He ETC HP KW KYA ELECTRICAL Wig IRS SI[[ { TYPE OVER To I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND,or 0 — 1 100 LiC[No C. At R[OUIR[D 0Y LOS ANGELES COUNTY AND /TAT! Vor E CALIFORNIA OR THAI I AM THE L[OAL OWNER OF T [ AEOVL 1 — 10 300 DESCRIBED RESIDENTIAL PROPERTY PERMITEE' Y 10 — SO 500 SIGNATURE O 80 - 100 IOSO DISTRICT NO P CE54 D SY W 100 - SOD1500 s O SIGN GAS SIGN AND ONE CIRCUIT 000 APPROVAL$ DAT I ECTGY/SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 500 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200 AMP 10 ROUGH CONDUIT TEMP SERVICE,POLE S APPURTENANCES 000 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FI%TURES Q POWER AUTHORIZED UTILITY CO NOTIFIED �• FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE alm TOTAL FEE PLAN CHECK VALIDATION CK M D CAIN PERMIT VALIDATION cK M 0 CASH 7 6 2-�NhY 7 Z D 7.5 OL-- 999 DAG( OF APPLICATION FOR COMPLETE SCHEDULE 6 APPLICATION FOR ELECTRIC PERMIT 11 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILOI N• LOCALITY NEAREST R APPLI AN O FILL IN CROSS ST.0. .� RECEPT. I TOTAL FIRST 2O NO S2Oa;ACH BOO OWNER .P OUTLETS SWILIGHT /1 I ADVIL .f0 D ADDRESS SWITCX. OVER 20 LIGHTING TOTAL I FM[T 20 .20 ! CITY •N TEL.NO. / FIXTURES / _ ADo•L0 .10 ELECTRICIAN ov R 2 RANO= CLO.DRYER[ VITA.NTLI[. 1.00 ADDRESS DARE.DIY. "A.COOK CITY TEL.NO.61 DISHWASH. AUTO.-WASH. STATE "ACEH . ETA.APP.(ly H.P.MAK.) •50 LICENSE NO, MOTORS. DYER NOT OVER H.►. DISTRICT G P ZON P E O 1 1.00 1 a 1.50 INSPECTION RE RD a s 2.00 - h AL f_P :J p s 16 2.50 V 15 so 3.00 WiM -- AA li, OX so 100 a.00 U SIGNS. NO.TRANS. r/ 1 No.LAMPS Z_ 5ERVICEO-GOOV-NW W[R200A 1.00 SERV ICE O-GOOV.O%RSR 200 A. 2.00 SERVICE OVER GOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 sZkid A up SUPPLEMENTARY PERMIT ISSUING FEL 1.00 TOTAL FEE a 1 INSISTACKNOWLEDGE THAT 1 HAVE HEAD THIS APPLICATION APPROVA M : LN![CTOHI•SSIGNATUIIK AND STATE THAT THE AKDVE IS CORRECT AND AGREES TO COMPLY CONDUIT WITH ALL CODMT ORDINANC= AND STATE LAW[ REGULATING ELECTRICAL WINING. WIRING I Haar .CENT rr THAT I AM PROPERLY REGISTERED AND/2" FIXTURES LICENSED AS REQUIRED a LOS ANGELES COUNTY AND STATE 0I CALIFORNIA OR THAT I AM THE L[OORNER 0I, A 1 T[MORESIDTO CALF IN, O ABOVE I AM THE ....IO TIAL IROP r POWER SIGNATURE C/ UTILITY CO.NOTIFIED OF PERMITTEE FINAL VALIDAT JOSEPH C. ROOHAN C CK MO CASH SUPERVISING ELECTRICAL ENGINEER ` q ( 8.10 4 4 2 5 "_'9 2 D rm that have a certificate of consent to 200Dt9DPW °rB° APPLICATION FOR ELECTRICAL PERMIT I heriby etfirm that 1 have a gnifkate of consent to sell insure 7Me69 of a certlleste of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof p(Sac 3800 Lab C) ONd a �ConlPany tnnn�vnraxr ro w.l tw A� Certified copy b hereby hmlehed EACH NO FEE New Rpdentlal Burps a Pods LOCALITY 19 Certified Dopy ls Bled with iN my bu w spection 1 8 2-Femlty So Ft 8 — 8 depNUne d Multifamily S0 Ft — NEAREST CROSE of Det.7_2-7-7Y Aoag Residential Swimming Pools ASSESSOR CERTIFICATE OF EXEMPTION FROM WORKERS Outlets RK/�Lfphi Sw /6 t SER OR COMPENSATION INSURANCE q� (J Find 20 RW NAME ` v •�`+ (This section need not be completed H the work Invoned by the Total No / / B N7�L 0 14 permit Is for one Hundred dollen(1100)or leu) �s /i I certify that In the performance of the work for which this permit CITU Tel T No ilp Is Issued I shall not employ any person In any manner so as to / 02 become Subject to the Workers Compensation Laws UgMfng Fixturee� Find 2D XC � ANT Total No Additional ADDRESS Data A000car1t 1808 20A 120V BRANCH CIRCUITS NOTICE TO APPLICANT If alter making this Certificate of CITY To Ib EsemptlOn you eHould become suDjeot to the Workers Compensation I TO 10 INCLUSIVE EACH provisions of the Labor Code you must forthwith comply with such It TO LO INCLUSIVE EACH PERMIT provisions or this permit Mall be deemed revoked 41 OR MORE BRANCH CIRCUITS EACH APPLICANT LICENSED CONTRACTORS DECLARATION ADDRESS } I hereby affirm that I am licensed under provisions of Chapter 9 18 OR 20A 209V TO 277V LIGHTING EACH (L (commencing with Section 7000) of Division 3 of the Business and CITY Td He (o, Professions Code and my license Is In lull force and affect RESIDENTIAL /�� Paver Apparatus a large Appliances REG 3HP �ER � cc O License Number 4 313r LIC Clap A6 Size 8 Type HP KW KVA or KVAR p DISTRICT NO ' By _ / / UD W S inti b 0 d ,� rJ LL�/T�/A� W Over 3 to 10 bid GATE (aA Over 10 to So bid E] m I aexempt under Sec Over So to 100 Inti IO �Z VALIDATN Z FINAL B 8P C f«flys reason Over 100 By SerNces Swbd MCC 8 Panvboerds 0 200 Amp Under BOD V y✓® Signature - 2D1 TODD Amp Under 800 V F1Exemplbn for Reg Make Elsct over 1000 Amp or Over Soo V SINGLE FAMILY Tarry Power Polea APp«IenNiaa HOME OWNER BUILDER DECLARATION 1 hereby ofOrm that I am exempt from the Contractor a License Law Sign with One Branch Circuit ?T' ^ f«the following reason(Section 7031 8 Business and Prots"ons Add4knsl Sign Branch Circuits _„J r ?V .S Code) i 1 Citi ❑ 1 p owner d the Property will do the work and the structure Mbo CaMWn 6 Conductors _ _ Is Trot Intended or offered f« sale(Section 7044 Business COW(See Complete Fee Schedule)— l�t, AL 2.,_ _ m 12 avid Professions Code) ir� 1:. � a, CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction landing agency for the performance of the work for which this permit Is Issued(Sec 3097 PERMIT FEE (Sub-Total) �. Qv C) r� PLAN CHECKING FEE I_t.(.0--0j1 7/27/92 Larder a Name all PERMIT ISSUING FEE `151/ 1 AN 9:14 Lender a Address I certify that I have food this application and state that the above TOTAL FEE 1'� Information Is correct I agree to comply with all County«dlnarrose and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above mentioned Property for Inspection purposes VVVv SEE REVERSE FOR EXPLANATORY LANGUAGE M--ZM DATE ) WORKERS COMPENSATION DECLARATION -� APPLICATION FOR ELECTRICAL PERMIT Q I Hereby d carotica I hove a certificate o1 consent to see aso6G insure, a e certificate ate of wakens' Compensation Insurance COUNTY OF LOS ANGELES DEPT, OF PUBLIC WORKS a a certified copy thereof (Sec 3800, Lab C ) . Percy Nq Company FOR APPLICANT TO FILL IN Jpe U Cen. . copy n . C funis t New Residential Bldgs &Pools EACH NO FTE AOD 5 �/ 93 LocALITv (,Certified copy n filed will th o my building mspx 1 8 4-Family Sci Ft $ = S .on department Mula-family Sci Ft AE RSST Dae 874 ( APPI mitt Residential Swimming Pools R FIRM NAOR ME Kenneth Garcia CERTIFICATE OF EXEMPTION FROM WOR S Outlets Rec—Light _ MAIL COMPENSATION INSURANCE Font 2(1 AGGRESS (This stolon need not be cutephefed If the wu hied by Total No Add.honal CIN same8/44991"55 the permit is for one hundred dollen(1100)or less) CITY 1 certify that in the performance of the work for which this PLANCK CHECK E permit is issued, I shell not employ any person in any manner APPLICANT Lighting Features Fiat 20 so as to become subject to the Workers Compensation Laws B n8 ADDRESS Total No Add.t.onol Dote Applicant CIN Tel No NOTICE TO APPLICANT If, after making this Certificate of Fixed Appliances Not Aver 1 HPPERMT Exemption you should become subject to the Waken Range— Heater—DW _ APPUCA ##B# Caliber Ht. & Air Compensation provisions of the Labor Code you must forth Oven _ Dryer W M _ ADDRESS with comply with such provisions or this permit shall be Top — FAU W H 18301 Irvine Blyll - deemed revoked Hood — Fon —Other_ CITY Tustin — o LICENSED CONTRACTORS DECLARATION D.sp _ Room Air Cond — LICENSE OR I hereby affum that I am].carried under provisions of Chapter 9 REG NUMBER Class (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCESSED BY Y and Professions Code,and my license is.n full face and effect D_ Size 8 type HP, KW, KVA or KVAR C `✓vL Q License Number s 89544 L.c Class 17911 Up tot Incl FINAL U Connector 6a��13e� Date 8 4 Over 1 to 10 Incl DATE `Z VALIDATION cc ❑ 7 26 Over 10 to 50 Incl F 1 am exempt under Sec Over 50 to 100 Inc 9V W B BP C fa this reason Over 100 d Dole Services Swbd MCC&Panelboords toZ 0- 200 Amp Under 600 V Signature pl - 1000 Amp Under 600 V Over 1000 Amp or Over 600 V 2 Exemption for Rep Mamt Elect SINGLE TemPower Pole 9 Appurtenances HOME OWNER-BUILDER DER DDEECLARATION p ppACCT.4 I hereby affum that I am exempt from the Contractor s License Sign with One Branch Circuit 7 Sign Low fa (Section the following reason 7031 5 BuuAdditional S. Branch Circuits =7 Q.23ness and 0 1 ITEMS Professions Code) ❑ 1 as owner of theproperty, will do the work and the Musc Conduits d Conductor 42.23 om , structure not intended or offered for Other See Complete Fee Schedule sole(Section 7004, ( P )— Business and Professions Code) (Ka( 42.23 CONSTRUCTION LENDING AGENCY ONE .001I hereby affirm that there.s a construction lending agency for the performance of the work fa which this permit .s issued PERMIT FEE (Sub Total) (Sec 3047, Civ C ) PIAN CHECKING FEE C 0000-0001 $/27/92 Lender's Name5223 1 AM 7:++ PERMIT ISSUING FEE p'I Lender to Address I 1 certify that I have read this application and state that the TOTAL FEE p above information .s correct I agree to comply with all County ordinances and lows regulating Electrical wiring, and her thorn ntahves of this County to enter upon the men o operty for .n I.o purposes SEE REVERSE FOR EXPLANATORY LANGUAGE urof m. Date ms