HomeMy Public PortalAbout5534 PAL MAL AVE_Electrical__ T OW EA a-M APPLICATION FOR PERbUT
DEPARTMENT OFNG AND SAFETY ELECTRIC i
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHI[► ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO, GROLIP I ZONE PERMIT NEI,
LECTRICIAN 4379 -7
ADDR RECEIVED BY rIRffr READYPCTY rroll DATE ISSUED
ENSOITV L Kim,-
,- ?
OOU LID[ N6 EKPIREB ,Q `S ADDRN 04 ✓T
' /
PENMTf FEES
NUMBER EACH rE: LOCALITY
LIGHT OUTLKTB MEAREBT
RECEPTACLES L2
CROBBBT.
WALL SWITOHEB OWNER
TOTAL OUTLETS Bo 0 MAIL
ELEC.-RANGES 25 ADDRESS
[LEO HEATERS 25 CITY TEL NO.
rI1TURES S 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ TNIB
MIBG APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER Or LIGHT OIRCUITB Z o AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER Or REQEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIrY THAT I POSSEGB TME ABOVE VAUD LOB
NuN31ER HORSEPOWER 125
ANGELES COUNTY UCKNSE, OR I AN THE LEGAL OWNER
NM Mw NP OVER INo- Or THE RESIDKNTUIL PROPERTY DESCRIBED ABOVE.
• LEq BIGNATURK or PERMI
a B INSPECTION RECORD
IB 1s eo So 200 2W 600 SW 1OGo =
OVER 1000 310.00
M.0 SET/rREQ. OMAMO[R-HP
WELDERSI AC- A O
GENERATORS - KW
TRANSrORMKRB - EVA
TEMP. MOTORS Or 23118
MOVED MOTORS (75% IN, RAIR
millm
SIGNS
Na NO TRANS, APPROVALS
Na Lw
roll EACH PERMITI A 1 [
WIRING 1.Oo CONDUIT
rnrrumm1.W WIRING_IVEM"IMITARY .60
•�
rIxTURcs
POWER
TOTAL rEE S /� UTILITY OC.NOTI►1[D /
rINAL
7~CEA06(l i/7B)
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JODDRESS 66-
rL
New Reiidemiol Bldgs &Pools EACH NO FEE D V
1 &2 Family Scl Ft $ 025 — S LOCALITY L7
Multi fomily Scl IT, 02 —
Resdentiol Swimmmg Pools 2500 WN _
Outlets Rec_Light_Sw _ MAIL ✓L�1/s
First 20 50 ADDRESS —/ 0
Total No Additional 30 CITTYCC No
APPLICANTK
Lighting Fixtures First 20 50 ADDRESS
Total No Additional 30
CITY Tel No
Fixed Applionces Nor Over 1 HP PERMIT
APPLICANT —� 7 L
Range—Heater—D W ADDRESS .MCC
Oven—Dryer_W M_ L� na v
Top —FAU _WH _ CIT — Tel Na?
Hood_Fan —Other— LICENSE OR _
Dnp _Roam Air Conal 250 REG NUMBER Goss
Power A g Appliances I HEREBY ACKNOWLEDGETHAT I HAVE READ THIS APPLICA
pparatus&Lar Large lances TON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size 8 Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE t AWS
2 50 REGULATING ELECTRICAL WIRING
Up to I Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AN
Over I to 10 Incl 500 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl 12 50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 50 to 100 Inc 2500 DESCRIBED RESIDENTIAL PROPERTY L..
Over 100 4000 PERMITEE
SIGNATUR rzs
Se"Kes DISTRICT NO PROCESS BY
0 200 Amp Under 600 V 12 500
201 1 DDO Amp Under 600 V 0
Over 1000 Amp or Over 600 V 5000 ag2w. V'4s =
O
Temp Power Pole&Appurtenances 1000 �L fiS7/ t
Sign with One Branch Circuit 1000 z.Q O
Additional Sign Bronch Circuits 200 INSPECTION > "0 9 5 Q P
Mus10 00 INFORMATION
OtherCSee Com&Cte Fee ws ON REVERSE # • • • • • 2
Other 1$ee Complete Fee Schedule)- SIDE
3 2 • • 1Q,50
d • • a196Cu
PERMIT FEE (Sub Torah 0625-80
PLAN CHECKING FEE (One Fourth Permit Fee
PERMIT ISSUING FEE S700
TOTAL FEEIlll� sL O j
INSPECTION FINALED
dote / �,��BY C; <:� D"� t_r— as
F COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of Connie SAFEngineer ���� ���
DIVISION OF BUILDING 8c SAFETY
WILLIAM J FOX, CantyEo[InIHr T
FOR APPLICANT TO FILL IN DISTRICT NO. OROLIP ZONE I PERMIT NO.
ELECTRICIAN 8-6"L
ADDRESS
RECEIVED BY READY a FIRST INSPECTION cD/A1
T[
CITY TEL NO
COUNTY LICENSE NO EXPIREB BUILDING
PERMIT FEES ADORERS
NUMBER EACH F[[ LOCALITY
LIGHT DUTLETS NEAREST
RECEPTACLES –Races BT
WALL SWITCHES OWNER
TOTAL OUTLETS 60 MAIL
[LEO RANGCB 28 ADDRESS 2 _
CLEC HEATERS iS CITY T[IL NO
FIXTURES S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MIB APPLICATION AND STATS THAT THE ABOVE IR CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING KL[OTRICAL WIRING
MOTORS I O[RTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUM[[R HORSEPOWERFEE ANGELES COUNTY LICENSE. OR 1 AN THE LEGAL OWNER
N[w MVO HP BKR two [ABR OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
�/ • liL[ 8 IIB - –../
SIGNATURE OF
A
i 60 P[RMI —__
It S 10.13 SPECnON RECORD
S 16 150
16 SD 250
SD 700 SCO
700 S00 to OO J
SOO IODC IS OO =
OVER 1000 stow 0
#40 BET FRE CHANGER-HP
WELDERS AD-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% OF DRIB
MOVED MOTORS (76 BF CRIB)
MIBC
BIONS
NaNo NO TRANS.
NO APPROVALS
FOR EACH P[RMITI DAT[ INSPECTOR'S NAM[
WIRING a 1.00 Oa CONDUIT
FIXTURES Milo –AIRING
BUPPLKMENTARYSO FIXTURES
�1 POWER
TOTAL FEE a O UTILITYCO NOTIFIED
FINAL
TSANS DBS#SA 4E2