HomeMy Public PortalAbout5534 1/2 PAL MAL AVE_Electrical__ I t! { /
76A663 CE-806(11 /78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
POR APPLICANT TO FILL IN B t—
New Residential Bldgs 6 Pools EACH NO FEE ADDRESS SJ
1 6 2 Family Sq Ft $ 025 — S LOCALITY
Multi family Sq Ft 02 — N RRoss ST
Residential Swimming Pools 2500 WN
EROR
FIRMNAME
OutletsRec_Lpht_ — ADD
Firstt 20 50
Toto1 No Additional 30 CITY ,jFa.
PLAN CHECK
APPLICANT
Lphtmg Fixtures First 20 50 ADDRESS
Additional 30
Tocol No CITU Tel No
Fixed Appliances Not Over I HP PERMI
Range—Heater—D W APPLICANT � �
Oven.—Dryer_W M— ADDRESS0A. J9qv _r
Top _FAU _W H _ OT Tel N
Hood_Fon _Other_ LICENSE OR
Dnp _Room Air Cond _ 250 RIEG NUMBER 41r. — ClassILAWS
I HEREBYACKNOWLEDGE THAT I HAVE READ THI
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND
COMPLY WITH ALL COUNTY ORDINANCES AND STSize 8 Type HP KW KVA Or KVAR 2 50 REGULATING ELECTRICAL WIRING O
Up ro 1 Incl I HEREBY CERTIFY THAT t AM PROPERLY REGISTEREU
Over 1 to 10 Ind 500 LICENSED AS REQUIRED BY 105 ANGELES COUNTY ANW
Over 10 to 50 Ind 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TO
2500 DESCRIBED RESIDENTIAL PROPERTY
Over 50 to FOO Inc 4000 PERMITEE C
Over 100 51GNgTDRE
12 50
Services DISTRICT NO O PROCgBY
0 200 Amp Under 600V
201 1000 Amp Under 600 V
2500
Over 1000 Amp or Over 600V 5000
Temp Power Pole&Appurtenances 1000
Sign with One Branch Circuit 10 00 T =° r 0 95.5 A
Additional Sign Branch Circuits 2 00
INSPECTION >
# 2
M,K Conduits&Conductors 1000 INFORMATION e e e e e
ON
Other ISee Complete Fee Schedulel— REVERSE
y e e 19.50
eee19506
0625-80
PERMIT FEE ISub Total,
PLAN CHECKING FEE Ione Fourth Permit Feel
PERMIT ISSUING FEE $700 00 FFF7
TOTALFEE .SQ <>
INSPECTION FINALED
dote 6 i 3ey , O By
TGA.GG-RBGG-[-., APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
I
DEPARTMENT
BUIL NG AND SAFETY DIVISION ER ADDRESS Pal Mal
JOHN LAMBIE COUNTY ENGINEER Temple City, Calif *
CASSATT D GRIFFIN SUPT OP BUILDING LOCALITY
FOR APPLICANT TO FILL IN N REST
PEBbUT FEES
ST
ITEM NUMBER EACH FEE OWNER Johnson
OUTL $ ! MAIL
LIGHTS RECE GW 10 1150 ADDRESS
LIGHTING FIXTURES 11 f0 1110 CITY TEL NO
ELIC RANOW CLO ORY6RB ELECTRICIAN Corbin Electric
WATIR HEATERS 00 ADDRESS P 0 Dox 135
lL[C.GPACI HTRG DIGHWADHERE n
OARGAOEDIGFOEIHD 1 AUTO- CITY RosemeadTEL.TEL NOCU
AIZ
WHGRI GTA COOKING UNITS 2H STATE 44
2 LICENSE NO 11 2 C 10
MOTORS mm INC .1.
O— Vn 23DISTRICT NO I uwdum —Aor row Ixw[cnox
V. — 2 DO '
z — B 100
INSPECTION BECOHD
B — 13 ISO
IB — BO 250
30— 200 Boo LI-
SIGNS NO TRANS
No LAN"
SERVICED GOOV 100 a-(J '� ~
SERVICE OVER GOOV 300
MISC.
WIRING PERMIT 100 00
FIXTURE PERMIT 100 1 00
SUPPLEMENTARY PERMIT BO
TOTAL FEE s111, 85 APPBOVALS
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP CATION DATE INSPECTOR!SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AMD AGREE TO COYPU CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBT CERTIFY THAT I AY PROP G19 D/OR
LICENSED AS REQUIRED BY LOS ANG UNTY AN OF FIXTURES
CALIFORNIA OR THAT 1 AY THE 0 ABOVE POWER
DESCRIBED RESIDENTIAL PROP
SIGNATURE UTILITYCO NOTIFIED i;L-P
OP PERMITTE
I -
,MS. NO ARTHURC SIT_
Yo CASH SUPERVISING ELECTRICAL ENGINEER
000
,lC05 4 1 3M DEC30 2 7.85 R ,
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