HomeMy Public PortalAbout5536 PAL MAL AVE_Electrical__ a 77, C, 1�
76A663 a-mis(II /78) APPLICATION FOR ELECTRICAL PERMIT IIIS
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS
New Residential Bldgs b Pools EACH NO FEE
132 Family Sq F 3 025 — 3 LOCALITY
Multi family Sq F 02 NaREST
ST
Residential Swimming Pools 2500 N
FIRM NAM
Outlets Rec_Light_Sw _ MAIL
First 20 50 A R 3"
Total No Additional 30 CITY,,5
o
APPLICANT
Lghtmg Futuro" First 20 50 1 ADDRESS
Total No Additional 30
CITY Tel No
Fixed Applior"ces Not Over 1 HP PERM TT S L
Range—Heater_D W
Clven_Dryer_W M_ ADDRESS
Top —FAU —WH — CIT Tel No 9.1
Hood—Fan _Other_ LICENSE OR
Dnp _Room Air Cond _ 2 50 REG NUMBER e,7- Class ..p
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APRICA
Power Apparatus b Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size b Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2 50 REGULATING ELECTRICAL WIRING O
Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND V
Over 1 to I O Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF pE
Over 10 To 50 Incl 1250 CALIFORNIA OR THAT 1 AM THE LEGA}OWNER OF THE ABOVE
2500 DESCRIBED RESIDENTIAL PROPERTY
a0 00
Over 100 100 Inc PERMIT EL --ri. d.
SGNAT
ServicesDISTRICT NO PROCESSE Y
0 200 Amp Under 600 V 1250 `� D d
201 1000 Amp Under 600 V 25 C
Over 1000 Amp or Over 600 V 5000 ui =
Temp Power Pole b Appurtenances 1000 g
Sign with One Branch Circuit 1000 oO
Additional Sign Branch Circuits 200 INSPECTION >
t0DO INFORMATION
Hoc Cee Co b Conductors ON REVERSE
Other(See Complete Fee Scheduler_ SIDE :0956A
C9asa02
S 2 • • 19.50
PERMIT FEE ISub Totoll • • e 1 D 5 C 6
PLAN CHECKING FEE (One Fourth Permit Fee. 0625
-80
PERMIT ISSUING FEE 37 00 Q o
TOTAL FEE v,S >
INSPECTION FINALED
dote �O By !�` _>� 111CCC is
Dee IAB BB APPLICATION FOR ELECTRIC PERMIT Z
6ilhSION OF BUILDING AND SAFETY
DeparbnoW of Coaaty Engineer
Co=ttgy of Loe AaQdes BUILDING 6 Pal Mal
WM J FOX COUNTY ENGINR" ADDREH9
CAS IATT D GRIFFIN GUI T OF BmLOINO
LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
NUMBER EACH FEE
Jollnqnn
LIGHT OUTLETS OWNER
RECEPTACLES l MAIL
ADDRESS
WALL SWITCHES
TOTALOUTLETH 6 3 CITY TEL NO
ELEC RANGES 2e ELECTRICIAN G. ECorbin
ELEC HEATERS 2e ADDRESS 1900 S CurtiS KW EA CITYAlhambra TEL NOLa�j
FIXTURES LICENSE O
NUMBER OF LIGHT CIRCUITS DISTRICT NO I GROUP ZOI71E READY N)R JKSPSCTION
NUMBlR OP RECEPTACLE CIRCUITS I ,I
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NBW MVO HP I OVGN INC BACK
N LESS '3 215
290
2 e 100 _
8 18 1 50
ID 50 2 30
so 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING 31 00
FI%TUREH 31 00
SUPPLEMENTARY so APPROVALS
TOTAL FEE 3 DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH19 APPLI CA ION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1 HEREBY CERTIFYTNAT 1 AM /E LY RE 1 ED AND/OR FIXTURES /�
LICENSED AS REQUIRED BY LOS 9 COUl1 MD STATE OF
CALIFORNIA OR THAT I AI OW IE F THE ABOVE POWER
DESCRIBED RESIDENTIAL
SIGNATURE UTILITYCO NOTIFIED
OF PERMITTE FINAL /
WILLIAM J FOX, COUNTY ENGINEER VALIDATION A C VEIT,CHIRF ELECT INSPECTOR
I _ ,
j;j�o'Bt82st.DEC 8 2 4A0