HomeMy Public PortalAbout5542 PAL MAL AVE_Electrical__ T¢AGOS CIUMB tZ-ee APPLICATION FOR ELECTRIC PERMIT I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING J!-')r'
BUILDING AND SAFETY DMSION AODRSSS
JOHN A.LAMBIE.COUNTY ENGINOM
CASSATTD GRIFFIN.DuF or BYLLOSVo LOCALITY
7FIXTURES
OR APPLICANT TO FILL W NEAREST 1
PEHM FEES
OWNER K
IT6Y NUMB" EACH F86 NAIL f /f
6 f ADORES Z ` ✓��'
RECEPT BW to
FIXTURES 10 CITY TEL NOES ao UgreNS ELECTRICIAN
TER HEAT ERB Eo ADDRESS
HTR5 DISHWASHERSCITY TEL NO
aropeRe AUTO STATE
STA COOKING UNITS $D LICRM o
MOTORS OVER INC HP DI G P
O— Vi 25
1/2— z 50 INSPECTION RECORD
2— 5 too
5— 10 150
to— 50 250
50—zoo 500
SIGNS NO TRANS ,
NO LAMPS
SERVICE 0-SOOV too
SERVICEOVE GOON 500 _ 1,
MISC I tom- -
WIRINGPERMIT loo
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 50
TOTAL FEE s APPROVALS
IHQR[SY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTORS SIGN TURA
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING
WIRING
1 HERESY CERT'FYTHAT I S PROPERLY REGISTER® ATE OR
LICENSES AS REQUIRED BY LTH ANEGAL COUNTY AND STAT[ OF FIXTURES
CALIFORNIASCRIBEOR THAT 1 AM THE LEGAL
OWNER OF THE ABOVE
Ducglec0 RE61D¢NTI PRO POWER 'LLIf
SIGNATURE UTILITYCO NOTIFIED (J00,
OF PERM ITTE
mT ,YIDA7ION ARTHUR C VETT
VSUPSRVIYING ELECTRICAL ENGINEER
CK YO CASH
L&5 5 9 15% APR 2 3 2 A 22.00 R
T•"'•'p` 1110e 16/783 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES oB BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS J f
New Residential Bldgs &Pools EACH 1'10 FEE
ef
1 &2 Family Sq F E 025 — S LOCALI e
Multi family Sq F 02 — NE �i
Resdentiol Swimming Pools 25 00 CRMZwRuzr ST
FI N � iRN GAO
Outlets Rec—Lght_Sw _ MAILRE
Fust 20 50
5.14
Total No Additional 30 pCIITT! CH E r Tel No f'f
APPLICANT
Lighting Fixtures First 20 50 ADDRESS
Additional 30
Total No CITY Tel No
Fixed Appliances Not Over I HP PERMIT
Range_Horner_D W APPLICANT FjL✓ /'�
Oven—Dryer_W M_ AODRESSg
Top _FAU —W H _ CITY 2 Tel No,/
Hood—Fon _Other_ LICENSE OR Class
Dap —Room Air Cond 250 REG NUMBER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA
Power Apparatus 6 Large Appliances TK)N AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Sae b Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2 50 REGULATING ELECTRIC'iL WIRING
Up to 1 Incl 1 HEREBY CERT fV THAT I AM PROPERI REGISTERED AND/OR O
Over 1 to 10 Ind 500 IM.ENSED AS BY LOS ANGELES C TY AND STATE OF
Over 10 to SO Ind 12 50 CALIFORNIA OR I I THE LEGAL O ER OF THE ABOVE 0
Over 50 to 100 Inc 25 00
DESCRIBED R
Over 100 40 GO PER MITE
SiGh
S•^'KeS DISTRICT NOED BY
0 20O Amp Under 600 V 1250
201 1000 Amp Under 600V 25 00 .'SD $' Abapagniskii
Over 1000 Amp or Over 600 V 5000
Temp Power Pok 6 Appurtenances 1000 s
Sign with One Branch Circuit 1000
Additional Sign Branch Circuits 200 INSPECTION 3 w,
Misc Conduits&Conductors 1000 INFORMATION K311
Other IS"Complete Fee Schedule)_
PERMIT FEE (Sub Totall /A • ro a
PLAN CHECKING FEE (One Fourth Permit Feel • • • Rb
W • • • gyp _
PERMIT ISSUING FEE S 00 0 • p 3c
TOTAL FEE v N (A • N j
O) O O N a
CH
INSPECTION FIN///pppLED
date i// /',f ByJV1444 es
70 3" 00014"81 APPLICATIOWOOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES J�pp BUILDING AND SAFETY
FOR APPLICANT TO FILL IN
New Reudentiol Btdgs d Pools EACH NO FEE f
ADDRESS J
1 &2 Family Sq Ft S 025 - S LOCALIT / yj O
Multi fomily Sq Ft 02 - N R ./ �/
Resldentiol Swimming Pools 2500 CROSWNER ST �[�
''`` F N M 7 /Y E �rlTtl
OR
Outten ReclLLight�Sw -2LIL JJ
Fint 20 50 DD f xC T�
Total No /,4(l Additional 30 CITY Tel No f ),o
RAN H K
APPLI NT
Lgh%%N Fixtures First 20 50 ADDRESS
Additional 30
Total No CITY Tel No
Fixed Appliances Not Over 1 HP -PERMIT �T / ��
TU
�/ APPLICANT
Rangel Heater_D W /4
Chen_Dryer_W M— ADDRESS f v of A. f.
Top �7 FAU _W H CITY /�' t4e Tel No V✓j
Hood3.Fan —Other— LICENSE OR
V,-
Dnp T^T-Room Air Cond .� 250 7-kREG NUMBER Class
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apporotus&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 LAMS y
2 50 REGULATING ELECTRICAL WIRING C
Up to 1 Incl 1 HEREBY QEVIFY THAT I AM PRO RLY REGISTERED AND/OR
Over Ito 10 Ind 500 LICENSED AS RED BY LOS ANGEI DUNTY AND STATE OF V
Over 10 f0 50 Incl 12 50 CALIFORNIA O AM THE LEGA NER OF TH ABOVE
Over 50 to 100 Inc 25 00 DESCRIBED TIAL PROPERTY
PER
Over 100 4000SIG NA7GRE
Services DISTRFCT NO 8 PROCEaED BY
0 200 Amp Under 600 V 1250
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V 5000
Temp Power Pole&Appurtenances 1000
Sign with One Branch Circuit 1000 760
Additional Sign Branch Cocuin 200 INSPECTION >
Mnc Conduits 6 Conducton 1000 INFORAAATION
Other(See Complete Fee Scheduler_ ON REVERSE
SIDE Z ;21026A
# • • • • • 2
PERMIT FEE ISub Total) 2 — 2400
PLAN CHECKING FEE 10ne Fourth Permit Fem ZZ • - - 24.003
F
PERMIT ISSUING FEE
$7 00 0 I 027-78
TOTAL FEE >
INSPECTION FINALED
date 114:�17q BY
VkORKZRS APPLICATION FOR ELECTRICAL PERMIT {1
I flmbby,Alfirm that r hes a ceridrrate o1 constant ro soli unura ��08° �J
or a oerhincats of Workam Compansaboln Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sac 3800 Lab C)
Policy No company FOR APPUCANr TO tall IN ADORES9 L L E
❑ Caroled copy m hereby furnished New Residential Bldgs d Mots EACH NO FEE
❑ Cwtfied cagy s filed with the county bukhrig .epecuorh 1 d 2-Famiy So FL _ $ — S L F e T✓
department Multi-family Scl Ft NEAREST
CROSS ST
Date Applcam Readenhel Swsrlming Mob OwIER OR
FIRM 0 6' EuJ7Zt
CERTIFICATE OF EXEMPTION FROM V40WERSMAL
COMPENSATION INSURANCE ONbs Rea�Lgls � Sw � ADDRESS l k VE
(This section need not be comp~H the work InvoMd by theFirst 20
pwnM b for ormi hundred clatters($100)a leas) Tom No Additional PLAN CHE
CRY Tel
I ceray that in the perlarmance of the work far which this permit APRUCAPIT /,+/1f5 E 7—,O
Is toed I shall not erfrpby any person In any manor so as to
beeon subleet to the Workers Compensabon Lawa LightingFixtures Feat 20 ADDRESS E s fC
Total No Additional CITY Tel No
Dere APPIIca ft Fixed Appliances Not Over 1 HP PERIAT
NOTICE TO APPLICANT become
a after o the V rho Certificate of e:zJrlU
Exemptcn,you should became aubled to the Nbrkere Compmmatcn Range_ Heater DW
proviwm of the Labor Code you must forthhwth comply with ouch Oven _ Dryer W M ADDRESS s [! V27
provision or this permit an"be deemed revoked Top — FAU WH
LICENSED CONTRACTORS DECLARATIONCRY Tel No
Flood Fan Other_
I hereby affirm that I am licensed under pnwtsions of Chapter S Dmyp _ Room,Air Cord ov UCE SE ORA Class.with Section 7000) hm
of Division 3 of the eune s, and FIEG
Professions Coda and fly license is in fall face and effectDISTRICT NO PROC D }}
Ftnwer Apparatus d Large Appliances 6.
Sue d Type HP KW,KVA or KVAR I O O
License Number Lc Cfase lip to 1 Ind FINAL Cr
Over 1 to 10 Ind VALIDATION O
Ir
Contractor—Date Over 10 to 60 o1G FINAL U
❑ 1 am exempt under Sec OM 60 to 100 Inc By
8Y W
BAPC for this mann Over 100 OZ
Date
Services. 200 MCC d r 600oards ► / 47 � � /1 'z
0• 200 Amp Under 800 V YY 6{<�/\
Signature 201 - 1000 Amp Under 600 V ACCT.:
❑ Exemption for Reg Maim Elect Over 1000 Amp or Over 600 V 3W 39.20
SINGLE FAMILY Temp,Power Polo d Appurtenances 1 ITM
I hereby aflkmmNet OWNER-SOLDERI arn xxermict fromDECf s License Law LARATION S'0""�"One Banc"CircuitTOTAL 39.20
for he folbwmq reason(Section 70316 Buvrese and Professions Additional Sign Branch Crrcults MCK 39.20
owner of the property will do the work and the structure Mmc Conduits d Corductam Cf .00
a not intended or offered fir sale (Section 7044, Basese Other(See Complete Fee Sclreoda) ,
and Professions code) m 0000-0001 3/28/90
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the 9748 1 AM 8:59
C
perforce of the work for which permit maued(Sec 3007 PERMIT FEE (Sub-Total)
Cry 1 manhime a
PLAN CHECKING FEE
Lerndera Name
PERMIT ISSUING FEE I
a Address
that I have read ms application and state that the above TOTAL FEE
Drs Is correct I agree to comply with all Casty ordinances
State bvrs regulating Electrical wrong and hereby authorae
of thio County to enter upon the above-mentioned
far cit poses SEE REVERSE FOR EXPLANATORY LANGUAGE
lure to