HomeMy Public PortalAbout5548 PAL MAL AVE_Electrical__ COUNTY or LOS ANGELES APPLICATION FOR PERMIT
t Department of County Engineer ELECTRIC
DIVISION OF BIIILDING 8E SAFETY
WILLIAS J FOL(. Ceokty EOEInIRr
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN pppp = 4O
DY ran DATE ISSUED
ADDRESS , 1�[I G FIRSVED By T INSPECTION a
CITY TEL NO IMI G //
COUNTY LICENSE Nd
n EXPIRES BUILDINS
PERMITFEES ADDREB
NUMBER EACH MELOCALITY
LIDHT OUTLETSNEAREST
CROSSBY
RECEPTACLES
WALL SWITCHES OWN
TOTAL OUTLETS So MAIL 1
ELKO RANGES 45 ADDRESS
ELEO HEATERS Ba CITY TEL. No.FIXTURES 6 `S 1
HEREBY FIXTURES
THAT 1 HAVE READ THIS
MISO APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
NUMBER Or LIGHT CIRCUITS AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAMS REGULATING ELECTRICAL WIRING
MOTORS I O[RTIrY THAT 1 POSSESS THE ABOVE VALID LOB
NDMa[k NORS[POWER MR ANGELES COUNTY LIDENSE. OR 1 AM THE LEGAL OWNER
N[w Mw NP DV[R IND EACH OF THE RESIDENTIAL PROPERTY D[sOR1H[D ABOVE.
A "" ZS SIGNATURE orAI�C� A�� �/,J
4 s0 PERMI
S e IDD INSPECTION RECORD
s Is I s0
is s0 460 /0 t V E L
so 400 Sao '[i1C,PODav - q•�_
400 am 1000 NA T ad J
500 1000 I s OO Z
OVER IMO 2000 F3
M B SrT/FRM CHANGER-HP Q
WELDERSI AO-KVA O
GENERATORS - KW
TRANBFORM[RB - KVA
TEMP MOTORS (76 or Okla)
MOVED MOTORS (75or Dino
IB
BIONS
N6 NO TRANS.
N NO LAMPS APPROVALS
rOR EACH PERMFTI DAT[ ANSPEOTOR'e NAM[
WIRING SI GO CONDUIT
FIXTUR[e S7 00 0c, WIRINGSUPPLEMENTARY so FIXTURES
a/f POWER
TOTAL FEE S� Q UTILITY CO.NOTIFIED
FINAL
7� DM#DA 2-110
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76AVS CEeoa11.7
1 APPLICATION FOR ELECTRICAL PERMIT
A COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING Q
BUILDING AND SAFETY DIVISION ADDRESS a
LOCALITY 17
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
DU LETS OWNER I eFirer
RECep
T MAIL
LIGHT TOTAL FIRST 20 ZJ _] O ADDRESS 161
/y
SWITCH � OVfR 20 Q- 10 T CITY y TEL N
HY
V PLAN CHECK
LIGHTING l T L FIRST 20 4. 25 APPLICANT
FI%TURES 10
I OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERM
RANGE_ORYER_WTR HTR_ APPLICANTWA[
STA COOK_DISP_F A U / ADDRESS
SPACE HTR / AIR COMO :w CITY TEL NO
CLOTHES WASH _OISNWASN_ LICENSE NO CLASS
FAN—OTHER 100OI\ I HONEST ACKNOWL[Ol[ THAT I MAV[ READ THIS APPLICATION
VVVV AMO [TAT[ THAT THE ABOVE le CORRECT AND AGREE TO COMPLY
MOTORSTRANSIORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATER$ ETC HP KW KVA ELECTRICAL WINING
SII[ G TYPE OVER TO I MlR[eY CERT IIT 9A'
AIM [RLY R IGT{R[ AND/00
Q — 1 100 LIC[Rf[D AS R[OUIR O$ • [$ C AND AT[ Or
ut� CALIFON NIA Be TMA 1 MI L OWN AND To= TO O
2 ff P. 1 — 1P ]oo Ov RESIDE IN THE A DES R IAL NOPERTY L/
SIGNATURE 1
10 — 60 600 OF PERMITTEE
60 — 100 1000
DprrNo a u zoM2 P cE m By iL
too _ 500 15.00 L/7 d
Z
GN GAS SIGN AND ONE CIRCUIT 500 NOTES
T
TUBE OR
MARQUEE AD0I TIONAL CIRCUITS I.00 IF
SERVICENOTOVER600VOLTSOR200AMP 300 rz)SERVI CEOVER 600 VOLTS OR 200 AMP 10.00OVALS DAT[ OInC10N'S$IOMTIRQWER POLETEMP SERVICE,POLE,&APPURTENANCES 500
B WOR%TEMP LIGHT OR RECEPT SYSTEM SDO
NDIUT(SUB TOTAL) UTHORIZEDCO NOTIFIEDPLAM CMEIX FEEPERMIT ISSUING FE! ]00TOTAL FEE
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDAT ONCCKM D CAIN
bUn273;S a-c21 2 0 17.40IN
-
$[[ BACK OI APPLICATION 10011 COMPLETE SCHEDULE