HomeMy Public PortalAbout5620 PAL MAL AVE_Electrical__ 70A663�CE80E ]-56 APPLICATION . FOR ELECTRIC PERMIT ],
BUILDING AND SAFETY DIVISION
Deportment of County Engineer BUILDINGb�
p P
County of Los Angeles ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER /�
CASSATT O. GRIFFIN. SUP'T OF BUILDING LOCALITY !/P' A�1C /
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. UjT
PERMIT FEES _
NUMBER OWNER p/r✓
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES / { { _
WALL SWITCHES FEE CITY G TEL. NO.�/
TOTAL OUTLETS 0 E4 i ELECTRICIAN
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITYwz TEL. NO. _
KW EASTATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRICT NO. IGROUP ZONE NEAOY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD. HP OVE0. INC. EACH
e LESS s 25 _ _�{ �_Z INSPECTION RECORD
}� 2 EO
2 5 1.00 /
5 15 1.50 �� �i!/_ �.'-✓,- YGG'
s
15 50 2.50 �h
##-30 200 5.00
misc.
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT: —
WIRING PERMIT $1.00
FIXTURE PERMIT $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. FIXTURES � w✓
I HEREBY CERTIFY THAT I S PROPERLY REGISTERED AND/OR r—
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM E LEGAL WNER OF THE ABOVE
DESCRIBED RESIDENTIAL P UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBIE. }( IMATION ARTHUR VEIT.
COUNTY ENGINEER C 1 SUPERVISING ELECTRICAL ENGINER
CN MO CAIN
6092, MAR 15 2 225 0
76A663 CE806 46 P�
APPLICATION FOR ELECTRI AL PERMIT U
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION W.,_r
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
NEAREST �`/CS
�O APPLICANT 1 CROSS ST.RECEPTACLE TOTAL NO. EACH I[[ r J�
OUTLETS FIRST 20 6.4o S OWNER - 4
LIGHT MAIL
SWITCH ADD'L t0 ADDR6q
OVER 20
TOTAL FI RMT 20 10 CRY TEL.NO.
LIGHTING FIXTURES
FIXTURES woD•L to CONTRACTOR
OVER 20
ANO CLO.ORYBRB WTR.MRS. I.00 ADDRESS
DA iv. BTA.COOK CITY TEL.NO.
DISNWASM. AUTO..WASH. STATE
NAC[NTM. RA.APP.(W Nr.MAX.) .50 LICENSE NO.
MOTORS, ov[R NOT OVER N.P. DIST CTG Z PR D.
0 1 1.00
I — s 1.50 INSPECTION R CORD
5 8 2.00 R.� Z .
6 — is 2.50
is — so 2.00 O
v
50 loo 5.00
C
SIGNS, NO.TRANS, 0
NO.LAMPS
V
W
SERVICE O.600V-NOT OV 400A 1.00 0_
h
SERVICE 0-600V.OVLR 200 2.00
SERVICE OVER 600V 5.00
OTHER (BEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 6 A an INlELTOII• BlexwT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS wP►L wT10M UNDERSLAS WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT $ ^I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENDED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORN IADD THAT I AM THE LEGAL OWNER OF, AND INTEN TO POWER
RESIDE IN.THE ABOV OE RIBEO IDENTIAL PERTY.
SIGNATURE /i UTILITY CO.NOTIFIEDZi
'-
OF PERMITTEE K ^--
FINAL /
ALIDATIO JOSEPH C. ROOHAN
CK MO CABN SUPERVISING ELECTRICAL ENGINEER
LAGO6s3012 OCT 26 2 D 4.00-