HomeMy Public PortalAbout5640 PAL MAL AVE_Electrical__ Desae63
A 158 APPLICATION FOR ELECTRIC PERMIT I
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
ConnTT����of Loa Ansel" BUILDING
WM J FOJc COUNTY ENGINEER ADDRESS El CASSATTD GRIFFIN SUPYOFBUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEARESTPERMIT FEES CROSSST
NUI BER EACH FEEOWNER
LIGHT OUTLETS
MAIL
RECEPTACLES ADDRESS
WALL SWITCHES
TOTAL OUTLETS 5 S CITY ELEC RANGES 25 ELECTRICIANELEC HEATERS 25 ADDRESSKW EA CITY 1
FIXTURES D LICENSE NO �/�
NUMBER OF LIGHT CIRCUITS DISTRICT NO GROUPIDM1Mi(_LONE I READY l0A 1MSPICT1DM ,
NUMBER OF RECEPTACLE CIRCUITS ✓/l— L
MOTORS
NUM6Ew HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC GCH
1/2 a LEss S 25
1/2 2 50
2 1 5 1 00
5 15 150
ID 50 2 50
50 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $I 00
FIXTURES S1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE S DATE INSPECTOR S 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 _
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AHD/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AMR STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDEN L OPER
UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J FOX, COUNTY ENGINEER VALIDATION A C VEIT CHIEF ELECT INSPECTOR
1 G5 9 2 7�9 Wy 11 2 225
7"a" DBs BA B-Aa ® APPLICATION FOR PERMIT '
DEPARTMENT OF Bun AND SAFETY ELECTRIC 1
COUNTY OF LOSS ANGELES
NGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO/
ELECTRICIAN f 6 / �
RECEIVED BY READY FOR DATE ISSUED
ADDRESS . (//�� FIRST INSPECTION
TEL NO
COUNTY LICENSE NO EXPIRES I. ^ BUILDING
PERMIT FEES ADDRESS
NVMBER OUTLETS EACH FEE LOCALITY
LIGHTS 6c 8 S NEAREST
O CROS88T
FIXTURES 5 .,
FIXTURES a +b OWNER c
WALL SWITCHES E MAIL
ELEC RANGES 2E ADDRESS '
ELEC HEATERS 26 CITY TEL NO
M Ise
HUMBER OF CIRCUITS INSTALLED /` I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
V APPLICATION AND STATE THAT TAE ABOVE IB CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING
NUMBER HORSEPOWER I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
NEW MVD HP OVER INC EACH
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE-
]5j2
EB! $ 2E
V 80 SIGNATURE OR
PERMITTEE
2 1 00 /
a 1 ao INSPECTION RECORD
1S 2 50
50 S 00
200 500 10 Do
E00 1000 is 00 - J
Q
OVER f000 20 00 - Z
M G SET FRED CHANGER-HP O
C
WELDERS AC KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS 76% OI OEIG
MOVED MOTORS (]6% Or ORIG )
MISC
SIGNS
TYPE NO TRANS
TYPE NO LAMPS APPROVALS -
FOR EACH PERMIT DATE INSPECTOR S NAME
WIRINGS 1 00 CONDUIT
FIXTURES $1 00 WIRING P
SUPPLEMENTARY 30 FIXTURES
POWER
TOTAL FEEII
710 ��
UTILITYCO NOTIFIED FINAL 1-
' f.