HomeMy Public PortalAbout5657 PAL MAL AVE_Electrical__ T6A663-CklO6 4.6E-
APPLICATION FOR ELECTRICAL PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER eUiLDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER //
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY i [ Y
NEAREST
FOR APPLICANT TO FILL IN CROSS ST/-/ VF//
meq/ N EAC F , /
RECEPT! S S OWNER f�
LIGHT �Z TOTAL FIRST 20 O 20 OD ADDRESS V70
SWITCH44
OVER 20 10 Q CITY /yf><i TEL NO
PLAN CHECK
LIGHTING iTOTAL FIRST 20 20 APPLICANT
FIXTURES 1 OVER 20 10 ADDRESS
RANGE_DRYER—WTR HTR /_ CITY TELNO
STA COOK—DIS P,F A U L COIdTRAC TOR
SPACE HTR _AIR COND -- ADDRESS L/ G�/YQi Gl^•/
CLOTHES WASH �_DISHWASH CITY
FANL_OTHER 1 00 LICENSE IJO '7 [(j CLASS (�
MOTORS TRANSFORMERS RATING
IND HEATERS ETC Hp KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE 6 TYPE OVER TO AND STATE THAT TME ABOVC 13 CORRECT AND AGREE TO COMPLY
W ITX ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - I 1 00
HEREBY CERTIFY THAT I AM GEL PROPERLY REGISTERED AND/OR
I 10 3 00 LICENSED AS REOAT I BY HE LEGAL
OG COUNTY AND STATE OF
CALIFORNIA OR THAT I VE THE LEGAL OWNED OF AND INTEND TO
10 - $O $ DO RESIDE IM THE ABOVE DElCRIfEO RESIDENTIAL PROPERTY
N
50 - 100 10 00 OF PERMIR TE O
U
100 - $Qo 1s oD DI1 N GSOLP ZONE SPR ES D 11SIGN
o
TUBE A SIGN AND ONE CIRCUIT 3 00 /�" .� A� i_
MARQUEE LU
TICNAL CIRCUITS 100 NOTES
h
2
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE 4 APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING n
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 200 CO UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEEI 100 FINAL � 6
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M D GASH
LAC D 9 1 2 4; APR 3 a D 1 9.0 0~
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��