HomeMy Public PortalAbout8706 HERMOSA DR_Electrical__ 76A663-CE306 II/ZD APPLICATION FOR ELECTRICAL PERMIT Ll
COUNTY OF LOS ANGELES _ _
DEPARTMENT OF COUNTY ENGINEER BUILDING.
BUILDING AND SAFETY DIVISION ADDRESS A
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY +^ %FC:I\
NEAREST KJ
FOR APPLICANT TO FILL IN CROSS ST. NAkjbC'pt
OUTLETS NO. EACH FEE
�j� OWNER lW
RECEPT.3 $ $ MAIL ' _
AOGRESS
LIGHT TOTAL FIRST 20 .25 CITY Roof-- TEL. NO.
SWITCH OVER 20 1p
PLAN CHECK
FIRST 20 O APPLICANT
LIGHTING ` TOTAL .25
1( I —AODRE55
FIXTURES OVER 20 IO _
APPLIANC S CITY J{ TEL. NO. A
PERMIT r. �./�_WL Il-M '-v--. C_
RANGE ORY ER WTR. HTR. gPPLI CANT ��` A �
STA. COOK_/_DISP.1-F.A.U.-T ADDRESSa_ � �.��L�'�F � =
SPACE HTR. AIR GOND. CITY TEL. N0.
�.�E`.ersA� !I41
CLOTHES WASH./DISHWASH.--L (,tF�� LICENSE NO O Q - CLASS{ �®
FAN (OTHER ( B 1.00 Q f1/� 1 HEREBY ACNNOWLEDGE THAT I HAVE READ THIS APPLICATION
V CJ [J(�I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL "COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE 8 TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Q - 1 10p LICENSED AS REQUIRED OS A ES COUNTY AND STATE OF }
CALIFORNIA OR T A THE LEG 4L VNER OF, AND INTEND TO
1 - 10 9.0p RESIDE IN, THE AS E SCRIBED ESIDE NTI L PROPERTY. d
O
10 - 50 5.00 SIGNATURE V
OF -E—
RE
E
C
50 - 100 1000 DISTRfTNO. CLASS ZR 0 SED BY O
100 - 600 1500 " WI? LU
a
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
Z
TUBE, OR _
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOT OVER 500 VOLTS OR 200 AMP 3.00 a
SERVICE OVER 600 VOLT5 OR 200AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE, POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT I/
WIRING �7�`� 7
FIXTURES
4ac)
OWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
TILITY CO. NOTIFIED
PLAN CHECK FEE
PEIT ISSUING FEE 3.00
RM3
FINAL
A�
JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL G EER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C `p Ce
I c, -7 -7zv DIEs29 2A
27. 0 v
i o
SEE BACK OF APPLICATION FOR.COMPLETE SCHEDULE