HomeMy Public PortalAbout8721 HERMOSA DR_Electrical__ 76A663-16t:600 3-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDIN
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CRofie BT. /
RECEPT. 6 TOTAL NO. EACH FEE
LIGHT OUTLETS FIRST 20 ^ $20 $ nary OWNER
V 4 fJ MAIL
ADD'L 10 ADDRESS
SWITCH./I( OVER 20 -
i'— TOTAL .Y�t CITY TEL NO.
LIGHTING F1as-20 .20 V7J
FIXTURES 01. ADD'L ,10 ELECTRICIAN
OV R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ' 4' ADDRESS
GARB.DIBP. / BTA.COON
/ CITY TEL. NO.
DIBHWASH.
AUTO.-WASH. S/ A STATE
BRACE HTRS. BTA.APR.('/A H.P.MAX.) r/ .50 S`/ LICENSE NO.
MOTOR5� OVER NOT OVER H.P. DISTRIC„�10. G Z E P £D
O f 1.00
1 — s 1.50 INSPECTION RECORD
a
3 — a 2.00 O
B 15 2.50
15 — so 3.00
U
50 100 5.00 W
d
N
SIGNS, NO. Z
LAMPE
NO.LAMPH
SERVICE O.SOOV-NOT OVER 200A I.00
SERVICE 0-6OOV.OVER 200 A. 2.00
SERVICE OVER SOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00 f
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE ® (j
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INWECMOR'881GNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /
ELECTRICAL WIRING. WIRING G
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOB ANGELES CO NTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL ER THE ABOVE
DESCRIBED RESIDENTIAL PRROyy�U'T'V/. POWER ._
SIGNATURE /SLG (/ UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
�IDATION ARTHUR C. VEIT
CK ID ONCASSUPERVISING ELECTRICAL ENGINEER
JACO 8 8 4 5 Jp.Fi 17 2 A 1 7.8 0- v
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76A663-CE806 3-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY I°
NEAREST r 4
FOR APPLICANT TO FILL IN caoss Sr.
RECEPT. I TOTAL NO. EACH FEE
11) OUTLETS FIRST 20 $2O $ OWNER
LIGHT MAIL {�
SWITCH. DYER zO .10 ADDRESS C.
TOTAL CITY TEL. NO.
LIGHTING FIRST 20 .20
FIXTURES pOOL fo ELECTR CIAN
OV R 20
RANGES CLO.DRYERS WTq,HTR9. 1.00 ADDRESS
GARB.D19P. STA.COOK CITY TEL. NO.
D19HWA6H. AUTO.-WASH. STATE
SPACE MTRS. STA.APP.('A H.P.MAXI .50 LICENSE NO.
morons: OVER NOT OVER H.P. DIST T NO. P ZrT
P E�
O 1 1.00 GT /
1 3 1.50 INSPECTION RECORD >
a
3 — a 2.00 O
a 15 2.50 w
15 50 3.00
U
50 100 5.00 W
d
N
SIGNS: NO.LAMPS Z
NO.LAMPS
SERVICE O-600V-NOT OVER 200A 1.00 �
SERVICE O.6OOV-OVER 200 A. 2.00
SERVICE OVER ROOV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALSJDATIE INSPECTOR'S SIGNATURE
ANO STATE THAT THE ABOVE I9 CORRECT AND AGREE TO COMPLY CONDUIT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
IHEREBYCERTIFY THAT I S PROPERLY REGISTEREDLICENSED AS RDTHATD BY LOS ANGELES COUNTY AHO STATE OF FI%TURESCALIFORNIA ORTHAT 1 AM THE LEGAL OWN R O/ T E ABOVE
DESCRIBED R991 ENTI P OPERTY, POWER � C/p SIGNATURE / UTILITY CO.NOTIFI ✓
OF PERMITTEE,_ Iy
FINAL Y!
VALIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
ri D8 3 5 1� D€C28 2 A 3.4O� a