HomeMy Public PortalAbout8826 HERMOSA DR_Electrical__ 76AGB3-CEBOS 10 61 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Z, Je I 0
JOHN A. LAMBIE, COUNTY ENGINEER r
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY _ _
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
I T E M NO. EACH mi.
OUTLET (FIRST 20) 111 S OWNER I✓ L i I. I- ` L.I "I' q
LIGHTS RECEPT. SIN. Z '20 MAIL
OUTLETS: (ADD-1.UNITS) f0 ADDRESS
LIGHTS RECEPT. SW.
LIGHTING FIXTURES: (FIRS!20) ' .20j ICY CITY TEL.NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN `�I _. __I''•1 I r., n, L n �� ;'1
RANGES CLO.DRYERS WTR.MRS. 1.00 ADDRESS ,` I v
GARB.DISP. STA.COOK 1 L,LI
CITY �� �- -.`V I TEL.NO,� •� V
DISHWASH. AUTO.-WASH. STATE
1
SPACE HTRS. ♦ITA.APP.Oh M.P.MA%J .60
LICENSE NO.
MOTORS: OVER NOT OVER H.P. DTR NO. GR{(' �P ZONE PROCESSED BY
0 1 it ( 1.00
I — 3 1.60 INSPECTION RECORD a
3 S 2.00 0
B 16 2.80 W
J
IS 6o 3.00. D_
60 100 6.00 4�
SIGNS: NO.TRANS.
NO.LAMPS O
a
SERVICE O-6OOV-NOT OVER 200A 1.00
SERVICE 0-600V.Ovm 200 A. 2.00 ~
SERVICE OVER 600V 6.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIO APPROYALB DATE INWEGTOR'S SIGNATURC
ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1HEREBY CRRO FY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES _
CALIFORNIA OR THAT 1 AM THE LEGA OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE
OF PERMITTEE— .. ��, _sti� UTILITY CO.NOTIFIED
_ -
FINAL
VALIDATION ARTHUR C. VEIT
(- CK MO CASH SUPERVISING ELECTRICAL ENGINEER
I" - aiD 8 2 3.8 n� 2
7GA669-CES06 10-8I 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
NEAREST
FOUTLET .� FR
OR APPLICANT TO FILL IN CROSS ST.
I T E M NO. EACH FEE
FIRST 20) / ^ S 2O S OWNRECEPT. SW. 1MAIL
AOD'L UNITS ADDRESSRECEPT. '�9W. y . o
IXTURES: (FIRST 20) .20CITY TEL. NO. 19,IXTURES: (ADDITIONAL) .10 ELECTRICIAND ( ��/p '- // ,CLO.ORYERB WTR.HTRS. 1.00 ADDRESS :2 l<-1,_ice[GC.�O /Yvj/«'—v
GARD.DISP. STA.COO Z'
crtr R��� o. D
DISH WASH. AVTO.WASH. tDl!��
TE p O
^ ENSE NO. ZO (J
SPACE HT99. I", STA.APP.(:/y H.P.MAX.) .50
MOTORS: OVER NOT OVER H.P. NO. GROUP Z E PR ES D Y
o 1 1.00
1 — s 1.50 INSPECTION RECORD
s B 2.00 O_
O
B i s 2.50 l./
K
IS 50 3.00 O
50 100 5.00 G
W
a
SIGNS: NO.TRANS. In
NO.LAMPS Z
SERVICE 0.60OV-NoT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMITNSSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 5
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP]TAND/OR
APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOCONDUIT A
WITH ALL COUNTY ORDINANCES AND STATE LAWS RE �j
ELECTRICAL WIRING. WIRING IJ—
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTEREDLICEMBED AS REQUIRED BY LOS ANGELES COUNTY AND FIXTURESCALIFORNIA OR THAT I AM THE LEGAL O NEO OF TH /
DESCRIBED RESIDENTIA PERTY. POWER A .�
SIGNATURE UTILITY CO.NOTIFIED
OFFERMITTEEo
FINAL
VALMo ARTHUR C. VEIT
CK MO
SUPERVISING ELECTRICAL ENGINEER
CASH
.�0 3 6 Q w APR 2 A 16-50 :;