HomeMy Public PortalAbout8845 HERMOSA DR_Electrical__ 76A663 CE-6a6(6/78) APPLICATION F ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools ' EACH NO. FEE ADDRESS S51 MQSCL
1 &2 Family,Sq. Ft. $ .025 — $ LOCALITY
Multi-fora ly Sq. Ft. .02 — NEAREST
CROSS ST. O$Q.MQQ.C�
Residential Swimming Pools 25.00 OWNER OR
FIRM NAME M P'1 P. Kai
Outlets: Rec_Light_Sw._ MAIL
First 20 .50 ADDRESS
Total No. Additional ,30 CITY L Tel. No..,jf
PLA CHECK
APPL T
Lighting Fixtures First 20 .50 ADDRESS
Additional .30
Total No. CITY Tel.No.
Fixed Appliances Not Over I HP PERMIT _
Range_Heater_D.W. _ APPLICANT
ADDRESS
Oven_Dryer_ W.M.—
Top _FAU _W.H._ CITYTel. No,
Hood_Fan —Other— Wel—U LICENSE OR
Disp.—Room Air Cond. L 2.50 7 REG.NUMBER Class.
IHEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLIC77
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE-LAWS
2.50 REGULATING ELECTRICAL WIRING.
Up Ia 1 Incl. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Q
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 501nct. 12.50CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 50 to 100 Inc. 0
25.00 DESCRIBED RESIDENTIAL PROPERTY. - 0
PER EE
40.00 k�
Over 100 SIGNATURE
Services DISTRICT NO. - P D BY
0-200 Amp. Under 600 V 12.50 / (�
201-1000 Amp. Under 600 V 25.00 d . \
Over 1000 Amp.or Over 600 V 50.00 Z
O
Temp. Power Pole&Appurtenances 10.00 Q
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuits 2'00 INSPECTION >
INFORMATION u
Misc.Conduits&Conductors 10.00 ON REVERSE _
Other(See Complete Fee Schedule)_ SIDE " 2 511.3 A
Z �s
2002200
PERMIT FEE (Sub Total)
_ 00022005
PLAN CHECKING FEE (One-Fourth Permit Feel O
PERMIT ISSUING FEE $7.00 �" 0 0625-79
TOTAL FEE {.=.Z >
INSPECTION FINALED W
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oDEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC
WM. J. F X CHIEF ENGINEER
G I NAME I ` DISTRICT-N0. GROUP ZONE PERMIT NO.
U ADDRESS
1' VfAWR EIVED BY READY FOR DATE ISSUED
U CITY TEL.NO. FIRST INSPECTION
A COUNTY )lq - � �
W CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONL
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS
LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS IFIxT CROSS ST.
CIRCUIT A B C D E F IG lH WNAME
Z I MAIL
+Y ADDRESS
O
CITU TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE L09
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. 1
r !MPJ
ELERRICIAN.
1 AM THE{_FOAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
p��.(+��� STC OWNHR.
CORRECTIONS
J
Z_
[7
IY
14 1
TOTAL
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'
�S NAME
NO. OF MOTORS H.P. $ CONDUIT dr n / Yp
i -
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ .POWER /J
PERMIT FEE /lz $ ///!^} UTILITYCO.NOTIFIED / m
^>0-'Ir lnw.
TOTAL FEE G- FINAL r'_