HomeMy Public PortalAbout8850 HERMOSA DR_Electrical__ 76A563-CE806I0
"2 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEBPUIILDING AND SAFETY DIVISION NT OF COUNTY IER JDB Fy� F;
AooaE55 L'� J
LOCALITY - /YPLu C/r" .
FOR APPLICANT TO FILL IN CRARESST. 4j36A JVl"-S
ft.c2sC'/Y�A�.
OUTLETS NO, EACH FEE ow R �fq
M NAME H'e-"I NSS/�/St✓✓:YS�O
RECEPT.�I 5 5 MAIL p�Q
I11(` FIRST 20 25 ADDRESS D(/1FU �•
LIGHT TOTAL c t� ?(,�/
CITY �p ��4 CPr TEL. NQ,297�0 /
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES .10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGEDRYERWTR. HTR._ APPLICANT
STA. COOK OISP. F.A.U. ADDRESS
SPACE HTR. AIR GOND. CITY TEL. NO.
CLOTHES WASH. DISH WAS H. LICENSE OR
REG. NUMBER CLASS.
FAN-OTHER 1.00 1 HEHEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY.
MOTORS. TRANSFORMERS PA71NG WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. NVA, ELECTRICAL WIRING.
SIZE 6 TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
0 - 1 Ipp LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 3.00 DESCRILED RESIDENTIAL PROPERTY.
O
PTEE V
10 - 50 5.00 SIGNATURE -^^�
DO
O
50 - 100 1000 DISTRICT NO. PROCESSED BY w
100 - 500 1500 ifp " - T. y
f
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE. OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200AMP 3.00 4UNDERSLAB WORK
SERVICEOVER 600 VOLTSOR 200AMP 10.00 ROUGH CONDUIT
TEM P SERVI CE,POLE, &APPURTENANCES 5.00 WIRING
..rwn
TEMP LIGHT OR RECEP T. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED �z�� � 7/ '�L7.✓l.�
FINAL _Y •�//���'I /�. D�M.6'�•�
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEE / r
PLAN CHECK VALIDATION CK. M',O. CASH (PERMIT VALIDATIONCrc. /M.o. CASH
942'" D, 6.25/® a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE