HomeMy Public PortalAbout8852 HERMOSA DR_Electrical__ 76A663 GE-6045 NF 6/78 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL INJOB
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 8852-4.Hermosa Ave.
1 &2_Family,Sq.Ft. 1.552 v - $ 38 180 LOCALITY Temple Cit
Multi family Sq. Ft. — NEAREST Rosemead
Residential Swimming Pools CROSS ST_OWNEROR
FIRMNAME J. R. Miller
Outlets: Rec—Light_Sw._ MAIL
First 20 ADDREss6924 Henrilee St.
Total No. Additional CITY ESHLakewood Tel,No421-6801
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 ADDRESS
Total No. Additional
CITY Tel,No.
Fixed Appliances Not Over l HP PERMIT
APPLICANT Franks Electric Co.
Oven_Dryer
— W.M.—
Range_ D.W. _ ADDRESS 4623 Durfee Ave.
Top _FAU —W.H. _ CITYpjCo R*vera Tel.No699-4173
Hood—Fort _Other_ LICENSE OR
Disp.—Room Air Cond. REG.NUMBER 86190 Closs,clO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO
Size&Type HP, KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING ELECTRICAL WIRING. 6
Up to I Incl. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O
Over 1 to IQ Ind. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V
Over 10 to SO Incl. CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 0
DESCRIBED RESIDENTIAL PR PEREY, `
Over 50 to 100 Inc. PERMIT EE V L�Lj
Over 100 SIGNATURE N
Services DISTRICT NO, P ESS g
0 200 Amp.Under 600V ss.�
201 1000 Amp. Under 600 V
Over 1000 Amp.or Over 600 V V Z1,-o 4 _
�•v O
Temp. Power Pole&Appurtenances fj+ ` S� o 5 5 9 8'A
Sign with One Branch Circuit D — # o e o e c 2
Additional Sign Branch Circuits INSPECTION >
INFORMATION u 2-'o 4580
Misc.Conduits&Conductors ON REVERSE z e e e 4 5 8 010
Other(See Complete Fee Schedule)_ SIDE V
-b 5 07,20-79
d
PERMIT FEE (Sub Total) 3$. , M
PLAN CHECKING FEE (One-Fourth Permit Fee) O
rm
F
PERMIT ISSUING FEE 7 00 0
TOTAL FEE 45.SO j
INSPECTION FINALE()
date: �/V L,7
By