HomeMy Public PortalAbout9119 HERMOSA DR_Electrical__ 76A663Cf-80 (": °APPLICATION-FOR ELECT_ RICA_L 'P,ERMIT
— COUNTY OF LOS ANGELES —BUILDING AND SAFETY —
FOR APPLICANT TO FILL IN JOB
New Residentibl-Bldg-s.&-Pools EACH NO. FEE ADDRESS..- ----
1 &2 Family,Sq.FI. $ .025 - $ LOCALITY r
Malt'-family Sq. FI .02 - '- NEAREST "
Residential Swimmin Pools- 25.D0 CROSS ST.
-. 9L -
OWNER.OR,.__ »-r
L
Outlets:ReE ''LL�LigFiiSw:v - gDDRE55 FIRM NAME - -- -
First 20 .50 - 0
Total No. 7 - Additional - .30 CITY _ Tel•,No.,_
PLAN CHECK
APPLICANT.__. _-.__...-..._..�_ -_ ..._- .. _....
Lighting Fixtures First 20 .50 ADDRESS
Additional "30- ' -" - - -
Tocol No. CITY � Tel.No. -
Fixed.Applionces Not Over LHP .. _.. - _ - ..._ PERMIT- - -
APPLICANT
Range—HeAter_ D.W,
Oven_Dryei W.M. - - - = ADDRESS/ Q 2 - - ' i6i4 -
Top _FAU — W.H._ CITY: Tel.No.
-Hood_Fbn _OtFer_ LICENSE OR Class
_Dim _Room Air Cond. _X _ 2 50 « REG.NUMBER _. _
I HEREBY ACKNOWLEDGE TFI T I HAVE READ iH1 P'PLICA.
Power Apparatus&Large Appliances- TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&i COMPLY-WITH-AW-COUNTY'ORDINANCES-AND-STATE LAWS'
Type HP, KW, KVA,or KVAR 2.50
REGULATING ELECTRICAL WIRING. O
UPj0 I Indy ,. - 1 HEREBY'CERTIFY'THAT'PAM'PROPERLY'REGISTERED'AND/OR' ""V
Over T to 10 lncL 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF pp
-- - _Over 10 to 50 Ind. - 12.50 _ CALIFORNIA OR THAT Al THE LEGA-'4-"'WNER_OF THE,ABOVE
DESCRIBED RESIDENTIAL PROPERTY r
Over 50 to 100 Inc. 25.00
40.00 pERMIi EE- , W
Over 100' - - SIGNATURE
Services - Z
- ,- -- - -- - - - ---�-- J
DISTRICT NO, -"' PROCESSE BV -
0 200 Amp.Under 600 V 12.50
--201-1 OOOAmp: Under
600V- - 25.00 - (J i -D - -- - - -
Over 1000 Amp.or Over 600 V 50.00 - Z
O
Temp.Power Pole&Appurtenances -10.00 - -- " - •-- - - � -
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuits - 2'00 INSPECTION
„ INFORMATION'
Misc.Conduits&Conductors 10.00'` - ON REVERSE i 8 824 A
Other 1See.Complete Fee Schedule]_ v
.SIDE _ Z # . o * a . 2
g x. . 3340
PERMIT FEE t !Sub-Totoll' a Ur_ _ _ - ' - 1 ;6 ' * 33,405
PLAN CHECKING FEE (One Founh Permit Feet ' Z -
OP
Z Od '-80
` ..R v F
PERMIT ISSUING FEE ' 57.00.
TOTAL FEE } 3
INSPECTION FINALED 1E i
date: •By
76A663 CE 666H 10/77 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB 1� a�Q
BUILDING AND SAFETY DIVISION ADDRESS / ^E2R`{�
Sk
FOR APPLICANT TO FILL IN - LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
1 &2homily,Sq. FC $ .025 — $ CROSS ST.
R v �/� ,t A/�^��/
Multi-family Sq. Ft. .02 — OWNEROFIRM NAME yV'r+�t�� �FxJr��
Residential Swimming Pools 25.00 MAIL
ADDRESS
Outlets-Rec Light Sw. CITY Tel. No.ZgS—Z`l
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 1 1 CITY I Tel.No.
IT
Total Na Additional '30 APPLW
ICANT %%ZA Ec+�E7�AP-j Co
Fixed.Appliances Not Over 1 HP ADDRESS i LA5 . r(j& S
Range—Heater—D.W._ CITY?�C�r\'/ Tel. No.Z���
Oven _Dryer—W.M._ LICENSE OR pp,
791
Top —FAU —W.H._ REG.NUMBER Is�it"i Class. Ii
Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. — Room Air Cond. _y,._ 2.50 11, 126 Z `Qb THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN�
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances ,
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Y
Up t01 Ind. 2.5D THE LEGAL 0WNEROF THEABOVE DESCRIBED RESIDENTIAL PROPERTY. 0
Over 1 to 101ncl. 5.00 w aR
Over 10 to 50 Ind. 12.50 PERMITTEE C
Over 50 to 100 Inc 25.00 SIGNATURE
Over 100 40.00 DISTRICT NO. PRO SEED BY ti
Services �
0- 200 Amp. Under 600 V 12.50 6C
t� INSPECTOR'S
201-1000 Amp.Under 600 V 25.00 APPROVALS DATA/ SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole 8 Appurtenacces 10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
'Additional Sign Branch Circuits 2'00 WIRING -
Misc.Conduits&Conductors 10.00 FIXTURES..
Other(See Complete Fee Schedule) POWER AUTHORIZED VY
UTILITY CO.NOTIFIED
]FINAL - ) :
PERMIT FEE (Sub Total] sQQ NOTES
PLAN CHECKING FEE (One. FourthPermit Feel
PERMIT ISSUING FEE $7.00 700
TOTAL FEE ZZ I
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH
175�-AN 26 2 22.00A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE