HomeMy Public PortalAbout9123 HERMOSA DR_Electrical__ 76A663-CE806'6"62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING q ,/
BUILDING AND SAFETY DIVISION ADDRESS �.L �gE•l�i�LQS'g D
JOHN A. LAMBIE, COUNT, ENGINEER r
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY y/
NEAREST `-
1FOR APPLICANT TO FILL IN CROSS ST. &P''
RECEPT. TOTAL NO. EACH FEE
lll` OUTLETS FIRST 20 S zO $ OWNER /1 S IyIfIL�/Je /3�IJ
LIGHT MAIL p q
SWITCH. ADD'L 10 ADDRESS
OVER 2Q _
TOTAL CITY /LJ �C / TEL. NO.�8F)S76
LIGHTING 1 FIRST 20 .20 _ ,
FIXTURES 1( ABD'L 1O ELECTRICIAN
OV R 20
RANGES LO.DRYER WTR.HTR.. / 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL, NO.
DISHWASH. AUTO-WASH. STATE
SPACE HTRS. STA.APP.Iys H.P.MAX.) ,5Q LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST$ICT�[�/O. GROG NE P SSED BY
0 i
1.00 $ /J
t 3 LBO i , INSPECTION R C RD
6 15 2.50
15'. 50 3.00
50 loo 5.00 1 0
SIGNS: No.TMN9
NO.LAMPS K
SERVICE 0-600V-NOT OVER 200A 1.00 h� U
UJ
SERVICE 0-60OV-OVER 200 A. 2,00 VI
SERVICE OVER 600V 5.0011 ?
misc..
PERMIT ISSUING FEE 2.00 Z
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLYREGISTERED ANDIOR /
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 1
CALIFORNIA OR THAT, I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER n
SIGNATURE UTIL ITYCO.NOTIFIED
OF PERMITTEE � `4�, _-
FINAL ��t wT �w
VALIDATI ARTHUR C. VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Li t,o 1 4 4 3 b OCT 15 2 D 4.0'0~ a
70A68B Das aA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELEC RIC .
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. IGROUP ZONE PERMITNtO..
ELECTRICIAN
ADDRESS Q • a' RECEIVED BY EADY&RIT�.NS .,.,PEDATEISSUED
CITY [ TEL. NO.
COUNTY LICENSE NO. EXPIRES BUILDING ✓J
PERMIT FEES _
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc S MAIL S /. ��T P
ELEC. RANGES 25 ADDRESS �/ ((
ELEC. HEATERS 25
CITY TEL. NO. \
FIXTURES 5
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NuHBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVO. HP OVER INC. EACH OF THE RESIDEN AL P OPERTY DESC ED AB E.
I/t a LEaa $ .25
so
O f'
I/z 2 .50 PER ITTE ' I
2 5 Loo INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5,00
200 500 10.00
i � J
500 1000 15.00 Z
Z
OVER 1000 20.00 �
M. G. SET/FRED. CHANGER-HP d'
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF Rl..) _
MOVED MOTORS (7S%OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. I I APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT:
DATE INSPECTOR'S NAME
n ��
�4,
WIRING $1.00 CONDUIT v r �()
FIXTURES $1.00 � WIRING
SUPPLEMENTARY .50 FIXTURES
g POWER
TOTAL FEE $� UTILITY CO. NOTIFIED i! 1�I,^1,AI
(7 FINAL v I Kit
T6AG63C-.CES06B 12/)5APPLICATION FOR ELECTRICAL PERMIT {�
. LI.
BUILDING A SAFETY DIVISIO
FOq APPLICANT TO FILL IN JOB \���
EACH NO. FEE
New Residential Bldgs.& Pools ADDRESS �T
1 &2 Finaily Sq. Ft. $ LOCALITY
Multi-family Sq. Ft. — NEAREST
L
Residential Swimming Pools CROSS ST.OWNER OR
FIRM NAME
Outlets: Light,Switch & Receptacle MAIL 57/-?3 /
First 20 ADO RE55 /�/�7 D.1nn �cc / �9
Additional CITY Tel. Noa(r�6 J 76 /
PLAN CHE
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater_ D.W. ADDRESS
Oven Dryer W.M.
Top FAU W.H. CITY o. >
Hood Fan LICENSE OR
Disp. A.C. REG. NUMBER Class. OU
I HEREBY ACKNOWLEDGE THAT I HAVE REA.THIS APPLICATION O
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO PY
Power Apparatus& Large Appliances ORDINANCES AND STATE LAWS REDu ATING
w
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. °-
N
Up to 1 Incl, m
I HEREBY CERTIFY THAI AN PH—HILI REGISTERED Do
1 —
Over to 10 Incl. mos A Nr
OR I AM N LEGAL N a� AND
AEON
Over 10 to 50 Incl, CALIFORNIA A o N APROPERTY. E
Over 50 to 100 I ncl. PERM TEE
EJ '
Over 100 SIGNATUR W H
{
DISTRICT NO, VOROCSED BY
Services
0-200 Amp. Under 600 V s 0 ,
201 - 1000 Amp. Under 600 V APPROVALS DATE INSP T R'S
Over 1000 Amp.Or Over 600 V
SIG ATURE
TEMP. POWER POLE
Temp. Power Pole& Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT '7
(Other) WIRING 7- 7
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
TOTALFEE NOTES rv;
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH
3'.1 6�'-JUN 29- 2 0: 6.4.0 A�