HomeMy Public PortalAbout9145 HERMOSA DR_Electrical__ 76A 663-C E806 ,I- A PLICATION FOR ELECTRICAL PERMIT� � T lJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Bw LOING
BUILDING AND SAFETY DIVISION AooREss
LOCALITY
NEAREST d
FOR APPLICANT TO FILL IN CROSS ST. v/T.
OUTLETS NO. EACH FEE
$ $ OWNER � T
1 RECEPT._ MAIL '/ •� r ^C ,FIRST 20 25 ADDRESS
LIGHT
_} TOTAL
CITY���? �, S• TEL N0.
TOTAL
SWITCH_ OVER 20 ,Ip
PLAN CHECK
LIGHTING FIRST 20 .25 APPLICANT
OVER 20 .l0 ADDRESS
FIXTURES
RESIDENTIAL APPLIANCES CITY TEL. NO..
PERMIT —`
RANGE ER_WTR. HTR._ APPLICANT
STA. COOKDISP. F.A.U._ ADORESSR yrJ�j,J
SPACE HTR. AIR COND. CITY /2 / / TEL. NO.� `
CLOTHES WASH._DISHWASH._ LICENSE NO. ` �S</�"' CLASS.c y
--
FAN_OTHER 1,001 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE 6 TYPE OVER - TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AHD/OR
D - I 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF a
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO O
1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. U
10 - 50 y.pp SIGNATURE _ K /6 d,
OF PERMITTEE }?XLL ���,---e%� /L,- Q
50 - 100 10.00 ~
D19 TRICTNO [LASS TONE PROCE95 BY U
100 - 500 15.00 I 1
CL
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: lz
TUBE, OR
MARQUEE ADOITIONAL CIRCUITS IDD
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, 8 APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZE❑
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE y
v FINAL
PERMIT ISSUING FEE 3.00 G' G1
TOTAL FEE e Aj�qo
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA ONI CK. M.O. CASH
iiito �x016N SEP 28 2 0 6,OQ~ a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '
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76A665-CEBO6Aanthonyl l-]I APPLICATION FOR ELECTRICAL PERMIT Ll
COUNTY OF. LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERnUILDIN 14
- BUILDING AND SAFETY DIVISION 9 5 E. Hermosa Dr.
LOCALITY temple City. .
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
$ IS
OWNER Mr. D. 0 . Reid
REC EPT._ MAIL
LIGHT 1 TOTAL FIRST, 20 2$ CO ADDRESS E55 as .{
JCb. , o
SWITCH 1 9 OVER 20 J CITY TEL. N0. 285-1 [�73
AD PLAN CHECK
FIRST 20 APPLICANT
LIGHTING TOTAL 1 .25 2
20 ADDRESS
OVER
FI%TURES 1 10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT Cobine Electtic Co.
RANGEDRV ER_WTR. HTR._ APPLICANT /
STA. COOKDISP._F.A.U._ ADDRESS 1607
Chestnut St.
SPACE HTR. AIR COND. CITY alhambra 11 TEL. NO. 282-031
CLOTHES WASH. 01SHWASH. LICENSE NO. 229847 CLASS. C-10
FAN_OTHER 1,00 HE.E.Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATETHATTHE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH PLL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. .HP. KW. KVA, ELECTRICAL WIRING.
S1ZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
D - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF., AND INTEND TO d
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
-I 1 1 - 10 1 390 00 Q"
SIGNATURE C .—
10 - 50 5.00 OF PERMITTEE Q
50'- 100 1000
DIST ICT NO CLASS ZONE "* ES DBT
JFVSK�/ W
100 - 500 1500 13-
SIGN,
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: / () /1 ?
TUBE, OR
Gr
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600 VOLTS OR 200AMP 10.00
TEMP.POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00 n ,
ROUGH CONDIUT 'L-4
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE 3 75
FINAL 7Z,
PERMIT ISSUING FEE 3.00 3 00
TOTAL FEE 6. 75 7
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDAT CKM.O. CASH
L Aio ° 4 c 24? .ucT 2 5 2 D . 6.7 5
• SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE