HomeMy Public PortalAbout4927 SERENO DR_Electrical__ >eweea-cnoe m/Ea
APPLICATION FOR ELECTRIiAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER AWRESS Q e
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO 9ACHf OWNER OR
S 5 FIRM NAME rp
RECEPT_ MAIL
LIGHT TOTAL
FIRST 20 ADDRESS
PITY TEL NO
SWITCH OVER 20
10 PUNCX ECK
LIGHTING 1 FIRST 20 =R APPLICANT
)) TOTAL
FIXTURES �_ OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT 01iA
STA COOK_DISP_F A U _ ADDRESS P3S- !�kE 4 NVe
SPACE HTR AIR GOND CITY ah It l.•� TEL NO y 3 92
CLOTHES WASH DISHWASH RtG HENSUMBER CLASS e
FAN—OTHER _ 1001 C
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 13 ORRECT AND AGREE TO COMPLY
MOTOR! TRANSFORMERS RATI NO WITH ALL COUNTY ORDINANCES AND !TATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
HEREBY
A CERTIFY THAT I AM PROPERLY REGISTERED Ano/OR
O — 1 100 LICENSED EO AS RETHAT I BY LOS ANGELES COUNTY AND STATE OF f
CESCPI RIA OR THAT I AM THE LEO L OWNER OF THE ABOVE O^�
I — 10 300 OESCRI[ED RESIDENTIAL PROPERT 3
_
10 - 50 500 PERMITEESIGNATURE 'f
50 - 100 1000 LyY
DISTRICT NO ROCE EO BY N
100 - 500 1500
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE stage' 008 GKATUR[
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER 6DO VOLTS OR 200 AMP / 300 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 5 D WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES"
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL 5-3-
17Z 11_4�
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 Ogy
TOTAL FEE
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M 0 CASH
648�MAY 2 0 1020 •
SEE SAM OF APPLICATION FOR COMPLETE SCHEDULE
( Tl, 6-)