HomeMy Public PortalAbout4931-4933-4935 SERENO DR_Electrical__ 75p553-CE806 X10/72 APPLICA N F ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION AD0REsS L 3/ N Setremo Ar.
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH 11 TE P NEIRM OR
RECEPT_ S $
Y
MAIL
LIGHT_ TOTAL FIRST 20 25 1 ADDRESS f
SWITCH OVER 20 CITY TEL NO Q 3
10 PLANFIRST 20 CHEC
LIGHTING i TOTAL 2! APPLICANT
1( AGGRESS
FI%TURES OVER 20 10 1
RESIDENTIAL APPLIANCES— —— -- CITY
TEL NO
PERMIT
RANGE
_DRYER_WTR HTR_ APPLICANT
STA COOK_DISP F A U _ ADDRESS
SPACE HTR AIR CONO CITYNO
CLOTHES WASH DISHWASH_ LICENSE OR .. CLASS
I REG NUMBER
FAN_OTHER 10DI HEREBI ACKNOWLEDGE THAT I HAVE RCAD THS! APPLICATION
ANO !TATE THAT THE ABOVE 1! [OARECT AND AGREE TO COMPLY
MOT ORB TRANSFORMER! RATING WITH ALL COUNTY ORDINANCES AND STATE LAW! REGULATING
IND HEATER! ETC HP KW KVA ELECTRICAL WIRING
SIEE B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSEDAS REOUIRED BY LOS ANGELES COUNTY AND !TATE Of
CALIFORNIA OR THAI I AM THE LEO AL OWNER OF THE ABOVE
1 - 10 300 fRN RIPED RESIDENT PROPERTY
PER10 - 50 500MITEE /J �C/ Cs
ATURE v[ /�e/ d.
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50 - 100 1000RICT NO SED BV W
100 - 500 1500O SIGN GAS SIGN AND ONE CIRCUIT 500APPROVALS DATE INlP¢C !lIOXATWE
TUBE ORMARQUEE ADDITIONAL CIRCUITS 100P POWER POLESERVI CENOTOVER 600 VOLTS OR 200 AMP 300 RSLAB WORKSERVI CEOVER 600 VOLTS OR 200 AMP 1000H CONDUITTEMPSERVICE POLE &APPURTENANCES 500INGTEMP LIGHT OR RECEPT SYSTEM 3,00URESER AUTHORIZEDITY CO NOTIFIEDL - (.PERMIT FEE (SUB TOTAL) ESPLAN CHECK FEEPERMIT ISSUING FEE 300TOTAL FEE
PLAN CHECK VALIDATION CR M 0 CASH PERMIT VALIDATION CK M G CASH
8 2.2nWAY 3 `Z 0 �
6.0 O.Aj3
SEE BACK 01 APPLICATION FOR COMPLETE SCHEDULE
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"""2-9"`"2"5APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS �7
BUILDING AND SAFETY DIVISJOB
ION
LOCALITY
New Residential Bldgs& Pools EACH NO FEE NEAREST Y
1 & 2 Family Sq Ft f 025 — CROSS ST� C�r'L✓E '
Multi-family Sq Ft 02 — OWNER OR
FIRM NAME L(J
Residential Swimming Pools 00 MAIL
ADDRESS
Outlets Light, Switch & Receptacle ��77�� CITY Tel No
Flat 20 50 �� �� Of/ PLA CHECK
Additional 30 APPLICANT
ADDRESS
Lighting Fixtures
Flat 20 50 rA Q CITY Tel No
Additional 30 PERMIT
APPLICANT �-
Fixed Appluences Not Over 1 HP ADDRESS
Range—Heater D W /
Oven_Dryer_W M CITY Tel No
Top_ FAU _W H LlC o w
REG NUMBER s Class 1D
Hood_ Fan ___
I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
Dmp_A C 2 00 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Power Apparatus& Large Appliances ELECTRICAL WIRINS
Size 8 Type HP, KW, KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Oft
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF >•
Up to 1 Ind 200 CALI PORN IA OR THAI I AM THE LEGAL OWNER OF THE ABOVE O
Over 1 t0 10 Incl 5 GO OESTRrr ED RESIDENTIAL PROPERTY
Over 10 to 60 Incl 10 GO PERMITEE V
Over 60 to 10D Incl 2 00 SIGNATURE y
Over 1DO 00 I DISTRICT NO PR C By O
JA 0d oxJ U
ServicesW
0. 200 Amp Under 600 V 1250 INSPECTOR'S IL
201 1000 Amp Under 600 V 25 00 APPROVALS DAT SIGNATURE N
Z
Over 1000 Amp or OVa 600 V 5000 TEMP POWER POLE AW
Appurtenances Power Pole & APPurtenencla 00 UNDERSLAB WORK
Sign with One Branch Circuit 1000 ROUGH CONDUIT /J , t
Additional Sign Branch Circuits 200 WIRING r/j("� / 11� �.R
(Other)
FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
11 FINAL
PERMIT FEE (Sub-Total) LNOTESPLAN CHECKING FEE (One Fouah Permit Fee)
PERMIT ISSUING FEE BRAG'TOTAL FEE aZJrN IS a
PLAN CHECK VALIDATION CK M O CASH PER 'T 1.190 N N CK MO CASH
Do O O N b
TL
SEE BACK OF APPLICATION FOR COMP"TIE BCHaOULE
" " P.1 '°"' APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
• DEPARTMENT OF COUNTY ENGINEER gDDRESS ^^"C�
BUILDING AND SAF DIVISION
R APDL CANT TO FILL 1 LOCALITY
New Residential Bldgs &Pools EACH NO FEE NEAREST
1 &2 Family SO Ft -�-' $ 025 CROSS ST
Multi family Sg F 02 — UWNt UN
Residential Swimmmg Pools 2500 MAIL
A RESS
Outlets Rec Light_Sw _ CITY Tel No
First 20 50 PLAN CHKK
Total No Addeionol 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 CITY Tel No
Addat nol 30 PERMIT
Total No APPLICANT
Fixed Appliances Not Over l HP ADDRESS A) or•
Range_Heater_0 W _ CITY Tel No '1,f6
Oven —Dryer_W M_ LICENSE MBOR
Top —FAU —WH — REG NUER Class C-1,0
Hood—Fon _Other_
Dis 250 THAT THE�ABOVE 6 CBY OV�EDGE THAT I HAVE OWECI AND AGREE TO RC MHS WITH
AIA CCO AND�NE
p — Room Air Cond
ANCES AND SLATE)AWS REGIAATING FIECTRICAL WIRING
Power Apparatus&Large Appliances
Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
250 REOLARED By LOS ANGHES COUNTY AND STATE OF CAuIRD INIA OR THAT I AM
Up I IMI THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT lPNPEIBY
Overr 1 To 10 Incl 500
Over 10 to 50 Incl 1250 PERMITTEE
Over 50 to 100 Inc 2500 SIGNATURE
Over 100 4000 DISTRICT NO P E B
3. 0 fj z
Services � ..-6
0 200 Amp Under 600V 1250APPROVALS DATE I I P CIOURE
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V 50 00 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole&Appurrenorces
1000
Sign with One Blanch Circuit 10 DO ROUGH CONDUIT
Adderonol Sign Branch Circuits200 WIRING
Mnc Conduits&Conductors 1000 FIXTURES '
Other(See Complete Fee Schedule) POWER AUTHORIZED
LITILITYCO NOTIFIED
FINAL L'J
PERMIT FEE ISub Total] NOTES
PLAN CHECKING FEE IOne Fourth Permit Feel
• N 7L
PERMIT ISSUING FEE $700 � • • •
TOTAL FEEM fn
d I. N ••"
PLAN CHECKVALIDAETI�ON CK M O CASH rums♦ ATa CK M O 10
USH
W O O N a
TL
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY 8 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC (ARKS 9701 LAS TUNAS EL 0508 0011290015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 4931 SERENO DR
ASSESSOR INFORMATION NUMBER FEE DESCRIPTION QUANTITY- UOM AMOUNT TEMP CA 917803035
NEAREST CROSS STREET ENCINITA
5388-014-011 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY
G2 LIGHTING FIXTURES 1 00 LGT 1 95
TENANT HA FAU LESS 3HP 1 00 FAU 10 95 ISSUED am PROCESSED BY PLAN BY EXPIREVON
JB AC LIMITS +3-10HP 1 00 AC 19 65 11/29/00 UT 05/29/01
TOTAL FEES 60.30
OWNER TEL NO FINAL DATE CODE
FUKAMI,MR 8 MRS (626) 358-0985-
547 N ALTA VISTA I�-15- )0
MONROVIA, CA U�
ELECTRICAL FOR NEN HVAC SYSTEM
APPLICANT TEL NO
NES MECHANICAL SYSTEMS (626) 914-5696-
424 S VERMONT AVE SPECIAL CONDITIONS
GLENDORA, CA
5 PNGE -ES CoCONTRACTOR TEL NO 0 APPROVALS DATE
N E S MECHANICAL SYSTEMS (626) 914-5676- %- ovTJ.
424 S VERMONT AVE. LIC NO TEMPORARY POWER POLE
GLENDORA, CA 91741 550156C20
ARCHITECT OR ENGINEER ILL NU UFER GROUND
LIC NO�/ 1111111ROUGH CONDUIT
ROUGH WIRING
('r■`PUBLIC WORKS PMAIN WATER LINE
LASTIC Y/N METAL Y/N
11' X41,
�w P y
Service ThaIL
REPORT ID DPR265 ROUTE TO BS0508