HomeMy Public PortalAbout4963 SERENO DR_Electrical__ I •7SAft3-C`lESOSI/70
APPLICATION FOR ELECTRICAL
COUNTY OF LOS ANGELES e-(4DEPARTMENT OF COUNTY ENGINEER BUILDING Q6 1 G
BUILDING AND SAFETY DIVISION ADDRESS Y
JOHN A LAMBIE COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS u N N N
FOR APPLICANT TO PILL INEAREST
N CROSS ST
}{TLETS FE
//�` OWNER O See i 4
TTT MAIL
S S
LIGHT �TOT`A,L FIRST 20 20 ADDRESS f � )
OVER 20 CITY 'g'L✓'+' TEL NO
SWITCH 10 PLAN CHECK
LIGHTING l T07 FIRST 20 20 Q APPLICANT
FIXTURES
)} OVER 20 ADDRESS
10
/�Ntvu ` CITY C-[�� TEL NO
Y PERMIT
RANGE RYER 4Y'fR HTR APPLICANT
STA COOK_OISPqCl–F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH --)C—DISHWASH LICENSE NO CLASS
FAN–_ –C—OTHER 7/ 100 O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AHO STATE THAT THE ABOVE I$ CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINA MC ED AND STATE LAWS REGULATING
IND HEATERS [TC Nr KW KVA ELECTRICAL WIRING
SIZE B TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGIBTERE MD/OR
O — I 100 LICENSED AS REOUIREO Y LOS ANGELES COUNTY AM _IT
TE Or
CALIFORNIA OR THAT 1 1 THE LEGAL OWNER OF AN II MD TO
1 — 10 300 RESIDE IN THE ABO pEBCR IPED R�yE NTI � OPERTY
10 — EO 000 SIGNATURE 1/V .�(„U� Q
OF PERMITTEE
50 — IDO 1000 K
DISTRICTNO SS Rour aces Der O
100 — SOD 1500 S,Q
SIGN GAS SIGN AND ONE CIRCUIT 300 NOTES y
TUBE OR Z
MARQUEE ADDITIONAL CIRCUITS 100 /
SERVICENOTOVER600 VOLTS OR 200AMP 200 2
SERVI CEOVER 600 VOLTS OR 200AMP 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
TEMPSERVICE,POLE, IN APPURTENANCES 300
UNOERSLA1, WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONOIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO NOTIFIED
PERMIT ISSUING FEE 200
FINAL Z
SUPPLEMENTARY PERMIT ISSUING FEE 1D0
,Q JOSEPH C ROOHAN
TOTAL FEE U SUPERVISING ELECTRICAL ENGIN R
PLAN CHECK VALIDATION CK M G CASH PERMIT VALIDATION CK M 0 cASn
Iifr8898 FEB 2 DD 120 O
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3[C DAM OF APPLICATION FOR COMPLETE SCHEDULE j.
6"°63 `E°°° " " APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER nUILDIN Q
BUILDING AND SAFETY DIVISION
LOCALITY '
NEAREST
FOR APPLICANT TO RILL IN CROSS ST
OgTLETS NO EACH FE[ J/� .¢ —
S S OWNER sCw( (
RECEPT MAIL
LIGHT TOTAL FI RST 20 9 m sz) ADDRESS c{PCa M"
SWITCH �_ OVER 20 CITY 4.D - TEL NO _a1�
10 PLANCHECK C)
FIRST 20 2/ APPLICANT 1 t,/ `�OLD r
LHTING IGTOTAL �
OVER 20
FIXTURlS 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
RANGE-DRY ER_WTR HTR_ PERMIT
APPLICANT BMJ V
STA COOK_DISP F A U _ ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH _ LICENSE NO CLASS
FAN OTHER 100 O\ I HERESY'ACKNOWLEDOE THAT I HAVE READ THIS APPLICATION
V AND [TATE THAT THE AS OV[ 15
COMR[CT AND AGREE TO COMPLY
MOTORS TRANSFORMER° RATIN[ WITH ALL COUNTY ORDINANCES AND STATE LAW[ REGULATING
IND HEATERS ETC XP KW RVA ELECTRICAL WIN IND
SIZE S TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED All REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AMD TEND TO 0
1 - 10 300 RESIDE IN THE ABOV DESCRIBED RI O[NTI1 P OPERTY
v
SIGNATURE
10 - $0 500 OF PERMITTEE r`OF
60 - 100 TODD DISTRICTNO CLASS ZONE PROC [D SY WJ
100 - 500 1500 L^• .. 9 2
n I
SIGN GAS SIGN AND ONE CIRCUIT 500 _NOTES �G�. y�
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER 600 VOLTS OR 200 AMP SOD
APPROVALS DATE IN ECTORM SIGNATURE
SERVI CE OVER 600 VOLTS O R 200 AM P 1000
TEMP POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES 500
UNDERSLAS WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING �� Z
FIXTURES
POWER AUT HO RIZEO
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTI FI
PLAN CHECK FEE
PERMIT ISSUING FEE !00 FINAL
TOTAL FEE
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION cA[n
LnLo �' s s KIN 21 -,2 D 9.75-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '