HomeMy Public PortalAbout5060-5062 1/2 SERENO DR_Electrical__ 76A663 CE-80616/)81 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO FEE ADDRESS
1 &2 Family,Sq. Ft. $ .025 — $ LOCALITY
Multi family Sq. Ft. 02 — NEAREST
SL
Residential Swimming Pools 25.00 WNER OR
FIRM NAME
Outlets:Rec Light_Sw._ _ MAIL
First 20 .50 ADDRESS
Total No. Additional 30 CITY Tel. No.
PLAN CHECK
APPLICANT _
Lighting Fixtures First 20 .50 ADDRESS
Additional .30
Tocol No. CITY "
Fixed Appliances Not Over 1 HP PERMIT
Range_Heoter_D.W. _ APPLICANT '
Oven_Dryer_W.M— ADDRESSC,
Top —FAU —W.H. _ CITY Tel. No.
Hood_Fan —Other— LICENSE OR
Disp.—Room Air Cond. 2'50 REG. NUMBER Class.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO a
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2.50 REGULATING ELECTRICAL WIRING. V
Up to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR W
Over I to 10 Ind. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF J
Over 10 to 50 incl.
12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE y
LL
10
25.00 DESCRIBED RESIDENTIAL PROPERTY.
Over 50 to 100 Inc 40 00 PERMITEE
Over 100 SIGNATURE
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Servicesd
DISTRICT NO._ PROCESSED BY
0- 200 Amp.Under 600 V 12.50 W
201-1000 Amp. Under 600 V 25.00
Over 1000 Amp.or Over 600 V 50.00 Z
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Temp. Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 0.00
Additional Sign Branch Circuits 2.00 INSPECTION >
Misc.Conduits&Conductors 10.00 INFORMATION
ON REVERSE x
Other(See Complete Fee Scheduler_ SIDE q
S P • • 7
PERMIT FEE (Sub Totoli a 6 f4 '!)S
Z
PLAN CHECKING FEE (One Fourth Permit Fee i O I 't ih ^ !S
F
PERMIT ISSUING FEE
$7.00 0
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TOTAL FEE >
INSPECTION FINALED n
W
date: By ' ®s