HomeMy Public PortalAbout5062 SERENO DR_Electrical__ 715Ai lae sae(ane) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY ,
FOR APPLICANT TO FILL IN J B
New Residential Bldgs 6 Pools EACH NO _ FEE ADDRESS Fil
182 Family Sq Ft E 025 — E LOCALITY �(
Multi family Sq Ft 02 - — NEAREROSS ST
Residential Swimming Pools 25 00 WNER R_ 1 ---
FIRNAM
Outlets Rec O M Lght_Sw S OO ADDRESS fI�Q�- /
First 20' S0
vadaux-
Total No Additional 30 CITY sa Tel NojG_ 3
PLAN CHECK
Y_ APPLICANT
Lighting Fixtures ,First 20 50 ADDRESS
Addtrionol 30
Total No I CITY Tel 4o
Fixed Appliances Not Over 1 HP I _ _
Range_Heater_D W APPLICANTid
�p �1 '/�
Oven—Dryer= W M_ ADDRESS 3M21 6
Top _FAU _ WH _ CITY 4 (� C19 goo32Tel_N.
Hood_Fan —Other— a LICENSE OR 9 G_A
Disp _Room Air Card 250 REG NUMBER 3 Class
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA
Power Apporotus✓S Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size G Type HP KW KVA or KVAR - COMPLY-WITH ALL-COUNTY ORDINANCES AND STATE-LAWS -�
2 50 REGULATING ELECTRICAL WIRING
Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - O
Over 1 to 10 Incl 5 00- LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
Over 10 to 50 Incl 12 50 CALIFORNIA OR TH�HE LEGAL OWNER OF THE ABOVE O
Over 50 to 100 Inc 25 DO DESCRIBED RESID IAL PROPERTY r
Over 100 40 DO PERAUTEE _
SIGNATURE
Services O DISTRICT NO-} , t ED BY - -
0 200 Amp Under 600V r� /f `
201 1000 Amp Under 6000 12 50 V 25 00- _ U l/
Over 1000 Amp or Over 600 V 5000 Z 1
Temp Power Pole&Appurtenances 1000 t
Sign with One&anch Circuit 1000
Additional Sign Branch Circuits - 200 .INSPECTION >
0 0o INFORMATION W
Misc Conduits S Conductors ON REVERSE R 1 2$3 A
Other See Complete Fee Schedule)_ SIDE q
S # e e e e e 2
2eri
PERMIT FEE (Sub Total) e e e 24,5021
PLAN CHECKING FEE (One Fourth Permit Fee)
_T11. 14-78
PERMIT ISSUING FEE $700 d =o
TOTAL FEE rS >
INSPECTION FINALED _
date / �/� i7 8 ms
j /� r