HomeMy Public PortalAbout5116 A & B SERENO DR_Electrical__ T'A°°'a` APPLICATION FOR ELECTRICAL PERMIT —
COUNTY OF LOS ANGELES BUILDING AND SAFETY
1
FOR APPLICANT TO FILL IN Mpg �
New Residential Bldgs 8 Pools EACH NO FEE ADDRESS ` ~`SC �/✓U �7iQi
182 Family Sol F 300D E 025 — E LOCALITY 6,- 4;ir Lo'7
Multi family Scl F 02 — NEAREST
Residential Swimming Pools 25 00N ST R r - -
FIRMNAME 4a/ dD
Outlets Rec_Light_Sw MAIL
_
_ First 20 50 - ADDRESS
Total No Additional 30 CITY _ Tel No ry MALT
PLAN CHECK
APPLICANT
Lighting Futures First 20 50 ADDRESS
--- Additional 30
Total No CITY Tel No
Fixed Appliances Not Over 1 HP _ _ PERMIT. `
APPLICANT � LCiO FLG1 /G
Range_Heater_D W �,s
Oven_Dryer—WM— ADDRESS BFNVq - Q,
Top _FAU _ WH _ CITY Gd /N.d- Tel_No /y)
Hood_Fan —Other— NSE OR
Disp _Room Air Cord 250 REGLICENUMBER W Class G-/v
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus B Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE i0
Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND-STATE LAWS
2 50 REGULATING ELECTRICAL WIRING
Up to 1 Ind I HEREBY CERTIFY-THAT I AM PROPERLY REGISTERED AND/OR
Over 1 fo 10 Incl 500 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r
Over 10 to 50 Inc) 12 50 CALIFORNIA OR TH I AM THE LEGAL OWNER OF E ABOVE VS
DESCRIBED RESIDE L PROPE
Over 50 to 100 Inc 2500
EE
Over 100 40 00 PE N'TI-
SIGNATURE
Services DISTRI ESSED BY
0 200 Amp Under 600 V" 1250
201 1000 Amp Unryr 600 V 2500 _ C'i--
Over 1 ODO Amp or Over 600 V 5000 -
Temp Power Pale&Appurtenances 1000 i '0 4 5 0 9 A
Sign with One Branch Circuit 1000
Additional Sign Branch Circuits 200 INSPECTION K # • • • • • 2
Mrsc Conduits 8 Conductors 10 00 INFORMATION p 8 2 0 0
Other(See Complete Fee Schedulel_ i ON SIDE�E u 'e • • 8 2 0 0 55
10 52 2 2'-7 9 Ofi22'-79
PERMIT FEE ,(Sub Total) -
_
PLAN CHECKING FEE IOne Fourth Permit Feel Z
PERMIT ISSUING FEE $700 '7 00
TOTAL FEE O - _ y> (, ,
INSPECTION FINALED /��
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