HomeMy Public PortalAbout5131 SERENO DR_Electrical__ renes!-ceeoe II 71 APPLICATION FOR ELECTRICAL PERMIT LI
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
[ LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO IRACH
FEE OWNER '
RECEPT MAIL
LIGHT_ TO L FIRST 20 ADDRESS
OVER 20 CITY TEL NO
SWITCHJ_l 10 PLAN CHECK
LIGHTING FIRST 20 ZS APPLICANT
TO AL
FI%TURES 10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE_DRVER_WTR HTR_ APPLICANT �/
STA COOK_DISP_F A U _ ADDRESS J ;2
SPACE HTR AIR COND CI C I TEL NO
/ —ZI 1
CLOTHES WASH DISHWASH_ LICENSE NO G lOV/ Z CLASS C—
FAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORSTRANSFORMER! RATING WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
IND HEATER! ETC HP KW RVA ELECTRICAL WIRING
SIZE B TYPE OVER To
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICE NDEO AS REQUIRED BY LO! as Al. OB COUNTY AND STAT[ Of
CA LIIDRNIA ON THAT IAM TH[ LEGAL OWNER OF AND INTEND TO
1 — 10 300 PHNO
E IN THE ASOY DES ISED RESID[NTI PRO [R Y O
ATURE e
10 — 50 e00ERMITTEE /Y ME
O
SO — 100 10D0
lcrw wee z N PR c
IDO — 500 15000 SIGN GAS SIGN ANO ONE CIRCUIT e0DESTUBE OR
MARQUEE ADDITIONAL CIRCUITS 100SERVICENOTOVER BOO VOLTS OR 200AMP 300
SERVI CE OVER BOO VOLTS OR 200 AM P 10APPROVAL! DAT[POWER POLETEMP SERVICE,POLE, 4 APPURTENANCES 700
RSLAB WORKTEMP LIGHT OR RECEPT SYSTEM 300
H CONDI UTGRESR AUTHORIZEDPERMIT FEE (SUB TOTAL) ITY CO NOTIFIEDPLAN CHECK FEEPERMIT ISSUING FEE 300TOTAL FEEL
PLAN CHECK VALIDATION CR M 0 CASH PERMIjVA N cR M o c•ex
LAI" 8059;3 SEP 27 2 D 450-
SEE DAM OF APPLICATION FOR COMPLETE SCHEDULE
;BABBBa Ba APPLICATION FOR ELECTRIC PERMIT I
DBA a3
A DWMON OF BUILDING AND SAFETY
Department of Co1Bat! Engineer r
C_'T I "B" � lee ADDRESS 5133 Sereno Drive
WM J FOX COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY Temple City
FOR e �APPIPLICANT TO FILL IN NEAREST
PER+��+• FEES CROSS ST
NUMBER EACH FEE
OWNER Poe
LIGHT OUTLETS
RECEPTACLES MAIL
ADDRESS
W ALL SW ITCHES
TOTAL OUTLETS 551 f CITY TEL N
ELEC RANGES 25 ELECTRICIAN G. E.
Curtis
_ELEC HEATERS 25 ADDRESS
XW EA CITY TEL NO35 C41 j
FI%TURES I S ICE SENO 1 _c—
NUMBER OF LIGHT CIRCUITS - DISTRICT NO I GRYJP I ZOPIE 4 READY FOR IRFPECTIDR
NUMBER OF RECEPTACLE CIRCUITS /� O
MOTORS J�
NUMBER HORSEPOWER FEE INSPECTION RECORD
N.W MVe HP OVER INC EACH
B LE6a 25
2 50
2 5 1 00
5 la 1 50
15 50 250
a0 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00
FIXTURES e1 00 1.
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE S 31.60 - DATE INSPECTOR S SIGNATURE
1 HEREBY ACRNOWLEDGE'THAT 1 HAVE READ THIS APPLICATION CONDUIT
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 A RE FRED AND/OR FIXTURES
LICENSED AS REOUIREO BY L i CES C U ANO STATE OF
CALIFORNIA OR THAT 1 Ay AL OF THE ABOVE POWER
DESCRIBED RESIDENTIAL fA�
SIGNATURE UTILITYCO NOTIFIED bL7
OF PERMITT FINAL t
WILLIAM J FOX.COUNTY ENGINEER . VALIDATION A C.VEIT.CNISF ELZCT INSPECTOR
I
_ 1&9'776' NOV 7 2 360 m