HomeMy Public PortalAbout5160 SERENO DR_Electrical__ Of$A3 EE APPLICATION FOR ELECTRIC PERMIT Z
DMSION OF BUILDING AND SAFETY
D[pmrfm[at of Connlr E¢ginow
ComtT of f.0! An� F
Lam' Q
WM J FOX COUNTY ENGINEER J
CABBATT D GRIFFIN BUT T OF BUILDING
LOCALITY
FFFORR APP L_lJANT TO FILL IN
F'EFS
Bj
NUMBER EACH TEE
LIGHT OUTLETS OWNER
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS CI
ELEC RANGES ED ELECTRICIAN
ELEC HEATERS 31 ADDRESS
NW EA CITY NO
FIXTURES B LIC51469 NUMBER OF LIGHT CIRCUITS DISTRICT NO GYP ZONE ••1DY roA IML1[ITIO[
NUMBER OF RECEPTACLE CIRCUITS .ITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
N[W YVD HP OV[R INC EACH
%&LffSS 8 35
4 BO
E E 100
B IE 1 BO
IB 50 230
EO 300 500
MIHC �—
NO SIGNS NO TRANS
NO SIGN NO LAMPS
FOR EACH ER
WIRING 1 DO
FIXTURES 100
SUPPLEMENTARY Bo APPROVALS
TOTAL FEE G D DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING Q
ELECTRICAL WIRING
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR FIXTURES
LICfiMSED AS REQUIRED BY LO! ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT A THE LEGAL OF THE ABOVE POWER
DESCRIBED RESIDE F'S 9'
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE FINAL
WILLIAM J FOX.COUNTY ENGINsmT VALIDATION A. C VETT.CN1w ELECT INSPECTOR
„Lo 3 8 0 5- MAR 62 1 .0 5
TSAGSD CESOS bbf /
APPLICATION FOR ELECTRI�CAL'�IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADORESCn
JOHN A LAMBIE CQUNTY ENOINEER
COLEMAN W. JENKINS, SUERRINTRNDI.TDFCUILcHms LocALlry
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
RECEPT_ OWNER W
MAIL _
LIGHT_ TOTAL FIRSTj20
20 ADDRESS N O
SWITCH_ OVER 10 CITY TEL NO
PLAN CHECK
LIGHTING TOTAL FIRST20 APPLICANT
FI%TURES OVER 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_DISP _F A U Q a
COIJTRAC POR �(� (,EC"— 6
SPACE HTR _AIR COND _ ADDRESS I
CLOTHES WASH _DISHWASH CITY UIQ 11,V4 TEL NO pp
Do—
FAN—OTHER 1LICENSE NO CLASS ` D
MOTORS TRANSFORMERS RATING
IND HEATERS ETC MP KW KVA I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE G TYPE OVER TO AND STATE THAT TME ASOVE IS COMMECt AND AGREE TO COMPLY
WIT. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 - I 100 ELECTRICAL WIRING
I HERESY CEPTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 300 LICENSED AS REQUIRED Gy LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGA O AND INTEND TO
1p Sp 5 pp RE61DC IM THE CRI, RCf10C T111 PROPERTY �
CL
U
SO - 100 10 00 SIGNATURE
OF PERMITT
100 - ~
600 1s oo DISTRICT NO GROUP ZONE P CE ED BYSIGN GAS w
TUBE OR SIGN AMD ONE CIRCUIT 00 8 . Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES / AF7liJ
SERVICE NOT OVER GOO VOLTS OR 200 AMP 2 00
SERVICE OVER SOO VOLTS OR 200 AMP B 00
TEMP SERVICE POLE IS APPURTENANCES S 00 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
UNDER5LAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE AOOO 0 C) UTILITY CO NOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE FINAL
TOTAL FEEO a JOSEPH C ROOMAN
SUPERVISING EL AL ENGINEER
PLAN CHECK VALIDATION CK M G CASH PERMIT VALIDATION CK M Q CASH
LAC07 7 0 9�8 MG17 8 0 3.00-
PE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ,E,/•
Des 5A 9 as APPLICAION FOB ELECTRIC PERMIT I
DIVISION OF WELDING AM SAFETY
DBymtmwt of County Enplumm
County Of LOS, An�RR A1011Np O
WM J FO COUNTY NGINIIER ADDRESS
C:AS8ATT D GRIFFIN OUR T OF BUILDING
LOCALITY
FPO PrP IILC&NT TO FILL IN NEAREST
FEW CRO"ST
NUMBER EACH FEE
LIGHTOUTLETS OWNER
RECEPTACLES MAIL f
ADDRESS J
t
WALL SWITCHES
TOTALOUTLET6 so S CITY Arjr=a4'1iIp;I'IF
ELEc RANOEB2B ELECTRICIAN IED
ObtoELEC HEATERS 2B A00=6IOKWEA CITY TELAKK
FIXTURES LICENSE NO.
NUMBER OF LIGHT CIRCUITS DISTRICT (GROUP ZONE Amy"It IN[P[CFIG[
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
N[M MVD HP OVER INC EACH
•LED[ B 20
2 BO
r
2 e 100
E 10 150 S
Ie 50 250 DO 200 S 00 �
' N
MIBC
AL v6m-i�
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING Stoo
FIXTURES III DO
L
MENTARY BO APPROVALS
TOTAL FEE S DATE INSPECTOR S SIGNATURE
EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
ATE THAT THE ABOVE IS CORRECT AMD AGREE TO COYPU
LL COUNTY ORDINANCE! AND STATE LAWS REGULATING WIRING IZ F5 Ore,ICAL WIRING
EBY CDITIFY THAT I AY PROPERLY REGISTERED AMD/OR FIXTURES
ED AS RHOUIRED BY LOS ANGELES COUNTY AND STATE OF
RNIA OR THAT I AY THE LEGAL OWNER OF THE ABOVE POWER
ED RESIDEMIA OPURE YG� UTILITYCO NOTIFIEDRME FINAL D Y
WILLIAM J. FOX,COUNTY ENGINEER VALIDATION A C VEIT.CHIEF ELECT INSPECTOR
68 1 5 4" JUL 12 2 2.3 0 IR