HomeMy Public PortalAbout5175 SERENO DR_Electrical__ 76AOS9 CESOG E/E3 APPLICATION FOR ELECTRIC L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER eu1LDINa
BUILDING AND SAFETY DIVISION ADDREBY '
JOHN A LAMBIE COUNTY ENGINEER '
WILAM A JENYiN BUF T OF BUILDING LOCALITY
LI
NEAREST
Fo APPU ANT 0 FILLIN CROSS ST
RECEPT TOTAL No RAOH FEE
OUTLETS FIRST 20 $20111 OWNER
SWITCH
MAIL
1WIT�R VER 20 OVEN 20 10
LIGHTING- 1 -TOTAL _ FIRST 20 10 _ CITY TEL NO
FIXTURES 1 AOD'L
DV R 20 10 ELECTRICIAN
RANGER CLO DIITEIIE xTw Iff11t 1 GO ADDRESS
OARS DIY RA COOK I
CITY -TEL NO
DIEIIWATW AUTO-WASH STATE
YAC[HTRR RA AFP (W H F I.AI)i I SO LICENSE NO
MCroRBI ovlw NOTOWR HF DISTRICT G E PR D
0 — 1 100 .1' — (J
1 — 3 1 Eo INSPECTION RECORD
3 — B loo i
S 1S ESO 0
IS SO 300 DT
O
Eo 100 000 r
SIGNS, No TRANI R
No I.ANFE H
Z_
6ERVICE0 SOW NOT o1m1200A 1 GO
SERVICED SOOV CV 200A 300
SERVICE WER SOW 000 '
MISC
i
PERMIT ISSUING FEE 200 _
BUPPLEMENTASY PERMIT IWUING FEE 100
TOTAL FEE
I
1111RmY ACKNOWLEDGE THAT I HAV[ R1AD THIS ARL TION APPROVALSDAit 11. R
AND RATE THAT THE AEOV1 IE CORRECT AND ACRES TO CONFLY CONDUIT
WITH ALL COUNTY OROINANCIR AHD RATL I..AWE MOULATING
6lCTIDCAL WIRING WIRING
1 HERmY CERTIFY THAT 1 AY FRORRLT iGIR11® ANDIOR
LICEIIIKO AS RIGUIRID EY LOE AHOELEE COUNTY AND RATE OT FIXTURESI
CALIFORNIA OR THAT 1 AY T141 LEGAL 0"" OF THE
DEECRUIED RERIOEMTIAL POWER
SIONATUREUTILITY CO NOTIFIED
OF FERM
FINAL
VAL (T }yF—� w C vert
CK Mo YO CADN SUPERVISING ELECTRICAL ENGINEER
(AL01 6 1 3;3 .AIL 21 2 D 4.0 0
COUNTY OF LOS ANCFLES TEOPLE CITY 4 0508 ELECTRICA-
DEPARTMENT OF PURI +r WWKS 9-01 LAS TUNAS EL 0508 0' nnr�
BUILDING AND SAFETY / LAND DEVELOPMENT TE,17LE CITY CA 91780
,',LME %626) 285-0489
LEGAL IC
P7`[b aUTmu
ON FILE 5175 SERENO DR
FEE DF�CRIPTIOJ GUANTI" 1-x AMOUNT Imp fA 917803040
A$SFSSFTNF ,ION NUMBER: - NE7REST CROSS STREET 'c E'EAD
5388-018-Ci2 Al PERN'T %SSJANCE FEE 27 75 Th0^1AS PAGE 596 GRID w LOCALITY TEMPLE C -
G1 OUTLETS-LG-,SM,RECP 1 00 OUT 1 95
TEQAAI�- - G2 LIGHTING FIXTURES 1 00 LG- 1 95 ISSI.JrD 0' PROCESSED-ffT—PI-AF-37-- EXPIRES ON
_ TOTAL FEES 31 65 10/11/04 JK 04/09/05
OWNER TEL NO FIF L .r Fl 8, CO-- --_
CHANG, n.4-1 (L26) 451-9887-
5175 S[;�[9C D"VE
TEMPLE CjT° -f 91780 nL iP OF WORK
1 , If-T -I\TURE
APPLICAA
- �—
SAME AS ""'FR
5�„nL SOI Di S
l �
RAS- L- .. -- ILL FU - -- ALI a OA i' — 1NSPECTCR SI—TNATIL
SAME AS ... Z.,
LIC NO -.JEIC OL 1
TWL-i,NU40 CONDUIT --)
AkEBTTFEY'�FnT�_ __ TTr,T F-1 L—�-)G14
+in nETAL Y/N
i
LUTITT I roP4N�ZiiTFTE6
REPORT ID DPR265 ROUTE 10 BS0508