HomeMy Public PortalAbout5208 SERENO DR_Electrical__ 7RAALi DRB" 7.51 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ��������
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO.
S 34-d4 /
ELECTRICIAN
RECEIVED BY READY FOR l U[D
ADORES! FIRST INSPECTION A�/ �1
CITY TEL NO
COUNTY LIC[NB[ NIL EXPIRES
PERMM FEES All EAS �2 ng SrrPlji. Y��
_
NUMBER EACH F[[ LOCALITY --
LIGHT OUTLETS NGR[BT
CROSS BT
RECEPTACLES '
WALL SWITCHES OWNER
TOTAL OUTLETS Sc ° MAIL
ELEC RANGES, yS ADDRESS 40pMG20 D✓—
ELEC HEATERS as CITY TEL NO
FIXTURES n S ��
I N[R[SY ACKNO [OO[ THAT 1
HAVE READ THIS
MIRC APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS LCA AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSB[BB THE ABOVE VALID LOB
HUM NORS[POW[R ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
FEE
H[W MVD HIS OVER INC [Aml OF THE RESIDENTIAL PRO STY DESCRIBED ABOVE
• "" S 23 m'O SIGNATURE of
I a BO PERMITTC
' ° ' °O INSPECTION RECORD
_ B le 1 BD
15 so 250
so aO0 Soo
_ 200 BOO 1000 _J
Boo 1000 Is OO Z
OVER 1000 a0 00
MG BET FR CHANGER-HP
WELDERS AO-KVA O
GENERATORS - KW
TRANSFORMERS . KVA
TEMP MOTORS (76 Or DRIB)
MOVED MOTORS (76 Or GRID)
MIRD
SIGNS APPROVALS
NO NO TRANS. APPROVALS A
NO No.LAMPS
ran EACH PERMITS DA79 INSPECTOR'S NAM[
WIRING sl.m CONDUIT
FIXTURES *1 Go WIRING .0 )1 fZ
(IflUPPLlEMtNT^Rf BO FIXTURES
cc�� ZO POWER
TOTAL FEE •O UTILITYCO NOTfrlm
FINAL
TEMPLE CITY -
T6A68!-CEE06 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION w0DRE8Y
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEARfiBT
FOR APPLI ANT O FILL IN I CROSS 8T V
RECEPT TOTAL NO EACH FKS -
OUTLETS FIRST 20 q •20 • J OWNER 14 N"091-snry
LIGXT (� MAIL
SWITCH OVER
10 ADDRfi88 ^�`
ovcn 20
TOTAL CITY !� L TEL NO
LIGHTING 1 FIRST 20 20 _
FIXTURES 11 ADD`L ID ELECTRICIAN
OV R 2O
MNG[• CLO dfYDl• WTR N too— ADDRESS
WR• DIEP WA COOK
CITY TEL No
DI•HWAEH AVro wA•N 87wr6
SPACE HT1"' SFA APP (%HP MAE ) 60 LICENSE NO
MOTORS, ovEw NOT ovER NP DISTRICT NO GROUP ZQNE PROCESSED BY
fF
0 1 100 OGV O
1 6 160 INSPECTION REC D
8 16 250
16 60 300
so , — 100 600 0
SIGNS. NO TRAM•
No LANDS OC
O
SERVICE SOOV Not OVER 20OA 100
SERVICE O BOOV OVG 200 A 200 y
SERVICE OVER 600V 500 Z
MI2C
20.ne
PERMIT ISSUING FEE 12001 Z.-
SUPPLEMENTARY PERMIT IBHUING F2i 100
TOTAL FEE 6 fF
I XE y ACKNOWLEDGE THAT I HAVE READ TNI• APPLICATION DATE ImImmomm• aMTDliI
AMD •FATE THAT THE A•DVE I• CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCE[ AND •TATE LAW MOULATING
EUEc11NGL WIRING WIRING
1 HE OEROFY THAT 1 AM FINDERLY REGI•TIIRD ANO/OR
LICp1EED As REGUIRE[I LGE A-G Mw COUNTY AND WATE OF FIXTURES
uUMRRIA OR TMwT THE LEGAL 0"" OF THE AEOVE /
` DRE ola Rn1DEMTI P POWER ) r,.
SIGNATURE UTI ITY CO NOTIFIRD IlA
)
OF PERMITT
FINAL
UCK ION' ARTHUR c VEIT
CK MO MO CASH, SUPERVISING ELECTRICAL ENGINEER
Lt" 3 9 0 1 E APR 26 2 D :5.4 0'" Al
1 -
teAeefC- CK80e5 I9/71 APPLICATION FOR ELECTRICAL PERMIT
BUILDING SAF Ty DI ON
/OR APPLICANT TO FILL IN
New Residential Bldgs & Pools EACH NO FEE ADDRESS Pt ,
1 &2 Fn1911y Scl Ft S — B LOCALITY
Multifamily So Ft — NEAREST
Residential Swimming Pools CROSS ST
WNER OR
FIRM NAME
Outlets Light Swdch&Receptacle '/� MAIL
First 20 40 ADDRESS �3
Additional CITY �J ll�/.� Tel No
N CHECK
PLA
Lighting Fixtures r� APPLICANT
First 20 V Q ADDRESS
Addttional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater_ DW _
ADDRESS 1' ,
Oven _ Dryer _ W M
Top _ FAU _ W H CITY Q Tel No
Hood Fan LICENSE OR y
Disp AC REG NUMBER Clan p
THAT i HE w T,on CC
I Hoot wcRNor LEBGE T HAVE woo T .Fucw
Ano .TATE Tn AT THE ,s CORRECT AND HEC To COMPLY
Power&Ty Apparatus& Large Appliances or K es KLE ALL CO MTV ORDINANCES AND .TATE uv. REGULATING
Size&Type HP, KW, KVA,or KVAR ELECTRICAL MIRING o w
OL.
Up to 1 InclEREeT ccwTIFT T AM RwOREw Lr REGISTERED AND/ow rn
Over 1 to 10 Incl EGUIwo E wnGEus coo NTr w ATE o.
Z
C�LIrO RNIw•oR I AM LTHE LEGAL OWNER OF n THE ABOVE
Over 10 t0 501ncl Docwuo w.. L PRowoTr
Over 50 to 100 Incl PERMITEE `
Over 106 SIGNATURE
Services DI TRI T NO P ED By
0-200 Amp Under 600 V AS'- d
201 1000 Amp Under 6DO V APPROVALS DATE SI N
TORS
Over 1000 Amp or Over 600 V ATURE
TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) 3J�NOT
UTILITVCO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Fee) AL �G
PERMIT ISSUING FEE
TOTALFEE ES
w
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATIONCK MO CASH
1 3 0 fi NDV 15 Z D 8.1 0 Ago