HomeMy WebLinkAbout2514 (3)ELECTRICAL PERMIT APPLICATION
City of Hermosa Beach - Community Development Department
C.C.
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NEW BRANCH CIRCUITS - LIGHTING OR GENERAL USE
AND DWELLING APPLIANCES.
QTY
Amount
JOB ADDRESS:
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02v 1t 4yd'v2o rf1.
15 or 20 AMP., 120V - 240V
a. 1-10 Circuits, Total Fee
b. 11-40 Circuits, Total Fee
c. 41 or More Circuits, Total Fee
$43
$88
$131
Y0
JOB DESCRIPTION:
EZ'frriC2. a- L
15 or 20 AMP. @ 208V to 277V (Commercial)$22
each
3. All Other Lighting Circuits 600V or Less
$22 each
ADDED OUTLETS (TO EXISTING CIRCUITS), LAMPHOLDERS
LIGHTS AND YARD LIGHTING
OR TEMPORARY
PROPERTY OWNER(S) NAME:
F? V
1. Receptacles/Outlets
a. 1 - 5 Outlets (Inclusive), Total Fee
b. 6 - 10 Outlets (Inclusive), Total Fee
c. Over 10 Outlets (Every 10 outlets or
fraction thereof will be an additional
$20 added to the $33 above)
$22
$33
$33 plus
$20 & up
ADDRESS:
CITY, STATE, ZIP:
2. Light Fixtures/Lampholders
a. 50 or Less (Inclusive), Total Fee
b. 51-100 (Inclusive), Total Fee
c. Over 100 (Every 100 or fraction thereof will
be an additional $66 added to the $99 above)
$66
$99
$99 plus
$66 & up
PHONE:
ELECTRICAL CONTRACTOR:
i y ‘/ _ 1
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.(Rating
MOTORS, TRANSFORMERS, HEATING APPLIANCES AND
OR APPLIANCES
MISC. EQUIPMENT
.-
(Ratingof Equipment; H.P., K.W., or K.V.A)
1. 3 - 5
$66 each
EMAIL ADDRESS:
2. 6 - 20
$66 each
3. 21 - 50
$66 each
ADDRESS:
CI 70 6 4h('.
$66 each
5. Over 00
$66 each
REQUIRED, FIRE WARNING, COMMUNICATIONS AND
CONTROL SYSTEMS
EMERGENCY •
CITY, STATE, ZIP:
To rr. C/} 90 Sor—
1. a. Up to 50 Devices, Total Fee
b. 51- 100 Devices, Total Fee
c. 101- 200 Devices, Total Fee
d. 201- 300 Devices, Total Fee
e. 301- 500 Devices, Total Fee
f. Over 500 Devices, Total Fee
$35
$99
$132
$166
$196
P196/6v-7
BUSINESS LICENSE NO:
STATE LICENSE NO:
¥,5656 '—
2. Each Control Panel, Standby Power Panel,
or Similar Main Piece of Control Equipment
$35 each
TYPE WILDING:
SERVICE PANELS/SUBPANELS (INCLUDING BREAKERS)
AMP. and Voltage Ratings of Service Entrance
or Conductors, Services Switches or Circuit
Breakers or Switchboard Sections
1. 200 AMP or Less @ 600V or Less
2. 201-.600 AMP @ 600V or Less
3. Over 600 AMP @ 600V or Less
4. Over 600V Rating
5. Temporary Power Pole
$55
/
NO. OF STORIES:
NO. OF/METERS:
$55
NO. OF FAMILIES:
$55
$55
DATE ISSUED:
I I ii
$43
MISCELLANEOUS
$33
ISSUED BY: ki
SUPPLEMENTAL PERMIT FEE$17
ISSUANCE FEE
$60
PERMIT NO:
I%,,PV/
TOTAL FEE
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not. No person shall be allowed to perform
work under this permit in violation of the labor code of the State of California. I further state that I am properly licensed as required
by Section 7031.5 of the State Lice se Business and Professional Code (or claim exemption under Section 7044).
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Si: ature o Contractor
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Signature of Owner (If Owner/Builder)
City of Hermosa Beach
Civic Center, 1315 Valley Drive, Hermosa Beach, California 90254-3884
NOTICE!
ALL ELECTRIC SERVICE UPGRADES,
SOLAR PANELS, OR NEW SERVICE FOR
NEW HOMES MUST BE APPROVED BY
SOUTHERN' CALIFORNIA EDISON FIRST
BEFORE PERMIT WILL BE FINALED!
PLEASE CONTACT :
Ryan Barfield 310-783-9311
Please contact Public Works Department at (31 D)
318-0214 if work is going to be done in the public
right of way (sidewalk or street).
F:IB951CDICD Temp Files/sce notice 6/11/12
City of 2lermosci Teach
Civic Center, 1315 Valley Drive, Hermosa Beach, California 90254-3884
POLICY ON ISSUING NO -FEE PERMITS FOR ELECTRIC VEHICLE
SUPPLY EQUIPMENT TO RESIDENTIAL UNITS
One of the primary causes of house fires is an overloaded/deficient electrical system.
In order to ensure that a residence has sufficient electric supply to safely support the addition of electric vehicle
supply equipment (EVSE), and that Southern California Edison (SCE) is aware of the additional load that will
be placed on their distribution system, the City of Hermosa Beach has adopted the following policies:
APPLICANT must provide us with a written, signed, "Full Load Calculation", prepared by a licensed
electrician that demonstrates that the existing electric service panel is adequate to support the proposed
additional load demand of the EVSE, OR, submit an application for a service panel upgrade, supported by the
electricians Load Calculation. NOTE: The fee for the electric upgrade, if needed, will not be waived.
APPLICANT must demonstrate that they have confirmed with SCE that they are aware and approve of the
installation. Contact Tom Yolas at (310) 783-9311.
ALL EVSE must be connected to a "dedicated circuit" i.e. no other appliances, lights or outlets shall be
attached to the electric circuit that supplies the EVSE.
APPLICANT must have the EVSE installed inside a garage, if there is a garage on the property, and
demonstrate that the garage has sufficient space to park the number of vehicles for which it was designed. If
there is no garage, staff will conduct a site visit to determine the best location for the device.
THE ELECTRICIAN should be on site for the Building Department inspection. The "dead front" cover(s) for
the electric service panel(s) should be removed for inspection of the interior of the panel(s). The electrician
must provide manufacturers specifications and demonstrate that the installation meets those specifications. The
Inspector will require corrections for any electric deficiencies observed during the inspection.
APPLICANTS: To qualify for the no -fee permit, provide documentation that the vehicle is zero emission and
will be garaged at the premises that is being upgraded. Hybrids do not quality for the no fee permit. See website:
http://www.arb.ca.gov/msproq/carpool/carpool.htm Documentation may include insurance, lease or purchase
information, with the make/model (and engine number if necessary).
OTHER INCENTIVES: The City of Hermosa Beach is offering other incentives such as no -fee parking and
charging for a limited time. You must always comply with parking zone time limits.
RESOURCES: US Department of Energy www.cleancities.energy.gov
South Bay Environmental Services Center sbesc.com
Energy Upgrade California www.energyupgradeCA.org
So Cal Edison www.sce.com.pev
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