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Home My WebLink About929 (2)ELECTRICAL PERMIT APPLICATION City of Hermosa Beach - Community Development Department NEW BRANCH CIRCUITS - LIGHTING OR GENERAL USE AND DWELLING APPLIANCES QTY Amount JOB ADDRESS: 11;° ,?, i' J Sr iV10-?:* 1. 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$133 2. 15 or 20 AMP. @ 208V to 277V (Commercial) 3. All Other Lighting Circuits 600V or Less $44 $89 JOB DESCRIPTION: ad 30 imp or 'ii,+ -ti-, �`�� $22 each $22 each ADDED OUTLETS (TO EXISTING CIRCUITS), LAMPHOLDERS OR TEMPORARY LIGHTS AND YARD LIGHTING PROPERTY OWNER(S) NAME: (,�,y y L`p Jfrjjj( ��f�' '� 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 $34 above) 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 $67 added to the $101 above) $22 $34 $34 plus $20 & up ADDRESS: G, Ict �J '& "JCL' CITY, STATE, ZIP: $67 $101 $101 plus $67 & up PHONE: ELECTRICAL CONTRACTOR:. L r i tt(t4( t vigTk MOTORS, TRANSFORMERS, HEATING APPLIANCES AND MISC. EQUIPMENT OR APPLIANCES (Rating of Equipment; H.P., K.W., or K.V.A) 1. 3 - 5 2. 6 - 20 3. 21- 50 4. 51 - 100 5. Over 100 $67 each EMAIL ADDRESS: Nath eg Pi t MO $67 each $67 each ADDRESS: i el, I i l lvCi € ( '' $67 each $67 each REQUIRED FIRE WARNING, COMMUNICATIONS AND C1. EMERGENCY CITY, STATE, ZIP: Ci- .�� 00371 1. a. Up toS50 Devices,MS a. Up 50 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 2. Each Control Panel, Standby Power Panel, or Similar Main Piece of Control Equipment $36 $65 $1010 $134 $169 $199 PHONE. 5,30,...,62(.0 4D. - BUSINESS LICENSE NO: STATE LICENSE NO: ► j� sj 101` $36 each TYPE OF BUILDING: 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 $56 NO. OF STORIES: D. NO. OF METERS: $56 NO. OF FAMILIES: $56 $56 DATE ISSUED: �� /��(� —/ $44 MISCELLANEOUS $34 l/ ISSUED BY: \\ iA SUPPLEMENTAL PERMIT FEE $17 ISSUANCE FEE $61 PERMIT NO:/ 007 / „ 9 "�`r �L((,,��// 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 License Business and Professional Code (or claim exemption under Section 7044). Sign>4ture of Contractor f...\application\electric9-1-14.xlsx rev8-26-14 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 (310) 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 1 City of 2lermosa 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/msorog/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 1