HomeMy Public PortalAbout5626 CAMBURY AVE_Electrical__ 76A663-CEB06 4-68leAT1®N FORE Yu RICAL PERMIT
COUNTY OF LOS ANGELES /~
it . G4PARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ✓ �C C.-�+"
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY ,y{Y
FOR APPLICANT TO FILL IN NEAREST / �/
GROSS ST. .L.0�(�K
NO. AC FEE
RECEPT / S S OWNER -
MAIL
LIGHT ys!P TOTAL FIRST 20 D .20 O//O AUDR ESS
SWITCHP 09 6 OVER 20 .10 /rO CITY TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 - APPLICANT
" FIXTURES —/Ir OVER 20 .10
-- ADDRESS
RANGED YER WTR.HTR._ CITY TEL. NO.
STS CDQ X—DISP. F.A,U._ �TRACTOR
SPACE HTR.—AIR COND. Q
qDD RESS- O
_ CLOTHES WASH. DIS_ H�� / / CITY at TEL. NO. P
FAN-LOTHER
Q'a LICENSE IVO. 9rJ(,..� A CLASS. Ce
MOTORS.TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COG NTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE GE
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5.00 RESIDE IN, THE ABOVE OESCRIPEO RESIOEUTIAL PROPERTY. O
l�) -U
7�
50 - 100 10.00 SIGNATURE OF PERMITTEE
O
r
too - soo 15.00 DISTRICT NO.[G_ UP ZO N_E P C ED w
SIGN,GAS SIGN ANO ONE CIRCUIT 3.00 V pl CO
TUBE, OR /7/ z
MA ROU EE AD0I TI ONAL QUITS 1.00 NO�TrE
SERVICE NOT OVER 6469S OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE. POLE, &APPURTENANCES 3.001 APPROVALS DATE INSPECTOR'S SIGNATURE.
TEMP. POWER POLE
UNDERSLAB WORK "tet
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE 150% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED i
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE /L Jr E�� J SE H C. ROOHAN
SUPERVISING ELEC CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALICK.
DATION M.O. CASH '
r'VU 2 3 2 1 5.80-
EE
.CJ0 EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
APPLICATION F6R ELECTRIC PERMIT
COUNTY OF LOS ANGELES - -`-
ARTMENT OF COUNTY ENGINEER BUILDING M L " /Jj/'
UILDING AND SAFETY DIVISION ADDRESS ��6/ ,by 9
OHN A.LAMBIE,COUNTY ENGINEER
GSSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY "� P
IL
FOR APPLICANT TO FILL IN NEAREST .✓J .,,� � ��
PERMIT FEES CROSS sr.
ITEM NUMBER EACH FEE OWNER
OUTLETS: L MAIL 47
LIGHTS RECEP$. SW. .10 ADDRESS� }•
LIGHTING FIXTURES .10 CITY TEL.N ✓/I+ �Q
ELEC.RANGES CLO.DRYERS ELECTRICIAN f L C 1 Y
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS Ir /� '/
CITY` 4* d/� 7f- TEL.NO.
GARBAGE DISPOSERS AUTO.-
STATE /y
WpSHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRIC NO. GRO NE PR CESSED B
o- Ih .25 `Ji''CI B
v=— 2 .50 INSPECTION RECORD
2- 5 1.00
5,- 15 1.50
15- 50 2.50
50-200 5.00
�x
SIGNS: NO.TRANS. n J.
NO. LAMPS J.S••��I t //1/
SERVICED-600V �/ 1.00 /S/CF A/Iat=r',�Il//i��
SERVICE OVER 600V 5.00
' MISC.
WIRING PERMIT 1.00 I,- F
FIXTURE PERMIT 1.00
pr
SUPPLEMENTARY PERMIT .50
TOTAL FEE S 1APPROVALS
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICDATE INSPECTOR'S SIGNATURE
ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COWITH ALL COUNTY ORDINANCES ANO STgTE LAWS REGU LUITELECTRICAL WIRING, G I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED pNLICENED AS REpUIREO BY LOS ANGELES COVNTY qND STATRESCALIFORNIA OR THAT 1AM THE LEGAL OWNER O THE ADESCRIBED RESIDENTIAL PROPER Y. RSIGNATURE YCO.NOTIFIEDOF PERMITTEE
®' A DATION ARTHUR C. VEIT.
. CK MO, CASH SUPERVISING ELECTRICAL ENGINEER
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