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Home My Public Portal About4822 CAMELLIA AVE_Electrical__ >fiAfi63-CE806 10174 APPLICATION FOR ELECTRICAL PERM14 COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS Y��a,2 A/, �;— �, .L LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. CCY&Z OUTLETS N0. EACM FEE OWNER RM NOME/MAIL rt/,JG REC EP T,fJ FIRST 20 $ / S U ADDRESSAS S i./G' GGsy/E /� � LIGHT_ ,TOTAL Py TEL. NOc0JtoV/J SWITCH OVER 20 PLAN TOTAL CHECK�" LIGHTING FIRST 20 / O APPLICANT V// f0 FI%TURES L OVER 20 /- ADDRESS Sq /( ,vQN;�<) 4�?Z'v/ RESIDENTIAL APPLIANCES CITv /.2tClAVG TEL. No.ljy�j— ;S`J PERMIT o RANGE—DRYER WTR. HTR._ APPLICANT �/ /f,f �/ STA. COOK OISP._F.A.U._ ADDRESS QT "Y &6) 401JZ6 �l •- SPACE HTR. AIR COND. CI TY eG milyRf TEL. NO.Zl C CLOTHES WASH. DISHWASH,_ REG.NNUMBEft /Q CLASS.G--/d FAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY MOTOR9, TRANSFORM ERB RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE B TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERL RRG PED AND/OR O - I 1.00 LICENSED AS REQUIRED BY LOS ANGELES RUNTY AN ATE OF y. CALIFORNIA OR TJIA1 I AM THE LEGAL WNE OF THE OVE d 1 - ID 3.00 DESCPIP.EO flE0 OE NT IAL PROPERTY. U' PERMITEE _ �� 10 - 50 5.00 SIGNATOR U 50 - 100 1000 DISTRIC NO. ' OC SEO BY N ' 100 - 500 1500 �. Gl ? SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS C! DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE, POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE / G PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION pEK.I M.D. CASH a 1 3,,,{U, 2 2 tel/ Ql U SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r,�II 7 6 663-C E806 11-TI APPLICATION FOR EII ECTRIc A II PERMWQ COUNTY OF LOS ANGELES f �L �( l� �(UveI1N u DL!'PARTNT OF COUNTY BUIILDING AND SAFETY DIV SIONER JF993T7-L N. LOCALITY �A� y FOR APPLICANT TO FILL IN NEAREST CROSSST. L✓UO } �� OUTLETS NO. EACH FEE OWNER /Ln( MAIL fY/ NY ��}Afse r FIRST 20 25 ADDRESS O LIGHT_ TOTAL �� LLnn rL AA_ OVER 20 Cl TY TEL. N0. U 7-3 SWITCH_ .10 PLAN CHECK GHTING TOTAL LFIRST 20 25 APPLICANT FI%TURES .10 I OVER 20 ADDRESS RESIDENTIAL APp.LIANCES CITY TEL. NO. !X,/- PERMIT RANGE_ORYER ITR. HTR'._ APPLICANT STA. COOKDISP:_F.A.U._ ADDRESS, SPACE HTR. AIR GOND. CITY TEL. NO. CLOTHES WASH. DISHWASH._ LICENSE NO. CLASS. FANOTHER / I.00 / 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE B TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 _ 1 IDO LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF a CALIFORNIA OR THAT 1 AM.THE LEGAL OWNER OF, P�t I - 10 3.00 THE AB DESCR BED ESIDEN I' Iv_—OPERTY. Q V 10 — SO 500 SIGNATURE C OF PERMITTEE � O~ 60 - 100 low DISTRICTDIS TflICT NO .ASs ZO f PR C EO W 100 - Soo ISOO ,, 1 N SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: TUBE, OR 77 / � MARQUEE Ap01 TIONAL CIRCUITS 1.00 ) SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 FUNDERSLAB LS DATE INSPECTOR'S SIGNATURE SER VICEOVER 600 VOLTS OR 200 AMP 10.00 POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 ORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 UT FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 -3 TOTAL FEE J PLAN CHECK VALIDATION CK. M.D. CASH PERMIT_VALIDATION CK. M.O. CASH uSiO " n h 7 t SEP 12 2 D 4.00- v SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 75A503-CE806 I I-TI APPLICATION FOR ELECTRICAL PERMIT !J �c COUNTY OF LOS ANGELES DEAARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADORES LOCALITY NEAREST L.O wC� FOR APPLICANT TO FILL IN CROSS ST. t: /7 OUTLETS NO. EACH FEE $ $ OWNER RECEPT._� MAIL y?/ �s FIRST 20 25 MAIL �� • J/G-� S LIGHT_ TOTAL /� OVER 20 CITY Zjs� L. NO. SWITCH_ 40 _ PLAN CHECK FIRST 20 25 APPLICANT CiL.V LIGHTING TOTAL w FIXTURES OVER 20 10 � ADDRESS /�Q� fD `jl(o RESIDENTIAL -1 NCE CITY L. NO. r T 1 RANGE DRYER WTR. HTR, PERMIT_ APPLICANT C.IGL STA. COOKOISP. F.A.U._ ADDRESS SPACE HTR. AIR COND. CITY TE NO. CLOTHES WASH. DI SHWASH._ LICENSE NO. f"- �� CLAS . FAN 07HER 100 I O (> 1 HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL.COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. MP. KW. K ELECTRICAL WIRING. SIZE & TYPE OVER TO HEREBY CERTIF DTHATBY AM PROPERLY REGISTERED AND/OR Q - 1 1p0 LICENSED AS gE THAT 0 BY LOS ANGELES COUNTY AND STATE OF a CALIFORNIAESDE OR THAT AM THE R L OWNER RESI OF, AND INTEND T . O 1 - 10 3.00 RESIDE IN, /THE ROVE D / R ED RE51 NTIA PROPERTY. V SIGNATURE y. 10 - 50 SOD OF PERMIT O 50 100 IDOD DISTSRICT NO CLASS ZONE L PR ESSED BY W 100 - 500 1500 ` SIGN, GAS SIGN AND ONE CIRCUIT5.00 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1 100 SERVICENCTOVER600 VOLTS OR 200AMP 3.000 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 10.00 TEMP.POWER POLE TEMPSERVICE,POLE, &APPURTENANCES S.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ' ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE ' 0 PERMIT ISSUING FEE 3.00. t FINAL. TOTAL FEE PLAN CHECK VALIDATION crc. M . DPs PERMIT VALID I <K. M.O. CASH Lrlbo R n e 7.;S SO 27 2 0 7.00- CV SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -" -