HomeMy Public PortalAbout4834 CAMELLIA AVE_Electrical__ 1*, '10 - Ae Wyr,a Ar_ C FOR
_ELECTRICAL
pq pp4 PERM
IT
COUNTY OF LOS ANGELES
' DEPARTMENT OF COUNTY ENGINEER JAC RESS IA AVE.
BUILDING AND SAFETY DIVISION
FOU APPLICANTFILL IN LOCALITY
New Residential Bldgs & Pools EASV IND.I FEE NEAREST
1 & 2-Family, Sq. Ft. U.3
CROSS ST. .. _.g a L
OWNER OR i�Tr TATrrtI�LR
Multi-family Sq. Ft. FIRM NAME WILSON L�+LLdi[st:t.+
Residential Swimming Pools MAIL
ADDRESS SAPE
Outlets: Light, Switch & ReceptacleCITY 'TEt`JE CITY Tel.No.- 285-5990
First 20 PLAN CHECK
Additional APPLICANT
ADDRESS
Lighting Fixtures
First 20 CITY Tel.No.
Additional PERMIT
APPLICANT 11�[]M mn�i,�c HCC r+ _
Fixed Appliances Not Over 1 HP ADDRESS
2014 N REM RD'
Range_Heater_D.W._- S. EL NSE 579-7982
CITY TEL No.
Oven_Dryer_W.M._
ICESE OR
Top _ FAU X W,H._ REGNNUMBER 265094 Class. C-10
Hood_ Fan
1 HEREBY ACKNOWLEDGE THEAB E IS HAVE READ THIS APPLICATION
Disp._A.C. 2. 0 11 SO WITH
STATE THAT THE ABOVE I6 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
Power Apparatus & Large Appliances
Size & Type HP, KW, KVA, or KVAR 1
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS RETHAI I BY LT. ANGELES COUNTY AND E AB OF r
Up to 1 Incl. 00 CALIFORNIA OR THAI AM T.
GAL OWNER OF THE ABOVE d
Over 1 to 10 Incl. 00 DESCR II" R SIDENTIAL PROP T 0
Over 10 to 50 Incl. 1 00 PERMITEE _ _ N V
SIGNATURE
Over 50 to 100 Incl. 2400 Id
Over 100 3400 DISTRICT NO. P MOT S BY 0
Services
Ly-. 0 8 „�—� V
0. 200 Amp. Under 600 V 1 .50 4151 INSPECTOR'S W
APPROVALS D SIGNATURE a
201-1000 Amp. Under 600 V 2 .00
Over 1000 Amp. Or Over 600 V 5 .00 TEMP.POWER POLE Z
UNDERSLAB WORK
Temp. Power Pole& Appurtenances 1 .00
Sign with One Branch Circuit 1 00 ROUGH CONDUIT
Additional Sign Branch Circuits 2 0 WIRING
(Other)
FIXTURES
POWER AUTHORIZED
UTILITY CO.NOTIFIED a
FINAL _r/_ r
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $6.00 4 5
TOTAL FEE •O
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK: Mo. CASH
9"2 91JUN 9 2 D' I J 11 .5.0 0 11
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE