HomeMy Public PortalAbout4840 CAMELLIA AVE_Electrical__ 76A669-CE006.6-57 APPLICATION FOR ELECTRIC PE:RIVIIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING I
BUILDING AND SAFETY DIVISION - ADORESS
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY x�
FOR APPLICANT TO FILL IN CR"s ET.
PERMIT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES
NUM SER ITEM EACH FEE MAIL / ygl
y
TOT0.L OUTLETS f .f0 f
ADDRESS
ELEC. RANGES, WATER HEATERS, HT CITY 0 TEL.NO.
CLOTHES DRYERS .5o U " ELECTRICIAN
ELEC. SPACE HEATERS, STAT Y. COOK-
ING UNITS. GARBAGE DISPOSERS, ADDRESS (, '
AUTO WASHERS, DIEHWABHER .25
LIGHTING FIXTURES .10 CITY STEL. NO. &e g 13A+
STATE �� /_
MOTORS LICENSE NO. 10
Z
HORSEPOWERDISTRIGRO
O. UP ONE READY FOR INSPECTION
H.P. OVER INC. LT
TA R LESS 25
+i' — 2 .50 INSPECTION RECORD
2 5 1.00
5 15 1.50
l5 50 2.50
5o 200 5.00
MISC.
P
SIGNS I NO.TRANS ,
NO.LAMPS
SERVICE 0-600V 1.00 O
SERVICE OVER 600V 5.00
WIRING PERMIT - 1.00 tI IT
FIXTURE PERMIT 1.00 a0
SUPPL SUPPLEMENTARY NTA RY PERMIT .50 APPROVALS
TOTAL FEE f
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LICATION DATE INSPE TOR'5 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING A
ELECTRICAL WIRING. WIRING y� 57 ��.y -gol, _
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Oft FIXTURES F `A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
JOHN A. LAMBIE. A DATION ARTHUR C.VEIT.
COUNTY ENGINEER / SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
-2595—;. SEP 2 4 2 4,20 9 .
I_
76A 663-C E8 06 11 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
' DEPARTMENT OF COUNTY ENGINEER BW LOINS q
BUILDING AND SAFETY DIVISION A00REss !yg4e .04Af
•COLEMO
AN W. JENKINS, SUPERINTENDENT F BUILDING LOCALITY / EMPLE 'If /')_/^(�i,94iP
11
FOR .APPLICANT TO FILL'IN CROSSST. LOWe
OUTLETS NO. EACH FEE "
OWNER )p
RED EPT.� i S MAIL [py
FIRST'20 / n
ADDRESS p' 0 CA14, G L/A R 46. 22
LIGHT Zg TOT CITY TEMPLE C.. j7` - TEL NO. Ag6-JJIa
SWITCH OVER20 .10
_ PLAN CHECK'
LIGHTING TOTAL
FIXTURES .10 FIRST"20 S .25 ZC APPLICANT
l(` OVER 20 ,J ADDRESS
/ � '
APPLIANCES CITY TEL. NO.
k" -0RYER PERMIT
RANGE �WTR. HTR._ APPLICANT ,Q•'T'•
STA. COOK-Z•J/ OISP. vl� F.A.U._ ADDRESS,44� _.0 .l 4 f,,9 )V'IC.
SPACE HTR. AIR CONE). _ CITY �E PGE. iT TEL. NO.296-_ J%S
CLOTHES WASH.DISHWASH.- LICENSE N0. 'CLASS.
-
FAN OTHER- Af
�' & 100HEREBY ACKNOWLEDGETHATI HAVE READ THIS APPLICATION
C/ V ANO STATE THAT THE,ABOVE 15 CORRECT AND AGREE TO.COMPLY
MOTORS, TRANSFORMERS RATING WITH. ALL COUNTY ORDINANCES AND ,STATE LAWS REGULATING
IND. HEATERS, ETC, HP. KW. KVA. .. ELECTRICALS WIRING. -
S12E & TYPE OVER TO
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR
0 - 1 I00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO }
1 - 10 3.00 REBIDE IN;, THE ABOVE DESCRIBED p SIOENT IAL PROPERTY. 0-
10 - SO 5.00
SIGNATURE C- OV
OF PERMITTEE
K
50 - 100 1000 DISTRICT
{NO,. CLASS ' ONE PRO ES BY Q
TOO.- 500 15.00 (/ W
R
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES;:-
TUBE, OR w ?
MARQUEE' ADDITIONAL CIRCUITS I OO
SERVI CE NOTOVER 600 VOLTS O R.-200 AMP 3.00
'APPROVALS DATE INSPECTOR'S SIGNATURE
S ERV I CE OVER 600 VOLTS O R 200 AM P 10.00
_ TEMP.POWER POLE '
TEMP SERVICE,POLE, &APPURTENANCES 5.00 _
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00 -
ROUGH CONDIUT `GSL
WIRING
FIXTURE5 '
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) -
UTILITY CO. NOTIFIED '
PLAN CHECK FEE
1 FINAL
PERMIT ISSUING FEE a.00 � E� JOSEPH C. ROOHAN ,
C&L
TOTAL FEE SUPERVISING ELECTRICAL ENGINE
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.D. cASH
W -4 t 7 20 17.75-
LA
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE `