HomeMy Public PortalAbout5115 CAMELLIA AVE_Electrical__ 76AA" DIM•" '-W APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELECTRIC i
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF QNo1NEzpt
FOR APPLICANT TO FILL IN DIOI'RIQT NO. GROUP ZOL4 PKRMFT NO.
QLECTRICIAN aqge�� 03
ADDR<>v a n+P KKDKrV D BY FIRIT�Y 11,4 FDR dN DAT[ 1■MJm
Kan
CITY TEL NO.
Pou= LIDENIMO. ■UILDINS O.L
I
PERMIT FEES ADORL■
HUM■[R [ADH FQ LOOAUTY L
LIGHT OUTl.ETB NEARE■T
ORO■■■T.
R[OEPTAOL[la
WALL■WIT'CHEB J]WNE-R �
TOTAL OUTLITB Bo 111 MAIL
ELIC. RANGES ss ADDRIM1111111111
[LED. H[ATEM 25 CITY TEL ND.
FIXTURM ■
1 H r.Ri■Y AD lore DwLED D E THAT 1 HAVE RIAD TH I■
APPUCIAT10N AND ■TAT[ THAT THE A■OVE 10 CORRECT
NUMBER OF LIGHT DIROUITE AND ADR[[ TD COMPLY WITH ALL COUNTY ORDINAN00
NUMBER OF R[OUrrACLE DIRDUIT■ AND ■TAT[ LAW■ KMULATINO la J^TRIOAL WIRING.
MOTORS I OERTIFY THAT 1 P0■■tw THE AROW VALID LOB
NuNIIII• HORBtpOW[R rlKE ANO11 KII COUNTY UD[N■I, OR I .AM THC LEDAL OWNER
N[w MVD. HP WGA IND. [AOH OF THE RE■IDQITIAL Dr ERIY DE■ORI■ED MOVE.
i umm III .zz ■IDNATURE OF
.■O PERMI
a B 1-cm INSPECTION RECORD
B 1■ I.BO
16 60 $Lou
So ZOO &DO
IZDD sm 1(LOU J
■00 1000 16.00
OVER 1 DOO 10.D0
a_
M.O mirT/rRM 13HANMKR-HP
W[LDQ!■1 AD-KVA
D[NERATCR■ - KW
TRAN■FORMER■ - KVA
TEMP. MDT-ORA (76 of oIu■
MOVIrp MOTOR■ 75OF aRI
Misc.
SIGNS
ND. NO.TRAM■
APPROVALS
14L3, HO, M ■
DAT
FDR KADH P[RMITI E IN6r[OTDR7 NAM[
MRINO 1111.00 CONDUIT
FIXTURE■ 01.00 WIRIN■
[� FIXTURE■
POWER
TOTAL FEC UTILITY 00.NDTIFItD
FI NAL �-
'4
7aA"M DlMM BA rM0 APPLICATION FOR PERJT
DEPARTMENT OFNa AND SAFETYELECTRIC • i
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPL4CANT TO FILL IN DISTRICT NO. GROUP ZONE PKRMIT No.
BLI'cCTRICIAN P� Y. S" -:Z7 /�����
Rrownfro, BY READY FOR DAT1 ]OWED
ADORE= FIRlT INIPECTIOM y O
CITY TCL. NO. (�
CCU= wciw� No, ■UILDING r
PERMIT FEESADDREW
NUMBER [ADH FixLCOALTTY f 13
LIGHT OUTLET? HEAREiT
REDEPTAOLES ORD=WT.
WALL SWITOHEM DWNER
TOTAL OUTLETSBD MAIL
[LEO. RANGES 28 ADDR13M
REEL HEATER! SC CITY TCL HO.
I H[REIY ADK?lOWLEDGE THAT I HAV[ READ THIN
APPLICATION AND BTATC THAT THE MOVE IB CORRECT
NUMBER OF LIGHT DIROUIT7 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANDXX
HUMGER OF RECCPTAOLE DIRCUITE AND (TATE LAWN REGULATING CISOTRIOAL WIRING.
MOTORS I OlO:MFY THAT I PVZf THC ABOVE VAUD L06
HUMMER HORICPOWERANGELEI COUNTY LIO0t8X, OR 1 ATHE 1 LMA DWMER
F[E M.OF THE RXEIDENTIAL [RTY DESCRIBED A!
N[w Mw. HP DYER IMD. rl�m1
a uva •mus SIGNATURE OF
ya II .BO PIRMITTZ
a B 1.011 INSPECnCN RECORD
f 1s 1.50
16 BO ZBO
-BO SOC f.00
100 am 7 EL OO
BOO 1000 11L OO
OVER 1000 2CLDO
d. ■R rR oHANOER-HP
WELDERIIAO-KVA O
GEHERATORN - KW
TRANSFORMER! - KVA
TEMP. MOTORI 75or oleo
mavirp MCTORI (75or DRI■
MIe
SIGNS
NO. N O.THAN L
EL APPROVALS
FOR EACH PERNITI DATE INSPEOTOR'I NAME
WIRING 1.40 OOHDUIT
FTXTURL• •7.00 WIRINvMJPPLAMLKTARY .613
FIXTURES
POWER
�/L
TOTAL FEE (J UTILITY 0 C NOTIFIED
FI NAL _
T
79"53-CXaoa•10-GE APPLICATION FOR 'ELECTRIC PERMIT 1
CommiT L.Al1T� Angeles
Commtr e ayx AU1LD1NCi
ADDRESS / 7
JOHN A IE. CouNrY SNGIN[rn
CAISSATT D. MRIMN. Sup-T o■Buu..DlNo LAGALITY I
N[ARErT
FOR APP_�I�ANTILL IN
pp$$�
uoHTa �.m•• svvr'rD>•Ias OWNER
Num T 4 Y RACH oxw )LAIL
TOTAL O � _ .10 = ADDREEE
[Li C. FAf"L- fAT[a ■lA ll/,y CITY T O.eu O � Q O
]ILfo. ■PAaK ■[ATRI. AT•t. CWK- ELECTRICIAN .-
INS DaITS, @ARRAGR DISPOU", ADDRESS
AUTO .fAIA� DIEIfASHn .15
LIG Ina FMTURia 10 CITY FEL NO.
KOT9pSSTATZ C 7
LJElil NO
H ORBEPO W'ER
H.P. OYtdl [M0. U161 Ric I
NO. GROW l[ADY POR IllrmaTio■
�-�
Liar• ..=D
.f 50 INtww BECORD
s — e 1.00
D 15 1.50
15 ISO 2.50
ISO 200 5.00
YLfO.
NONE Ko.TRAMS
NO.LAMPS
SRRVICK O-GOOV 1.0-01 1
DERVICK OViR GOOV 5.06
WIRING PERMIT 1.00 G d
FIXTURE PERMIT 1.00
arUPPL.111ENTARY PKRmrT .50APPROVALS
TOTAL b b
1 H£3EBY ACIIO711DGE THAT 1 HAY9 READ THIa APPLICATION
DATE In"ECTOR a SIGRA
AND STATIC THAT THE ADM IS CORRECT AND AGREE TO CORPLY CONDUIT
WITH ALL COUNTY ORDIRARM AAD STATE LAWS REGULATIRC
RUCTRLCAL ■MING WIRING
I HIMYBT CERTIFY THAT I AN PROPERLY REGISTERED AND/OR F1X'Tukie
LICIIfID AS RECUIRP BY LOIS AAGIOWq COUNTY AND STATE of
DCALYFORALA MSA RI1 THAT 1 Al TRIC QVXKR OF THi ADO Yi POW"
SIQNATUI I LrrILFTY c0. NOTIFIED
OF P[RM
OyVyi�, if�Wf�l� +`�J•i LitY� •upXF INQ 6L=rIucAL K,NOLNOM
QS YO �AaH
0 25:-
2.0 C) n
�ewe�i'�- L�keos■ Ia/Ze
APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB _J /
Ft�itl B EACH NO. FEE ADDRESSldgc &PoohSq. Ft. $ — $ LOCALITY
q. Ft — NEAREST
Residential Swimming Pooh CROSS ST.
OWNER OR JJn�
FIRM NAME
Outlets: Light,Switch&Receptacle MAI L
Firm 20 ADDRESS
Additlbnal CITY , Tal. No.
PLAN CHECK
Lighting Fixtures APPLICANT
:41
First 20 ADDRESS
Additional
CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range Heater D.W.
ADDRESS
Oven Dryer W.M.
Top FAU W.H. CITY Tel. No.
Hood Fen LICENSE OR p
REG. NUMBER Cleee- c�
Dhp. A.C. oc
n� 1 HIRIIY ACKNOSILIDQI THAT 1 HAVI "IAO THIS Arr LIGATION Q
Power Apparatus& Large AND ■TATI THAT THIS A.IVI 19 CORRICT ANO AQRII TO COYrLY 1:3
ppa rQ Appliances BATH ALL COUNTY OR DIVAN C.
ANO ■TATI LASTS RIQULATIN LLJ
Size&Type HP, KW, KVA,or KVAR ILICTRICAL S/IRINQ. o,,,
Up to 1 Incl. I HKRIIY CIRTIIY THAT 1 AY r —KNLY RIQISTIRID AND/OR
Over 1 to 10 Incl. UCIMSID AS RKQU1RID BY LOS ANQILIS COUNTY AND STATI Or
-Over
OR THAT 1 AN THISLIQAL OWNIR Or THI AeOVI
V Yer 10 to 50 Incl. DIICRIIID RISIDINTIAL PR
Over 60 to 140 InCI, PCRMITEC
Over 144 SIGNATURE //`-I�- �� 220 r
Service• I TRICT NO. PROCESSED BY
0-200 Amp. Under 600 V
201 -1000 Amp. Under 600 V APPROVALS DATE INSPECTO S
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits
ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
NOTES
TOTAL FEE /
PLAN CHECK VALIDATION CK. M.O. CASH PERMI CK. M.O. CASH
-96sin t o 31.50 >