HomeMy Public PortalAbout5220 CAMELLIA AVE_Electrical__ 76A663 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS - - FIRST INSPECTION
CITY TEL. NO.
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS "
-
NUMBER EACH FEE LOCALITY -
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES J
OWNER , r
TOTAL OUTLETS ~;'` �' - Sc $ MAIL Y f �
ELEC. RANGES 25
ADDRESS
ELEC. HEATERS 25 CITY L°1-$+a ',y °�P,+J�?` TEL. NO.,'�$t
FIXTURES 5 -
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
misc.
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I
1/2&LESS $ .2SI SIGNATURE OF
1/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 75 1.50
15 50 2.50
50 200 5.00
200- 500 10.00 ..I
Soo 1 1000 15.00 Q
Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP IZ
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (7S%OF ORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT:
DATE INSPECTOR'S NAME
WIRING $7.00 I CONDUIT
�
FIXTURES $1.00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE $ 7 y TILITY CO. NOTIFIED
FINAL ' .,?./��- .. -� 1 � ! '
T
"^S&3 D=ILA USM 0r IIS APPLICATION FOR PERMIT
DEPARTMENT OF BIIIIDING AND SAFETY ELECTRIC i
COUNTY OF LOS ANGE ISS
WILLIAM J. F'd& 1ENCIINXIER
DISTRICT NO. CROUP ZONE PERMIT NO.
FOR APVLIC
jt,NT TF LL IN 4
ELIrCTRICIA r RECEIV M SY READY FOR DATE IMBUED
FIRYT INiP[CTION
ADDR Wi ,ff,—
D 1 TYTiL N • / /�
' ■UILDINo b
MO
O NB ADDRE�B
'1i 1 DESCRIP ON OF WORK
Film LOCALITY
NUMBER OUTLi77 [ADH
LIGHTS Bo INTRUC
STR[[T
R[O[PTADLER Is ml,
J FIXTUis a OWNER
R
71 WALL QWITGHIM 15 wnDREae
I ZJ ELEa RANGES of
[L[0. HEATOM 25 CITY TTL N0.
1 CERTIFY THAT 1 PO!!EA E Al VAUD LOS
NUMBER OF OIROUITE INSTAI I rop
AND[L[1 COUNTY LIOENmE.
REDEPTAOLMS
m=RB
D1'UM I QUN.
NUMriR HOR1[rOW[R FEE
N. MVD. HP av[P, INS. FADH
1 AM THE I rnAy OWNER OF THE RMID[NTtAL PROF-
At Lug III .2S ERTY DKEDRINED A1OV[.
1 a .150
i f 1.00 awNa.
15 1s 1.50 INSPEC'1'!ON RECORD
16 150 4.150
' l 150 am 5.00
400 BOO 10.00
BOO 1000 115.00 J
t
OVER 1000 150.131 Z
M.D. &WT/FrRK3Q. CHANGER-1-11•
(Y
W[LD[RBI AO-KVA 13
GENERATORS - KW
TRANSFORMERI - KVA
TEMP. MOTDRE (715DF 0RIE1
MOVED MOTORS (715 DF DRIDJ
MIND.
SIGNS
TYT[[ N0.TRANS-
'rypl1l N Q LAMPU APPROVALS
PERMIT FEE DAT[ INDPEOTDR'E NAM[
FOR IRSUIND PERMIT? C30NDUIT
WITHOUT FIXTUREB WIRING
WITH FIXTUREB 1.46
FIXTURV
8UPPLKM%NTARY
POWER
TOTAL FEE UTILITM CO'NOTIFIED
7 r FINAL �— �