HomeMy Public PortalAbout5337 CAMELLIA AVE_Electrical__ APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF•.COUNTY ENGINEER BUILDIN
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGIN[ER
COLEMAN W. JENKINB, SUKRINTKNDKNT OF' BUILDING LOCALITY2c Aetz A le
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
IRECLP7./ OWNER MAIL
LIGHT-,/— TOTAL FIRST 20 .20 MA2ADDRESS
SWITCV— OVER 20 .10 CI A- TEL. N0.-2
P AN G ECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FXTURES OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR.— CITY 41 TEL.
STA.COOK DISP.—F.A.U.— CONTRACTO Gd
SPACE HTR AIR COND. ADDRESS S
I
CLOTHES WASH. DISHWASH. CIT TEL. N
IFAN—OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING
IN-O. HEATQRS, ETC. HP. KW. KVA. D I HERE°)' ACKNOWLQDGE THAT I HAVE READ THIS APPLICATION
SIZE TYPE OVER TO ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY OROAMANCEB AND STATE LAWS REGULATIMG
ELECTRICAL WIRING.
6 - 1 1.00
HERESY CERTIFY THAT I AM PROPQRLY REGIBTIRRED AND/OR
1 - 10 3.00 P LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A HE LEGAL OWNER OF, INTEND TO
10 - EO 5.00 IR IN, THE ABO EBCR REf IDl NT PROPERTY. O
SIGNATURE U
80 - 100 110.00 OF PERMITTEE GL
LA0 - 500 15.00
DISTRICT NO. GROUP7; N� P CESSED' BY
SIGN,GAS SIGN AND'ONE CIRCUIT 8.00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: 1 _
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 C �( Q
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 c
TEMP SERVICE, POLE, h APPURTQIANC£S 3.06 APPROVALS DATE VUPECTOR'S SIWIATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CO DUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEES
POWER AUTHORIZED
PERMIT ISSUING FSE 2.00
UTILITY CO.NOTIFIED, r
SUPPLEMENTARY PERMIT ISSWING FEEr 1.00 FINAL
TOTAL FEEQ JOS PH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION (!!D M.O. CASH
_ A5521 x.18 0 5.80
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
"""}C`@o"°"` APPLICATION R ELECTRICAL PERMIT
COUNTY OF LAS ANGELES
DEPARTMENT OF COUNTY ENGINEERss
BUILDING AND SAFETY DIVISION
LOCALI TY G
FOR APPLICANT TO FILL IN NEAREST
CROSS 8T.
OUTLETS NO, KACH I FKK OWNER OR
FIRM NAME
RECEPT. a s MAIL
LIGHT_ TOTAL
FIRST 20 ADDRESS
OVER 20 / CITY TEL. N0.
SWITCH ` PLAN CHECK
LIGHTING TOTAL FIRST 20 APPLICANT
OVER 20 ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCE CITY TEL. N0.
PERMIT
RANGE ORYER_WTR. HTR. APPLICANTAl
STA. COOK DISP.J—F.A.U. ADDRESS
SPACE HTR. _AIR CONO. II CITY TEL. N0.
CLOTHES WASH. ISHWASH.-L�. UMI� ::7'el
CLASS.
/ w Pt 7'2:77L-
FAN-L-OTHER 100 1 HKRKOY ACKNOWLEDGK THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE A:OVS IS CORRECT AND ASREK TO COMPLY
MOTORS, TRANSFORMERS RAT[N@
WITH ALL COUNTY ORDINANCIZI AND STAT[ LAWS REGULATING
IND. HEATERS, ETC. HP. KW. RVA. ELSCTR ICAL WIRING.
BIZ[ TYPE OVER TO
I H¢RK:Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED ■Y LOS ANS[LSS COUNTY AND :TATE OF y
CALIFORNIA OR THAT I AM THE LEGAL OWNER Of THE A:OVK G�
1 - 10 5.00 OKS CR ICED REIII NT IAL PROPERTY. 8
PERMITEE
10 - SO GAO SIGNATURE
50 100 10.00 DISTRICT NO. P ED BY
1 D — 600 1500 6 G ti x
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE PWLCTOWS 216NATUIRE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 900 UNDERSLAB WORK
SERVICE OVER 600 VOLTSOR200AMP 10 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 1.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM :AO FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 900
TOTAL FEE
I-Li
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION M.O. CASH
5io:. 25 2 01 20.1
:ES SACK OF APPLICATION FOR COMPLSTS :CHKDULS ✓
^ � OO U RTY OF LOB ANGEL" APPLICATION FOR PERTLY
Departmentof LEngiELECTRIC
DIVISION OFFBUILDING & SAFAF ETY
WILLIAM J. FOX, C4vmtY Emalmew
FOR APPLI TO FILL IN DISTRICT NO. GF� p ZONE PERMIT NO.
ELECTRICIAN
riv.,
IVCD •Y READY FDR DATE II�Jm
ADDREia FIRwT Im"EOT10N
CITY TTL- HO k"i
QpvKTY LIOTHRE MrL/ala x3mIRE4 ■UILDIM■
P FEES ADDR�
Fu
NUMBER EACH u^^AL rry
LIGHT OUTL.ETa NEAR OT
R[OE18TAOLi1
WALL OWITCHEN OWNER
TOTAL OUTLETS 6o MAIL -
[LEC. RANOKE 188 ADDRi11111
[LEC. H[ATXM 96 orry T7[L Nd
F I HTIJ RO a
I HEAEDY ADKNOWL[DR[ THAT I HAVE RUD TRI■
AMU AND fTATIL THAT TH[ AJ•OV[ 1■ OORREOT
NUMBER OF LIGHT OIROUITa AND AMRKK TO WMFLY WITH ALL 000MTY ORDIIANO"
NUMBER OF RED<FrADL[ OIRCUITM AND STAT[ LAW RlMULATING [L[OTRIOAL WIRING.
MOTORS I DtIMIry THAT 1 FO� TH[ A10V[ VALID LD•
NuMaclt HORaiFOW[RFICi AN•ELKM 00UNTY LIO[Ns[, OR I AM THE LZMAL OWNER
HEW I MVC. HP CvCR INC. Gia OF TH[ m=D[NTIAL FRDir[RTY DmommED AiscrvF-
Ya
a i-oa 111 .29 ■1•NATUR[ OR
Yx 2 .•O FERw p'� Li —
2 M 1.00 INSP$C!'ION RECORD
s is 1.an
la a0 2.50
60 200 ISOD
=DO am 10.00 J
am 1000 10.DO Z
OVER 1 Cam IID_CC p
MA. ■rT CHANGER-HP
O
W[LD[RHaAO-KVA
0[N[1lATDRa - KW
TRAMaFORMER! - KVA
TEMP. MOTORS 75or oRiN.
MOVED MCTORIi (76 or ammi
1 EC.
�IGNB
NO. MD.TRAIL APPROVALS
DATJ INaFEDTDR'a NAM[
FOR [ADH PERMITI
WIRIMG 1.D0 Q OONDUIT
rD(TU RI• 1,00 WI R I N G 7
60 F IKTU Ria
Q I•OW[R
TOTAL FEZ • UTILITY Oa MOTIFIm
FINAL
TS"O DR8*5A 4.67
76A663-CE806 8;63 APPLICATION FOR ELECTRI L PERMIT ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY UILDING AND SAFETY DIVISION BUILDING L
BADDRESS N. Camt1l ' �a.
JOHN A. LAMBIE, COUNTY ENGINEER City WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY Temple Cl y
NEAREST �. sl-
TOTAL �
FOR APPLICANT TO FILL IN CROSS Sr.
RECEPT. NO. EACH FEE
ouTLErs FIRST 20 �j $2O S p OWNER F�reti-� TrPPnlhar
LIGHT +1 MAIL
ADD'L ADDRESS N. Camillia St.
SWITCH. OVER 20 •�O 5337 N�7
T� �T
TOTAL CITYTemple City TEL.No.2 -�
LIGHTING � FIRST 2OI .20
772
FIXTURES l OADRD20 .10 ELECTRICIAN o
rr-1� j� Huntington
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS /26 E• r•
GARB.DISP. STA.COOK Monrovia 359-1191
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE �1
SPACE HTRS. STA.APP.(1/:H.P.MAX.) ,50 LICENSE NO. A m 7
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE P OCESSED BY
l O 1 1 1.00 01- B`,r-"
i 8 1.50 INSPECTION RECORD
8 S 2.00 d
8 15 2.500
15 s0 8.00 O
s0 100 5.00 Ild0
SIGNS: NO.TRANS h
NO.LAMPS
Z
SERVICE 0.60OV-NoT OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
i
wi1T1min pool)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE t6
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DAT! INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING l
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE LOWER 7 1
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE `], r' �i �dCfZ�J`C� UTILITY CO.NOTIFIED
OF PERMITTEE J L - +-
FINAL
VALIDATION ARTHUR C. VEIT
l SUPERVISING ELECTRICAL ENGINEER
CK MO ASH