HomeMy Public PortalAbout5715 CAMELLIA AVE_Electrical__ a-8136 APPLICATION R ELL=CTRIC _ _ IV
COUNTY OF�OS ANGB ES - BUILDING AND SAFETY
POIR APPLICANT TOP IN }OB
FAppkarpm
slden}lal Bldgs.b Pools EACH NO. -FEE- f{DD _
-Family,Sq.Ft.� 3 .025 — S LOCALITY .Cl -�
i-famil?Sq.Ft. .02 —
25.00CrS T _
enT)aLSYdRools' FIRM NAME
Rec�LIght�SW.Flrst 20 .50,No. --. eddhbnal 30 CfTY�AIN [�K
. PPLINT Flxtulbs Flnt 20 50 ADQRFSSr� A�ldttbnol -30.No. �� CITY Tel.No.ppkarxes Not Over 1 HP �, - .- - - - - - i r -
APPLl ~e_Heater—D.W. _ _ ADDR "-
Oven—Gryer_`W:M— -
Top _FAU _W.H._ C1TY. Ta _
Honk_Fan Other_ LICENSEOR '*.
Rpam AIr Gond, _�_ 2.50' REG.NUMBER .. S. - .214:1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA- _
Power Apparatus S LargoAppllances TQN AND STATE THAT THE ABOVE IS cgRRECT AND AGREE TO
f COMPLY WITH-ALL LINTY OkDIN-ANCES-AND•STATEFLAVNS
Size S Type HP,'KW, KVA,or KVAR
250 REGULATING ELKTRI�WIRING.
Over
1.Ind. .
. .. 1 HEREBY-CERTIFY`THAT-rAMPROPERLY�GMTHtffi'AND/OR
Cher l.to 10 Irxl. 5.00 LICENSEBAS REQUIRED 13Y LOS COUNTY ANDSTATE OF
Over TO to SOirxl. 12.50 - CALIFORNIA OR THE OWN VE
— DESCRIBED RESI PE91
Over 50 to 100 Inc 25.00
40.DO- - _ PERMA EE - - -
_— Ova(100 SIGNATURE
Sorykei -
ISTRI 00-. P
0-200 Amp.Under 600 V 12.50
C/_ _ -
20T=1000AMp.17nddT6QOV 25. - '
Over 1000 Amp.-or Over 600 V 50.00 F
Temp.Polder Po[*3 Appurtenances' 1fY.00 `._ _
Sign with One Branch Circuit _ 10.00 . -
Additional Sign Branch Clrculq _2'•00' _ INSPECTION ._ ..> d 9,9 A
INFORMATION -
Misc.Conduits 3 Condugtors 10•� ON REVERSE # o o'o•o 0 2
Other(See Complete Fee Schedule! SID
I.Q 5'0
_ V 'a-° °' J�Q605
PERMT FEE (Sub-T6tal) i 0527-80
PLAINCHECKINC7 FEE (One-Fourth Perm}tfee), r
PERMIT 1$SUING FEE $7.00
TOTAL FEE c'Sl� .. `
INSPECTION FINALED
7~Cf-O06(11 /7B) - -- - - -
APP6 10 OR ELECT.R RMIT
'. COUNTY OF LOS ANGELES BUILDING AND
.'' FOR APPUCANTT 11-L IN AD❑RESS � C
f4p`v'ResVenfiofBTdgs.3Pols'oy EACH
LOCALITY
1 8 2-Family;Sq.Ft. s .025 — S �-_
•Multi-famlly3q. Ft.-� fl7 — N
PasldentlglSwimmi.r19Pools 25.00OWNER OR
Fl NAM t
Outleri,kg4-Light Sri. / IL
t First 20 5.0
Total No. Addftlonpl - CJt r �-
N ECK
- L NT - -
-Lighting Fixtures ^First 20' •50 ADDRESS
Additlonal ..30
Total No. - CLFY _ Tel. No.
Fixed Appliances Not-Over 1 HP I �y
APPLICANT
Range_Heater_D.W. _
Ovpn—Dryer—W.M;_' AQDRESSZ
d -
Tbp _FAU W.H. - GTYS/7
Hood_Fan —OHher_,._ LICENSE OR
Dbp.r—Room Alr Gond. T 2.50REG.NUM E
I HERBY ACKNOWLEDGE THAT I HAVE READ-THIS APPUCA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
$ffe T HP, KW, KVA,or KV Ail - COMPLY•W1TH--ALL CQ UNTY-ORDINANCES -ANb STATE-LAWS
Type REGUI�cTING ELC{TRZ WIRING.
-Tr U to Ind. 2'50"
- p --• - r-I HERBY CEJtTIfYTP't7s,T1'FtMPROPERt1'RfGISTER�D'Y1fJD7QR _
Over 1 to 10 Ind. 5.OD LICENSED A5 RK]UI B LCS ANGEL COLIJTY AND STATE OF CC
0ver;l0to,501nd, 12.50 __ CALJFORNIr OR THE L OyJN YE _.Q
Over 50 to 100 Inc
25.00' DESCRIBED RE54D
_. Over 100 40.00 . SIGN T U _
SIGNATURE
Services DISTRICT -. P B
0-200 Amp.Under 600 V 1,12.50
201-i 000 Amp.Ander Et00 V. 2-5. 0-
Over 1000 Amp.or Over 600 V 50.
Temp. Pbwer Pole&AppurtenarKes 10-00
Sign wft-}One Branch Circuit ' 10.00 _pG
Addftlonol Sign Branch ClrEvfis INSPECTION .- >IRMATION
8 7 S 7 A'r '
Misc o:o''o.00 Condgh&Condugors Fe10.(W' NFOu+ # •2
Other(Sne Complete e Schedule).
SIDE _ 2,p o2Q-00
9.o,o 20005
PERMIT FEE: .(Sub-Total) Q �1'2 8-T-8 0.
PLAN CHECKING FEE (On'e Fourth Fbrmft.F-ee)
PERMIT ISSUING FEE 55.00
TOTAL FEE CJ. >
INSPECTION FlNA D
dates By