HomeMy Public PortalAbout5744 CAMELLIA AVE_Electrical__ 76A663-CEB0610/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER TCA
rBB C/ '
BUILDING AND SAFETY DIVISION .
Y /�T
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FE FOERIAOA ,
5
RECEPT._ ADMAIL
LIGHT TOTAL FIRST 20 y
CITY /pf TEL. NQa
,
SWITCH OVER 20 1p
PLAN CHECK
LIGHTING TOTAL
FIRST 20 2D APPLICANT
FIXTURES OVER OVER 20 ADDRESS
'
RESIDENTIAL APPLIANCES CIT' TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR._ APP ICANT Arrv. zl L-.5., O
STA. COOK DISP. F.A.U. ADORES
SPACE HTR. AIR COND. CITY CLM -0 TEL.
CLOTHES WASH. DISHWASH. REG HLIE CLA
FAN OTHER IDO I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS PLATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEA.TIERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE S TYPE OVER TO
IHEREBY CERTIFY THAT I AM PROPERLY RESISTGRED AND/OR
O — 1 1.00 LICENSED AS REDU IRED BY LOD ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I M THE LEGAL OWNER OF THE ABOVE
T — 10 3.00 DESCOMED RESIDE MTI PROPERTY. '
PERMITEE
10 — 80 8.00 SIGNAT CC
O
80 — 100 fODO DISTRICT 5(, PROCESSED BY
100 — 600iBAO 10 x
SIGH, GAS SIGN AND ONE CIRCUIT 6.00 APPROVALS DATE lttmcfeS SHNiATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS iD0 TEMP. POWER POLE
SERVICENOT OVER 600VOLTS OR200Amp 3.00 UNDERSLAB WORK
SERVYCEOVER 600VOLTS OR200AMP 10 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES B.00 WIRITIG '
TEMP LIGHT OR RECEPT. SYSTEM 3A0 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL 18"-Z7
PERMIT FEE ($UB TOTAL) NOTES; '
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE 0
PLAN CHECK VALIDATION CK. M.O. cAeH PERMIT VALIDATION cK. M.O. CASH
r
670 2-7 2 D 4.0OA-%
SEE BACK OF APPLICATION FOR COMPLETE BCHIDULEy
DAPPLICATION FOR PERMIT
DEPARTAIENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM. J.FOX. CHIEF ENGINEER
f g NAME r +moi DISTRICT NO. GROUP I ZONE PERMIT NO.
U ---- ."
ADDRESS- ;-
1" / RECEIVED BY READY FOR DATE ISSUED
U CITY TEL.NO. FIRST INSPECTION
..I COUNTY
W CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED/PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY /
r! LOCATION BY ROOMS NEAREST
LIGHT OUTLETS lsw. PLUGS FIXT CROSS ST. ;!r
CIRCUIT A B C D E F G H w NAME
z MAIL
3 ADDRESS
_ O CITY TEL.NO. • +(
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
— Q
Z_
E
I �
TOTAL ,
NO. OF OUTLETS S APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NADA_
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $. WIRING
NO. OF RANGES OR HEATEPS $ FIXTURES
MISCELLANEOUS $ L
ER
` PERMIT FEE $ ITYCO.NOTIFIED
TOTAL FEE L