HomeMy Public PortalAbout5748 CAMELLIA AVE_Electrical__ "'U" a` '"R '°/" APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES Jpg �! /,/� \i
DEPARTMENT_OF COUNTY ENGINEER ADDRESS �[.1
BUILDING D SAFETY DNI O UU
R ANT TO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE , .`
1 &2-Family,Sq.Ft. $ .026 — $ T. N.CF
WN
Multi-family Sq. Ft. 02 — OR
FIRM NAME
Residential Swimming Pools 25•00 MAIL
ADDRESS
Owlets Rec Light_Sw. CITY Tel.No.
First 20 .50 PLAN CHECK
Total No. Additional •30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Total No.— APPLICANT
Additional •30 PERMIT Q
Fixed Appliances Not Qver 1 HP ADDRESS �(,t�(7�}S
Range_Heater D.W. CJ� Tel. No.
Oven_Dryer–Y W.M_ LICENSE OR
Top —FAU —W.H.— REG.NUMBER- L g Class. G�-1
Hood_Fan _Other_ I HEREBY AGONOWL EDGE THAT I HAVE READ THIS APPLICATKXN AND STATE
Disp. — Room Air Coad. 2,60 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDML
ANCS AND STATE LAWS REGMATING ELECTRIC-AL WIRING.
Power Apparatus&Large Appllances
Sim&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PWVERLY RECit$TLRID AND/OR LICazo AS
REMIRID BY LOS COUNTY AND STATE Of OR THAT I AM
Up to 1 Ind. 2.00 THE LEGAL OWN Of THE DEKA BED ^
Over Ito 10 Ind. 6.00 �j
Over 10 to 50 Ind. 12_50 PERMITTEE
Over 50 to 100 Inc. 26.00 SIGNATURE
Over 100 40.00 DISTRICT N PROC D BY
Servkes O
0-200 Amp.Under 600 V 12.60 APPROVALS DATE Ij�{�,P OUV
201-1000 Amp.Under 600 V 26•� SI`,NAT Rt
Over 1000 Amp.or Over 600 V 60.00 TEMP.POWER POLE
UNDERSLAB WORK
Temp.Power Pole&Appurtenances 10.00
Sign with Chia Branch Circuft 10.00 ROUGH CONDUIT
AdditionalLv
Sign Branch Clrfts 2A0 WIRING
Misc Conduits&Conductors 10.00 FIXTURES
Other(See Complete Foe Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL 4.1
PERMIT FEE (Sub-Total) �5 NOTESI 17
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $7.00 I
N
TOTAL FEE
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101.