HomeMy Public PortalAbout5812 CAMELLIA AVE_Electrical__ II76AE67.cmmoa.7.0E APPLICATION FOR ELECTRIC PERMIT ],
BUELDING AND SAFETY DIVISION
of County Engh- ! B U I LD I NGDr
County of Los An"I" ADRRSJi
JOHN A. LAMBIE. COUNTY $NGIN[lKR
CANATT D. GRIFFIN, 6Ur'T or 19IIILDIM7 LOCALITY
FOR APPLICANT TO FILL IN NEARtioT
CROSS ST
PERMIT FEES .
NUMBER OWNS
LIGHT OUTLETS MAIL ,
AD D R RSD
RECEF?ACLES
WALL SWITCHES FEE CITY TEL• NO.
TOTAL OUTLETS 150 ELECTRIC N
r
"C. RANGES 25 ADDRX&VOT S O�+
ELEC. HEATERS 25
CITY TEL NO. / ZS
KW EA E TATE
FIXTURES 8 LICXNOE NOR/
0
oo
MOTORS DI TRI O. GROUP ZONE I RKADY FOR IRSP CT101
NUMBKR HORSEPOWER IrEE
HIM MVD. HP ovtR INd. KAGH
•Lass .20 INSPECTION FLECOFlD
Y .DO
Y 8 1.00
D is 1.150
IpI e0 2.190
170 200 5.00
M I8C.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING PERMIT $1.00
FIXTURE PERMIT 1.00 ftp
SUPPLEMENTARY .001 AMOYAIS
TOTAL, DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE REAP THIS APR CATIO CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
FIXTURtiS
I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR
LICENSED AS-REQUIRED BY LOS ANGERS COUNTY AND SIATY OF POWER
r CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOY3
DESCRIBED RESIDENT L PROS UTILITY CO.NOTIFIED
SIGNATURN
OF PERMITTE FINAL
eHN A,UNTY NGINKIQt �`'``'ATION SLIFWRVIGING ELKCTRI
. o auH CAI,QNG1Nmt
S
c
LAC068 3 4t, APR 4 2 " .10 n
7eAa41-CX-0e-7-5e APPLICATION FOR ELECTRIC PERMIT ],
BUUXUiG AND SAFETY DMSION
CONT of Lod AIIQvlM AD RIV
JOHN A.LAMBI8. CouNTY ENaiNzxR e.
CA91ATT D.OIRIFPTN,Sur^r-oF fuRDINa LOCALITY
FO_ R APPLICANT TO FILL IN N��
per= F� cRoas ar.
►wrBER OWNER
LIGHT OUTLETS MAIL
ADDREMD
R EC EITTACL.BE
WALL SWITCHES PIx C O
TOTAL OUTLETS !1 ELECTRICIAN
ELIC. RANGIQ 4- ZD ADD
ELEC. HEATERS 215 CITY NO.
BiATi
FrLxwfE. !3 LICiNBE NO
MOTORS DISTRICY NO. GROUP ZONE a[ADY roc Idsl•icTlon.
NUMaKF1 HORSEPOWER FEE
NaW M . HP OV[R1Hc. ucNp���
■Lima .25 ENSP=ON BECOBD
2 .n0
2 s 1.00
S 1!1 1.D0
117 60 2.130
80 200 25.00
misc.
NO.SIGNS NO.TRANS.
NO SIGNS NO LAMPS
FOR EACH PERMIT!
WIRING PERMIT $1.00 0 O G
FLKTUREPERMrr 41.00 U
!SUPPLEMENTARY .130 APPHOVAW
TOT F DATI INSPECTOR S 81.ONATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE RHAD THIS APPLICATION CONDUIT
ARE) S 11
TATE THAT THABOVE 15 CORRECT AND AGREE TO COMPLY L
WITH ALL COUNTY ORDINANCES MD STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. PLXTUREB
I HEREBY CERTIFY THAT I AY PROPERLY REGISTERED MD/OR
LICENSED AS REQUIRED BY LOS ANq LED COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I ALM TH2 A ER OF THE .ABOVE
DESCRIBED RESI UTILITY CO.NOTIFIED
SIGNATURI
OFAP�ERRMAI FINAL t
LINTY liNa NIRt A O� SAU ERwaINa1 KLXCTRICAL ErNd1NRmq
CJ( YO GIH
8 0 6 1 MAY 13 2 7.70 �