HomeMy Public PortalAbout5817 CAMELLIA AVE_Electrical__ APPLICATION FOR ELECTRICAL PERMIT
BUILDI AND SAFETY VISION -f
FOR APPLICANT TO RILL IK JOB IVt
FRaskMentlal
Bldgs.&Pool@ EACH N FEE ADDRESS
Sq. Ft. — $ LOCALITY
_�eL
q. Ft — NEAREST
CROSS ST.
vimming Pools OWNER OR
FIRM NAME
Outlets: Light,Switch&Receptacle MAIL
ADDRESS
First20
Additibnel CITY Tel. No.
PLA CHECK
Lighting Fixtures AP ICANT
First 20 D SS
Additional CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range Heatar D.W.
ADDRESS49 S
Oven Dryer W.M.
Top FAU W.H. CITY — Te 1. No. .�
Hood Fen LICENSE O
Dlsp. A.C. RPG. NUMBER Class. p
1 H'"W" ACKNOVL" I THAT 1 HAV< RLAD THIS Al"LICATIOII. O.
AHO ■TATL THAT TH■ A.OVL 19 CORR■CT AND AORUN TO COMPLY
Power Apparatus& Large Appliances KITH ALL COUNTY ORDINAMCK• AND ■TATL LAWS RKOULATINO
■LLCTRICAL WIRINi. W
Size&Type HP, KW, KVA,or KVAR a-
Up to 1 Incl. I HL-Y CKRT11Y THAT 1 AY FROP.RLY wKO STKAMD AMO/OR
Ova.1 to 10 Inci. UCKNSKD AS RKQUIRMO ■Y LOS ANO<LS/ COUNTY AND STATK Or
/-Oy,,,YQI� W�/� CAUPORNIA OR THAT 1 A ■ LIOAL OWNKR OP T— AMOV<
10 to Incl. DK8CRI.LD Rt�1OtN I Or �-lI.
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE
DISTRICT NO. SED BY
Services ' �}
0-200 Amp. Under 600 V � c�
201 -1 OQO Amp. Under 600 V APPROVALS DATE INSP O
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenance. UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) W I R'NG
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTI i ITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) AFINAL
PERMIT ISSUING FEE NOTES +C/G
�Lv6% ND NSJYGf-�
TOTAL FEE
PLAN
CHECK VALIDATION CK. M.O. CASH PERMIT.VALIDATIONC14 M.O. CASH
_ 2 9 a kA►a 26 2 0 2 0 �°