HomeMy Public PortalAbout5828 CAMELLIA AVE_Electrical__ 76A663-CE806 3-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. 1 .J
RECEPT. TOTAL NO. EACH FEE
LIGHT OUT/LETS FIRST 20 D' L $20 f , 1 , �J1 OWNER
IG ADL P OW MAIL
SWITCH. OVER 20 .10 ADDRESS
LIGHTING l TOTALF1RST20 .20 CITY . NO.
FIXTURES 1 ADD'L 10 ELECTRICIAN' v�
OV R 2O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY L. NO. 1""
DlaHwasH. AUTO.-WASH. 6Y 91,
STATE
SPACE HTRS. STA.APP.(I/j H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRIC NO. IGROUPI ZONE CESSED �Y
O 1 1.00 �+�(
1 8 1.50 INSPECTION RECORD
a
a 8 2.00 O
V
8 15 2.50 d,
15 50 8.00 0
U
50 100 5.00 Lu
CL
SIGNS: NO.TRANS Z
NO.LAMPS
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 p�
SUPPLEMENTAFIY PERMIT ISSUING FEE 1.00
TOTAL FEE $ I
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBYCERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT AM THE LEG WNER OF THE ABOVE
DESCRIBED RESIO IAL P OPERrY. POWER
V
SIGNATURE ` UTILITY CO.NOTIFIED I
OF PERMITTEE _
FINAL
VALIDATION ARTHUR C. VEIT
` ` CK MO CASH SUPERVISING ELECTRICAL ENGINEER
76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION [BUILDING
DDRESS _.)JOHN A. LAMBIE, COUNTY ENGINEERWILLIAM A. JENSEN, SUPT OF BUILDING OCALITY
EAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
t
OUTLETS FIRST ZO $20 $ Q OWNER
LIGHT •`, MAIL
SWITCH. Y ADD+L f .1O ADDRESS.____.
SSSJJJ OVER 2 O (d
TOTALCITY L. NO
_ T2
LIGHTING 1__�__j
FIRS OVERVER 2O
DD L IO 20
Duz
FIXTURES .10 ELECT RICI N
2
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. ' STA.COOK
� CITY_ EL. NO.
DI3HWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(yy H.P.MAX.)
50 V LICENSE NO. ) ��
MOTORS: OVER NOT OVER H.P. DIST ICT N GRDJJP P D
0 1 1.00
t 3 1.50 INSPECTION RECORD
3 S 2.00
8 15 2.50
15 50 3.00
1L
50 100 5.00 0
SIGNS: NO.TRANS
NO.LAMPS OC
O
SERVICE 0.600V-Nor OVER 200A 1.00
w
SERVICE 0-600V-OVER 200 A. d
2.00 y
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COU NTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGE S COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LE AL OWN///E���R OF THE ABOVE
DESCRIBED RESIDE PROPERTY j -+ POWER -
SIGNATURE L �.l'.. UTILITY CO.NOTIFIED
OF PERMITTEE -------
FINAL
l/
IDATION ARTHUR C. VETT
KIMO MO CASH SUPERVISING ELECTRICAL ENGINEER
1 3 3 9"Zi j& 15 2 D c---'.3 0~ Q