HomeMy Public PortalAbout5843 CAMELLIA AVE_Electrical__ 76A663-CE306 1I/70 APPLICATION FOR ELECTRIC LPERA LJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUI
BUILDING AND SAFETY DIVISION ADDR LDING
COLKMAN W. JENKINS LIF91IIIINTRNPEINT 0f QUILrD)INGLOCALITY
NEAREST
FOR APPLICANT TO FILL•IN CROSS ST.
OUTLETS FEE OWNER3 7o
S
RECEPT._ MAIL �
LIGHT TOTAL
FIRST 20 2-5 -ADDRESSVl
CITY TEL. NO.
SWITCH OVER 20 .Ip
PLAN CHECK
LIGHTING TOTAL FIRST 20 A APPLICANT
FIXTURES
OVER 20 �Ip ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER WTR. HTR. APPLICANT C
STA. COOK DISP. F.A.U. ADDR (J S
SPACE HTR. AIR COND. Cl "O� TEL.
CLOTHES WASH. DISHWASH. LICENSE NO. CLQ
FAN OTHER I.00 IHERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE I/ CORRECT AND AGREE TO COMPLY
MOTOR/, TRANSFORMERS RATIN/ WITH ALL COUNTY ORDINANCE/ AND STATE LAW/ REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE k TYPE OVER TO
I HERESY CERTIFY THAT I AM PROPER Y R GI/TERED AND/OR
LICEKSED AS REQUIRED BY L GELS 0 Y AMD STATE OF }
CALIFORNIA OR THAT I AM E LE AL , AMD INTEND TO
1 - 10 300 RE/IDE IN, THE ASOV EGCR ENTIAL PROPERTY. d
SIGNATURE10 - 60 &CO OFPERMU
TTEE
i IT OG
SO - 100 1ODO DISTRICTNO. �C!AfliJ;:P-�P--3
ED SY O
100 - 500 16.00 ��j tL777jjjj
a
SIGN, GAS SIGN AND ONE CIRCUIT &DO NOTES: N
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS IAO
S ERVI CE NOT OVER 600 VOLTS OR 200 AM P 3.00 0d
APPROVAL/ DATE OISPEC 7DR'D/IGIMTUIIE
8ERVICEOVER 600VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVI CE,POLE, &APPU RTENANCES &CO
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTUREt
POWER AUTHORI ED
PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED Tf —3C1 �7 'l
PLAN CHECK FEE
FINAL � ? s 1f
PERMIT ISSUING FEE 3.00 JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0 CA/H
GEE /ACK OF APPLICATION FOR COMPLETE SCHEDULE 4 ACO 211 4 4 7>7 7.00- 1