HomeMy Public PortalAbout5935 CAMELLIA AVE_Electrical__ 7SA663 DSS SA 11-511 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ����
COUNTY OF LOSOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO,
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
C._.
CITY - TEL NO.
COUNTY LICENSE NO. EXPIRES ADDRESS !
PERMIT FEES
NUMBER EACH FEE LOCALITYAn
)
LIGHT OUTLETS NEAREST
CROSS ST
RECEPTACLES .
WALL SWITCHES r OWNER
TOTAL OUTLETSO 50MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO. _
FIXTURES —I 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT i POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw Mvo. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
6 LESS $ .25 SIGNATURE OF,
I/9 2 .50 PERMITTEr
2 5 1.00 INSPECTION RECORD
_ 5 1s 1.50
is 50 2.50
SO zoo 5.00
2013 500 10.00 J
Q
500 11300 15.00 All T. Z
OVER 1 DOO 20.00 0
M.G. HET/FREQ. CHANGER-HP R'
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or aRlo.)
MOVED MOTORS (75% or oR1eJ
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1,00 CONDUIT
FIXTURES $1.00 WIRING i
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE i 2 3) UTILITY CO.
IY�NOTTIFIED ^
CY -
FINAL AXIN'IU A- d �_ -