HomeMy Public PortalAbout6017 A&B CAMELLIA AVE_Electrical__ 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS 4el .� a. v/ /�
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
` FOR APPLICANT TO FILL IN CROSS ST. L +—C? L' t
REC EP T, 310 TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER O SO✓�
LIGHT .1Q - � MAIL
ADD'L ADDRESS
SWITCH. OVER 20 Q .10 �(J
LIGHTING —r
TOTAL FIRST 20I .20 OTAL CITY TEL. NO.
c
FIXTURES J( ADD'L 10 ELECTRICIAN lsas~ e-C—
/
OV R 20 r
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS /C.O�� /<J
GARB.DISP, STA.COOK /
CITY /�C-f//"d� /L1dd�-STEL. NO.�
DISHWASH. AUTO.-WASH. STATE l '
�//rr SS LICENSE NO.
SPACE HTRS. WSTA.APP.('/s H.P.MAX.) .50 .L. Lv
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED BY
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00 r
_ 9-
50 100 5.00 0
U
SIGNS:
NO.TRANS
LAMPS O
H
SERVICE 0.60OV-Nor OVER 200A 1.00 V W
SERVICE 0.60OV-OVER 200 A. 2.00 D-
N
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTA13Y PERMIT ISSUING FEE 11.00
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 COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING �-
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 T
AM HE LEGAL NER OF THE ABOVE
DESCRIBED RESIDENTIAL/--P-�M T Y. POWER
SIGNATURE UTILITY CO.NOTIFIED -----.-
OF PERMITTEE
FINAL
(DATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
U:u�o 2 2 3:a €1UG 1 2 D 19.00, ZY