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Home My Public Portal About5635 CAMBURY AVE_Electrical__ ,BAB63-CEBO610 APPLICATION FOR ELECTRICAL PERMIT � COUNTY OF LOS ANGELES - DEPARMENT OF COUNTY ENGINEER BUILDING C BUILDING AND SAFETY DIVISION ADDRESS 5G` Of - {/ JOHN A. LAMSIE, COUNTY ENGINEER /r7%�J n '7-Y WILLIAM A.JENSEN. SUPT OF BUILDING I, LOCAL ITY�/ /( f-� L+/ / / -• NEAREST FOR APPLICANT TO FILL IN CROSS ST. G PERMIT FEES OWNERMAIL I T E M NUMBER EACH FEE ADD OUTLETS: S $ ADDRESS ^7� (�. LIGHTS RECEPT. SW. AID CITY ,E C' TEL. NO. /. 6- / LIGHTING FIXTURES ,10 ELEC. RANGES, CLO. DRYERS .�1 ELECTRICIAN /�/� ELGGI \� WATER11 HEATERS .50 V ADDRESS So G//, ®�/ // ELEC.SPACE HTRS. DISHWASHERS 7� -O CITY ! TEL NO. - GARBAGE DISPOSERS AUTO.- _ STAT J WASHERS STA.COOKING UNITS .25" LICENSE NO. 7 J/ T Z MOTORS: OVER INC. H.P. DISTRICT GROUP NE P CESSED B 0— V 1i— 2z so INSPECTION RECORD f 2— 5 1.00 s ado w/ i 5— 15 1.50--- 7A !! ' .NiC7 UO 15— so 2.50 /C'ra Q L2� y /�//�S�R• w 50— 2005.00 SIGNS: NO TRAN5. NO.LAMPS y SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00Agz, v FIXTURE PERMIT 1,00 SUPPLEMENTARY PERMIT .50 TOTAL FEE - I 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 IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT ITHE LEGAL OWNER OF HE ABOVE DESCRIBED RESIDENTIAL OPERTY. POWER SIGNATURE �''- f � UTILITY CO.NOTIFIED OF PERM= • FINAL 0�gLIDATION AS UR C. VEIT — Mo CASH SUPERVISING ELECTRICAL ENGINEER Lr x,6027 r:C 6 c 2 .`5.0 `0�. WORKERS'COMPENSATONDEC RATION , CM06 10/81 APPLICATION FOR ELECTRICAL PERMIT !t: � t(" CE-SO6G I hereby affirm that I have a certificate of cc,sent to self insure, or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.)' Policy No. ` 'Company FOR APPLICANT TO FILL INJOB > 'ADDRESS.' Ji ❑ Certified copy is hereby furnished. IN esidential Bldgs.& rEACHNO. FEE i 2-Family g'5 Ft. '"'—" — $ OD LOCALITY ( ' Certified copy is filed with the county building inspection department. - Multi-family Sp.FL — NEAREST CROSS ST. Date 'Applicant Residential Swimming Pools OWNER OR y CERTIFICATE OF EXEMPTION FROM WORKERS' OutlR — Light _ Sw. MAIL Outlets: . COMPENSATION INSURANCE ADDRESS F (This section need not becompleted if the work involved by the First 20 CITY permit is for one hundred dollars($100)or less.) Total No. Additional PLAN CHECK I certify that in the performance of the work for which this permit f APPLICANT is issued, I shall not employ any person in any manner so as Io become subject to the Workers'Compensation Laws. 'Lighting Fixtures First 20 - ADDRESS Additional 0 '� q 7�. '' �• . I ��f�j Total No. CITY - - Tel.No. , Dale Applicant HZ.king I t/L/ Fixed Appliances Not Over 1 HP .PERMIT NOTICE TO APPLICANT: If, after making 1 this 'Certificate of APPLICANT / Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. provisions of the Labor Code, you must forthwith comply with such Oven_ Dryer _ W.M.— ADDRESS "�if mS provisions or this permit shall be deemed revoked. Top,- — FAU _zW.H. — - LICENSED CONTRACTORS DECLARATION .Hood — Fan _ Other_ CITY I..hereby affirm that I am,licensed under provisions of Chapter 9LICENSE OR - - (commencing with Section 7000)of Division 3 of the`Business and Disp. ROOM Air Cond. REG.NUMBER �4apAa. Class. e- Q. Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSED BY � 1 Power Apparatus 8 Large Appliances 5 U Size 8 Type HP,KW,KVA,or KVAR cense Number y y g-z 41 Lic.Class 'O � Up to 1 Incl. FINAL /l h D.� _ Over 1 to 10 Incl_ DATE ' VALIDATION_ W- Contractor I le/1 L.� bate 2 U Over 10 to 50 Incl. FINAL V U ❑ I am exempt under Sec. _ - Over 50 to 100 Inc., BY W ?+ a BAP.C. for this reason Over 100 ACCT.: to Services. d.,MCC& Panelboards r� Date: -200 p.Under 600 V > 3307 156�1�' Signature 201 - 1000 Amp.Under 600 V 1 ITEMS . - Over 1000 Amp.or Over 600 V ' Exemption for Reg.Maint.Elect. TOTAL 156 .00 - 'SINGLE FAMILY Temp.Power Pole& Appurtenances CHECK 156.00 HOME OWNER-BUILDER DECLARATION. Sign with One Branch Circuit - u I hereby affirm that I am exempt from the Contractor's License Law GRANGE •00 for the following reason(Section 703 1.5, Business and Professions Additionab Sign,Branch,Circui[s - Code): ❑ Misc.Conduits-& Conductors . `- - 0000-0001• "3/28/90 I,as owner of or offered will do the work and the structure is not intended C offered for sale (Section.7044, Business Other(See Complete Fee Schetlule) and Professions Code). . � D' - '97 j6 1 AM11:14 CONSTRUCTION LENDING AGENCY - - - I hereby affirm that there is a construction lending agency for the T performance of the work for which this permit is issued(Sec.3097, PERMIT FEE - ISub-Total) Civ.C.). - - PLAN CHECKING FEE Lender's Name .\ ' - PERMIT ISSUING FEE Lender's Address _ I certify that I'have read this application and state that the above _ TOTAL FEE C - information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize . representatives of this County to enter upon the above-mentioned �- pro ly or inspection ur oses. SEE REVERSE FOR EXPLANATORY.LANGUAGE �V .- Signature of Permittee Da N✓:7RKERI have PENSATiON DECLARATION 76-863'• tD/et APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that have a certificate of copsent to self insure, CE-epaG or Z certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY - F•opy thereof(Sec.3800.Lab.C.) .{1'� Policy No. IOL/ Company �''x k �"^ FOR APPLICANT TO FILL IN - JOB u ❑ Certified copy is herebyfurnished, • EACH NO. FEEADDRESS New Residential Bldgs.8 Pools �. Certified copy Is Lletlr with-the co ty buil 'ng inspection 1 & 2-Family,Sq.Ft. $ = $ LOCALITY -t - d rtment. .. Multi-family Sq.FL NEAREST Residential Swimming Pools CROSS ST. J V& O Date gppjicanl� O FIRMRM NAME NAME r, cN ,CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec— Light — Sw. MAIL' - COMPENSATION INSURANCE ADDRESS J S (This section need not be completed if the work involved b the First 20 P Y CITY Tel.No. permit is for,one liundred dollars($100)or less.) Total No. Adtlitional- - Icertify that the performance of the work for PLAN CHECK which this permit . . - APPLICANT - is,issued, Isbell not employ any person in any manner so as to - become subject to the.Workem'•Compensation Laws. Lighting Fixtures First 20 ADDRESS , ` Additional Total No. _ CITY Tel.No. - Dale Applicant I NOTICE TO APPLICANT If,-.after making this CeFixed Appliances Not Over 1 HPrtificate of - PERMIT � , Exemption,you should become subject to'the Workers'Compensation Range_ Heater_ DIN. APPLICANT ' 'provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer W.M._ ADDRESS provisions or this permit shall be deemed"revoked. Top — FAU W.H. n.. ,��jLp - . LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Tel.No - n�kKr�l/J I hereby affirm that I am licensed'under provisions of Chapter 9LICENSE OR ' (commencing with Section 7000) of Division 3 of the Business and - Disp. — Room Air Cond. REG.NUMBER X- Class. - Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances - DISTRICT NO, PRO - 'I q /j Size 8 Type HP,KW,KVA,or KVAR � / �//, 0 License Number 4 1iy 4I Lic.Class 1 - Up to 1 Incl FINAL / , ^ V ��&,.� C S7 Over 1 to 10 Incl. DATE �` -� VALIDATION O Contractor.kh+Ajy =61A1&4 ¢f(A to •. ,'s Over 10 to 50 lncl. V ❑ I am exempt under Sea Over 50 to 100 Inc. W . Over 100 d '.8.&P.C.for this reason N Services,Swmf,MCC& Panoboards - Z Date: - 0- 200 Amp.Under 600 V D Signature 201 - 1000 Amp.Under 600 V - - - - Over 1000 Amp.or Over 600 V i • ❑ ' Exemption•tor Reg.M-aint Elect. - .. _ ' ... - 'SINGLE FAMILY Temp.Power.Pole 8 Appurtenances •— 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License.Law ACCT�T a . for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits q en Code): 330 25M ❑ • .Misc.Conduits& Conductors / T•r•M - I,as ownerofthe property,will do the work and the structure Other(See Complete Fee Schedule) 1 i'u� is not intended or offered for sale (Section 7044, Business _ ' and,Professions Code). D - - " TOTAL. -25ay�.5}. 0 CONSTRUCTION LENDING AGENCY CK255 CK - .511 I hereby affirm lhat,there-is a construction lending agency for the ruwu� . X00 performance of the work for which this.permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). jJJ a . .. i /{ PLAN CHECKING FEE �-�1 '8/25/89 If Lender's Nam /LY 'PERMIT ISSUING FEE M .iii Lender's Address � riO - 1 Afl10;Z0 I certify that I have read this application and state that the above TOTAL FEE information is correct.I agree to comply with all County ordinances and State s regulating Electrical wiring, and hereby authorize ,represen of is County to enterupon the above-mentioned - rt f sp 1 n purposes. SEE REVERSE FOR EXPLANATORY,LANGUAGE _ Signa re of Per tee Late