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Home My Public Portal About4829 CAMELLIA AVE_Electrical__ 76A6E3-CEOOG 756 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engineer BUILDING County of Los Angeles ADDRESS ' JOHN A. LAMSIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF SWLDIN. LOCALITY / NEAREST FOR APPLICANT TO FILL IN CROSS sT. PERMIT FEES NUMBER OWNER / _z LIGHT OUTLETS MAIL �[ ADDRESS / -a- WALL RECEPTACLES - WALL SWITCHES FEE CITY f TEL. NO. 7 TOTAL OUTLETS @ 5Q S ELECTRI AN ELEC. RANGES 25 ADDRESS N / ELEC. HEATERS 25 CITY 2` TEL. NO KW EA STATE �. FIXTURES 5 LICENSE NO. MOTORS DISTRICT NO: GR P ZONE READY FOR INSPECTION rvuMeER HORSEPOWER FEE � I` NEW MVO. HP OVER INC.. EACH 112A LEES S. .25 INSPECTION RECORD I/2 2 .50 . 2 5 .00 5 15 1.50 15 50 2.50 50 200 1 5.00 misc. NO. SIGNS NO. TRANS. NO. SIGNS NO. LAMPS - FOR EACH PERMIT: WIRING PERMIT 51.00 '! FIXTURE PERMIT 51.00 i SUPPLEMENTARY .50 q APPROVALS TOTAL FEE $ I DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP ICAP�- CONDUIT A AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ` t WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING w C ELECTRICAL WIRING. - FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT AM THE LEGAL WNER F THE VE B DESCRIBED RESIDENT I PROPERTY. /-. UTILITY CO.NOTIFIED SIGNATURE ,ry FINAL OF PERMITTEE JOHN A. LAME VALIDATION ARTHUR C. VEIT.. COUNTY ENGINE SUPERVISING ELECTRICAL ENGINEER CK MO CASH I_ACon186- r/AR19 2 2.20 n f�Y2CGl��. 75A663 GDS 5A 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES lgl�lsHF131eITRIIC-P a WILLIAM J. FCX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROyP I ZONE PERT NO. ELECTRICIAN L, /2� ��/J�Q_9.AP.IL � // '�lJ�`- 77 .x' — ADDRE9B��/l //OGd�ulS. / REC IVED BY READY FOR DATE ISSUED ,�pp A FIRST INSPECTION CITYAID AJQl11. (Y2G K TEL NO. �y COUNTY LICENSE NO. A$ EXPIRES J`��3 BUILDING /Y _ /Jnr �' PERMIT FEES AOCALITDDRESS 0 7 (�Cj/ri�r.G FEE LOCALITY NUMBER EACH LIGHT OUTLETS NEAREST y ^ RECEPTACLES CROSS ST. lJ�+/li•!/ L �.fi7iLR1.LLV It6 ,/� ..N WALL SWITCHES /(O _ ') OWNER 10�`_/ 4L_4M � TOTAL OUTLETS Sc MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERSr�j 25 CITY TEL. NO. FIXTURES J1 5 I HEREBY ACKNOWLEDGE THAT I HAVF READ THIS misc. yy APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS y' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I -CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER FEE NEw MVD. HP OVER INc. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/z a LOR3 $ .25 SIGNATURE OF _ I/z 2 .50 PERMITTEE A 2 5 1.00 iINSPECTION RECORD 5 15 1.5o -- 1s so 2.50 s0 zoo 5.00 G-s/`'S 3 �'.Lovw.r� 4haTG.�a-1 zoo spD 10.00Da /,� ,A' j sDD 1000 15.00 G.-n- a-� aJa¢.c wiQt NBIoAGCO Z OVER 1000 1 20.00 M.G. SET/FRED. CHANGER-HP .�J SCJ uNtl ,Oi.o$' �iy ST Faq D{ WELDERS: AC-KVA 4'cI GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF DRIG.) _ MISC., SIGNS No. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 / CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES ♦a POWER TOTAL FEE 9 UTILITY CO.NOTIFIED �� f CQIJNTY OE COS ANGELES APPLICATION FOR PERMIT Dof Couniy Engineer � �� DIVISIONSION OFF BUILDING & SAFETY WILLIAM J. FOX, County En0lneer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONEPERMIT NO. ELECTRICIAN L IA-/ RECEIVED/BY READY FOR DATE ISSUED ADDRESS Xd FIRST INSPECTION _ CITY e r TEL NO. COUNTY LICENSE NO. EXPIRES ADDRESS PERMIT FEES NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES //��s� CROB8 ST 4ii/i.ax_ _ WALL SWITCHES OWNER AF TOTAL OUTLETS 5. 5 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. -- APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS Nu.NEa HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW Mvo. HP aY[a INc. [ACR OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. !/x 6 LENS S .26 SIGNATURE OF _ I/2 2 .50 PERMITTEE -- - 25 1.oO 64NSPECTION RECORD 5 15 1.50 �/ 1 �� _ 15 _ 50 2450 1� /�/ F/,l-7u�2d] AIV 4 „rr7 50 200 5.130 200 500 _10.00 J Soo 100015.CD Z Z OVER 1 ODD 20.00 _ 0 M.G. SET/FRED. CHANGER-HP Of _ WELDERS' AC-KVA G GENERATORS - KW TRANSFORMERS - KVA _TEMP. MOTORS (75q OF ORIG-) _ MOVED POTORS (75% OF MI9C. BIGN8 U N . NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT. DATE INSPECTOR'S NAME__ WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY ,50 FIXTURES POWER TOTAL FEE 0 UTILITY CO. NOTIFIED 1 V FINAL 76A663 DBS#5A 4-52 WORKER'S COMPENSATION DECLARATION 200019DPW 9189 A •�• BAM 1 hereby off irrf'that have a certificate of consent l0 self insure, APPLICATION FOR ELECTRICAL PERMIT or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS / BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) - --. Policy No. Company FOR APPLICANT TO FILL IN JOB - A -Certified copy is hereby furnished. EACH NO. FEE ADDRESS L 1 ❑ New Residential Bldgs.&Pools $ _ _ $ LOCALITY e / G Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. department. Multi-family Sq.Ft. NEARECROSS ST . U(,1)e./ az_(is cL Dale Applicant Residential Swimming Pools ASSESSOR -. I MAPBOOK PAGE PARCEL. CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR Dallel$:Ret._Light $w._ _ - FIRM NAME / COMPENSATION INSURANCE [ eS r First io MAIL (Th for neetl not be domes($1 0 the work Involved by the Total No. Additional ADDRESS pe tis for one hundred dollars(5100)or less.) ,. e y that in the performance of the work for which this permit - CITY Tel No. Is issled, I shall not employ any person in any manner so as to t INIIEoe subject to the Workers'Compensation Laws. Lighting Fixtures First 20PLAN CHECK APPLICANT Date Applicant Total No. Additional c ADDRESS ' NOTICE TO APPLICANT: If, after making this Certificate of 150R 20A,120V BRANCH CIRCUITS CITY Tel.No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACHAPPLICANT PERMIT provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH } LICENSED CONTRACTORS DECLARATION - - - ADDRESS (L I hereby affirm That 1 am licensed under provisions of Chapter 9 150R 20A,208V TO 277V LIGHTING EACH O (commencing with Section 7000)of Division 3 of the Business and CIN - Tel.No. V Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO SHP LICENSE ORIS Power Apparatus&Large Appliances. REG.NUMBER Class. O License Number Lic.Class Size&Type HP,KW,KVA,or KVAR DISTRICT NO. f P SEED BY U UP to 3•Incl. �� o GC � W Over 3 t0 10 Ind. FINAL d Contractor Over - DATE ❑ - Over 10 to 501nc1. Z 1 am exempt under Sec. Over 50 to 1001nc1. VALIDATION - - Over 100 FINAL B.&P.C.for this reason BY Services,Swbd.,MCC&Panelboards -- Date: 0 200 mp.Under 600 V Signature 201 -1000 Amp.Under 600 V ❑ - - Over 1000 Amp.or Over 600 V _ Exemption for Reg.Mainl-Elect. _ l _ -_SINGLE FAMILY Temp.Power Pole&Appurtenances - HOME OWNER=BUILDER DECLARATION ('- 1 hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit - -a for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Cade): i Llyl: n- I,as owner of the property,will d\thMisc.Conduits&Conductors j, ; e work and the structure 59 - 55-,_a is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) . and Professions Code). I - D , LI-rn; r-, cc .15 .. CONSTRUCTION LENDING AGENCY "' (;+rl�• L I hereby affirm that there is a construction lending agency for the _ performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE - _ . .(Sub-Total) _ Civ.C.) fait ''Vi•_t�. G�=tri_ PLAN CHECKING FEE _ _ Lender's Name . n� :y)'I (,;"ip! PERMIT ISSUING FEE _ T Lender's Address C:�,_' 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 laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned prope r inspection roses. SEE REVERSE FOR EXPLANATORY LANGUAGE AD— SIGNATURE OF APPLICANT OR AGENT DATE -