HomeMy Public PortalAbout5138 CAMELLIA AVE_Electrical__ AS43 a` 9"?t '°'" APPLICATION CSR'ELECTRICAL PERMIT �.
COUNTY Olt LOS ANGELES }pg
DEPARTMENT OPCOUNTY ENOINEER &RESS L
BUILflIN O ^vU
FQR TO I I LOCALITY P -
New Res[dential Bldgs.&Pools EACH NO. FEE
1 S 2-Famlly,Sq. Ft.- $ 6 — 5T- S
Multi-familyFI'Sq. Ft. .02 — WN
RM NA'M
Residential$wimming Pools 25'00 DDR
Outlets,Rec L{ght Sw. CITY Tel.Nq. �•-�4�
First 20 .60
Total No. Additional 3 AP ICA
AD
LightiN Fixtures Fiat 20 50 CI Tel,No.
30 PE
Total No, AdditionalAPPLICANT
.
Fixed Appliances Not Oyer T HP !ADDRESS
Range_Heater—D.W. CITY Tel.No.
Nen—Dryer—W.M_ LICENSE OR
Top —FAU —W.H._ REG.NUMBER Cass
Hood_Fan —Otl prT 1 HERBY AO(NOWLEPIGE THAT I HAVE REKD TNb APR"TN AND STATE
Disp Room Air Cbnd. 260 THAT 70THE ABOVE IS CORRECT AND AGREE TO OMPLY wTTH ALL Cxtm ORgNW-
AN�AND STATE LAWS REGULATJNG ELECTbCAL WIR14G.
Power Apparatus&Large Appliances
Size S Type HP,KW, KVA,or KVAR I HE3lBY Ct;MFY THAT I AM PROPBa.Y REG TERED AND/OR PqEN5M AS
Upoto ,Q_50 tD
Y LOS ANGRES GOLRIT(ANp STATE OF GAIJFORf" T I AM
Over 1 Incl. 6.00 ER OF THE ABOVE 5ESCABED-RESIDE?4T`AL PapPsrrv,
Over 1 to 10 Incl.
Over 10 to 60 Inc[, 1260
Over 50 to 100 Inc 25.
T Ovpr 100 40.00 �✓ ip=v Seryices -
0 r 20QAmp.Under 600 V 12-60 pRROVAIS0201-1000 Arho-Under 600 V 25.00 Oyer 1000 Amp.or Ovpr 600 V 60.00 WER POLE
gB WORK
Temp. Power Pole&Appurtenor.cet 10.00Sign with One Branch Cltcvit 10.00 ONDUIT
20b WIRING
Additional Sign.Branch Circuits
Mix.Conduits&Conductors
10.00 FI XTU RES
Caber(See Cbmpleta Fee Schedule) POWER AUTHORIZED z�
UtILITY CO.NOTIFIED
FINAL
PERMIT FEE ISUI}Totall NOTES
PLAN CHECKING FEE (One-Fourth Permft Fpe)
PERMIT ISSUING FEE $7.00 . q
TOTAL FEE /
FL4kN CHK!(VAL"_'111 N CK MO. CASH PEW VALIDATION M A&G. CASH .
d 1L 97-it 13 2 01 �. A
IEEE BACK OF APPLICATION FOR COMRLET*OCHEDULA
Wf) R3 f 41PEtySATION DEQ 7&&M� 101B1 APPLICAT10N FOR ELECTRICAL PERMIT
�I herebyaJtl7'm ttret I hese a oWtifioate•don
oaert to matt Mare, GE-8060
'
or e owvfbate c0 vtibrioEra' CcvviahsatIcon IrmraroA or e-certi-W COUNT( OF LOS,ANGLES BUILDING.AND SAFETY .
Copy thereof(88c.QBOO,L.eb.O.) /� CQ A' ,}�.
Poflvy No.. �'� `company FOR APKJCAW TQ'Ffi3--", / LL.
n -cerq, b Fl
copy ereby fu �. New Reeldentiel Bfdga.&?ode EACFI NO. I. FEE
cob tiled wttn the c«,nty txnalr,� t,e 1 �z-Femav,s�Fr _ LOCAL" Z4,
Z M (
KUAW8TGn p
+aCe�epartrnent Reeidentbl Hoole ami 4
Aploh
CEFiTIF"TE OF EXEMPTION FROM woexERS' quriats Rec f1 Lam' Sw, -1r
COMPENSA710fJ INSURANCE 7 AD AAlr-
First 20�;':,', 29
M*siotiorr r»ed not be compirtod If fhr work kwon d by the - + .- CITY,,. tel.
No
p�rnrFt.i}.ftw px*toyndr ddotier -($100).oGl�) Tatal . Addf ionai C[
PLAN ill�
I certffy.-d-&ln the performenoe of the work for-w ah this pem>jt. - -
Is iseufld. I SW no�;ernoby'any Person In,any Fwner,.4o as to � y.
begorrne-eublecttq Wbrkers Law& L�ttog Fb(w Flr%26 ADDRESS
,T�Na. Ad�fgorrel G F1 TeL Nd
NOTICE ,TO. APPU efter maidrq; Certificate of APP�enwee Not Over-'I HP
E1mnnPffpn,yad shoxdd,becorne&.rbjed to the 'Cornpw*at h D9v.. -
,pmvt4 ne of the l4I?x,Cod@,you.meet forthwFth corn* wtth much Oven T Dryer Wk ADDRESS'
w
P+o a rk, be.dQerrled Top. CAU W4 ."
.. �,coN�,cTORS 0EOLVVTICN licod Fan Other_
I,hQr9t5y.,affirTn,that I.am I)cerieed ruder proVbbns of Chapter 8 �9E OR
(cbrrrrrepcbg with Section 7000) oT,[�vbioh :of.the Bue>rr�ee end Dlibp• Floortti - Rti3 Cl�
PruNemioc*Code,and rry Il&r le>n-fel Nor e.and ef#9ci DOTFeCT T,a 13Y.
. .' - Puwer Apparatus R'lBrpe Applferrcee. +- _
Size d Type HP,INV,�orr
Lfoerre6 NUmber Lk:Qieas � Up to 1 lrx�. _ RNA.
Oven 1 to 10 Incl DATE
T�0 1 Q to 60 In . 5• FINAL
0 I aM under Seo: Oyer 60.to.100 bo
R.&P.C..for thIa reason Ovef j00 fA
_ SwAceei5 bd.MW S Pa7aedtioenis', '''.' , Z
0-200 Amp.Under 800 V
S%xwMra 201- 1000 Amp.Under 600 Y
Over 1000 Ahip.or Over 800 V -
4. ll) m bn for PpQ Mehlt EO9 x �._.
r,
SINGLE FAMILY ' _7Wip-Pgw,'4. ole S.JvppOfterla" _ .. 2
FIQMt QWNER-BUILDER DECLARAI'1QN 6fgn";mh One Branch Ctrc�lf f.
T Z
I hererl efitrm ttSat I em e�6errpt from the Conhac�tor'e Lbende Lsw
for t fdkrvlrp reeson(Section 7031.6, BUsiness Wed Profeea}orm AddltjprrftFi preach Clroytt�
):
I,as.owwr bf the property,will do ttre wcr}k.and the atrt �e ftec Conduftm 1 ` -
fe not Intended or offered for.sale-(Section 7044, Biratr�eae Other(� dee Sohed*) ,
and PmNaelons Code). Y ;11T v 6
CONSTRUCFTON LENDNG AOEN�Y } :
I hereby afftrltl that inane jIe a ooc*Tmtbn.lerdng I1oenc for t� r t '
•pwformanoe of the}Nor*for yrhioh thle permit 18 baled(Sec 3087, PEFlhlff'Ft=E.' ($ul�Totel) z --t •��
CN.C.). r
PLm CHEMNG FEE r �.-,�•�
J Arrderm.Neme flf'r`U 1 ti!1v/v�! '
PERMfi 0SUNGFEE -. c O } 1 ~F
I.AnJEWm Addrede r
I owtfty.•that I have read thin eppflcation'anq state that'to abcom T O.[pkL FET
Mormatlon is oorreot. I agee,to ocmpty wV all County ordInanom ,
arld State lave reWlatlra Ele�'wlring, and hereby auhDdze
mprawrhtfvee of No Countyto enter ux= ttrd above-n—timid
PT for hspectbn purpo¢em 1 $E FEVMSE FOR EXpUMKr0RY t..A1f lH
oJurfilture of Data
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