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Home My Public Portal About5144 CAMELLIA AVE_Electrical__ 76A663-CES0611,70 APPLICATION FO I L PERMIT LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS e'ocm'.AI-tk =G,,(_ COLEMAN W. JENKINS u N N u N LOCALITY NEAREST FOR APPLICANT TO FILL IN CR033 ST, OUTLETS " OWNER s RECEPT._ I MAIL LIGHT TOTAL v FIRST 20 y.B ADDRESS 15- 047 CITY TEL. N0. 1p_J SWITCH OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 n APPLICANT FIXTURES I OVER 20 10 ADDRESS APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS 6114 L4 2A jok SPACE HTR. AIR GOND. CITY TEL. NO CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIN APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY MOTORI, TRANSFORMERS RATING WITH ALL COUNTY ORDINA MC AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE S TYPE OVER TO IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LI CENBED AD REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 300 RESIDE N, THE ABOVE DESCRIBED RE IDE IAL PROPERTY. SIGNATURE 0 10 - 50 BAO OF PERMITTEE DC 50 - 100 10.00 DIST IQCT N� CLADS PROC SY o 100 - 500 10.00 v LULI a SIGN, GAS SIGN AND ONE CIRCUIT 0.00 NOTES: N Z TUBE, OR - MARQUEE ADDITIONAL CIRCUITS 100 3ERVICENOTOVER600VOLTS OR200AMP 3.00 APPROVALS DATE "ECTOWS SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AMP 1000 TEMP.POWER POLE TEMP SERVICE,POLE, h APPURTENANCES 0.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 O ROUGH CONDIUT r O WIRING FIXTUR POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE ^ IN AL �� / PERMIT ISSUING FEE 9.00 `f JOS PH C. kooqAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEOCA PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M. ,, SEI BAC( OF APPLICATION FOR COMPLETE SCHEDULE L � 7i P 5 5 ;2 NO 1- 2 U 45Oq V, i1 ybAeec-ca#eoe a-eI APPLICATION FOR ELECTRICAL PERMIT COUNTY OR LOB ANGEL" DEPARMENT OR COUNTY ENGEQNgsER ISUILDFNd BUILDING AND SAFETY DIVISION ADDRE" �- JOHN A. LAMBIH, COUNTY ENCUPMR ` WILLIAM A-JENSEN.AUr'T OF BUILDING :LOCALITY FOR APPI.XANT TO FILL IN PEiZMff FEES uO�WNER I T Z Y NUHEZA ZACI-1 rEE +r'+IL OUTLSTHI ; ; DREW UbHTB RYdzrT. Sw. .10 CITY TEL NO. u0HTING FIXTURES .10 rl M RANOZS CLO.DRYI[RS �LE +CTRIQAN "' ATZR HZATERS Q D AD RZC.FAQ HTRS.DWIWAfffl" CI TEL No 6AARAGZ DIS Ht?tS AUTO.-wAfSTA.COOR7NQ YTLrrL -10 If==NO. Q MOTORS, OVER- INC. M.P. D a UP I ZQNLT I P BY 0 .25 >h— 2 INSPECT) ORD 2— 5 1.00 5— 10 1.00 10 50 L 50 r 0 50— 200 0.00 SIGNSI NO TRANS. NO.LAhlrS - SERVICE 0-600V 1 oo aERVICE OVER OOOV 5.00 M I BC. WIRING PERMIT 1.0.0 F tx,Tu RE PERM IT 1.00 ' SUPPLEMENTARY PMRM(T .00 TOTAL FEE I HERESY .Ad KHd aLADaZ THAT I HAVE READ THIS ArrLICATIOH APPROVALS DATZ INSFI CTOPrS fIGMATUIR AND SIATZ THAT THE ASOVZ If CORRECT AND AOREZ TO COiPLY CONDUIT WITH ALL COUNTY pRND pIHANCXS ASTATZ LAWS REOULA/TINO [CTR I CAL W I R I NCL WIRING 1 Hb¢8Y CERTIFY THAT 1 AN FROIrERLY REGISTZRED ANQIOR UC W04rQ Ad REQ U I RID BY LOS AN D ZL.IS COUNTY AND STAT[ OF F IXTU RES CALIFORMLA OR THAT I AL OF THE ADOVX DESCRIBED RESIbQfrLLL r RTY. POWER OF SIGNATUREPFRM=EmUTILrrY CO,NOTIFIED " FINAL I TION A QiR C. VETT cx 0 i�H SUPEITVIBING ELECTRICAL ENGINEER LAC0B2a6FS FEB -13 2 0 2-50 N DEC TION WORKERS' cI have cerci cafe of corse '61,663 P`""°' APPLICATION FOR ELECTRICAL PERMIT O I Fierehy afflrrrLthat I have a certificate of consent to self �z Insure, or a certtflcate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ora certifled copy thereof (Sec. 3800, Lab. C.) cy No FT Company FOR ALW-AXT TO FILL IN JO P� B / tell/;41 LL J Certlfled copy Is hereby fumished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS ❑Certified copy Is flled with the county building Inspec- 1 8 2-Family, Sq. Ft. $ — $ LOCALITY tion deportment. Multl-family Sq. Ft. NEAREST CROSS ST. Residential Swimming Pools Date Applicant RPM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec—/—Llght Sw._ MA1L�55 COMPENSATION INSUIfANCE _ (This section need not be completed If the work Involved by Total No._,c_ AcidFirst tl C� Tel. No. l,�l the permit Is for one hundred dollars (;100)or leu.) Additional ECY I certify that In the performance of the work for which this Aflpp a CgNT permit Is Issued, I shall not employ any Person In any manner Lighting Fixtures First 20 ADDRESS to as to become subject to the Workers Compensation Laws. Additional Total No. CIN Tel. No. Date Applicant Flxed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, aftef making this Certificate Of Ran Heater—D.W. ° �°T Exemption, you should become subject to the Workers' Range— ION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Dlap. — Room Air Coed. — NUMBER Class. affirm I hereby arm that I am Ilcertsed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PIR&PESSED BY and Professions Code,and my Ilcertse Is In full force and effect. Size 8 Type HP, KW, KVA, or KVAR / O License Number Llc. Gass Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATEVALIDATION Contractor nate Over 10 to 50 Incl. 0 FINAL U ❑_ I am exempt under Sec. Over 50 to•100 Inc. BY W CL B.BP.C. for this reason Over 100 W Services, Swl d., MCC 8 Panelboards Z 0-200 Amp. Under 600 V Slgrxrture 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Malnt. Elect. SINGLE FA DECLARATION ILTemp. Pon Power Pole 8 Appurteances HOME OWNER-BUILDER ? I hereby affirm that I am exempt from the Contractors Lice nso Sign with One Branch Circuit =t• Additional SI n Branch Circuits �•T Law for the following reason (Section 7031.5, Business and g E2c.fsown&r Code): 7 E.91D of theproperty, will do the work and the Misc. Conduits 8 Conductors 1 ITM Complete Fee Schedule Com lSee structure Is not Intended or offered for sale(Section 7044, Other ( P )-- � Business and Professions Code). Poll TIJI� l-� _ 90 CONSTRUCTION LENDING AGENCY C�ECX 13-.90 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued PERMIT FSE (Sub-Total) O (Sec. 3097, Clv. C.). PLAN CHECKING FEE Lenders Name OODD--0001 1/28/91 Lenders Address PERMIT ISSUING FEE 5241 1 AM 10:17 67 cq 1 certify that I have read this application and state that the TOTAL FEE above Informatlon Is correct..I agree to comply with all County ordinances and State laws regulating Electrical wlring, and hereby authorize representatives of this County to enter upon th ve-mentionILI ty for Inspectlon pu SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ure o Per I ee Date �s r worm that coMrve a CION DECLARATION 7&4.669D�""�' APPLICATION FOR ELECTRICAL PERMIT I herelgy affirm that I have a certificate of consent to self �� Insure, ar a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS cr arterti�ed copy thereof (Sec. 3800, Lab. C-) Policy No.- Company FOR APPUC NT TO RL IN Certlfled copy Is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ElLOCALITY copy Is filed with the county building Inspec- 1 8 2-Family, Sq. Ft. $ LOCALITY NEAREST tion department. Multi-family Sq. Ft. CRSS ST O Date Applicant Residential Swimming Pools Oyu IRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' ;y MAIL COMPENSATION INSURANCE Outlets: Rec�Llght Sus.— a D First 20 (This section need not be completed if the work Inyohred by Total No. Additional CITY Tel. No. / ,d the permM Is for one hundred dollars (=100)or leu.) PLAN ECK I certlfy that In the performange of the wo.rk for which this APPUCANTT permit Is Issued, I shall not employ any Person In any manner Lighting Fixtures First 20 ADDRESS ompensation Laws. so as to become subject to the Workers C Additional Total No. CITY Tel. No. Date Appllcant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERlv11T Exemption, you should become subject — Heater—D.W. — TION to the Workers' g Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be. Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY rVV Tel. No. LICENSED CONTRACTORS DECLARATION UCEIJSE OR Dlsp. — Room Air Cond. Class. I hereby afflrm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. BY d and Professions Code,and my license Is In full force and effect. Size 8 Type HP, KW, KVA, or KVAR �.-d� O License Number Lic. Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE � "' /$ r VALIDATION 0 Contractor Date Over 10 to 50 Incl. FINAL ❑ I am exempt under Sec. Over 50 to 100 Inc, BY LLI 0 B.BP.0 for this reason Over 100 d co Servlces, Swbd., MCC 8 PanelbZoards , Z Date: 0-200 Amp. Under 600 V — Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V 1 SINGLE FAMILY W.U.r HOME OWNER-BUILDER DECLARATION Temp. Power Pole 8 Appurtenances 1 hereby afflrm that I am exempt from the Contractor's License Sign with One Branch Circuit 7307 1 '�� Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 1 Ih� Professions Code): TOTAL. 14 - 80 ❑ I, as owner of the pro rty, will do the work and the OtK• Conduits 8 Conductor pe omSee C Other late Fee Schedule , 14. I structure Is not Intended or offered for sale(Section 70 , ( p }— Business and Professions Code). .00 CONSTRUCTION LENDING AGENCY I hereby afflrm that there Is a construction lending agency for the performance of the work for which this permit is Issued PERMIT FEE (Sub-Total) Q 0DOD-1)0101 1/ 2/91 (Sec. 3097, Clv. C.). PLAN CHECKING FEE 4743 1 All 9:14 Lenders Name PERMIT ISSUING FEE , Lender's I certify that I e red t Is application and s t that the TOTAL FEE above Information Is correct. I_ogree to comply wl County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon I. the mentioned pe for Inspection p rposds. i SPE REVME FOR EXPLANATORY LANGUAGE Signa of Perm ties Da