HomeMy Public PortalAbout5214 CAMELLIA AVE_Electrical__ 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL I"PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING !
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER /
WILLIAM A. JENSEN, SUP'T OF BUILDING [LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. L
REC EP T. TOTAL NO. EACH FEE
OUTLETS FIRST 20 O $20 $ OWNER Qlyi f
LIGHT MAIL
14 ADD'LO ADDRESS
SWITCH. It O 10 VER 20
LIGHTING
TOTAL FlasT 20 .20 D CITY TEL.NO.147-4-527
FIXTURES ADD'L 10 ELECTRICIAN
OVgR ZO
MSPACER..
CLO.DRYERS WTR.HTRS. 1.00 ADDRESS (�STA.COOK CITY O.AUTO.-WASH. STATE STA.APP.(l/z H.P.MAX.) .50 G� LICENSE NO. ��D
MOTORS: OVER NOT OVER H.P. fw
STRICT j+�0. GR� ZONE PROCESSED BY
o t 1.00 (.� r (—�L1 3 1.50 INSPECTION RECORD
3 S 2.00
8 15 2.50
15 50 3.00a50 100 5.00 0SIGNS: NO.TRANS
NO.LAMPS Q
H
SERVICE 0.60OV-NOT OVER 200A 1.00 W
CL
SERVICE 0-60OV-OVER 200 A. 2.00 V)
Z
SERVICE OVER 600V 5.00 -
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTAIRY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INBPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
r_
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING �-
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AN
LICENSED AS REQUIRED BY LOS NGELES COUNTY AND ST E OF FIXTURES
CALIFORNIA OR THAT 1 AM LEG L OWN R OF T ABOV
DESCRIBED RESIDE,_NTI RTY. POWER
r r
SIGNATURE Y CO.NOTIFIED
OF PERMITT -
FINAL
VALIDATION ARTHUR C. VEIT
CCK MO CASH SUPERVISING ELECTRICAL ENGINEER
i'l,a 2 8 5 2 APR 3 D 1 0.6 G,�
iy�7il2•l-1,�jC/
TK)N
WdFthat II have
a oeS oats of cone crt to - ,eat APPLICATION FOR ELECTRICAL PERMIT
- I ,afflratl.that I nave a oerttftoafe of c«ieertf in serf mare,
ore e d Worfaem' Company on Insurance, or a certttied COUNTY OF LOS ANGELES BVILDINO AND SAFETY
abpyf•f� Sec 3800,L.eb.a)
An&y No. Company FOR APPL".Nf TO FLL IN JOB
❑ Certffled copy Is hereby fumfahed. New Reeldentfal Bldgs_&Pods EACH NO. FEEAri 33
—
❑ CertNled oopfil
y Is ed with the county binding tpMwdon 1 d 2-Faml $ $ LOCALrrY
t. �� ly,Sq.F( _ ��
department Sq.Ft NEARCJ:KS 3'f.
Do Applloant pealdenthd Swimming PoleOR
FFO ERNP AE
CERTIFICATE OF EXEMPT10N FROM WORKERS' �- MAL
Outlets B60 ' LJurt s,.-6--
ADOFi1 BS
(This section nand.rat be corrosted If the Work frrvotved by the, F1 rat 20 % CITYNo
perrnft Is for one hund»d dotlare($100)or feaa.) Total No. Additldiel �
I cor* that In-the perfonnanoe of the.work f« whbh this"permit ' APP CHECK
Is lseued, I snail not employ any person In any manner so as to
bet*me sub)ect bo the Workem'Domperrsarion Laws IJphtinp Ftxt— First 20 ADDRESS
Total No. Addrdonal ClTY rel.No.
Date Appa Y Fbmd Appltahces Not Over 1 HP'
NOTfCE TO APPLJCAV: ff, after maldng tfils CerttFlcate of RST
Exemption,you should become aib}ect to the Workers'Conpertaatton _ — "aRtar— D.W. — APPL)C
ANT
provWone of the Labor Code, you"forbwtth comply with euoh Offen — Dryer WJN.— ADDFiD$S
provle}one or th1a porn-it shall be deemed revoked Tbp — FAU .WJ-L
L}QENSED CONT)3AOTOR9 DEGLAR/UTdN "ood _ Fan — Otte_ , CITY lel.No.
I hereby affirm that I am kensed under prvrlefons of Chapter 8 Dye. —'Room Ah Coed LK HUCrR Cs>w
(oommenokV wIth Seotbn 7030) of Dlvlelon 3 of the Buabam and
Profeeabrn Cbde,and rry license Is n full force and effect D0TICT Na P90LEBSED BY
Stze&Type HP,KW,KVO or KWR
Lbenae Number LJc Clgse Up to-1 Ind.. FINAL
Over 1 to 10 ncL n=
Me Over
10 to 6P Ind.
❑ F1 NA(.
I em exempt rrxier Sec. Over 60 to 100 trx BY �t1
BAP.C.for th!e reeson oyff 100
Dates SerAcee,Swbd.,MCC& Panelboards
0-200 Amp.Under 830 V
✓3i�ehira. 201 - 1000 Amp.Under X00 V
Over 1000 Amp.or Over 800 V
❑ Exomptfon for Rep.Malnt Eleot
SINGLE FAMILY- Temp.Paver Pole d Appurteri4— 7 51.90
HOME OWNER-BUILDER DECLJIRAT}ON gym,with One RanchClra>ft
I hereby afilrm that I am exempt from theao Corltra Lloonae Law 1 ITEMS
for the foOowng reason(Section 7031.6, Bustnees and Profeaabae . 'dft$Dn6 Sign Branch Clrattia
Code): TOTAL 51 . 90
Mfsc Conduka& ConJuctors CHECK K 1.411
I,as owper d rhe property,will do the work e70 the ualneae other(See Complete Fee Schedule) —
tQ not intended « offered f« sale (sectton 7044, QualneQe , ( ..00
and Protesabns Code).
CONSTRUCTION LENDNG AGENCY
I hereby afifrm that there la a corp tnuction lending agency for the 000D-�001 12/19/90
performance of the work for whioh this pa"It Ib lamed(Sec.3087, PpRMfT FEE (Sub'Total}
Cty.C.). 47n 1 AM 10:41
PLAN CHECKING FEE
Lenders Nemo
PERMfF ISSUING FEE �+ DO
Landers Address
I owdfy that I hove read thh ap0mbon and state that the above TO-U L FEE �� 10,
Informetbn is oorrect I agree to oonpfy with all County otdlnahcee
and State lawn reguk&Q Electrical wUtng, and hereby authorize
repreeerrtattvea of Courrfy to enter uWn the abo e-mentloned
Property for IPu $EE REVERSE FOR EXPLANATORY LANGUAGE
,,-�Z2 A
re Date