HomeMy Public PortalAbout5221 CAMELLIA AVE_Electrical__ OOUMTY OFLOS ANGEL" APPLICATION FOR MUM
Department of om„nELECTRIC i
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX. County FagImew
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN S I-�`1 �2 '�
RECEIVED BY READY F77R DATE IBBUm
ADD RERIN FIRBT INBPEDTION
CITY TCL MO '
COU 10 NO, EXPIR ■UILDIND P
PERTs ADDR[M
r r�
FEE
NUMBER EACH LJ7DALITY
LIGHT OU-rLXT6 M[AR[BT
QR BT
R EC EPTAD LPEB
l
WALL BWITOHEB OWNER
TOTAL Ou-n-r B BD 111MAIL
[LVO. RANOEB 28 ADDREBB
ELEM HEATiRB IIB GIT' TEL. NO.
F I XTU RO 6
I HKItBY AC KNOWLEDGE THAT I HAVE READ THIN
M 1919, APPLICATION AND KTAT11 THAT THE AIIOV[ 10 OORRMT
NUMBER OF LIGHT OIRCUITIN AND ADRIQ T13 DOMPLY WITH ALL COUNTY ORDIMANCE1
NUMBER OF REOEPTAOLE CIROUITO AND BTATE LAMB RVOULATING ELECTRICAL WIRINR.
MOTORS I CENTIFY THAT I POBBEBB THE ABOVE VALID LOU
Nummu HORBEPOWERFV[ RANBEB T
OOUNY LNBV,IC[ OR. I AM THE U CMAJ OWM[R
N[w Mw. HP OvCR IND. c.AcH OF THE REMDKwn oPERTY DEBCRIBED ABOVE.
1/ i i r.. .1t6 I■IONATUR[ CF '
i .BO PERMIT. -
2 s 1.00 INSPECTIOlq RECORD
B 76 1.60
16 BO 2.50
BC ROO 8.00
=OC BOD 1O.DO J
BOO 1000 1ILDO Z
AVER Iona 1 9C.00 p
N.O. mirT/rRKq. CHANGER-HP Q'
W[LDERBIAC-KVA
OENERATDRB - KW
TRAHBFORMERB - KVA
TEMP. MOTOR■ (76 Dr DRim.)
MOVED MOTORS (75or DRioJ
BD.
SIGNS �^
NC. NO.Tll ANB. APPROVALS
N
FOR EACH PERMIT] DATE IHBP6aTOR7 NA}IE
WIRING 1.oil CONDUIT
FIXTUREB $1.00 v WIRING
60 F IXTU RVB
POWER
TOTAL FEE + UTILITY CO.NOTIFIED
FINAL
Tl1tlM DBC#5A 4.0
MJF r
7""M D1°&A 11-49 APPLICATION FOR PERMIT
DEPARTMENT OFra AND SAFETY ELECTRIC i
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR1 . GROUP ZONE PERMIT NO.
ELECTRICIAN l
RSD IVSD BY READY FOR DAT[ ISSUED
FIR
ADDRESS _ / ST INOP[CTION J I�
CITY ) TLL. N0. �/ ♦/ CL•!•• //
\ COUNTY LICENtSEE�MEL
�. f 0 EXPIRE■ U� BUILDING
r PERMI i FEES ADD RISS . 1
NUMBER OUTLX712 EACH FEE LOCALITY
O LIGHT 60 NEAR13RBmBT
Z R[OEPTAOL[H 6
FIXTURES s OWNER
WALL SWITCHES 6 MAIL
EIJUL RANGES 25
ADDR[Bo
ELEC. HEATERS 96 CITY TEL NO.
1 HEREBY ACKNOWLEDUE THAT I HAVE READ THIS
NUMBER OF CIRCUITS IHBTALLXDI
r
TOTAL.- APPLICATION AND STAT[ THAT THE ABOVE IB OORR[OT
LII2HTla REPEFTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STAT[ L.AWR REDULATINO ELECTRICAL WIRING.
HuN3[pt HORBEPCWER FEE I OERTIFY THAT 1 POSSUM THE ABOVE VALID LOS
Ntw MvD. HP rnr" IND. [/.DH ANUELEB COUNTY LICENSE, OR I AM THE Ll1QAL OWNER 1
1 �J OF THE R[BID[HTIAL ROPT DESCRIBED ASOVE.
9 .60 ■IBMATUR[ OF ,
3{ S 1.00 P[RMITTE
16 1.60 INSPECTION RECORD
7 ISO 1 Z60
BO Sao 0.W
700 600 10.00
Bm 1 000 1 B.O❑ J
OVER lOOC IID.00 Z
M.0. BET FR CHANGER-HP
WLL.D[R9!AC-KVA
OENERATOR1i - KW C
TRANSFORMERS - KVA
TEMP. MOTDRI X76 OF DRIa.
MOVED MOTORS 76 OF DRIOJ
I O.
SIGNS
TYPES NC.TRANS.
` atl"Pml APPROVALS
FOR EACH P[RMITI
DAT'[ INBPLOTOR'e NAM[
WIR4NO 1.00 CONDUIT
FIXTURES 111.00 W1RIN0 ni %
SUPPLEMIENTAKY .50 F DCTU RLS
POWER
TOTAL FEE 7 1 UTILJTY Oa NOTIFIED
FINAL a
"X)R"EW COMPENS T10N DECLARATl°N '°" 10'01 APPLICATION FOR ELECTRICAL PERMIT
. -aoe0
I herby affirTn that I have a certlfiaaYe d cortaerrt to eOff senna,
or a oerlfl'ioate d Workers' Compensation rneurarc or a oerdfed COUNTY OF LOS ANGELES BUILDING AND SAFETY
oopy (Seo.3800,Lab.a I)
No-T ry FOR APPtJc�,ANT TO F1- IN �ppgEss C
❑'
Oar.dfled oopy Is hereby furnished New Reeidenfiel Bides S FUois EACH Na FEE
Certified b flied with the 1 S 2-ran*,Sc.Ft T� b = 8. LOCALITY
NEAFIEST
MUFF-fem@y Sq Ft CROSS ST. G� o
Data��.���—b .Applbent. el- Heelde rtw SwkT,,N Poois- YMER OR
FIRM NAAE
CERT�7cASE OF EXE? Ti>�i FROM WOI outlelx creel—u�t Sw. L
ION
M-As*&cion need not be emVisted V the work b*otved by'the F rd 20'
permat lefor orw NmKh.d doaam($IPO)or Mee.) Total Na T A,ddIISonW crry Tdl Na _
PLAN CHECK
I owVfy that in the perrarManoe of ortitl
the wk'for whlch e permitAPPUCANT
Is isertect. I sW not erroioy arry'person ht any manner,so ee io
beoome eub)bd to the Wbrkerd Conpersetlon Laws Ughtlnp Fbdij— Fhat 20 ADDRESS
APpG�trt Total No. Addhior" CITY Ter.Na
Dabs
NOTICE' TO APPLICANT: tf, &* •nskLna this Cerfffic w Q(
Fbmd AppDances Niot Ovbr 1 HP PERWT
APP1J(.WT
Emptbn,You Mould becorne mjbW-to the V*wkers'Compeneetlon Rantpe— Rasion_ 0.W.
xe /L /✓
proyWone of the Labor Code,you must kxtt�pft car#y wfth eudi' Oven — DryerWlvl— m)"Esse,4931 At-yA/<<lwl xl
provWcne or this pwTdt*0 be dderred revoked Top — FAU ,—�WI-L —
LWENSED.1CONTRAtCDEQLARATION Food — Fan' _ Other^ CRY �� Tlk N. f
TOF3.9
1 her9by affirm that I am Ibersed.und9r'provtsons d'Chaptee 9pMp Aoorit Air cordREa Pull, a 5 c O C
(cm ne x*Q wf h Section 7000) d DMsorr,3 d the Bueirtem and
Prokmalcm Co(*and my Scenes le n fu➢force and effect 'Pmw APPerat-y Large AppDanoee 0tBTF*9r Na
7 7 (� tf't C3� Stre S Type MP,KW,KVO or KWT
License Number 'Vie 3 73 Lia Cwms VP to 1 Ind FINAL
�df"�'� Date ��f— 7
over 1 to 1 o rna DATE
contreafnr,
Over 10 to 60 trtd
❑ I am exempt raider Sea Over 60 to 100 Ino. #;9:4,4 2 A
B. P.C_for reason over ,o0
r Servose,Swbd.,MCC a PanerboardsPoo. 1 o c 21;,7 5
0--200 Asp.hider 600 V
Syw„ab" 201 - 1000 Asp.Under Boo v
Aver 1400.Afrtp.or Ozer 600 v
❑ Exam tilon for Sieg- amt_Elect. 1217-87
SNdLE FAMILY Temp.Power Pole S Apprrtenancee -.
NOW OWNER-BU>iDER DECLA AI-ON Sign wlth Cps Brandt CrctA
I Ft�reby efftrm that I am exenpt from the Cont whys License Lew AddRSortal Brandt CtrLZlfls
for the toSowtrtp masori(Secdw 7.031.6, Rmbv as and P(Crfeesbrte
Code):
ElLee owner d the property;v fO do the work and the struohre Mien Corxufte t4 Corduotors
ia not trtWtded or ot%red for sale (Section 7044, Bualrteee Other(See.Ccrrpiete Fee Schedule) poll
Proieeek"Code).:
CONSTRUCTION LENMG AGENCY
I hereby flfilrm that (hers Is a co whu;don Wndrnp apertoy for the
perovrtartce d the worn for whleh this permit Is lamed(Sea 3087, PEwr-F�� (Sub-Totaf)
Ctv.C.).
PLAN CHECI0N0 FEE
LerdWs Niarrte
PERMff lSSLM40 FEE
Lender's Addieee
I oertffy, that I have read thb NX&oabm and emote thet the above TOS FEE
ttformation la oprreot I agree-to con#y with all Ccxrtty ordhtances
and State.ih i mg-6 ng,EWbioW wirfrtp, and hereby authatre
representatives d this County to enler upon the abovq�-nwwr tined
,orPr+pO / SEE REVERSE FOR EM ARMOW UJi0UA0E
. 7
Somd rd of Perrrttttee Data