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Home My Public Portal About5318 CAMELLIA AVE_Electrical__ Cay M 7-51 AP •- CA 7ON FOR PEZI Ii DEPa►HZ'MEN3,OF BIDING AND SAFETY. ELECTRIC i COiTNTY OF L08 ANGELES ii WILLIAM J. FOX, CNIEF ENCIINEER E FOR APPLICANT TO FILL IN DIBTRI 47/NO. 13ROUP ZONE PERMIT NO. ELECTRICIAN RB.ZtOII $ieOtl'iO O• _ � l39 ADDR[r 2' 54 II' . ROB E71g9 Blvd. R •FIRlT OR ❑M DATE Iaw ED 13ITY El Monte TIL. ND.FO 85679 oQUNTY LIOENEE M0. 1104 SIREN ■UILDIND PERbUT FEES ADDREa 6818 Camelia Avenue NUMBER EACH FtR Lo CALI'7Y T le City LICIHT OUTLtTs NEARXRT OR 0a•IrT. REO[PTAD LCB i ALL AWITCHu 21- ❑WNEh 8. B. Henley TOTAL u-LETB b - B� MAIM ELEO. RANCIER 1 9f ADORE" [L[0. H[A7[RM Q 9a CITY TEL N0. FIXTUREM 18 6 1 HEREIFY ACKNOWLEDGE THAT I HAVE READ 'THIS MIQcL APPLICATION AND /TAT[ THAT THE ABOVE 15 CORRECT NUMBER OF LICIHT OIROUITB AND ADR[[ TO COMPLY WITH ALL ooUNTY ORDYNANC[■ NUMBER OF R[CETTAOLE CIRCUITa AND RTAT[ LAWa RiaULATIND [Li OTRICAL WI-RIND. MOTORS I CERTIFY THAT I POSMEM THE ABOVE VALID "M NUMB" NORaZrIIYV[R F[[ ANGEL" COUNTY UDIENEX. OR I AM THE LICIAL OWNER N[w MvD. Hr w[w IM6. EACH OF THE REa1DENTIAL PROP[ ta0 ED ABOVE. ya a uum .91w 25 ■IaNATUR[ OF 1 1 a PI[RMITTXZ- 2 a 1 0o INSPECTION RECORD B 115 }.6C is 6O 9.60 BO 100 5.00 100 Boo 1 0.oD J BQD 1OOC 1B.00 Z OVER 1000 90.00 S MA. aET FR CHANCIER-HP Ir WELD9RXFAD-KVA - O DENERAtCka - KW TRAN11WORMERIIII - KVA TEMP. MMM" (79OF 1311110.) MOVED MCT011M (76 nF ants 910NH N0. NO.TRAMIL N NO. P■ APPROVALS FOR LACH 1• MITI DAT11 INarEOTOR'a NAM[ WINING 1. 170-0 CONDUIT FD(TURta 1.00 1 1 00 vflR1ND - s C F I XT a PtEs 8 Ob PCW[R TOTAL FQQ • UTIuTY O0.NOTIFIED FINAL �~ 75Aeeb-CE808 arae APPLICATION FOR ELECT AL WWI COUNTY OF LOS ANGELES DIIEPARTItNT OF COUNTY ENGINEER BUILDING + RUI .,DMB AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JKNKINS, SUPKRINT"DENT or BUIL.DINO LOCALITY nQ NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO, EAC OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS �J SWITCH OVER 20 .10 CITY EL. NO. - PLAN CHECK ! I LIGHTING TOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGERYER—WTR.HTR.— CITY TEL. NO. STA.COOK_DISP.—F.A.U._ CONTRACTOR SPACE HTR. AIR COND.—ADDRESS CLOTHES WASH. DISHWASH— CITY TEL. NO FAN—OTHER 1.00 LICENSE NO. CLASS. MOTORS,TRAMDFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HFRE-BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE R TYPE OVER TO AD STATE THAT THE ABOVE IE CORRECT AMD AGREE TO COMPLY WITH ALL COUNTY ORDINA MC ES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 – 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/CR 1 – 10 3.00 LICERSED Al REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 – 50 5.00 RESIDE IN, THE ABOVE OESCRIRED RESIDENTIAL PROPERTY. 60 - 100 10.00 SIGNATURE! OF PERMITTEE 8 too - 500 15.00DI TRICT O. G P ZONE 1.P C � SIGN,OAS SIGN AND ONE CIRCUIT 9.00 TUBE, OR 11yy..II MARQUEE ADDITIONAL CIRCUITS 1.00 CC� NOT ESI Z SERVICE NOT OVER 600 VOLTS 0!1 200 AMP 2.00 — SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEW SEAVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INBPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIEQ SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRIC L ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH t E SACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 20-W19 WORKER'S I have a certificate of consent to AA6113 DPV�(,2-71) APPLICATION FOR ELECTRICAL PERMIT I hereby aHlrm that I have a certlflonte of consent lq sell Insure, ora oertfflcate of Worker's Compeneatlon Insuranoe, or a certlfled -`�" (�NTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab, G.) Pdlrry No. Cofnparry FOR AAPLICA1Tr fro Pot w X88 S, ❑ CertMed copy 1@ hereby fumished. New Reshdentlal Bldge.S Pooh NO. EACH FEE — ; LOCALITY ❑ Cergif.d copy Is filed with the oounty building Inspbction 1 S 2-F&mlty,Sq.FL NEAREST j department Multi-farnlly Sq.R. — pF#pgg g r, Date Applkxrtt Reeldentlal Swlmmih ,A ng Pooh YAP BOOK PIiBE PARCg CEFMF16AT1=OF.E)CEMPTION FROM WORKERS' Outlets:Rao.Z LJght Sw. j COMPENSATION INSURANCEC2 OWNEROR Td !y 7y Ile a*-s 20 (rhts aectlon need not be oompleted If the work Involved by the Mrst YArL ADDRE permh an Is for one hundred dollars($100)or la.) Total No.T AddftlonelSS I certify that In the performance of the w6rk for which thle permit Crry TOL S� Q Is Issued, I shall not employ any person In any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. UghtIng FbRurse Rrat 20 AP POCANT L ep �y Total No. Additiorml ADDRESS E�ete �` _/a '7� p� RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: 11, after makin/hcomply Certlflo o CITY TOL Na F,xemptlop, you should become subJept to the Compensadon OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forth wlth such Power Apperehe✓4 Large Appllancee ',PPN Q dr C L G provlelone or this permit shall be deemed revoked. LICENSED CONTRACTORS dECLARATION' She d Type HP,KW,KVA,or KVAR ADDRESS d I he}eby Affirm that I am licensed under provlelone of Chapter B Over 3 to 10 Ind. (commencing wlth Sectlon 7000) of DIvlelon 3 of the-Business and CITY ✓C � /uQ T.L Na Professions Code,and d my Iloense le In full force and effect. Over 10 to 60 In • } Over 60 to 100 Ind. NUMB S - C/D fL O Over 100 DVP7 GT NO. P BY LJcenae Number 9 Uo,Crane C Servlcaa&Swbd.,MCC 6 P"bo" ntractor r Co0-3eg Amp.Under eo0 V � O 400�1000 Amp.Under 800 V jyAL1DAT10N V I am exempt under Seo. Over 1000 Amp.or Over 800 V AN.L W CL B., P.C.for this reason BRANCH CIRC(11T FEES BY U) 15&c 20A. 12OV,Ughtlng or Z 1 To 10 Brandi Clrmfts Slgriawre 11 To 40 Breach Ctrcuftn ❑ Exemption for R 41 Or More Branch Cllr rm eg-Nairne ETebt 16A,20A,20BV Tb 277V Br.Chcuft SiNOLE FAMILY Temp.Power Pde S Appurtmuuwes .4 HOME OWNER BUILDER DECLARATION g{�with One Branch ClrouR t I hereby affirm that I am exempt from the Contractor's License Law ��_ for the following reason (Section 7031.6, Business and Profession@ Additional Sign Branch Clroults � Code): h7LrJ 67.05 ❑ I, as owner of the property,will do the work and the structure Mfeo.Condutts 8 Conduotors 1 IT fi Is not Intended or offered for sale (Section 7044, Buelness Other(See Complete Fee Schedule) and Prof"Wons Code). FTOTI(L 67-L 0 J CONSTRUCTION LENDING AGENCY CASH 47.015 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Isaued (Sec. 3097, PERMIT FEE (Sub-1-6W F4-0�l ,� CAW- 'W Clv. C.) r W `� _ PLAN CHECKING FEE Lenders Name1 11/19/93 PERMIT ISSUING FEE 2 _ Lenders Address 2623 1 AM 9:17 1 cerdty that I have reed this application and under penalty of pudw-y state TOTAL FEE D that the abovs Infornraiion Is correct I agree to comply wish all County ordlnanoes and State laws regulating Electrical wlrtng,and hereby auU"tze repreeentat:Nw of this County to enter upon tie above-mentioned property for I purpoeee. SEE REVERSE FOR EXPLANATORY LANGUAGE WNATLFE of Pr DATE WORKER'S B COMPENSATION A"°" °°P'"`12 81' APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that have a oertlfl0ate of coneent to call Insure, or a certlflcate of Worker's Compensation Insurance, or a cortlfled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sed.38170 Lab.C.) PoAcy N0. CompaRy FOR APPLJCANT TO PLL IN F1 ereegg �.�{.Ir�,(r�(is,o0py la hereby fumbed.hNow Residential Bldgs.&Poole NO. EACH FEE❑ c: LOCALITY u 1 &2 famRy,Sq.Ft = rtfned copy fa mod with the county bu0d]ng Inepectkxt ,E,,pFgr aa deparbTlent Multt-femRy Sq.Ftr0i39 aT. TImp RAWU Data APP�t Reelderttlal Swimming Pooh !j MAp jg PAGE 00- &erica O� CERTIFICATE OF EXEMPTION FROM WORKERS' Oudow Rec.-L—ulprt--jL Sw. �NOE COMPENSATION INSURANCE First 20 (This&action need not be oompleted It the work Involved by theA Et38 pormIt Is for one hundred dollen(SID0)or lass.) Total N... � Icertify that In the performance of the work for which this permit CITY T&I Is Issued, I shall not employ any person In any manner so as to PLAN OHEa< b000me subject to the Workers' Compensatlon Laws. Llgh-tlrrg Rxturee Fh* APPllCAW Total No.. Add}tkxm� ADDRESS DateApplicant RESIDeMAL APR ANICE8 NOT OVER 3 HP. NOTICE TO APPLICANT: If, alter making this Certificate of CITY TOL Na Exemption,you should become subject to the Workers' Compeneation OTHER APPLIANCES NOT OVER 3 HP. PERMIT provisions of the Labor Code, you must forthwith comply wlth such APPUCANr on provisis or this permft shall be deemed revoked. Power Appsraha S Large Appllarwes LfCQJSED CONTRACTORS DECLARATION Stze S Type HP,KW,KVA,or KVAR ADDRESS I hsireby efflrm that I am Iloenaed under provisions of Chapter 9 Over 3 to 10 Ind. (commencing with Section 7000) of DNislon 3 of the Business and CITY TeL Na Profeselons Code, and my litems la In full force and effect. Over 10 to 60 Ind. LICEN BE Over 60 to 100 Ind. � a..a d oyer 1010 °,s rwcT No LJO oenae Number L1o.Cissa U Services,Swbd.,MCC&Paneiboards Q Contractor Date 0-399 Amp.Under 800 V RNA 0 ❑ I em exempt under Sec 400-1000 Amp.Under 800 V (� Over 1000 Amp.or Over B00 VFNAL VAUDADON W B.SP.C.for this reasonBRANCH gRCUfL FEES BY 4co Date: 16A,or 20A,12OV,Lighting or Recept Z 1 To 10 Branch groults 11 To 40 Branch Ctrouftn 41 Or More Branch Circuits F-1Exemption for Reg.Malnt.Elect. 16A,MA,206V To 277V Br.CtcuRa SINGLE FAMILY Temp.Power Pie S AWurlai es .t�.T•j HOME OWNER-BUILDER DECLARATION r with One Branch Circuit I hereby affirm that I am exempt from the Contractor's Ll"nse Law -�03 v�rLL��,,..77 n r� for the following reason (Section 7031.6, Buslnoes and Professions Addltional Sign Branch C4rouf a `'•%V Code): - I ITEM ❑ I,as owner of the property,will do the work and the structure Mlso.Condults S Conductor TIJTAL Is not Intended or offered for sale (Section 7044, Bualneea Other(Sue Complete Foe Schedule) and and Professions Code). CNECK �. CONSTRUCTION LENDING AGENCY l t 1tYy . I hereby affirm that there Is a construotlon lending agency for the performance of the work for which this permit Is Isaued (Seo. 3097, PEFIMrr FEE (Sub-ToW Ctv. C.) PLAN CHECKING FEE LoncWa Name 9i$I 1 PM 6:?:; PERMIT ISSUING FEE Lamses Address I certify that I have read this app4on and under penalty o1 pudury state TOTAL FEE that the above Information Is correct I agree to comply with all Courrty ordinances end Stele laws rogulaiing Electrical wiring,and hereby authorize repreeerttadvve of this County to enter upon the above-rrr *boned property for purpaes- SEE REVERSE FOR EXPLANATORY LANGUAGE U111M —ram-"' aPONATUREor PEF%U TE I I DATE