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HomeMy Public PortalAbout5328 CAMELLIA AVE_Electrical__ 75A80-CI[8O&ABT APPLICATION FOR ELECTR AL . P60 T COr1lVTY OF LOS ANGELES IDEPAFtrMENT OP COUNTY ENGINEER FUING BUILDING AND SAFETY DIVISION SSJOHN A. LAMBIE, COUNTY ENGINE[RCOLaMAN W. JUNKINS, SUPKRINT[NDKNT OF BUILDINGITYST FOR APPLICANT TO FILL IN ST. NO, EAC RECEPT.�. OWNER MAI LIGHT TOTAL FIRST 20 .20 AD REBS SWITCH OVER 20 .10 CITY TEL. NO. L LIGHTING �TOTAL FIRST 20 3 .20 CONTRACTOR FIXTURES OVER 20 .10 ADDRESS RANGERYER—WTR.HTR.— CITY TEL. NO. STA.COOK—DISP.—F.A.U._ LICENSE NO. SPACE HTR. AIR COND. I HEREBY ACRNOWLEDG[ THAT I HAYS READ THIS APPLICATION AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL couKTY CLOTHES WASH—DISHWASH._ EL[CTR CAL W R N@.OpDINA MC K5 AND 1TAT[ LAWS REGULATING FAN—OTHER 1.00 1 -HERBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RAT NO CALIFORNLA OR THAT 1 AM THE LEO AL MER OF, AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. R[SID[ IN, TH[ ABOVE D[BCRIBE E DE MTI AL PROP TY. SIZE & TYPE OVER TO SIGNATURE 0 — 1 1.0.0 OF PERMITTER t - 10 3.00 DIS CT O. GrF51PD H 10 — SO 15.00 © OL EO — 100 10.00 NOTES: , 100 — Soo 15.0 V' t/l SIGN,GAS SIGN AND ONE CIRCUIT 9.00 TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMA 5.00 TEW SERVICE, POLE, 6:AP PU RTENAHCES 3.00 APPROVAL$ DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING ISSUING FEE 2.00 FIXTURES SUPPLEMENTARY ISSUING FEE 1.0 POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELEC CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LACo 8 © 9 d 26 P, D SEE BACK OF APPLICATION FOR COMPLETE FEE:SCHEDULE 76A666-CE606 D-64 APPLICATION FOR ELECTRIC L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDREBe JOHN A. LAMBIE, COUNTY ENGINEER —/ COLEMAN V. JENRINE, SUPT. OF BUILDIRE LOCALITY IL< F NEAREST CROOS �T. RECEPr. TOTALuaH LISHT OUTLETS FIRST 20 NO Ill.20 !1 OWNER , YAI L ADD'L 1O ADDRFM SWITCH. OVER 20 _ FT OTAL CIT TEL NO. 1 JLIGHTING 1FIReT 20 .LOFIXTURES ADD'L .10 ELECTRICIAN -Ygm 20 Ce'•RANQL CLO.DRYERS WTFL HTRS. 1.00 ADDRMS QAJM DISP. STA.COOK CITY DImWAM. AUTO..WASH. 6TATE SPACE HTRS. STA.APP.(4L H.P.MAX.) .50 L I CEN ENO. YOTOR/' OvER NOT OVEN H.P. DIST CT O. G ZE PROCESSED BY 0 1 1.00 O 1 a 1.50 INSPECTION RECORD a e 2.00 O e 1e :.50 V - 15 50 3.00 °C O 50 100 5.00 e1GNe. NO.TRANS- a NO.LAid" N Z S3RVICE 0.600V-NOT OVnt YOGA 1.00 SERVICI 0.600V-Ovvt 2,00 A. 2.00 9FJ.tVIC6 OVER 60OV 5.00 YISC. PERMIT ISSUING FE[ 2.00 SUPFL LMXNTAQY PIKRMIT IMUING rX9 1.00 TOTAL FEE I HEIIONY AOOfOWLED" THAT I HAV= READ THIS APPUCATION API'MNALlDATE 1 clono=rCelt's 11"21W119%. AMD STATE THAT THE ABOVE LS COPUtK= AND AGREK TO COMPLY CONDUCT WLCOUNTY oRDI WITH AL NANCI7 AND STATE LAWS REGULATING ELxc puc. L wIRLNG. WIRING HEREBY.CERTIFY THAT I AY PROPERLY R[QIST[RED AND/OR FIXTURKS LIC EHIED Al REO UI RED BY LO/ ANo 9LES COUNTY AMD STAT[ OF CALIFORNIA OR THAT I AM THE LEGAL O</NlR OF AND INTEND TO REIIDE IN, THE ABOVE D CRIED 11D TI PRbP[nrr. POW¢R ■ UTILITY TILITY CO.NOTIFI OF PERIII n F I NAL 11 �LI JOSEPH C. N CK YOO CASH $UFIRVISING ELECTRICAL ENGINQR LALD;1 9--1 9�S MAY 10 2 D 4.0 0cy COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer �������� DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN ( — RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION CITY F'J "t��,. TEL '��� e//NO. k- I I !! COUNTY LICENSE NO. EXPIRES BUILDING ADDRESS PERMIT FEES_ _ _ FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES U OWNER TOTAL OUTLETS Sc '9 MAIL ELEC. RANGES ^ 25 ADDRESS ELEC. HEATERS 25 _ rb CITY TEL NO. 5 FIXTURES / / IZ G Q'_ I HEREBY ACKNOWLEDGE THAT ! HAVE READ THIS M19C. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS '! ! AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING, MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOEz NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. %2 6 LESS $ .25 SIGNATURE OF _ %2 2 .50 PERMITTEE, , 2 5 1.00 INSPECTION RECORD _ 5 is 1.50 _ 15 s0 2.50 so 200 5.00 200 Soo 10.00 J 500 1000 15.00 Q Z OVER 1000 20.00 12 M.G. SET/FRED. CHANGER-HP Fr WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIGJ MOVED MOTORS (75% OF GRID.) _ M ISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECT R'9 NAME FOR EACH PERMIT: WIRING $1.00 d CONDUIT t FIXTURES _ $1.00 �_ 0 WIRING SUPPLEMENTARY ,50 FIXTURES 6 7 Q POWER TOTAL FEE srt / UTILITY CO.NOTIFIED FINAL 76A663 DBS#5A 4-52 `"°R" °"°�` "''°" �`� '°'81 APPLICATION FOR ELECTRICAL PERMIT tut I hewer a of =w" to se. Irtaure, ay �a Hbrt�are' C xnp nation UvRnunce, or a barbW COL(NTY OF LOS ANGELES BUILDING AND SAFETY copy thered(Sea 3800.Lab.C.) ^7y PoDcy Na C«npary FOR APPUCAI+T To FLL a. ,J06DOFE88 ElCerttfled copy Is hereby fumlehed. fes,,Reebentlel B�&Poole EACH NO. FEE ❑ Certffled oopy b }tied with the .ocunty bLWnp kv"odon 1 8 2-Ferhf}y,Sq.Ft E — T LOCALITY- department W"t-family Ss,Ft Residential&*imm hip Pooh CW#TCR OR Date Applk�errt FFM NAJ& CEATFiCATE OF EXEMPTION FROM VA)WER8' Outlets Rsc—ugl-d Sw.— MAL OOMPENWON INSURANCE Fhet 20 (This vection need not be corrvieted If the work knvhed by the .T pernitt.In fof or»hundred dol le re(;106)or MM,)'. To.(W Na Ai5dbxiW the performance of the work for vvtilch thio'pertnft PLAtfDW I owUly treat In ! { - �' rpptK,wT Is Issued,-I ea not employ any person to arty macular ea as to beporne subject to the Wbrfw.W LJphtlnp Fbc— FW 20 ADDRESS �L Rotel No. Addbx" _T C[Y Tei Na Date 7•t��BQ' Fbaad Appirioes Nd Over 1 HP PEF T NOTICE TO APPLICANT: k, •after rnaldnp fhle Certt5cate of .O.W. _ AI�.ANr F�aemptbn,you ehouVd beaorrip subject to the Workers'Ccmperv&on- Range— — p mtsione,of the Labor Cods,you must forthv tth comply wM euoh Overt —.Dryer— Wlvi— ADDRESS provisions or tib pemift shell be deemed revoked. Top — FAU .— WJ-L_ _ LICENSED CONTRACTORS DEOLARATION Hood Fan —'Qther— CITY Tel fJo I hereby affirm that I am kens6d cnd9r,provisions of Chapter B DIsqi '— RoomAfr Coad. UGENSE OR C✓ML (oornamc np with Secilon 7000)of Dlvfabn 8 of the BueWaw and Profeeebne Qode,and my kenee Is In full forr;6 and effect' �� i �� ��� DtBTFUCT NO PROC.E88FD t3Y - St e d Type HP,KW,KNO,or K\MR Lbense Number LIo.CleveLipb 1 hoL FINAL O O% n n �T ver 1 tq 10 lnd. DATE �C5/f tUS -*-tor 1a Over 10 to 6Q Ind. ❑ I am,oxgpO under$ed. Over 60 to 100 Ina . Over 104 B 8P C.for ihh reason N Dam Services,Swbd,MCC 8 Par"boards - Z 0-200 Arra.Under 600 V $imbue 201 - 1000 Amp.Under 800-V ❑ Exemption for Flea.Mskrt'F� Over 1000 Arrp «Over 60o V 84NO-E FAMILY Temp.Power Poie'8 Appurtorvgraes HOME OWNER-BIALDER DECLARAT)ON ' . . Sip,with One Breach Chark, � �;4 � �5 0 I hereby afftrm they I am exempt from the Contractor's Dowse Law 2 5 5 0 tT5' for the fWowkV reason(SecSon 7031.6,Buelnetre and Protesslons ' d�'�'�' ' ' Clrcu�te" °'° ° Code): M6Q Conduits a coridtx&t 0 Z l 9'�8 8. ❑ 4.owner d the property,wm do the work and the druohae Is not krbrded or offered for sale (Section 7044, Buetrreee ( Fee Sdied<ie and Professions Code) eleloMAW C , le CONSTRUCTION LENDM A8ENCY �/ I hereby affirm that.t We is a oxmb'ek6 Isrdbv agency for tie pefiormarre,d the work for which 9*-owrnh is blued(Sed 3097, PE rr FEE (Sub-7oW - PLAN CktE ,(ING FEf- Letdees Name O PERMIT ISSUING FEE' Lenders Address I cwtty that I have read the enPikation and elate that the above TOF+L FEE. 2S, lntormedion Is oorreet.I agree to comply with all County ordbwoee and Stage Tawe requlattrq Eledri wtrinp, and hareby Authortre representatrvea of file upon the above-rneAboned for SEE REVERSE FOR EXPLANATORY!ANGUA13E �*e 7-17 -19 of Date T.-r WORKERS'COMPENSATION DECLARATION - 10/B1 APPLICATION FOR ELECTRICAL PERMIT �i lierlt�~df1•fim that I have a certificate of consent to self Irfsure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO ILL IN JOB Certified copy Is hereby furnished. New Residential BIdgs. 8 Pools EACH NO. FEE ADDRESS g CG4 ❑ Certlfled copy is filed with the county building Inspec- I &2-Family, Sq. Ft. t — f LOCALITY tion department. Multi-family Sq. Ft. CR(15.5 ST. C� Residential Swimming Pools Date Applicant ! QWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec _Z- MAIL _ COMPENSATION INSURANCE Light Sw.First 20 ADDRESS (This section need not be completed if the work Invo red by Total No Additional CITY Tel. N the permit Is for one hundred dollars ($100)or less.) I certify that In the performance of the work for Which this PLAN CHECK permit Is Issued, I shall not emplo pe a y r APPLICANT so as to become subject to the once a I Lighting Fixtures First 20 ADDRESS Total No. 4 Additional /� Date��y+�8� ATpllc CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT h NOTICE TO APPLICANT: If, after making this C tflcat@ of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. 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 Dlsp' Room Alr Cond. LICJ3,S OR seder hereby affirm that I am Ilcend unprovislons of Chapter 9 REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT BY and Profnalorn Code,and my license Is In full force and effect. ,� Size d Type HP, KW, KVA, or KVAR' License Number I Ic. Class Up to 1 Incl. FI Over 1 to 10 Incl. V TION Contractor Date Over 10 to 50 Incl. Li ElFl O I am exempt under Sec. Over 50 to 100 Irrc. BY B.BP.C, for this reason Over 100 i z Date: Services, Swbd., MCC 8 PanaIboo rds ► ;P9 7 i.6 A 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V # o o 0 o o 2 ❑ Exemption for Reg. Malnt. Elect. Over 1000 Amp. or Over 600 V 1 0 - 2250 ' SINGLE FAMILY Temp. Power Pole 8 Appurtenances o`o.0 22 5 0 6 HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 0 6 of 8 8 Professions Code): ❑ I, as owner of the property, will do the work and the Mlsc. Conduits&Conductors structure Is not Intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total) (Sec. 3097, Clv. C.). PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE above Information Is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby au Iz ntat of County to enter upon th v n Ion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE gnatur.of P mlttee Dote ' i