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Home My Public Portal About5333 CAMELLIA AVE_Electrical__ COUNTY OF LOS ANGEL" APPLICATION FOR PERMIT Dmmrhn'F B E ELECTRIC 1 DIVISION OF BIIIL.DIIIG 8c SAFETY WILLIAM J FOX, Oamaty Eogl*wr FOR APPLICANT TO FILL IN DIRTRICT NO. OROLIP ZONE PERMIT O. ELECTRICIAN IO[IVID SY READY FDR DAT[ 1" ADDR[MFIR1T IMSA[OTIOM ^ j— DITY TIL NO. DOU LIMKKMZ MO. 1,—� IRI■ ■UILDIN %f PERMIT FEES ADDREM ME F= i NUMBER EACH LOOAL-rY 6,6 LIGHT DUTLrn NEAREST T. RED[PTACLEM , WALL MWITCH[S ErWN KR TOTAL DUTLrn eo MAIL [LEO. RANEIKM so ADDREM [LED. HEATER! q ZC Q CITY TIL NO. FIXTURm 6 Q 1 H[1![fY AOKH OWL[DO[ THAT I HAVE READ THIS MIME. APPLICATION AND STATIC THAT TH[ AMOV[ 10 CORRECT NUMBER of L1314T DIROUIT! AND AORY[ TO COMPLY WITH ALL COUNTY EIRDINAMC[■ HUMMER OF RIo[PTACL[ DIROUITS AND STATL LAWN RWULATIND ELECTRICAL WIRINIL MOTORS I O[RTIFY THAT 'T IXOMMUCMM THE AS01/L VALID LOM mumm" HORSEPOWER FII ANOId101 OOUNTY LIOINEX, OR I AN THE LEGAL OWNER NEW -AfrpC HP OV[pp IN0. CAQH OF THE REMIDENTIAL PROPERTY OMORIEM AMOV[. Y. . ,ms III .an QfJ •ICNATURi of �.`n ! .90 P[RMITTM r ! s 1.00 INSPECTION RECORD s is 1.50 Co 2m 111.00 ` �- 200 sm 1 CL DO son 1 DCC 1&m z OVIR 1O !am 0 M.O. E CT FW A OHND[R-Hr ED (� WLEREI AD-KVA 0 Il[N[RATORI - KW TRANSFORM[RR - KVA TEMP. MOTORS (75OF o11IS•) MOVED MOTORS 73CIF ORIS. B BIONB NO. NO.TRANS. N Q LAM APPROVALS FOR EACH PERMITI OATX I Rr1 NASI W1RIN0 lD1.00 CONDUIT FD(T,umEm 1.00 J WIRIHO SUMEMICKTARY FTXTU RIS 0-5 POWER TOTAL FFA • 7 UTILITY o0.NOTIFIED FINAL �I LI 11 TlAba DW#$SA "ll WORKERS'COMPEN$ATIONDECLAR TION CE-Bd6G (2-80p APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have. a certificate of content to golf COUNTY OF LOS ANGEL $ BUILDING AND SAFETY insure, or a certificate of Workers'Compensation'Insurance,or a certified copy thereof(Sec.3800,Lab.C,) G FOR APPLICANT TO FILL IN JOB Policy No. Company EACFI NO. FEE ADDRESS 5333 N. Camellia AVe. t--� New Residential Bldgs U Certified cgpy istereby,furnilhed. 1 8S 2-Femlly,Sq. Ft. f — 1$ LOCALITY ' NEAREST ❑ Cbrtlfied co is filed with the count building Multi-family Sq. Ft.� copy y R fnspoctlon' CROSS BT department. Residential Swimming Pools .OWNER OR FIRM NAME J e Date---7—Applicant Outletsi Roc Ight Sw.—?— AI L Irft 20 ;1-0 ADDRESS C;313 N.- Camal-lia -Ave. CERTIFICATE OF P-X-SMPTION FROM'WORKERS' Total No. 49 4 Additional -CITY Temple Ci tV ,To[No- _ COMPVNSATIO-N INSURANCE PLAN CHECK a (Thli section' petld not be completed if.the work imohed �First-20 PPLICANT 8 by the. permlt is for ane hundred dollars ($100) or len,) Leghting Fix Additional ADDRESl3 - ` Total No. 0 I•certify that In the performance of the work for which this .Fixed Tel Nq. permit b Issued, I shill not employ any porion In any m er Fixed Appliances Not Over 1 HP PERMIT so as to become subject to the Worken' Compensation Laws. Range— Heater D.W. APPLICANT LU t Ovqn _ Dryer W.M. ADDRESS Data Applicant Top _ FAU W.H. Hood Fan —Other_ CITY o. NOTICE TO APPLICANT: If, after mtMg thi,t CertlfIcate of Map. _ Froom Air Contl` C O Exemption, you should become subject to' the Workers' REQ NUMBER Claims Compensation provisions of-the Labor Code, You must forth- Power Apparatus& Large Appliances DISTRICT NO. P D BY e yp deemed revoked.with comply'suite such provisions qr this permit shall be Size&Td HP,KW,KVA,or KVA �� Up to 1 tncf. v I Over 1 to 10 Ihcl. FINAL LICENSED CONTRACTORS DECLARATION VALIDATION Over 1.0 to 50 Inc]. I hereby ■ff}rm that I am licensed under provisions of Chapter Over Ii0 to 100 Inc. FINAL 9 (commencing'w•1th Section 7000)of Division 3.of the But] �_ Over 1'00 BY Rees indoProfesllonr.Code, and my Lltenle is in full force and ti effect:, _ Services License Number mac,Clksi_ 0-200 Arnp. Under 600 V 201-1000 Amp.Under 600 V Contractor Data Over 1000 Afnp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances 0 0.4,2 A I hereby r afathat I am exempt from the Contractor's Additional SigSega with One Branch Clrcult n Branch Clrtults - # o`o o-e o 2 ' License Law for the follow�tnQ'reason (Section 7031.5, Buri- r • nen.and Professions Code): 2,0•0.3 Q 0 0 MIsc.Conduits&Conductors XI, as owner of the property, will do the vrork and the Other(See Complete Fee Schedule)— o,oto 30.005 structLite Is not intended or offered for sale-(Section 7044, B(Whessdnd Professions Code). O O _8 CONSTRUCTION LENDING AGENCY hereby affirm that there is a constructego. landing atency or the performance—of the work for'w•hlch this permit Is PERMIT FEE (Sub-Total) Iswe-0 (Sec.3097.Civ.C.). _ Lender's Name PLAN CHECKING FEE (One-Poarth Permit Fee) Lender'sAddrees w PERMIT ISSUING FEE I cartlfy that I have read this application and state that the TOTAL FEE above Information is correct.I agree to comply with ail County ordlnanFes and State laws regulating Electrical wiring, and 1 hereby authorise representatives of this County fo enter upon the abovq-mentioned property for Inspection purposes. SEE'REVERBE FOR EXPLANATORY LANGUAGE . to WORKERS'COMPENSATION DECLARATION 78A863 CE-806G (2-80) - APPLICATION .FOR ELECTRICAL PERMIT �. I hereby affirm that I he" a certificate orf consent to self COUNTY OF LOS ANGELEbf �^ BUILDING AND SAFETY insure, or ■ certificate of Workers'Compensation Insurance,or (j a cartirled copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN JOB 1 Policy No. Company " New Residential Bldgs.&Pools EACH NO. FEE ADDRESS fl ❑ Certified copy Is hereby furnished., 1 &2-Famlly,Sq. Ft. ; — ; LOCALITY e�A ❑ Certified copy Y filed with the county building Inspection Multi-family Sq. Ft. CROSS ST e department. Residential Swimming Pools OWNER OR FIRM NAME le Date, App116ant Outlets: Rec._Light Sw. MAIL yy 7 irst 20' ADDRESS 3 3 3 efl,O,—Aie e CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY e Tel Nq. S } COMPENSATION INSURANCE PLAN CHECK/ 7i (This section need not be compfeted if the wort invoh, d APPLICANT by .the permit Is fog ane httndred dollars (;100) or lets-) Lighting Flxturea FIrat 0 ADDRESSAdditiocc Total No. 0 I cert(fy that in the performance of-the work for which this Fixed Appliance+Not Over 1 HP CITY Tel No. FU— permit Is Issued, Lshall not employ any person In any manner PERMIT lis sou to become subject to the Workers' Compensation Laws. Flange_ Heats_D.W. P I ANT LU Oven _ Dryer_W.M. ADDRESS Z Date Appllcant_i Top. ._ FAU _W.H.�_ Hood _Fen —OtherT CITY T NOTICE TO APPLICANT: If, after making this Certificate of Dlsp. _ Room Air Condom LICENSE 0 11 Exemption, you should become subject to the Workers' F+EQ,NUMBE Cl. Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appllances DISTRICT NO. PRO(;EB4R6 BY with comply with such provisions or this permit shaII be Size&Type HP,KW,KVA,or KVA deemed revoked. Up to 1 Incl.. FINAYO Over 1 to 10 Incl. DATE L //rh LICENSED CONTRACTORS D)cCLARATION T_' Over 10 to 150 Incl. VALI DATIO { I.hereby affirm that I qm licensed under provislon&of Chapter Over 50 to 1Q0 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busl- "r 100 BY ness and Professlons,Codo, and my License L In full force and effect. T7 0-200 Amp. U er 6 VT J License Number Lic.CLur 201_1000 pump. Under 800 V ) Contractor Date Over 1000 Amp.or Over 800 V HOME OWNER-BULLDER DECLARATION Temp.Power Pole&Appurtenances —9 0,6 i,3 A Sign with One Branch Circuit o. I hereby affirm that I am exempt from the ContractoOs Additional Sign Br6nch Glrculb #.o • License Law for the following reason (Section 7031.3, Busl- , . 0 0 2 I nes and Professions Code): 2!o'o,l 9„5 0 Misc.Conduits&Conductors 01, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— 9,5 0 5 structure is not intended 'or offered for We (Section 7044, Budges,and Profesalons Code). 0.8 0 5'-8 1 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lendigg agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) Issued(Sec. 3097,Clv.C.). i Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE above information is corrept.I'egree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of thfa County to enter upon thq abova-mentlo2ed props for Inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE S 1 Sisnat o ttee DAto COUINTY OF LOS ANGELES TEMPLE CiTY 9 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUKA$ EL 0508 0001210021 BUILDING AND SAFETY / LjkND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 17780-- LT: 6 _ 5333 CAMELLIA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803245 ASSESSOR IN-FORMATION NUMBER! NEAREST CROSS STREET; BLACKLEY 8589-001-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: .TEMPLE CITY, C G1 OUTLETS-LGT SW RECP 4.00 OUT 7-p H2 RES GJM DISP IT 3HP 1.00 DIS 10.85 . H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 01/21/00 VG /19/00 H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95IV H7 RES EXHAUST TANS 1.00 EX 10.95 FINAL DATE . CHEVALIER JAMES J,PATRICIA A (626) 286-8548- TOTAL FEES 79.35 5333 CAMELLIA AV J TEMP 917803245 DESCRIPTION OF W()RK ELECTRICAL FOR KITCHEN REMODEL APPLIbiNT- TEL. NO: BUILDERS LICENSED CONSTRUCTION (626) 798-7484- CONTRACTOR: TEL. liU-- � � PNGEES CoU BUILDERS LICENSED CONSTRUCTION (626) 798-7484- / �,0 �Ty 1833 EL SERENO LIC. NO TDP�WY POWER POLE PASADENA, CA .91104 74735 B UNDE-RQR"D MOMARCHITECT OR ENGINEER: TEL. . UFER GROUND LIC. M CONDUIT 11111 ROUGH WIRING I I I I L C 11II\�f J 0Lp-) UTILITY MOW-W= PLAST I� Y/M METAL YIN \A46/ LJ Ot�j� r� Service Th2l" REPORT ID: DPP265 ROUTE TO: BS0508