The URL can be used to link to this page

Home My Public Portal About5338 CAMELLIA AVE_Electrical__ COUNW OF LOS AMOQLE2 APPLICATION FOR PERMIT of EE.EC'I'l�I� 1 hiew DIVISION OF BUILDING & SAFf-TY WILLIAM L FOX, Overly Erol*W FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN f —/ 58' /7 d VED READY FDR DATIK 16RUED ADDRK= // FIRET INSPECTION � DITY �- — — DOUKTYLIGENSKNO. EXPIREN MU'LDINU r EMM i FEES AD D REIw FEE �~ NUMBER [ADH LOCAL111 ITY LIGHT OLITLLTR NEAREBT RA[ OWI CH WALL QWITOH® OWNER TOTAL OUTtrn ao *7 MAIL [L[0. RANBER Ri ADDRESS [l10. H[ATERD25 DITY TEL. N0. FIXTURES 6 1 H[l![Rl' AC KNOWLEDGE THAT 1 HAVE READ THIS MIND. APPLICATION AND XTATi THAT THE A10V[ 18 CORRECT NUMBER OF LIGHT CIRCUITS AMD AURE[ T13 COMPLY WITH ALL COUNTY ORDINANOEe NUMo[R OF RE010"rACLE CIROUITS AND UTATE LAWS R"UL-ATINU ELECTRICAL WIRINU. MOTORS I CERTIFY THAT I rOwtJr THE ABOVE VALID LOR NuMrra HOR"FK7wxR FE[ ANUELES COUNTY LIO[NEX. OR I AM TH[ LEGAL OWNER Him MvD. HP ovcm IND. [ADH OF THE RERID[NTI PRDTERTY_a[iCRIRED ARUVL • LEY .25 0 ■I MR RE OF i ■ 1.00 INSPECTION RECORD a 1L 1.50 15 60 2.50 -- on RBD B.DO 2D saO 10.DO J BOO 1000 1&OD z OVER 1 DOO !0.130 M.U. oET FR OHAND[R-HP WKID[Rlt AO-KVA 13 U[N[RATUR➢ - KW TF�ANRFORMERW - KVA TEMP. MOTORa (715of ORIN. MOVED MOTOR■ 75or oRl■ HIGNB N0. NO.TRANS. a ND. Pe APPROVALS N FUR EACH P[RMITI D Ttt INflCOTOR'f [ WIRING 1,m CONDUIT FIXTURES X1,00 WIRINU 60 FIXTURE! POWER TOTAL FEE s� Q UTIUTY DD.NOTIFIED FINAL L I fd&M D118#6A 4-61 / D Q� n 76663-CEBCl510/74 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOBr BUILDING AND SAFETY DIVISION ADDRESS G 1114 LOCALITY '-�W NEAREST FOR APPLICANT TO FILL IN CROSS ST. H C`t C'4/1 - OUTLETS NO. EACH FEE i"OERN NAME /� / S $ RECEPT._ ADDRESS 60' t MAIL LIGHT TOTAL FIRST 20 25 CITY ...� TEL. N0. SWITCH OVER 20 .10 PLAN CHECK LIGHTING l FIRST 20 25APPLICANT Jy TOTAL ADDRESS O FIXTURES VER 20 10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT /� RANGE DRYER_WTR. HTR._ APPLICANT I J 44 lQN /fLe6_ STA. COOK DISP. F.A.U. ADDRESS 40 SPACE HTR. AIR COND. CITY e -v TEL. NO. ` CLOTHES WASH. DISHWASH. LICENSEREG. ORNUMBER CLASS. /L> FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - 0 - 1 1.00 LICENSED AS REOUIRED BY L05 ANGELES COUNTY AND STATE OF r CALIFORNIA OR THAI- I AM THE LEGA OWNER-OF THE ABOVE > 1 - 10 3.00 OESCRIrED RESIDEN L PROPERT U 10 - 50 g.pp PERMITEE SIGNATURE O 50 - 100 10.00 w DISTRlCTk3e. PROCESSED BY a„ N 100 - 500 15.00 � V-7 SIGN, GAS SIGNANONE CIRCUIT 5.00 APPROVALS TE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOTOVER 600 VOLTS OR 200 AMP / 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 150 TOTAL FEES L� j PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. m. CASH 4 1 5 A06 2 1 3.5 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE TKD-N 20-W19 WOurCrR'SCOMPENSAcate of consent to 7akW 2-91> APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a oertlilcafe of consent to salt Insure, 78ASB3 or a certlflcate of Worker's Compeheatlon Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) PoUcy No. Company POH APPUCANIT TO RLL IN J013 68 1 Certf led copy Is hereby fumhhed. New Realdem Bldgs.&Poole NO. EACH FEE L ❑ ZZ Certffled copy fa flied with the county building Inspection 1 S 2-Family,Sq.PLNEAREST — s $ LOCALITY //w 14, f deparm—L Multi-temlly Sq.Ft. CF4068 SST. [ Date APPl-m ResldentW Swimming Pooh A&SES80S MAP BOOK p/rpE d PARCB_ O/ CEFITIFICATE OF EXEMPTK?N FROM WORKERS' Oudet&Rao. r —/-- w. Fl �+N ! COMPENSATION INSURANCE H 1 Y1 s I (ThLa.asotlon need not be oom Iated H the work Involved by five First 20 MAIL rs psrmtt Is for one hundred dolla ($100)or Is".) Total No.—� Additional r ADDRESS I certify that In the performance of the work for which this permit CfTY �Mly 71Tx No.JrI ; t� Is Issued, I shell not employ any person In any man-nor so as to PLAN GHECK become subject to the Workers' Compensation Lighting Fixtures Fl rat 20 APPLICANT d Total No.— Additional Date &` -% � AppOoant ADDRESS RESIDENTIAL APPLLANCES "t-NOTICE TO APPLICANT: If, after making this Certificate of NOT OVER 3 HP. Cm Tel.No� Exemption,you should become subject to the Workers'Compeneellon OTHER APPLIANCES NOT OVER�HP. provisJons of the Labor Code, you must forthwith comply with suchPowdr APPS �� wN provisions or this*mft shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size 8 Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter B Ovsr 3 to 10 Ind. (oommenoing wlth Section 7000) of Division 3 of the Business and CITY TaL No. Profeaalona Code, and my license Is In full force and effect. Over 10 to 60 Ind. >.• Over 50 to 100 Ind. UCENSE OR clew d Over 100 D937FMCT W. S Lk»nas Number Llc.ClawQ CI.JJ Servioea,Swbd.,MCC 8 Panalboarda V Q Contractor Date 0-399 Amp.Under 800 V OTE El- 400-1000 Amp.Under 800 V 1 —$ V I am exempt under Sec. VALIDAMN LLI Ov1000 Amp.or Over 800 V R er B.J4P.C.for this reasonBY 4 U) BRANCH CIRCUM FEES a 15A,or 20A,12OV,Lighting or Reoept z Data: 1 To 10 Branch Clrcufta Signature 11 To 40 Branch C1 cults 41 Or Moro Burch Chm ❑ ExsrnptIon for Reg.MalrrL Elect. 15&20A,208V To 277V Br,Chadts SINGLE FAMILY Temp.Power Pole 8 Appurtenances ww`r�r HOME OWNEm R BUILDER DECLARATION g�with One Branch Circuit ACCT..T I hereby affirm that I aexempt from the Contractor's Llcsnse Law for the following reason (Section 70,31.5, Business and Professions Addl-tior"84gn Branch Clroutts �1n� 40.a3 3a F� El1,as owner of the property,will do thi work and the structure Mise.Conduits 8 Conductors 1 1 TEM E IJ Is not Intended or offered for safe (Section 7044, Business Other(See Complete Fee Schedule) , TOTAL 40 - 80 and Professions Code). � � ll rr�� CONSTRUCTION LENDING AGENCY CASH w•SEI I hereby affirm that there 1s a construction lending agency for the M# .00 performance of the work for which this permit Is Issued (Sec. 3097, PERMff FEE (Sub-TatoD Civ.C.) PLAN CHECKING FEE 1 $/1E/9� Lender's Nmns PERMIT ISSUING FEE �Y 6514 2 Ph 4: 56 Lenders Add rep I.oerttfy Ihai I have read this appfloatk n and under penalty of pwrjury state TOTAL FEE that the above information Is oorroct. I &gree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representative*of this County ro artier upon the above--r-medoned property for I SEE REVERSE FGR EXPLANATORY LANGUAGE 0" q Sb3NATURF C)F DATE