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Home My Public Portal About5342 CAMELLIA AVE_Electrical__ rIW"A I1+L4 APPLICATION FOR ELECTRIC PERMIT ], gas.ew DIVISION OF BUILDING AND SAFETY D%xwWi*W of CmmtT Engine CommiT of Lw Angeles -UFIN- VM.J. FOX, COUNTY ENGIPI� AD�RE�H A CAf1ATT D.GRIFFIN, Sm"of Numm[me 47 FOR FOR APPLICANT TO FILL IN LOCALITY i /I Q� PF'M'r FEES NEAREST CROSS Yr. NUM7EIZ EACH F[E LIGHT OLrrLL'r9 OVVNER RECE'TACL.E.a MAIL ADDRESS WALL SWITCHES - - - TOTAL qLrrurm Is# 0 CITY TEL, NO. ELEC, RANGES 25 ELECTRICIAN ELEC. HKATEAS 25 ADDRESS KW CA. CITY TEL NO. FIXTURES LICENSE NO. NUMBER OF LIGHT CIRCUITS DISTRICT NO. I GROUP ZONE CIADY FOR INSPH clow MOTORS ••�a� NUMM[R HOREP SOWER PI REE UVUI ON RECORD NEW MVD. HP OVot I INC. EACH e R raa .2 2 .50 6 15 1.50 - Ib 50 2.bo 50 F 200 5.00 misr— NO. SIGNS NO.TRANS. 16 O S FQR EACH PERMIT: WIRING 1:00 - FIXTURES 61.00 SUPP M A 50 _ ' APPHOVAi3 TOTAL FEE DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAD ATHAT TE ABOVE 15 RRAVE READ THIS APP.LICATIORT� CONDUIT MNTHA LL OUXTYH ORDINAHCEECANbE STATE LAWS R a LILT NG WIR NGELECTRICAL WIRING. WIRING. PIXTUReB I HEREBY CERTIFY THAT 1 AY PROPERLY REGISTERED ASID/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AY THE LEGAL OWAER OF THE ABOYE POWER DES IBED RESIDENT L PROPERTY. ' UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE TFINAL Will J. FOX,COUNTY ENgRiNrne V�•yry, 2 9r TG � (�✓ my DEPUTY 1 ' APPLICATI FOR EL TRICAI PERM_ IT COUNTY OF LOS ANGELES - BUILDING AND wETY T FOR APPLICANTTO FRI Ifq, }}ppgg New Residential Bldgs-.'8 Pools EACH NG. i�f ADDRESS. 1 $ 2,Fqrmil Sq. LOCALITY Y �• T S .025 — S s Multi-far�ily,5q. Ft. - .02 — _ RP.Aa tial;$wlmrDN Pools. 25.00 ROSS 5 . - - - - R_. . FtR.M NAME QwJen.,Rac Light�_ n..,-.�-- _ L First 70 .Sb A if - �. . . -_.Tatal-No,.. - Additbnal. •30 CITY _; _ - pip,N�}�I�C APPLICANT. _ _ _ _ _ Lighting Fixtures First 20 •50 ADDRES$ AddRlonal 30. 7 — Total No. - CITY Tel.No. Fbced.AppliancesNot-Over-1-HP- — - - - PERMIT Range_Heater_D.W. APPLICA 'Oven—Dryer—W.M ADDREbS Top '—FAU —W.H. LNP _ _Hood_ran Other_ LICENSE O D sp��:.Room_/jlr C9nd. ,—� 2.54REG UMBE F Cl HEREBY ACKNOWLEDGE THA I HAVE READ THIS APPLICA- Power Apparatus&large Appl lances TION AND STATE Ti-AT.TH6.ABOVE 16 CORRECT AND AGRFE TO _ Size&T HP,KW, KVA,or KVAR T" COMPLY WltH Att-COUNTY--ORDINANCES AND-STATE'Z4wS YPe REGULATING EiECTR1CAL WIRING. GG Ppip_1.Irtd. . _. 2.50 ' I MSR®Y CWFYTI1P,T 1-IM PROPERLYRfGISTERED ANOYOR' Over l to.l0 Incl. 5.00 DCENSa�AS REQUIRED BY LOS M1GHE5 ER AN ESTATE OF A�OVF Over 10 to 50 Ind, 12.50. IFQgQ_0R THAT T TY Over 5Gfo 1.00 Inc. 75.00 - 4 .00 PER1d1TEE Over Y00 - SlcNwuk{ -DISTRICT NO -` - ED -- 0 00 Am V 12.50 X01-1000 Amp, Under-6-WV 7T5.-OO • O � " Over.1000 Amp.pf Qver 600 V 59.00 ,. Temp.Power Pole&Appurtenances 10.DO Sign with Orae Branch Circuit 10.0 i Add4flona1 Sign branch Circuits, 2-0-0+ INSPKTIda•. D . INFORMATION' Mix.Cor+duh s,Conduvors ON IkEVERSt, k7 3 7,'8 A ` Other IS"Complete Fee Schedulel SIDE .. 2 b o'1 9,'5 0' PERMIT FEE } �T6tal1 to o v 1 9,5 0 . PLAN CHECKING FEE IOne-Fourth Permt Feel - - -i - '-- - -; . � Q`2 4'x"7 9 PERMIT ISSUING FEE $7.00 TOTAL FEE > INSPECTIOrt FINALED date oaf�� By �s / LL It+64" DNS- APPLICATION FOR ELECTRIC PERMIT DNS-" 1 • DIVISION OF BUA DING AND SAFETY Dep-h-nt of C--t7 En(ft— ComxtT of Los Angeles BUILDING WM.J. FOX. COUNTY ENGINmR ADORE" CAYATF D.GRIFFIN,SVI-T Or BUILDING . FOR APPLICANT TO FILL IN LocAUTY PEDW FEES NEAREST FEES CRO"ST. NUMEQR EACH �E uGHT OUrLsrs OWNER RSCEPTACLEA MAIL - ADDRESS WALL SWrTCHEA . TOTAL,QU71XM so III CITY NO. m-C. MANG11,8 25 ELECTRICIAN ELEC. HEATERAI 25 ADDR gW f KW EA CITY TEL NO. IxrUREB LICENSE NO. a ro NUMBER OR LIGHT CIRCUITS DISTRICT NO. GROUP I ZONE ■LADY Fo■ IN■►[CT 1011 MOTORSy �t��1 NumbrA HORSEPOWER REE ON RECORD NEW WD. HP OV[R INC. CI1CH e LI&S .26 Y .150 ti s is 1.00 15 la T.150 115 15o 2.50 150 ZOO 15.00 18 NO. SIGNS NO.TRANS. SIGNS NO LAMPS - 1 WIRING 1.00 FIXTUREa 1.00 SUPPLAMFXTARY 150 APPROVALS TOTAL FEE DATE INSPECTOR'S SIGNATURE I HEREBY ACCNOWLED E THAT 1 HAVE READ THIS APPLIGTion CONDUIT ~ AND STATE THAT TH, A�OVE. I CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING L O ELECTRICAL. WIRIIIG. PLXTURES / S 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AMD STATE OF WER CALIFORNIA OR THAT 1 AM THE LEG OWNER. OF THE ABOYE DESCRIBED RES IDENTI/L„PROP.ERTY. L/-J1YiIUTILITY NO IFI N 610ATURR E OP PERMITTEFINAL WILL-l"J. FOX,.CouNrY ENGIN m VALIDATION 04 (),,gr, FEw.O 2 71.5 d'' ._ my m L """'*Cl6OG'liAPPLICATION F R MEICAL PERMIT COUNTY OF 1,08 ANGELES D[rARTMENT OF COUNTY ENGINEER F...R yDUILDING AND SAFETY DIVISIONY T FOR APPLICANT TO FILL IN CROSS ST. NAME VL2TS F[ OWNERORSFIRM ,¢R t n RECEIPT. MAIL LIGH TOTAL FIRST 20 O ADDRESS SA CITY TEL. NO ) SWITCH OVER 20 1p PLAN CHECK FIRST 20' APPLICANT LIOHTING� TOTAL OVER 20 ADDRESS FIXTURES 10 RESIDENTIAL APPLIANCES C[TY TEL. NO. PERMIT RANGE DRYERWTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR, AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. REG. HUMBER CLASS. FAN OTHER 1.00 I HERESY ACKNOWLEDGE THAT I HAVE READ THIS AAPLICATION AND STAT[ THAT THE ABOVE Il CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE L TYPE OVER TO IH[R[SY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 1.00 LICENSED AS RED IRED BY LOS ANGELES COU AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL 0 R THE ABOVE ' - 10 '� D[SCR15[D RESIDENTIAL OPERTY. S 10 - 80 0.00 PERMITE ,. SIGNATU SO - 100 10.00 DISTRICT N0. OC D BY 1 OO - 300 15.00 Q S : , x Ste° ' GAS SIGN AND ONE CIRCUIT 0.00 APPROVALS DAT[ SNMATU]Q TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOT OVER 600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, hAPPURTENANCEA 0.00 WIRING , TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIE FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH (.y U a Sa SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE I s -`n+ rrn that I have a cert- cite of TION '0'81 APPLICATION FOR ELECTRICAL PERMIT rl herAby Irm tfwt I have a certificate of consent to telt CE�O6Ci Insure, or a ceritficdte of Worker'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY 6r a certlfied copy thereof (Sec. 3800, Lab. C.) Policy No. Company POR APPLICANT TO FRL IN JOB ` Q � ` Certified copy is herby furnished. New Residential Bldgs. d Pools EACH �' FEERESS-n T Certtfled copy Is filed with county building Inspec- 1 8 2-Family, Sq. Ft. ; _ ; LOCALITY t on partment. Multl-famlly Sq. Ft. — t�ST Residential Swimming Pools �S ST. JF Date - App I I ca �� RRM NAN4E CERTIFICATE OF EXEM FROM KERS' Outlets: Recight Sw._ L COMPENSATION INSURANCE ADDRESS First 20 DD (This s4K ri'psed not be completed If the work Imrolved by Total No Itlonal CITY T.I. No. re the pwmlt Is for ehundred dollar(;100)or leu.) Q RIw C ECX I ceiitfy that In the performance of the work for which this APPLICANT permit Is Issued, I shall not employ any Penson In any manner to as to become subject to the Workers Compensation Lows. Lighting Fixtures First 20 ADDRESS. Total No. Additional CITY Tel. No. DaM Apollcant Fixed Appliances Not Over 1 HP pERMFT NOTICE TO APPLICANT: If; after -making this Certificate of e_ Heater_D.W. — APPLI Exemption, you should become tubject to the Workers ng Compensation provlslons of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top ��II..FAU W.H. — CITY Tel. No. deemed revoked. Hood Fan , J_Other_ UCENSED CONTRACTORS OKLARATIONLICENSE I hereby affirm t I am licensed under provhlons of Chapter 9 Dlsp.• — Room Air Cond. S�� f 76 Class that (commencing with Section 7000) of Division 3 of the Butineas DISTRICT NO. BY and Professions Code,and my license Is In full force and effect. Power Apparatus 8 Large Appliances /f�( ^� Size 8 Type HP, KW, KVA, or KVAR 51 (/ p License Nu 'a 7 tic. Clan Up to 1 Incl. FINAL V Over 1 to 10 In . DATEc/ Contract Date VALDA O IF❑ Over 10 to 50 Incl. FINAL G I am exempt under Sec. Over 50 to 100 Inc. BYi B.BP.C. for this reason Over 100 Date: Services, Swbd., MCC b Panelboards ► 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Malnt. Elect. Over IOQO Amp. or Over 600 V ill 7 1 A SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Orcult #.• e 0 0 0 2 1 hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business.and Addlflonal Sign Branch Circuits a o.� [( 0 Professions Code): o 0 o 1 4,00-5 ❑ I, as owner of the property, will do the worst and the Mlsc. Conduits 8 Conductors P Porto. _ , structure Is not Intended or offered for sale (Section Oth4r (See Complete Fee Schedule)- 03,20-8 5 7044, Business and Profenlons 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 FIR: (Sub-Total) (Sec. 3097, Civ. C.} PLAN CHECKING FEE Lenders Name / O PERMIT ISSUING FEE Lenders Address I certify that v read this application and state that the TOTAL Fly O D above Inf torted. I agree to comply with all County ordinanc to lows regulating Electrical wiring, and k ereby a Iz represe,ntatives of this County to enter upon the abo for Inspection urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Permittee e JWORKE herattlrmt�hatCl ha°MVEeNa�ertlblflcate ofcon�sent to elf 61663,DPW"'V APPLICATION FOR ELECTRICAL PERMIT O Insure, or a certiflcate of Worker'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified co then Lab.' cy N Gbrnp :'5/;� FOR A!•FLIG.NT TO IiL IN Ifled'copy Is hereby furnished. New Residential Bldgs. & Pools EACH NO. FE ❑Certified copy Is filed with the county bull ng Inspec- 1 &2-Family, Sq. Ft. ; — $ LOCALITY tib department. Multl-family.Sq. Ft. NFT Data Ilcant Residential Swimming Pools,' A ASST. _ FIRM NAME G CERTIFICATE OF EXEMPTION FROM WORK, ��L COMPENSATION INSURANCE Outlets: R Ught Sw l (This•colon need not be completed If the work Involved by Flrst tl CITY Tel. No. the permit Is for one hundred dollars (:100)or less.) Total No. AddLtlopal PLAN C}fEIX I certify that In the performance of the work for which this permit Is Issued, I shall not employ anyn In any anner so as to become subject to the Worker mmpensation Laws. Lighting Flxtures First 20 ADDRESS Additional Date Applicant Total No. CITY T•I. No. Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate APPLIG of PPUT Exemption, you should become subject to the Workers' Range— Heater—D.W. — TION U Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with cdmply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATIONDlLICENSESE sp. — Room Alr Coed. Class. OR 1 hereby affirm that I am licensed under provislons of Chapter 4 (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCESW BY d and Professions Code,and my license b In full force Size 8 Type HP, KW, KVA, or KVA12 ,, O Ucense Number I Ic. Class Up to 1 Incl, FINAL ��,�-� Over 1 to 10 Incl. DATE VALJD ON Q Controcior�/ cyte Over 10 to 50 Incl. FINAL I– I ❑ I ant exempt under Sec. Over 50.fo 100 Inc. BY LLI 0 B.&P.C_ for this reason Over 100 Services, Swbd., MCC & Ponelboards , z Date: z 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600V ❑ Exemption for Reg. Malnt. Elect. Over 1000 Amp. or Over 600 V :2 0 2 Q 4 Iq SINGLE FAMILY Temp. Power Pole&Appurtenances # 2 HOCL ME OWNER-BUILDER DECLARATION Sign o • • • I h6reby affirm that I am exempt from the Contractors Ucense Slgn with One Branch Circuit Low for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits ( • o 5 a 7 5 Professions Code): ❑ I, as owner of the property, will do the work artd the MIsc- Conduits&Conductor e'o 0 5 3,7 5i structure Is not Intended or offered for sale(Section 7044, Other (See Complete Fee Scheduie�_ Business and Professions Code). ' 0 7,.,1 5-88 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, Civ. C.). ' PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address qd— 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 authorize representatives of unty to enter upon the above-mentioned pr rty.for I Ion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE! ms SI d6situra Itt Date COUNTY OF LOS ANGEI•F-S TEMPLE CTTY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1403100012 BUILDING AND SAFETY / LAM DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ETT: LEGAL ID: FEES PAID BUIID19G ADDAFS9: ON FILE 5342 CAMELLIA AV FEE DESCRIPTION: QUANTITY: DOME A14DEW: T24P CA 917603244 ASSESSOR INF'ORMOaTION KDOER: ?UKAR-E.ST CROSS STREET: 8589-002-016 Al PERMIT ISSUANCE FEE 27.80 'IROMAS PAGE: 597 GRID: A4 LOCAL=: SLE CITY Ol OUTLETS-LOT,SSI,RECP 8.00 OUT 16.00 T aUkW: TOTAL FEEB 43.80 ISSUED ON: PROCESSED BY: PLAN BY: 03/10/14 3R OSdNER: TEL. NO: F BY: CODE: LAM(, MIN= (626) 864-3653- � /r 5342 C UGnJJ AV (� TEMP 917803244 DEscki=oN 6F WORK RUI[xaTE EZISTING PLUGS 4 SWITCA9 APPLICANT: TFC,. NO: JESUS COVARRUBIA9 (626) 215-7318- 2213 FALLING LEAF AV SPECIAL CONDITIONS: ROSEMEAD CA 91770 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATORE QUALITY RESTORATION AND (626) 215-7318- REHABIl,T=ON LIC. NO TII4POR.ARY POWER POLE 2213 FALLING LEAF AVE 656275 ROSEMEAD CA 91770 UNDERGROUND COLIDQIT ARCHITECT OR ENOINEES2: TFT,. NO: LIFER GROUND LIC. NO: ROUGH CON[D= ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED + ADDITIONAL, DAT?. ON FILE REPORT ID: DPP-265 ROUTE TO: BS0508