HomeMy Public PortalAbout5708 CAMELLIA AVE_Electrical__ 74tQ836 — .— -. AP LICATION FOR ELECTRICAL PERMIT.
COUNTY OF LOS ANGELES I�
DEPARTMENT OF COUN'T'Y ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Q
JOHN A. LAMBIE, COWNTY ENGINEER
COLEMAN W. JENKINS, SUPUR1NTENDSNT OP BUILDING LOCALITY
NUREST e
FOR N CROSS ST.
R EC EPT. to-1 TOTAL NO. [ACH Fu
Jlfl OUTLers FI20 x.20 • O OWNER
LIGHT MAIL
QWITCH ADD'L 10 ADDREIO
OVER Rq
TOTAL Z
UGI-TING I
F XTUREH FIRST 20 .20 Q C� d. N0.
FIXTURLD ADD'L
OVHR 20 .10 CONTRACTOR
RAN ab DRYus WTR.Ernes• I.oO ADDRESS 031
GAPW DUMP. STA.COOK I
CITY N0.
DIMiMA/H. AUTO.-*ASH. STATE
[✓ACI HT HS. STA. APPI_ / O (� LICENSE N O. (/
MOTORS. Ovne HOTOVu H.F. DISTRICT NCL. I GRO P Z P
O 1 1.00
1 a 1.50 INSPKTION RK RD
a B 2.00
is 15 1.50
16 50 3.00
50 100 5.00 S
SIGNS, NO.-TRANS. OC
NO.LAId" 0
SERVICE 0-600V-NOT Ovist 200A 1.00 III
§MWICE 0.600V-OVZR 200 A. 2.00 h2
SERVICE OVER 600V 5.00
OTHER (Sss COMPLCT[ F[[SCHIDUL[)
PERMIT ISSUING FEE .00 vd
SUPPLEMENTARY PERMIT ISSUING F[E 1.00 APPIMALS CATs rmum9grgill's 91
TOTAL F6g S bI DD
I H[RLSV ACKHOW LlDG[THAT 1 HAVE RUD TTII•APPLICATION
IINDQRSLAS WORK
AN STATE THAT TH[ASOVI IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS RISULATING
[L[CTRIG`AL WIRING.
WIRING
I H[RESY CIRT'IFY THAT 1 AM PROPERLY R[GISTSIQD AND/OR F1XrU
U CINS[D AS R[aU1RED ■Y LOS ANGELS COUNTY AND STAT[OF
RIM
CALIFORNIA OR THAT I AM TH[ LEGAL OWNKR OF.AND INTIND TO POvfxR
RISE D[IN.TH[AIOVE D[SCRI■ RI PROPIATY.
SIGNATURE r UTILITY CO FI
OF h[RMITTE
F I NAL
�1[ALI JOSEPH C. N
Cx MOO CAS CASH >SUP[1tVISING �ELE�^'+eCAL QIiQINmI
t
Lk0
5 1 8�3, JLL 2 A -P D
6,0 ON �
i
WORKERS'COMPENSATIONDECLARATION CE-806G (2-80)CE� APPLICATION FOR ELECTRICAL PERMIT
I
I hereby affirm that I have 'a certificate of consent to self CO-LINTY OF LOS ANGELES `�'/ J BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
■certlfled co y thbreof(Sec.3800,Lab.C.)
flu�8 870'T7l7 /t; FOR APPLICANT TO FILL IN JOB
Policy No. Company I' CTS ��,`� A
New Residential Bldgs.8r Pools EACH NO. FEE ADDRESS
❑
Cart fled.copy h hereby furnished. 1 &2-Famlly,Sq.'Ft. — ! LOCALITI�Ts C
CertlAc
ed opy is filed with the county building Sq. Ft. —
NEAREST
ding inspection CROSS ST L
(J"—d.rr arl want Residential Swimming Pools
OWNER OR
� Date plicant FIRM NAME
N
Outlets: Rec.—Light Sw. MAIL
�Irit,2p ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. �_JI-/41
COMPENSATION INSURANCE PLAN CHECK
(This aectlon need not be completed if the wort Involved APPLICANT
by the Permit is for one hundred dollars ($100) or len.) Ughting Fixtures First 20 ADDRESS
Total No. Additional. O
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No.
permft is Issued, I shall not employ any person in any manner PERMIT W
so at to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. PP CAN 4
Oven _Dryer_W.M._ ADDRESS L I VZ7
Date Applicant Top _ FAU _W.H.
Hood _ Fen _Other_ CI Tel No.
NOTICE TO-APPLICANT: If, after making this CeMlflcate of Dlsp. _ Room Air Cond"
Exemption, you should become subject to the Workers' REQ. NUMBER lass
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROC 9EjJ BY
with comply with such provisions or this permit ahall be
deemed revoked. Size&Type HP,KW, KVA,or KVA
Up to 1 Inc]. FINAL J �?
Over 1 to 10 Incl. DATE r
LICENSED CONTRACTORS DECLARATION Over 10 to 60 Incl. r r VALIDATION
I hereby affirm that I am licensed under provisions of Clapter OvAr 60 to 100 Inc. -FINAL
9 (commenctnil 'with Section 7000) of Division 3 of the Buss- Over 100 BY ,
nays and Professions.Code, and my license Is Ln full force and
effect. Services _
�' 0-200 Amp. Under 600 V
Lice c•Class ' 201-1000 Amp. Under 600 V -�
Contri Date w Q,-.r ver
er 1000 Ap.or O 800 V
HOME OWNE11-BUILnF11 DECLARATION Temp. PoyJer Pole&Appurtenancies t
I hereby affirm that I ■m exempt from the Contractor's Sign with One Branch Circuit
Additional Slgri Branch Circuits
License Law for the following reason (Section 7031.5, Bust
1
,an and Professions Code):
❑ I, as owner of the property, Misc.Conduits&Conductors f'0 8 Q7 A
p party, will do the work and the Other (See Complete Fee Schedule)—
structure is not Intended or offered for sale (Section 0 0 0 0 2
7044ti Business and Professions Code). o
CONSTRUCTION LENDING AGENCY '
I hereby affirm that there L a construction lending agency 2'o o 1 9.50
for the performance of the work for which this permit Is .PERMIT FEE (Sub-Total) 6 0 0 0
Issued (Sec. 3097,Civ.C.). 1 9,5 0'6
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) O Q 1 9781
Lender's Address PERMIT ISSUING FEE
I certify that I have road this application and state that the TOTAL FEE
above Information is correct.I agree to comply with aB County
and State laws retWating Electrical wiring, &nd
hereby ■u reprdse County to enter upon
nbd ro or odes. SEE'-REVERSE FOR EXPLANATORY LANGUAGE
Signature of('ermittee Data
wORKERS'COMPENSATIONDECLARATION 7E- O6G (2$0)8APPLICATION FOR ELECTRICAL PERMIT
CE-806G
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES 'T C BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or / !_
a certified
-� �
copy thh�elre�e Com f(Sec.3800 Lab. .)
any C!
MW/ FOR APPLICANT TO FILL iN JOB
Policy Nis!~ s"'
p New Residential Bldgs.&Pools EACH NO. FEE ADDRESS✓` O�
Certifled copy Is hereby furnished. 1 &2-Famlly,Sq. Ft. _ — $ LOCALITY
Mult]Certified copy is filed with the county bulldin inspection Residential
wi mi CROSS ST
department. Residential Swimming Pools OWNER OR
FIRM NAME /rr/f.)
Data -` App;Illican Outlets: Rec.—/ Light SW. MAIL
8 Is'f
-�Irst 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.�_ Addltloner CITY Tel Nq.
COMPENSATION INSURANCE PLAN CHECK a
(This section need not be completed If the work involeedAPPLICANT 8
by the permit is for one hundred doRm ($100) or lea.) Lighting Fixtures Additional 20 ADDRESS 11:
Total No. 0
I certify that In the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. 0
permit is Issued, I shall not employ any person in any manner PERMIT
so as to become subject to the Workers' Compensation Laws. Range_ Hester_D.W. P CANt eow 11J
Oven _ Dryer_W.M. ADDRESS F r+. Z
Date Applicant Top _ FAU _W.H.
Hood — Fan _Other— CITY Tel No.
/
ExemptioCE n, you ou APPLICANT:
become comer making
t L thertificate Workenf Disp. _ Room Air Condom_ LICENSE OR
REO. NUMBER J my l6 CIwaL'.T�► �T
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appllencet DISTRICT NO. PROLE ED BY
with comply with such provisions or this permit shall be
deemed revoked. Size&Type HP,KW,KVA,or KVA �, O
Up to 1 Inc].
ROver 1 to 10 Incl_ DATE
FINAL �f /
LICENSED CONTRACTORS DECLARATION / ' / 7— VALIDATION
Over 10 to-50 Incl.
Iitereby afflrm that I em licensed under provisions of Chapter Over 60 to 100 Inc. FINAL
9 (commencing with Section 7000) of Division 3 of the Buil- BY Over 100 '
neas and Professions.Code, and my license is in full force and
effect. /� Sa+vlces
License Number 3'Vsro Lic.Classle Cell 0-200 Amp. Under 600 V
/ �-+ C�` VM � 201-1000 Amp.Under 600 V G 73Contractor!• As Date _ZT- Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenance%
I hereby pffirm that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031.5, Bust- Additional Sign Branch Circuits
nets and Professions Coda): J9 2 7 7.2 A
Mlsc.Conduits,&Conductor
I, as owner of the property, will •o00o `2
l do the work and the Other (See Complete Fee Schedule)— �
structure Is not intended or offered for sale (Section
7044, Business and Profesalons Code). 2'o'o 1. 2 1 0
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is ■ construction lending agency o 0 0 1 dam, 1 06
for the performance of the work for which this permit Is PERMIT FEE (Sub-Totel)
Issued (Sec. 3097,civ.C.). 0.1.2 7'-8 2
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE i
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 represen attvea of this County to enter upon .
1,a abo e-mentioned pro rty for Inspection purposes. SEE'REV ERSE FOR EXPLANATORY LANGUAGE
Mau Ir ,gz /--Z7—.?Z
Sl sture of Permlttee Data
WORKERS'COMPENSATIONDECLAR,TION 78Ae63
CE-808G (2-136) APPLICATION FOR ELECTRICAL PERMIT
I herehy affirm that i have a certifi ate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
Insure, ora certificate of Worker'Compensation Insurance,or
a certified copy thereof(Sec. 3800,Lab.C.) -
w 'FI-0-7077k, FOR APPLICANT TO FILL IN JOB F ✓]
cy No. Company ADDRESS
New Residential Bldgs.&Pools EACH NO. FEE
�F , Certified copy h hereby furnished. 1 &2-Famlly,Sq. Ft. — f LOCALIT
NtAREST
/)�{Certifled copy Y filed with the county bU❑ spectlon Multi-family Sq. Ft. CROSS ST t[�tr
�+'– department. Residential Swlmmlhg Pools OWNER OR �j�f
`� FIRM NAME w MOW
Date/Z-4?-97Applicant Outlets: Rec Light Sw. MAIL
Irst 2 ADDRESS
CERTIFICATE OF EXEMPT[ON FROM WORKERS' Total No. Additional CITY Tel No. --3 f
COMPENSATION INSURANCE PLAN CHECK
(This section need not b0 completed If t4a work 1nvolred - APPLICANT S
by the perm1t Is for one hundred. doUm ($100) or,last.) Lighting Flxturoa F I rat 2a Additional ADDRESS
I cert if that to the Total No.
y performance of the work for which this CITY Tel No. Q
pe,rmtt is issued, I shall not employ any person in any manner Fixed Appliances Not Over 1 HP
PERMIT elm
so u to become subject rkars' Co pe Laws. Range_Heater D.W. _. P ANT /vf LU
Oven Dryer Y W.M._ ADDRESS,6��� (n
Applicant arkei 1J Top FAU _W.H. Z
Hood Fen _Other_ CITY53i Tel No.,r67
NOTICE TO APPLICANT: If, after making this Certificate of Dlsp. _ Room Air Cond� R W�Z less ����
Exemption, you should become subject to the Workers' REO.NUMBER
Compensatlon provision of the Labor Cbde, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCEFJISED BY
with comply with such provision or this 'permit shall be
deemed revoked. Sf�e&Type HP,KiN,KVA,or KVA
Up to 1 Incl. e4t!z�_
Over 1 to 10 Incl. FINAL
DATE 17/ _.�' 1
LICENSED CONTRACTORS DECLARATION 'Over 10 to-50 Incl. 11 C� VALIDATION
I hereby affh-m that I am llceWd under provision FINAL of Chapter Over 60 to 100 Inc. BY
9 (commencing with Section 7000) oT Dtiislon 3 of the Buri- Over-FOO
ness and Profesdons.Code, and my license L in full force and J
effect- Services Q _
Z-7-6 e- /b 0200 Amp. Under 600V
License Number/;�ter_� L,.ic..Claas 201-1000 Amp, Under 600 V
ContractorD���a+/"�1)ate_ �� / Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
I herebySign with One Branch Circuit
affirm that I am exempt from the Contractor's
License Law for the following reason (Section 7031.5, Bud-
Additional Sign Brartch,Clrculta
neas and Professions Code):
Misc.Conduits&Conductor il a 2 1. 1 A
1, as owner of the property, will do the work and the Other (Seo Complete fee Schedule)—
structure Is not intended or offered for sale (Section # o 0 0 0 o.2
7044, Business and Profession Cbde).
CONSTRjJCTION LENDING AOENCY1 a 7 O
I hereby affirm that there Is a construction lending agency
for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 'o o o I a 7 0 E
Issued (Sec. 3097,Ctv.C.). � -
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lende'r's Address PERMIT ISSUING FEE
'I certify that I have read this application ind state that the TOTAL FEE 7b
above information Is correct.I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
T
rep of this County to enter upon
endo ed pe r Pachon purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
of ttee Date
I
ARKERS'c,OMPENSATION DECLA" 79Aees. last
I hereby that Ih. a certhncata of to e W ire, APPLICATION FOR E LE CTR I CAL .PER MIT
or a oertf6eate of W& ere' Compassion Insurance;or a-certtfied COUNTY OF LOS ANGELES B,UILDINO.AND SAFETY
oopy t#iereor(Sea 3800, a)
Policy No.67510m Lmy
[ rwm FPR APPUCAW TO Fit IN Joe
❑ Cerlifted Dopy 1e Aeby tu�-d• New Residential Bldgs.b Pools EACH Na FEE ADDRFss
zi-70t Cert W 00PY Is flied with theLOCALITY.
Febobdlrp 1 d 2- mlly,8Q.Ft s = a.
Mdtl-fau y Sg.Ft p
Date Appik-wrf Residence!3wlrrvnhrg Foote OWNER OR le
�F rlu
TE OF,E-XEMPTION 0utiets:Res Light 3W.
COMPENSATIO I �
ITS.eec tk n need.not be gompleted If the work lmrotred by the First on `
permit h for one hundred dollars ($100).or leM.) ,. Total No-LCL_ Adddtbrrel s i AN CHECK
7eL No. .
I certtfy.thgt In the perlorm noe of the worn for which this permit APPLICANT
le leaned, I 't.not employ ary...perbon,In any man ner so aa to
beocrne sub)aCt to the Workwb'.Corrperraatioh Lowe. Lighting FtSturee Ffret 20 ADDRE8�$
TOW�. ! - CFY Tel.Na.
Date - APplbW Fbasd Appft'erroes Not Over 1 HP
NOTICE TO J�,PPIUCANt: ff, after matkr V this Cerukate of Pt T
,Emmptbn,youU atroukt'becorrre bub}ed to thq Vlbdere'C,orperteatlon Range_ Neater= D.W. AFf1JCAtri
provWona of the'L lgor.Code, ybu Most fortl wh } =rcn Y with euoh Oven —+ Dryer _ WM._ AbORESS 3 uJ-
provlebna or this permit shall Ve¢eerned revokes ' Top. .� FAU __WJ-L
LICENSED CONTRACTORS DECLAWON Hood Fan Other CITY Na -�
'I h9rb�Y afftrrr� that I''�{ fk ,uiidtlr provj�tA of .Chapter 9 Dl Rocin Air Cond., _ T LICENSE OR /J
(borrtm&nci 0 wtth Seo{)ofi'7000]b( Dfvlebn 3 d the t3ysfnaes end FIECa NUA®ER 4
544
Prceeabrw Code,and my kenee Is In ki1'force and effect Pc%w APAeratue a Large DOTFOCT Na f 13Y _
Lberrae NumberLU
Lk stege F j 3trs 8 type ISP,KW,K1^or I(\04A J ,0
Up-to 1 Ind. ' FINAL �.� _� QQ
� Deis _ _ over 1 to 10 Ind. _ DA ZZ L/ WIJDATIO
Over 10 to 50 Inca FINAL
❑ i am exempt under Sea Oyer 60 to 100 Inc. gY
BARC.for thle tea4on, T Over 100
OK OK
Z,' -Servlgee,Swbdm
�MCC d Paneoerda ,
0-200 Anp.Under 800 V
Sfgrrryhire 201 - 1000 Amp.Under 800�V
Over 1000.Amp.or Cher 800 V
EXB-rno n for Reg.MaInt Elect
'SINGLE FAMILY Tenp.Power Pole d Appurtenances
HOME OWNER--BWILDER t)EG_ARM1ON Sign with One Breach Ctaft —:
I hereby effi m that I wh exempt frem.the Contractors uomme Lew _ s
for the fdbwing reason(Seottpn 7031.5,Buenas end Pro(9mlorm - � is
Code): - 33D7 _29.OEI
Mises Cor¢rfts.a Conductore T
❑ Tm
i se owner le thre property,w� al the worn and the Bushie a Other(See Complete Fee.Schedde)
b rpt Intended or offered for eels (Section 7044, Bietneee - Im
and Profession Code),, _ � a,fpp
OONSTRLC1102N LENDM AGENCI bf�Lfi .WM
1 hereby affirm that there % a cosntraotion lerdtng agarvy for the
perfornwnce of the work for wtioh thfe permft Is leaned(Sea 3097, PERMF FEE (SLb-Total)
Ctv.C.).:.
PLAN CHECKING FEE f
Lenders Nerve 1 •�/�9
PERMIT ISSUING FEE
Lenders Addteae �W
I cerdty tat I have read this eppllc t and state thatTOTAL FEE'
the above �LJ
Information Is correct I agree b comply with all Cozily ae mo6e
and State laws regulating Eieciricd wldrrg, and h—by authortze
-.repre6arzaty— of thts Coc rty tR enter upon the above-mentioned
-7 .:'property for SFU`REVERSE FOR•EXPLANATORY LAtiGU E
N
COU;4 a
iT OF LOS ANGELES TEMPLE CITY G 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1201170037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PAONE: (626) 285-008 ETT:
LEGAL ID: FEEB PAID BUILDING ADDRESS:
TR: 6561 LT: 550 5708 CAMELLIA AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802501
ASSESSOR INFORMATION NUMBER:. NIUUZMT CROSS STREET:
8587-022-026 Al PERMIT I8Sm1NCE FEE 27.80 T'EON S PAGE: 597 GRID: A3 LOCALITY: TEMPLE CSTS, C
F1 120V, 15/20A BR CITE 4.00 BR 69.20
TEIVkNT: Gl OOTIJM—LGT,SN,RRCP 27.00 OUT 48.40 ISSUED ON: PROCESSED BY: PLAN BY:
LB 200 AMP PANRM, MCC 1.00 PAN 38.80 01/17/12 SR
TOTAL FEES 184.20
OWNER: TEL. NO: FINAL DATEY: CODE:
MR is MRS SJ,= �� /;
5708 CAMELLIA AV '.1�i'i y �3f
TEPP 917802501 D&SCkIPTION OF MORE
UPGRADE MASH PANEL FROM 100 AMP TO 200 AMP, REWIRE (3) BEDRO
OMS (1) BATHROOM, (1) LIVING ROOK AND ADDITING (4) SMOKE
APPLICANT: TEL. NO: DETECTORS
BRIGHT CITY ELECTRICAL INC. (818) 983-9123-
4045 BEVERLY GLEN BL SPECIAL CONDITIONS:
SHERMAN OAI CA 91423 '
CONTRACTOR: TEL. NO: PROVALS DATE INSPECTOR SIGNATURE
BRIGHT CITY ELECTRICAL INC. (818) 983-9123-
4045 BEVERLY GLEN BLVD. LIC. NO T24POWARY POWER POLE
SHERtAN OAKS, CA 91423 951055C-10
UNDERGROUND COTC=
ARCHITECT OR ENGINE R: TEL. NO: UFER GROUND
LIC. NO: ROUGH,CONDUIT
ROUGH WIRING
MAIN WATER T.
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
i
REPORT ID: DPR265 ROUTE TO: DS0508