HomeMy Public PortalAbout5718 CAMELLIA AVE_Electrical__ 76A603A-CESOSA 4/72
APPLICATION FOR ELECTRICAL PERMIT LLLJJJ
1 ` 4 COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS BLL
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS No. EACH FE
OWNER
RECEPT.Ar — MAIL
LIGHT _ TOTAL
FIRST 20 ADDRESS
CI TY TEL. N0.
SWITCH .OVER 20 PLAN CHECK
LIGHTING TOTAL FIRST 20 APPLICANT
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO,
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS Az
SPACE HTR. AIR COND. I CITYvvw TEL. NO.
CLOTHES WASH. OtSHWASH. LICENSE NO. CLASS.
FAN OTHER I HEREBY ACKNOWLEDGE THAT IHAVE RtA.D THIS APPLICATION
AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C�
IND. HEATERS, ETC. HP. KW. KVA. ELIECTR ICAL WIRING.
SIZE B TYPE OVER TO
I HERESY CERTIFY THAT I AM PROPERLY R[GIf T[R[D AND/OR
0 — 1 LICENSED A' REQUIRED BY LOS ANGELES COUNTY ND 'TATE OF
CALIFORNIA OR THAT I AM THE L[GAL OWNER OF, D INTEND TO
1 — 10 RESIDE IN, THE ABOVE DESCRIBED ID[ L P PERTY.
SIGNATURE r
10 — 50 OF PERMITTEE
SO - 100
D IST[i ICTNO. JCLAP' ZOME CE SY
100 - soo
SIGN, GA3-Is[GN AND ONE CIRCUIT NOTES;
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER 600 VOLTS OR 200 AMP .
APPROVALS DATE OtSPECTOWS SNWTLaM
SERVI CE OVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE FINAL
TOTAL FEE 0
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION cK. M.0. CASH
53irru 6 a 8 x.80
"' G°"`PE' 'M°"°EC`" "°" '°AM 1e'81 APPLICATION FOR ELECTRICAL PERMIT .
he{eby,Arflrmrr the I have a oarttfioe ' �
teof consent to,,eetf Mme, �
or,a cerdr{oate of Vlbrkere' Compermation Ineurar?*or a cert%o ({OUNTY OF LOS ANGELES` BUILDING AND SAFETY
copy d1breof(Sec 3800,ab-C.)
. Pam r$. ry FOR APPLICJIN-r TO of Toe
nn Certif5ed Dopy
is hereby fiuTrlahed. µi. Now Residential Ridge.d Pools ' EACH NO. vEr: ADDRESS
Car#Med'copy Is flied with the oouR�y bulidlnp't,epeotion 1 8 2-Farrllly,'S%Ft
departrnectL Mita-tamry 3q.PtST
Dein fieefdenttel 9wlmmlrp Popfe owR QC
r- G
FFOA NAAE
CERaTFr-C-EOF EXEMPTION FROM WOFd(ERS' IML
COMPENSIUION ItJSI)FtA110E; Outletk Roo "g. 8w. ADDW
Fbat 20 /
tal To
(TFYa aeciion need ribk by corrtpfgtad C the work Irtrotwd U" iJa Addtdonel
Tei.
permtt In for one hundre..dorlers 0100)or leak' PLAN crEr�c
.1I"certfty qvi hr .the pwfoMh of the work.-for whbh 0*.parmtt ,
b lmd , I shell not ampfoy arty person In ery O)Bnher ee to
becornh mbf sot,to."We kers'C.orTerma#pn. Lightlog Fbchree. Fleet 2a- ply S$
Tote)No. ,
1?ate ,7"�Z�1--�.`y,�,pplk�nt CJTY Tel.No.
NOITCE T APPLICANT: tf," after rTfrG,thb, of Fbced Applenoes Not Over 1 HP. 1
�pbN,ypy�d bdcom$eobfeot bo the V1br1apr4' Raripe Fieafer_ D.V1R
prOVIISIORS m.t�8 LhbOC Code, x44.mu t }orffwfth Co4ey wnfr suoh Oven_ Dryer Wi,( AQURESS
provlslons'dr,thIs permff When be dwrod.mvoked ' Top FAU w.FL T
'r Cf3l tel.No.,
kIP"ED.C0NTRACf0R8.DECLAR4�F{0fJ Hood � Fen "� Other u
I hereby'a>`� .that; 1,4m Ifosrreeo under.Prwbidrra- of'omptar 8 ' plBp Hoorn Air Gond, �T 1JCr�OR Cry
(com, n��wn,h.,9egnoh 7000) 0Dwbbf,3 of ins BusInom And REG-NUNCER
Protes6bne Code,"'eery kw-ibe Is`ki full force and effectDisTRICr NO.
F
c%W Apparaiue d targe Appltanoes _
%'a a Type HP+KW or KYR 'a
LkCenee Narrrber -Lic GaAs — Up bO 1 FINAL -_
Over i to 10 hot OATE
ilbiita
Over 10 to b0 Ind.
❑ " f am exempt ander sec. �, Over 50 to'100 Inc
Bb P.C.for,thb reAnon Over 100 tO�.
Sw*es,5wbd,MCC d Panelboerds
Date: 0-'200 Amp.under e00 v
sigriatu rb201 - #000 Amp under 1300 V
- Over 1000 Amp.dr Over 800 V
❑ Exempdon for Rag.Maim.E1eat �p�
SINGLE FAMILY Temp.Power Pole A Appurtananoee �.• DL'1 17 sR
HOME OWNER-BUILDS-A DECLAFiATtON Sign wRh Ooe Brenoh Ctaft
I Hereby a#flnn ttrat.I atn exe{rpt from.Ute Contractor's Likens*Law _ M�
for the follo+vlhq reesoh(Seddon 7031•.6,Badness and Profe9slona Addtttonal S)pn Sra*Ctrordte
1 - -
I,ae,owner of the property,I
wlq do the work soil the etrLKALM ice.cordrifte&
Is not'lRbwxied or offered for sale (rSeMon 704-4, Bupinaes Other(Sea Con*¢kAs Fee.Sad*)
ane Pm(ee�Code). chTOTAL 73.50- .
C0NSTR(1CT1ON LENDING AGENCY _ It�ECK 73■50
I hereby efflr n tfraf there Is a.oonstructI n lerrdnp apencA for the - eY�
perfomrarnb of the work for which thle-permit b blued{Seo,3097, PERW FEE -' -Ti(Subtel) tel[K1vL. . - - •w
Ctv. G.). _ . _
PLAN CHECKING FEE. _ �y_yy _ I_e.�
LencWe Name. 1 I�'� 1 7/27/07
PE#iMfF ISSUING FEE �yy ,RU
10
L t .. av=4,y
Larders Address _ T 1 L
1 certtfY that I hwoe rAad Grb appIld§tion And st#q that the above, TO70 L'FEE �
hforma#oq Is e")qt I aGroe fa corrpty with all County ordhW-hDM
and Stage baws. mg0adlnq ElodrCal wrdnp, and hereby euthortre Y.4
repreear"vos of thiq Qou" to eater up6n'file abwe--rne TH- d
property i0r.1 plr/Poeee.
SEE REVERSE FOR EXPLA L r RY LAN(HJAOE y _
Skpiatir6 of PenLT Data