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Home My Public Portal About5752 CAMELLIA AVE_Electrical__ r 76A663-CES06 4-68 APPLICATION FOR ELEC CIa AAERMIT ! COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST, y I" NO. ACH FEE _ At A/—c>I L,� ' REGEPT._ $ $ OWNER AMAILl LIGHT TOTAL FIRST 20 .20 ADDRESS •5'z /7�,/ 2 L SWITCH_ OVER 20 .10 CITY f'/� �2' 4�•jT\ EL. NO.�+ PLAN CHECK LIGHTING TOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK DIS P. F.A.U._ COiJTRAC'rOR SPACE HTR. AIR COND.� ADDRESS 4t G .•L' 1171 LF C CLOTHES WASH._DISHWASH._ J TEL. NO. GL�P CITY } FA N_0THER ''001LICENSE NO.0' 4�. CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER 70 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO } RESIDE IN, THE ABOVE OESCRII`,ED RESIDENTIAL PROPERTY. 10 — 50 5.00 O V 50 — 100 10.00 SIGNATURE OF PERMITTEE C) O 1 100 — 500 15.00 IU DISTRICT UP Z E P ESS BY TUBE, A SIGN AND ONE CIRCUIT 3.00 S�� z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: L SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 LU41 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE. &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 ' UTILITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE �¢' JOSEPH C. ROOHAN SUPERVISING ELEC AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ► "r 6 G 5 6c- JLL24. 2 D 5.00- 17 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 7SA663-CE806 9-64 • APPLICATION FOR ELECTRIC L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY NEAREST OR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO EACH FEE LIGHT OUTL TSS FIRST 20 $2O $ OWNER MAIL ADDADDRESS 2 / SWITCH. OVER 2O .10 TOTAL CITY TEL. NO. LIGHTING FIRST 20 .20 FIXTURESV R 2O OV 10 ELECTRICIAN R 2 RANGES CLO.DRYERS WTR.HTRS, 1.00 ADDRESS GARB.DISP. STA.COOK /1 CITY __ TEL.NO: �J DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(%.H.P.MAX.) ,50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. G Z0_N EPR D O 1 1.007 1 3 1.50 INSPECTION R C RD 3 8 2.00 d ,. O 8 15 2.50 15 50 3.00 50 t00 5.00 U SIGNS: NO.TRANS d NO.LAMPS h Z SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 i SUPPLEMENTAItY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT I 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING ' 1 HEREBY .CERTIFY HAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS RE RE BY LOS ANGELES COU Y AND STATE OF - CALIFORNIA OR HAT I THE LEGA OWNS O AND INTEND TO RESIDE IN, THE OVE S27 TI 0PwY. POWER ` i/ SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE - - _-- FINAL 2- VALIDATI JOSEPH ROOHAN CK Mo l/�J/> SUPERVISING NG ELECTRICAL ENGINEER MO CA6N X0 2 6 3 2 u23 JUN 14 2 D 4.40- 76 AIn3-CE806 I0�74 �TRIC /ow F r APPLICATION FOR ELE PERMI IIIJJJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER A DDRESS BUILDING AND SAFETY DIVISION ITY FOR APPLICANT TO FILL IN ST.OUTLETS N0. EACH FEEOR FIRM NAME ,lel •� RECEPT.� $ $ FIRST 20 !D g C� ADDRESS NIR MAI LA- LIGHT y'' TOTAL OVER 20 CITY TEL. NO. SWITCH �✓ O PLAN CHECK LIGHTING FIRST 20 APPLICANT TOTAL ADDRESS FIXTURES �,L� OVER 20 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYERWTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR, AIR COND. CITY TEL. N0. CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER CLASS. FAN OTHER 1.0 I 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 O — 1 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF } CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE C— 1 — 10 3 0 DESCRIBED RESIDENTTIIAA ROPERTY. U PERMITEE 10 — 50 AO SIGNATURE O� U 50 — 100 10,00 LLJ DISTRICT NO. _ PROC SED BY N 100 - 500 1� 0 z)` SIGN, GAS SIGN AND ONE CIRCUIT 0 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 0 TEMP. POWER POLE SERVICENOTOVER600VOLTS OR200AMP 00 UNDERSLAB WORK SERVICEOVER600 VOLTS OR 200AMP 1 0 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5 WIRING TEMP LIGHT OR RECEPT, SYSTEM 3. FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: -� �;�a•y4'•'O% /4 'J® 1 PLAN CHECK FEE PERMIT ISSUING FEE 3. U TOTAL FEE C �� M.O. CASH I PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION _ I I SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE li woRKERS'COMPENSATION DECLARATION 7&Ab6G 10/e1 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that L have a certificate of consent to self IU-1306G Insure, or a certificate of W rkers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800,Lob. C) Policy No. Compqny 1 A"UC NT TO FrLL IN JOB Certffied copy Is hereby furnished. New Residential Bldgs. b Pools EACH NO. FEE ❑ Certified copy Is filed with the county building Inspec- 1 8 2-Family, Sq. Ft. ; — i L tion deportment. ` Multi-fgmlly Sq. Ft. '� CROSS �.CJ Date 4+enAppIIcant �W-�fs lQ• Residential Swimming Pools OYO�OR Fj RM NAME CERTIFICATE OF E)CEMPTION FROM WORKERS' Outlets: kec�lght Sw__ L = COMPENSATION INSURANCE Af ;ns L. (This tecilcm "ed not bo,cdmplrted if#re work lnvo6vd by first 20 CITY Tel. No. the po n lif Is for one hur+dnd dollars ($100)or less.) Total No Addltlonal z JO I certify that to the performance of the work fog which this PLAN CHECk permit Is Issued, I shall not employ anyperson In any manner APPL1GfR so as to become subject to the Workers Compensation Laws. Llbhtlrfg Fixtures First 20 ADDRESS Total No. Additibnal CITY Tel. No. Dote Tpllcant �+ NOTICE TO APPLICANT: Lf, vfter making this Certificate of Rxed Appliances Not Over 1 HPPEIMT Exemption, you should become subject to the Workers' RongeJ— Heater_D.W. APPLI(1{tIrfivels j5'drRie» ajeP Compensatlon provisions of the labor Code, you must forth- Oyen —Dryer W.M. ADDRESS .)0 0. O with comply with such provlsrons or this permit shall be Top, — FAU —W.H. — deemed revoked. Hood Fan Other— CITY T;f is Tel. No LICENSED CONTRACTORS DECLARATION . I hereby affirm that I am licensed under provisions of Chgpter 9 Dlsp. — Room Air Cond. REG. NUMBER % Claw i (commencing with Section 7000)of Division 3 of the Business DISTRICT BY and Professlons Code,and my license it In full fgrce and effect. Power Apparatus 8 Large Appliances /��_/C> Size 8 Type HP, KW, KVA, or KVAR' O License NumberCL IG Class Up to 1 Incr. FINAL V Agw/s fes; r,&, Over 1 to 10 incl. ��—p Cie Contractor_ �irss 'L DDaatte DATE Ck� VALIDATION O El Over 10 to 50.Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY Over 100 es B.BP.C. for this reason Date: Servlcm, Swbd.i MCC 8 Panelboards ► _ 0 -200 Amp. Under 600 V y Slpgaturo 201 - 1000-Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Malnt. Elect. SINC:L.E FAMILY Temp, Power Pale 8 Appurtenances f FIOME OWNER,BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that L am exempt from the Contractors License Additional Sign Brahch Circuits Lcryv for the following reason (Section 7031.5, Business and 1'4 8 2 6-A Professions Code): #,0 0 0 0'a 12 ❑ I, as owner of the property, wail do the work and the 'Misc. Conduits 8 Conductors structure Ip not Intended w offered for saie- (Section Other ($qe Complete Fee Schedule)_ 20103600 7041, Business and Profossfons Code). CONSTRUCTION LENDING AGENCY% to 0,03 6,p 0-jj I hereby affirm that there Is a construoion lenclIN agency for 0 8 2 9'—83 the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Totgl) (Sec. 3097, Civ. C.). PLAN CHECKING Fly Lender's Name - PERMIT ISSUING�EE Lender's Address I certify that I have read this application and state thdt the TOTAL FEE ; above Information Is correct. I agree to comply with all County ordinances and State laws regulating Electrlcal wiring, and hereby authorize representatives of this County to enter opon the a antidnecl pectlloon purposes. 9EE REVERSE FOR EXPLANATORY LANGUAtrE gnature of Permittee Date,