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HomeMy Public PortalAbout5803 CAMELLIA AVE_Electrical__ Woz1 l s'COMPENSATION DECtARATfON 78XM3 10`1 APPLICATION FOR ELECTRICAL PERMIT fl I hereby.affirm that I have a oertificsto of cormerd to self nacre - or a oerffioam-& � ' � r,w,m ora COUNTY OF LAS ANGELES BUILDING AND SAFETY. copy (Sea 3sD0, .a, N. Polloy Na Comperry FOR APPUCJ1f+T To P a R1 ❑ CerWled copy is hereby'funi d. Nov ReaJderttiel'B1dW&&Poole EACR 'Na FEE AtIDF{E8S ❑: Certtfled copy b filed with th county butidfr�p rnpe0tlon 1 8 2-Femlty,So Ft $ –7-1$ LOCALFF CAOBS ST. Dabs �l,/ Posidentta.Swimrrlirlp Pools CWeNM OR . FIRM NAME CA"TE OF EXEMPTION FROM WORKERS` C.0MPENSATION INSUPANCE Ckldet>X Rao LYght — Sw.T (This ssctlon n*sd riot bs pompistsd Y the wok kreohed by Un Total No. FI:ratAddl0 CITY. TOL No, sr pmftts for uw hundrsd.do8nn ($100) or kw&) PLAN.CHECK - I certify that in tlyq performance of the work for whish this Pitt T fanot e issued ehafl mploy arty Person anY,manned so ae to " Oma to ee Uphting Fkb-uFret 20 ADDRES$:. Date 2 7.0 Yotal No. � ClAddftkxTY Td.Na t4 TO CANT: Jf, after tr14e Cerlfficaie of Fbaed Appliances Not Over 1 FLP Rl7T�T Emption You etiould becorrle aub}ect to file WOrkere'Corr�eneatSort fir-- Hge.b r_ DW APPUC NT xe provke}orle of'the'Lebor,Qode, You mist torthwkh cony with such Oven _ Dryer— WM_ ADbFtESS provWoha,or thle per(Nt shall ba qow1°d revoked Top — FAU _ WJ-L r CITY WTd.Na 9.5 LICENS�D CrONTR MR$DEGL_ARATION flood — Fan, _ Otfer- 1 h�eby affirm that I'am ticegeefl udder provfOfoC�e d Chapter 9 D}�, _ Room AIr Cord — L P&WBEP417-i a.� G (oomtnendrlQ 1Nfdi Section ytl00) of Dhrbbn 3 0{{ the Buahiem and �a Pm%as&a Co(*and my licwn fe 4n fill.force and effect' Power 8 Larne Apokances Dt8TR1CT NO. PaoC BY� Size 8 Type I-P,KW,KN#k,or K)AkR Lloenw Lia Ciaea Up to1 Ind. FINAL i Over 1 to 10 410L DATE xWi Corttraotorr Over 10 to 60 tr1d. FINAL I am exempt urkier.Seo. Over 60 td 100 Ino By W BhP.Q jor.�hb repe0n Over 10.0 Servlbea Swbd MCO 8 Perlelboarde , 0-200 Amp.Under 600 V SiQlahrre. 201 - 1000 Arnp.-Under 800 V ' © Over 1000 Amp.or Over 800 V ExenlpOw fpr Req..Malrt.Elect. SJNGL.E FAMLY ' Temp.Power Pole d Appurter1ar10ee HOME OWNER-BUILDER 1)ECL_ARX410N Sign wIth One Branch Ctrouft I hereby affirm that I am exempt from the Contractor's LJcerne LewACGT.i for the folioMng reason(Healon 7031.5,,Buehnes-and Pro(eaak6a .'��� Wench anch Ci'odla Cosa): X07 31.00 MIs_Corlduttn a GOX_ otos © I,as owner of the property,will do the work and the structure Dther,(See Corrlplete Fee Sd dire) — 1 ITEMS b not �Ttended.or offered for a" (Section 7044, Buelram and Profeasbne Code). _ TOTAL 31 .00 CONSTRUCT LENMO AGENCY CHECK J1.00 I'hereby affirm ft-mat two is a conedrubtion {adding epenoy fa the - performance of the work for winch this permit Is booed(Sea 3097, PERMIT F1 E.. (Sub-Total) .. OWE Civ.C.)• PLAN CHECKING FEE Lenders Name 1 S /SCI FFFTlvtfr 138L1fN((I FEEIV" 1 9x47 Lenders Address I certify that I have read thio appticabon and state that the above TOTAL FEE ', Wormetbn Is correct. I agree to compty with all County ordirumces and State laws requlaft EJAotrioel wiring, and hereby au:horize mpreWTWNW Of this Cornty to ertter upon the above-meat wed _ SEE REVERSE FOR EXPLJ NXMRY LAN43L1PAE i - re of Pgrrrttttee Date - PPP' -� 76AC63-CSSOC 9-44 APPLICATION FOR ELLeCTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER euILD1Na BUILDING AND SAFETY DIVISION ADD CJ JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. Jf NKINS, SUPT. OF SUILDIN■ OCALITY N EA RE{T CROIft ST. RfCEPT. TOTAL NO EACH FICK RECE OUTLETS` FIRST 20 3 •.20 • OWNER A4C6 "DD SWITCH. ADD'L .10 ADDRESS SWITCH. 1 OYER 2O LIGHTING J TO/TALI FIRST 20 .20 CITY T[L NO. FIXTURES 1{ / _ ADD2 .10 ELECTRICIAN !C OVAR 20 RANq" CLO.DRYXR2 W'm HTAl. 1.00 ADDRESS/0AS- / QAJM DIQ. ■ITA.coox cI Ta..No DLXKWA HI. AUTO--WAJFI. STATE r lAQ IT 11. GTA.APF.('A H-P.MAX.) .50 LICEN89 NO. C7 MOTORS. crilm IVOTOVER H.P. DIST CT NO. GROUP NE P SEED BY 0 1 t.o0 1 1 a 1.50 INSPECTION RECORD a e 2.00 O e 18 2-50 V in 50 9.00 e0 100 5.00 91aNS. .TTtANlI. Z SERVICE 0.80OV-NOT OVt IR 200A 1.00 SXRVICE 0-6C0V-OVMt 2.00 A. l.00 SERVICE OVER GOOV 5.00 MISC. P[RMIT I"UING FIM 9.00 SUPPLIKMEITAQY FERMIT ISSUING FSS 1.00 TOTAL FEE r LCALIFORNIA Y ACKNOWLmOi THAT T HAV[ ItiAD TM12 AJTLICATION DATr 1 ATIK THAT THE A10V[ 1• CORR=OT AND AGI ZK TO OOMrLY CONDUIT LL COUNTY ORDINANC=E AND ■TATK LAW* IROULATING CAL WDtIN.. WIRING +,�? f• , f■Y.CERTIFY THAT I AY F F[R Y REGISTERED AMD/OR �y3 [D Al R[QUIR[D ■ AN L[■ OUNTY AND STATE OF � ��s J RNIA OR THAT TH[ [ L O [R OF AND INTEND TOIN, THR A�OV[ D 1C IR ID IAL P 6PERTY.TU RI UTILITY CON IFI RM I'1-'T6 LCT (DATION )SER C. ROOHAN � mo cAsH SUr[AVISINa ELtO'rRlcAi.ENa1N2xR LF1L0 5 9 0 2 r' SEP 2 4• 2 D 3.8 Q� �i