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Home My Public Portal About5826 CAMELLIA AVE_Electrical__ APPLICATION FOR ELECTRIC PERMIT 1: COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ]BUILDING BUILDING AND SAFETY DIVISION ADORF- 9 JOHN A.LANIME,COUNTY ENGINIMR CA"ATT D.GRfF",*VrT OF]BUILDINP LOCALITY NEAREST FOR APERM F�LL IN A�Meju 5T, FWrAZlflK" i L NUMSZR et.c5-r OWNER - . • i MAIL RICIQT. ww_ .I-0 ADD EW FIXTUFMS- .10 NO, - cLo.DRTIOW ELECTRICIAN XR HZATtR• .150 ADDRL•6H S 4S —f 10-ACK H-rll[l, 4lrEIWAninu SrOrIOf AtrrO- CITY TSL�7N Z� rrA.CDOKINa UNIT2 215 STATE LlIQa O. /Q MOTOR81 ov1Ot Ina, H.P. �P SFJ RIAk1Y rDt INprtGTIO/[ r; .50 1 - 2 5 t.00 INSPECTION Mr—OED D — 16 1.150 15 — 150 2.60 - 50— 200 5.00 SIGNS; NO.TRANA, No.l ps l SERVI C$o-E Dov 1.00 SERVICE OVER 5Obv 15.00 M 18C. WIRING PERMIT 1.0O (, FIXTURE F�tWT 1.00 8UPPLLrl1ENTARY PERMIT' 15O TOTAL FEE • Q APPROVALS I HERFBT AC14lOTLEDGE THAT I HAVE READ THIS APPLICATION DATE IRB CTOR'SSIGNJI AND STATE THAT THE ABOVE IS CORRECT AAD AGREE TO COrPLT C.ONDurT wrTH ALL COU" ORDINANCES AND STATE LAWS REQULATISG ELECTRICAL rl;"G. WI NG I HHgEET CERTIFY THAT 1 A� PRO PER LT kEMSTERED AAD/0R FIXTURES LICENSED AS REQUIRID BT LOS IIG�LFd UIFTT AtIB STAT£ OR CALIFORNNI 0R TTFHi�A1T I A EM OB THE vE POWER DESCRIBED RM IDENTIAL P SIGNATURE UTILITY CO.NOTIFIIED OF PERMI FI }TLIDATIONN¢ CAL>MMa> M `'- 01 -`fit 7 2 A 13 0 � 76A 3C_G<&0.. 11 FOR ELE TRICAL PERMIT APPLICATIONC C BUILDAND SAFETY SION FOR APFLJCA1iT TO FILL IN JOB rRooldential Bldgs.&Pools EACH NO. FEE ADDRESS 5826 CAMEUTA AVE. Sq. Ft. $ — g LOCALITY TEMP CITY q. Ft — NEAREST CROS ST. imming Pools OWNER OR FIRM NAME STRO$EHN GEORGE Outlets: Light,Switch&Receptacle MAIL SAME ADDRESS F I rst 20 Addltitxnal CITY TEMPLE CITY Tel. No. 287-0098 PLAN-CHECK APPLICANT Lighting Fixtures Flrtt 20 ADDRESS AddlConel CITY Tel. No. PERMIT Flxed Appliances Not Over 1 HP APPLICANT TRANE HCC Range_ Nectar_ D.W. ADDRESS 2034 N. PECK RD. Oven Dryer W.M. Top FAU —x W.H. CITY SO. EL MONTE Tel. No 579-7982 Hood ran LICEDbp. A-C. NSE 265074 Gleu.0-10 OR REG. NUMBER p 2 50 GS I HSRKBY ACKNOWL.SDGK THAT 1 HAVK RKAD THIS APPLICATION AND ■TATS THAT THIS ANOVEE 19 CORRSCT AND AGREES TO COMPLY 0 Power Apparatus& Large Appliances 'ITH ALL COUNTY ORDINANCMI AND STATS LAWS REEEEU EATING Size&Type HP, KW,KVA,or KVAR SLKCTRICAL WIRING. W a- Up to 1 Incl. I HKRK.Y CKRTIFY THAT 1 AY rROPKRLY RSGISTKRKD AND/OR c) 35 AP Over 1 t0 10 InCI. ucEEN.EED w■ REEGu1wEED by LOS ANGEELEE■ couNT• AND STATS or Z CALIFORNIA OR THAT 1 AN THS LEEEEAL OWNKR Or THS AEEOVK Over 10 to 60 InCI. DKSCRISEED REESIDKNTIAL FRo rY. Over 60 to 100 Incl. PHRMITEE Yj �. Over 100 SIGNATURE w - - D ICT NO. ROCE ED B Ives--1 .vc--L-i IG 6712 50 Q - 00 Amp. Under 600 V 201,- 1000 Amp. Under APPROVALS DATE GNATUREC S Over 1000 Amp.or Over 600 V S T mEMP. POWER POLE Temp. Plower Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Otter) WIRING FIXTURES 1POWER AUTHORIZED PERMIT FEE (Sub-Total) 20 00 UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Feel FINAL PERMIT ISSUING FEE 27.00 NOTES TOTAL EEE _ r� �.� ? PLAN CII VALIUAI 1IUN UK. PERWiTVALIOATIONCK. M.O. CASH -ICY HOLDER: 5 Or"-'MAR 13 2 0 2 7.0 0 � 3 POLICY,1 MB.F-F�: r „,,S6,�_t»APPLICATIONFORE ECTRIC PERMIT coumrrr OF Dos MAETIU! OF COMM ElfGU= °DOR1s� , B=�pffM�G, AO SA>� D�ON NEAR PbaT' — 1 FOR AQP __L FC.�.I�� (LL I1V HUMMM iAC11 I ru OWNER OLR•LET•Si IS ! MAIL ugWT/ AM IQ A9DRff" LIGHTING FIXTURES .10 1 1 TIKL.NO. aiC.RANO= mA D1SYK ELECTRICIAN r NAT=R HtATt / 0 QiC.SPACX HTRL DLL1-MASH30M ADDRESS DARI•AQX DIBPOdXM AUTO- CITY NO. NA/HK" /TA.COo1aNG UNIT/ D L.gj A . MOTORHi ovim INC .P O b/,rsmTIOR 1ti — Y .DO DMPF.GTION RECO Y — 15 1.00 D — 115 1.150 115 — DO 2.50 DO— ZOO 5.00 SIGNHi NO.TRANA. NO.LAMP* HFJ7VICS 0-800V 1.00 S13RVICE OVER 500V 15.00 MM WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE f a AMOVAIS I HIDREFT ACKNOWIF,DGL THAT I HAVE RFID THIS TIOII DATA IASPECTOR'S SI N.TUYi AND STATIC THAT TFLH ABOVE Ia COgAECT AND AGREE TO CORPLT CONDUIT WiTII ALL COUKTT ORDIKAACFS AIID STATE LAWS REGULATING El ECTRICAL WIRING. WIRING 1 HMEBT CERT FT THAT i AN FROFEQLT REGIS SM AND/OR FIXTURES LICEASED Aa REQUIRED HT IAS ANGIn COUATT AND STATIC OF CAFORlIfA OR THAT 1 AN THE LiGAL OWA LIF THE ABOVE POWER DESCRIBED RESIDERTIA FERTT. SIGNATURE UTILITY CO.NOTIFI® ? i' OF PERM FINAAL NATION r1•tuRar L Mmq KOM CAM `- . 7 9 7 1 TEMPLE CITY 7"611;-CZ-20-6 Lo el APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF T�OUNTY ENGINEER eu=ING BUILDING AND SAFETY DIVISION ADDRCQi .� JOHN A. LAMBIE, CouNTY ENGINMER WI11 1►u A..I61iQ1EL Bur•T or 13u1LDIMa LOCALMY NEARTJT CFO"ST. 1 T 9 Y NO OUTLWr§, MwT:o •s0 3 OWNER uoTTs RLCZP.! Sv. MAIL OUTI.CM (Am'L UNrts) D 10 ADRYM uarm ISICaT. IrW. LIGHTING FD(TUR)[5, (F»o7 10) .20 CITY Tv3-NO. ual-TYING FLXTURiar (ADDmoRAL) .10 ELECTRICIAN NA6elnz G ItANfYS CLO.DRYOt1 Vrm HTYM 1.00 Rasa / LJ SAJEL DtSF. STA.COOK Tai.NO.4e7 DISFIWASN. AUTO--WASH. ST►TE SMGi HT11S. A.AR.('A Hl.MAX.) .50 L1 CCN SX NO. MOTOR➢1 o+zR ovot H-P. DI ZCV. G_7Q,IP I ZONE I PIMICE88ED BY o 1.00 Lk c4km�� 1 a 1.50 INSPECTION REC RD a 8 =.Oo O 5 15 ilio U oC 15 5o 3,00 O 50 100 5.00 a n QN1� NO.lVAMAL MO.LAh" SKRVIC8 O-GOOV-NoT ovot 200A 1.00 SOMICE O-EoOV-Ovot 9.00 A. 200 59Rvica Ovml 60oV 5.00 M IOo- rERMIT IMUING"M 2.00 Q SUPFLaMENTA$Y PCRMIT IMUING FM 1.00 TOTAL FEE i I HKMMY XC10ROMLKD= THAT 1 HAV[ RKAD THIS Arr LEGATION OA AND STAT[ TRAT THt AIOVS 18 COMM= AND AOMM TO COMPLY WTfH ALL COUNTY ONDINANCKS AND STAT[ LAWS RSQUIJLTENQ nscrmcaL WRING WIRING I EKY cimTlr'Y THAT 1 AM rRd'O[LY 1tQISTv® AND/OR / LIC30tIm AS FUMUlltlm r LOS ANailiS AND STAT[ Or FIXTUR" CALIFORMLA OR TRAT 1 AM Or TH[ A2•I0VS L.a iPOYVigtRi LML KD FINAL 1 (/ / -•�� LIDATION A UDR C. VE;rr CK MO CAUR SuV18ING ELRCTRICAL ENGINmR LAW 0Q1 AM1r7 2 0 3.20- 4 � T •,WORKeRS'COVPfiNSATION DECLARATION ,o,e,bAPPLICATION FOR ELECTRICAL PERMIT I herey,'affirm"Pl, t I have a certificate of consent to self CE�6G lniure, or dcertlflcate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or•a certified copy thereof (Sec. 3800, Lob. C.) Policy No. Company FOR APPLICANT TO ALL IN Certified copy Is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS 295 � lqrLz ❑ 1 8 2-Fom11 Ft. ; — S LOCALITY Certified copy Is filed with the county building Inspec- Y. Sq� tion department. Multi-family Sq. Ft. — NEAREST Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE Of EXEMPTION FROM WORKERS' Outlets: Rec�Llght�Sw.y� L COMPENSATION INSURANCE Flrtt 2Q (This soctlon hood not be completed If the work Invofv"by Total Np` Additional y Tel. No the permit Is for one hundred dollars(=100)or Acts.) I certify that In the performance of the work for which this PLAN permit Is Issued, I shall not employ a y person In an manner APPLI CANT sa as to become subject to the Wo Campe Lighting Fixtures First 20 ADDRESS Total No. Additional Date- arrll CTS' No. Fixed Appllances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If or a I t s .1rtlflcate of Ran a Hector—D.W. APPUCANT Exemption, you should oma su to the Workers' 9 P Compensation provisions of the Lob-or Code, you must forth- Oven — Dryer _W.M. ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CffY Tel. No. LICENSED CONTRACTORS DECLARATION — . LICENSE Clog. I hereby affirm that I am licensed under provisions of Chapter Dlap. Room Air Cond 9 REG. SE OR 2 (commencing with Section of Division 3 of the deflects Power Apparatus 8 Large Appliances DISTRICT NO$�� BY and Professions Code,and myy license Is In full force and effect. Size 8 Type HP, KW, KVA, or KVAR License Number I Ic. Class Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE D Contractor Date V ATfON Over 10 to 50 Incl. FINAL ❑ I am exempt under Sec. Over 50 to 100 Inc. BY Over 100 B.BP.C. for this reason Z Services, Swbd., MCC 8 Panelboards Date: 0 -200 Amp. under 600 V Signature 201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V :2492,0A Exemption for Reg. Malnt. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances # o 0'0 0. 0 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License ( 0 0 31.50 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Orcults Prof Ioru Code): 3 �'5 0� iL'J I, as owner of the o III do the work and the Mlsc. Condultz 8 Conductors 1.0 0 0 ed or w Other See.Com late Fee Schedule _ Pilo st[ucture Is not Intended or offered for safe (Section ( P. ) .0 (�3.0�+a 6 7044, Business and Professlons Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which ihls permit Is Issued PERMfT FEE (Sub-Total) (Sec. 3097, Cly. C.). PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE Lenders Address 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 Iowa. regulating Electrical wiring, and Aba authorize representatives of this County to enter upon ve mention ope fo Inspectlon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Slgnatur rm ee Date