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Home My Public Portal About5925 CAMELLIA AVE_Electrical__ 7e.t65-cEeoe1/70 APPLI�Z ON FOR ELECTRICAL RMIT LI 1 ,f COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADOR JOHN A. LAMBIE. COUNTY ENamum LOCALI COLEMAN W. JENKINS u N NT I NEAREST FOR APPLICANT TO FILL IN CROSS 3 OUTLETS No. PIKE OWN s RECEPT._ MAIL LIGHT TOTAL FIRST 20 20 ADORES C TEL. SWITCH OVER 20 1p PLAN CHFCr LIGHTING TOTAL FIRST 20 201 1 APPLICANT OVER 20ADDRESS FI)CTURES .10 APPLIANCES CITY TEL. No. PERMIT RANGE DRYER_WTR. HTR. APPLICA STA. COOK DISP. F.A.U. ADORES SPACE HTR. AIR COND. TEL. N CLOTHES WASH. DISHWASH. LICENSE NO LASS. FAN OTHER 1.00 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE I/ CORRECT AND AGREE TO COMPLY MOTORS, TRAM/FORMER/ RATIN/ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATER/, ETC. HP. KW. KVA. IT WIRING. SIZE S TYPE OVER TO IHERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LIC EN/ED AS REQUIRED BY LO/ ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3Dp RES DE N, THE ABOVE DESCR ED RE/I DENTIAL PROPERTY. SIGNATURE 10 — 80 &00 OF PERMITTE 0 V b0 — 100 10.00 DISTR CT M0. 0.A■1 GROUP ZOM PRO 100 — 500 15.00 SIGN, GASSIGN AND ONE CIRCUIT aDO NOTES: d TUBE, OR r MARQW ADDITIONAL CIRCUITS 1.00 {. ER V I L TS OR 200 AMP APPROVALS DATE EtWnECNR`//HlMTURE SERVIC VER 600 VOLTS OR 200 AMP 8-00 TEMP.POWER POLE TEMPSERVICE,POLE, BAPPURTENANCES SDO UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRING i PERMIT FEE (SUB TOTAL) FIKTUREB POWER AUTHORIZED PLAN CHECK FEE (60% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE FINAL � SUPPLEMENTARY PERMIT ISSUING FEE 1DO JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH .0ON/ P Lko 619 9;3 MAY 2 3 . 2 D 6.00- SEE EE BACK OF APPLICATION FOR COMPLETE SCHEDULE / TGA..a DNA 0-A 11-00- APPLICATION FOR PER3T DEPARTBMNTOFG AND SAFETY ELECTRIC 1 COUNTY OFF LOS LOS ANGEL ES WILLIAM .1. FOX, CHIEF EIlOI11QR FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN REO[ SY READY FOR DAT[ IMUm ADDRESS FI MET INIEOTION OITY 90UKTYLI0PtSKNm. 9171 EXPIK= ■UILDIN - P .os•i i FEES Do REBS NUMBER UGH FQ LOpALITY �'°� / N LIGHT OLITL[77 OROSSST. c� V REp[PTAOL[B x WALL SWITOH[S r WNER TOTAL fl UTL.ETu is, MAIL ELEO. RANOEB 24 ADDRESS [LIED. H[ATIERS f< FIK'RJRIEB B I HERESY ADKNOWLJmO THAT 1 HAVE READ THIS M120. APPLIOATION AND STATIC THAT THE ABOVE IS OMMM13T NUMBER OF LIGHT DiROurrm y AND ABREIC TO 001(PLY WITH• ALL ODUNTY ORDINANOES NUMBER OF REOETTADL.E OIROuTTS / AND STAT[ LAWS RlmULATINO taEOTRIOAL WIRINS. M=RB 1 DIGMIrY THAT 1 POSSE>r TWE ASOVT VALID LDS HurEcw HORfI?OWER FEIC ANGELES OOUMTY UDENS[, Ail THE qPp.L OWNER NEw Mvm HP avow IND. TACH OF THE RESIDENTIAL DESORI■ . LEr 111 .25 ■IONATURE OF Pill f .BO PERM 2 B 1.00 INSPECTION RECORD S is 1.80 7S so 2.80 6D ZOO B.DO xDO Am 10-00 .7 SIM 1000 18.00 Z CrAm 10m 20-00 I' M.S.- ■LT OtR-HP 2 W[LDEREsAD-KVA - O OENERATUM - KW TRANSFORMERI - KVA TEMP. MOTO14 70or alum MOVED MOTORI (78or aIu s1GNB NO. NO.TRANS WQ APPROVALSNCL . TIC I R [ADH PLxMTTi 7 NAM[ WIRIN■ 1�0 OONDUTT FDITURES 1.00 WIRINS 'QW[R TOTAL FEZ • tD -VIC uTILxry NOTIFIED F1 NAL 76Aa9&-CX90 -d-l7 APPLICATION FOR ELECTRIC PERMITi �~ COIIMT OF LOS ANGELES DEPAETIUfI OF COUNTY EtfGIIfEEH � HADDRSHSIIIf6 AND BAFEDIVSI f JOHN A.LAIABIE,CourrrY ENa14mt CASSATT D.dMIP7IN,QurT or SUILDIN4 LOCALITY FOR APPLICANT TO FILL, IN NEAREST �'� S IT = OWNE _ LJ OST-/ PESM PEMEPTACLis At KWVTTCH C/ NLA I L ADDRESS TOTAL OUTLSrf � O RIM RARGES, VATIR ■XLTIRS, C CLOTHL DRTIll 150 ELECTRICUILN n r.C. "LCI EIATIIS, 1TAT'T. COO[- DIG OIITI, �AI�AGI DIs!'O■111, ADD '7- ADTO 1ilYIl1 DUQ� .2b LIGHTING FIXTURES .10 CITY TEL NO. STATE 20TOR3 LICENS9 NO. HORSEPOt•XR NXADT FOR I11T1l;:'TIOI oVXR INC. •Lsrw .215 J : .150 INSPECTION EECOBD 2 — D 1.00 15 115 1.150 IS 150 2.150 150 200 15.00 nua F1Qi1S NO.TRAlIA No.LAJA" SERVICE O_EOOV 1.00 SERVICE OVER 800V 15.00 WiRINO PERMIT 1.00 1U FIXTURE PERMIT 1.00 SUFPLffiiEN TARY PERM IT .150 TFEE f APPHOYAIS TOTAL I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATI INSPECTOR'S SIGNATU AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT -WITH ALL COUNTY OQDINANCEI AND STATE LAMS REGULATING ELECTRICAL WIRING. WIRING I HEREBT CERTIFY THAT i A■ PROPERLY REGISTERED AND/OR FIXTURES L]CEIISED AS REQUIRED BY LOS AN LES UNTT AND STATE OF CALIFORNIA OR THAT I AM HE OF THE ABOVE POWER DESCRIBED RMlID P SIGRATURE UTILITY CO.NOTIFIHD FINAL yg� 2�oHutN�rYri MauuniATlON $uruvLiuCa SLscneiawl_>�tautl� O= MLO Gse iLAC0 3 2 7 6 OCT 14 2 1510 WORKER'S COMPENSATION DECtAAATIONo DeW(12-91) APPLICATION FOR ELECTRICAL PERMIT nereflc by afflrm'that I have a oertlate of conaent to self Insure, 76AEB3 or.,e certlfloat•of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Seo.31}00 Lab.C.) Polloy No. ry FOR APPLIGVfr TO FLLl IN JOB ❑ CarMed copy b herby furnished. New Reefdentlel Bldgs.d Pooh NO. EACH FEE ADDRESS _ = fACA11-fY ❑ CerttM d copy la tiled with the cour ty bullding Jnepeatlon 1 8 2 fe nfly,Sq.Ft NEAREST department MultMamlly Sq.Ft CFIOBB ST. Date Applkmt al Swlmrrling Pooh 11 gDOI PAGE 4I PAF. CERTIFICATE OF EXEMPTION FROM WORKERS' Outiete ugm Sw. �}O aK OR COMPEN8ATION INSURANCE FIrst /(S =N� MAL (' is seoUon need not be completed tf the work Involved by the Adcddof tlonal ADDRESS parrhtt Is for one hundred dollars(=100)or lace.) Total No. I oertlfy that In the performance of the work for which this permit CITY Td No. Is Issued, I shall not employ any person In any manner so as to pl.N q�CK become subject to a W4ars' Compensation Laws. Ughttr�q FbdL Flet 20 APPLICANT IL n (am Total No. Addttlonel DRES8 Data ApplkxLM V NOT CE TO APPLICANT: If, after makln thle Certificate of REBID NOT OVER 3 HP. CITY Tel.No. ExQmptlon,you should become subject to the Worksrs',Compensation OTHER APPLIANCES NOT OVER 3 HP. �y� provisions of the Labor Code, you must forthwith comply with such A�rCANT W� �a �1 provisions or this permit shall be deemed revoked. Power Apparatus S Large Appflancee LICENSED CONTRACTORS DECLARATION Stze S Type HP,KW,KVA,or KVAR ADDRESS - a —7 00 I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. /y (commencing with 8actlon 7000) of Division 3 of the Business and CITY til TSL No. 0-77 Professions Coda, and my license la In full force and effect. Over 10 to 60 Ind• -KeaQE ORLl ft Over 60 to 100 Ind. REQ NtJr68a ! t a"'(� f o CL LJeer»e Number (� Lie.Claw Over 100 OtSTwcT NO v eY Services,Swbd.,MCC 8 Par4boerde / Q C�o�ntr/ r V1 Daba 0-399 Amp.Under 600 V oDTE CI I am a under Seo 400-1000 Amp.Under WO V L W Over 1000 Amp.or Over 600 V V1U.IDATION 1 a B. C. this reason ` BRANCH CIRCUIT FEES BY C). w a(` 16A,or 20t.12OV,Lighting or Reoapt `�`��r ✓,7 Z 1 TBranchClroufb To4 8lgnaiure 11 To 40 Branch Cirota �� rf -141 Or More Branch arculta Exemption for Reg. amt.Elect. 161,20A,203V To 277V Br.CYnuks 2 SINGLE HOME OWNER-BUILDERLY Temp.Power Pole cACircuit none ACCT.i I hereby affirm that I am exempt from the Contractor's License Law with One Branch Circuit ��rr for the following reason (Section 7031.5, Business and Profeaalons AddttlorW&gn Breech Clrcutts 33E 52.7+' coda). 1 ITEhS ❑ property,will do the work and the structure Mlec.Conduits S Conductors I,u owner of the ro _ Is not Intended or offered for sale (Section 7044, Business Other(Sea Compote Fee Schedule) pop- TOTAL 52 -95 and Professions Code). CHEry, J2. E L 9"S CONSTRUCTION LENDING AGENCY I hereby afflrm that there Is a constructlon lending agency for the I�GTIL performanoe of the work for which this permit Is Issued (Seo. 3097, PERMIT FEE (Sub-Totaf) Civ.C.) PLAN CHECKING FEE [offi—oDo1 1I 3/55 L.endeea Name PERMIT ISSUING FEE 9427 1 F'I'X 1%�6 LardWs Addrees I owtffy that I have read thb app0oation and under ponafty of pudury at" TOTAL FEE �. that the above fnfomiatlon Is correct. I agree to comply with an County ord(narncea and State laws regulating Electrical wiring,and hereby auth tze County to eater upon the above-mentior»d Pu / J SEE REVERSE FOR EXPLANATORY LANGUAGE 2 [S L - IT