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Home My Public Portal About5945 CAMELLIA AVE_Electrical__ �•••� o.,i.�„-� APPLICATION FOR PEEN= DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FDR APPLICANT TO FILLOUP ZON DISTRICT NO. GRE PERMIT NO. ELECTRICIAN RID[IVKD BY READY F'OR DAT[ IG 103 ADDRUM `� % F1R1T INAIP[CTIDM CITY No. VQ- COUNTY LICENE[ N0. EXPIRES RUILDING ADDRLM PERMIT FEES F[[ + NUMBER EACH LOIIALITY LIGHT UTLETO MEARIM T CROr1H ET. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS 6oIII MAIL ELE0. RANGES 7a ADDRERE [LED. HEATERS 7.6 CITY TEL NC. d1O FIXTURE■ S I H[REEY AOKNOWL[DO[ THAT 1 HAVE READ THIS MISo. APPLICATION AND STAT[ THAT THE ABOVE 10 CORRECT IlU M7[R OF LIGHT CI R 0 U IID AND AGREE TO COMPLY WITH ALL DOUNTY ORDINANDU NUMBER OF RECEPTACLE CIROUIT19 AND STATE LAWS REGULATING [L[OTRICAL WIRING. MOTORS I CERTIFY THAT I PDIIHESS THE AEOV[ VALID I OR Nuwe[w HORSEPOWERANO[LEM I■ COUNTY UDENSE, OR I ATHE EZIA OWNER F[[ N[w Mw. HP UV[a IND. Klkw \` of THE RDID[NTIA�.�PR-OP[RTY D D IR[ OV[. Yjla qua 0 .26 ■IGT NAURE OF �+��\ 2 .EC P[RMITTE 7 E 1.00 INSPECTION RECORD 5 1E 1.E0 18 60 7.50 6o =0 5.00 7UO 500 1 D.00 JQ 600 1000 1 E-oo Z OVER 1000 70.00 O M.O. MirT/FRKIqL MLT/FRCHANGER-HP R WE LDERSI AD-KVA O GENERATORO - KW TRAMSFORM[RS - KVA TEMP. MOTORI! 75or oRIM. MUVILP MOTOR■ (76 of oRIMJ MISC. BIONS MCI, NO.TRAM S. APPROVALS N O.LAM DAT[ INSP[CTOR7 NAM[ FOR EACH PERMITI WIRING 1.00 CONDUIT FIXTURES 1.00 WIRING [ [ ,EO FIXTURED POWER TOTAL FEE • , IuTY O0.NOTIFIED FINAL rS i ®® APPLICAW FHL INEWAVMY OUTTINM PORTION ONLY DESCRIP1191ON OF WORK / FA owIP � � - 000��ME 00�■ f�• I ,a MEME 1 _ _ -■■■■■■■■ww M 1 I J Y 1 ' MEN=1 � MINE - TEMPLE CRTY ►�- �� APPLICATION FOR ELECTRICAL PERMIT COUNYY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER au'LDING BUILDING AND SAFETY DIVISION ADM__ JOHN A. LAMBIE, CouNTY ENGIN[[R WILLIAM A.J[NS[N, SLr'T OF BUILDING LOCALITY NSA CROSS ST. R[c[rT. TOTAL NO. EACH FEE OUTLETS FIRST 20 2—S.1O • OWNE LIGHT MAIL ADD'L .10 ADIORICM SWITCH. OVER 20 LIGHTING 1 To L F7R1T2 0 .10 Tom" FIXTURES 1 ADD�L .1O ELECTRICIAN Ov 20 RANaS CLO.DRYl" WTI.UTTa, 1.00 F A D D F U S SAla.DIl. STA-CDOE P Td N 6 CITY t ql D(SHWASH. ALTO.-WASH. STATE SSAC*HTRS. STA.Apr.(Vi H4,•MAx.) .250 LICENSE NO. - MOTO", Oval NOT Ova H r DI CT G P D 0 1 1.00 r 1 a 11.250INSPECTION RECORD a a 1.00 a Is 1.250 125 250 2.00 25o too 25.00 0 SIGNs. NO.TRANS os M0.LAMPS O Sa1ZVICE 0-500V-NOT OVOR IOOA 1.00 SV VIC[O-EOOV-Ova SOO A. 1:00 a h 822MCK OVIOt-600V 25.00 MISC. rSRM1T ISSUING FIM 1.00 SUPPLAMINTAsY FtRMIT ISSUING FM Loo TOTAL FEE 1 HaQY AC73tOWLXDM THAT 1 HAY[ ROAD THIS AM-L.ICATIOHAprnovAL§ DATE AND STATE THAT THE ASOY[ IS CORRECT AND AGREE To COFp-y CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS RKOULAT1NO ELEC'TR)CAL WIRING- WIRING P" I l S] C=rfllY 'THAT 1 AM FROraLY MMISTSM MID/OR _ LICENSED AS REQUIRED BY LOS OdiS COUNTY Alm STATE OF FIXTURO CALIFORNIA ON THAT WHIR OF THE ASOVE DtlCRaED REE POW ! SIGNATURE OF owm FINAL LIDATION ARTHUR C. VU7 (7) MO CASH BUr[RVISIryG E XCTRICAL ENGIN[[R ego 8 312 DEC15 2 D 2�60N q }µ7 1 TEMPLE C97V APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS GEL ES DEPARTMENT OF aLJ ENGINEER 8UILDING BUILDING AND >6AfrETY DMSION ADDRESS JOHN A. LAMBIS, COUNTY ENami n WILLIAM A.JENSEN,Su PT of BUILDING LOCALITY FOR APPLICANT TO FILL IN N � PEHMff FEES CROSS ST. I T s U 11UYrQR 1 sAC:H F x OWNER fl��: ; ; ADDREM MAIL LIOHYs RIalPT. M. .10 D LIGHTING FIXTLIRSE .10 QTY N QiC.RANats -0 D+"ON ELECTRICIAN WATKR H[ATLRS .BO So ADDPUIW ata srAart Fran DLSHWASHOW pawMAps CITY TS`L NO Dlpps)Qls�✓ AUTO.. STATE /_ J WASHw STA.coolallo uNrrs / IIB IS, UC4N8R NO. lo' MOTORS: OvKrt MCL H.T. DJSTE�ICT NO. P ZONE F) o .20 Q .BO WSPEC ON RECORD 2— B 1.00 B— its 1.80 111— 80 2.150 SO—IZOO 8.00 HION$: TRANS. • N0.LANTs SERVICE 0-000V 1.00 Q O SERVICE OVmt GoOV 8.00 MISC WIRING PERMIT 1.00 b a F{XTUEE PT RMIT 1.00 SUPPLE]IENTARY PERMIT .50 TOTAL FEE ; d I Heft QY ACKNOWLTD" THAT I t1Avs R>!AD THIS ArrLIagTION A PROVALo DATL rNspiDa TOfrs srRNATU1t= Alm STAT= THAT THI AA10" IS OORRiaT AND AOMM TO 00{ITLT IIRN AL1 OOUKTY OrMINAPDCM AND /rATi LAWS RffQ%a ATTNO CONDUIT b[C.TMaAL IVINnl0. I HXrL%WY al7MFY THAT I Ail PROMALY Y4WLWTmtID AND/OR W]KING IJCIlXMM) As RIGUUI>m WY L46 ANGW f= COUNTY AND sTATL OF rucTuREC aALITORNIA OR THAT I AM TH= OWWM OF THI AMOVIC DXSCR RM POWKR SIGNATURE ( UTILITY O0. OTl r OF PERMI PMAT m. NIDATION � NR a ia&mlaAL ENOu�R ax �o aAsr1 IPr 7512c2 IXT -1 2 0 3.10 WORKERS'COMPENSATION DECLARAnO`N '&&.WffiIOal APPLICATION FOR ELECTRICAL PERMIT I hereby arm that I have a certificate of consent to self CE-806G Insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company �AP"PUC NT TO lu M Pol Certified co Is her furnished. E ACH NO. FEE PY obY New Residential Bldgs. & Pools LOCALITY Certtfled copy Is filed with the county building.Inspet- 1 &2-Family, Sq. Ft.T— tion department. Multi-family Sq. Ft. CROSS ST. Date Applicant Rbsldentfal Swimming Pools OWNIER OR FIRM 0 ,Ji'5: <10e)?t- CERTIFICATE OF D(EMPTION FROM WORKERS' Outlets: Rec llghtQ'I Svv.�_ LLyl. COMPENSATION INSURANCE First 20 CMls setflon need not be completed If the,rwrk Il of by Total No—O--7 - t/.0, � Addltlongl CITY T/yr/�f drTel. No.� the permit V for one hundred dollars (;100)or less.) PL/1fJ C]-ECK I certify that In the performance of the work far which this APPLICANT permlT Is issued, I shall not employ rri 1n any mOnner so as to become subject to the Worp Mallon Lighting Fixtures First 20 ADDRESS Additional Total No. Cm Tel No. Date �� rpllcant NOTICE TO APPLICANT: If, after making this Certcat 6f. �Appliances Not Over 1 HP APPLICANT� ffi Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Coven — Dryer —W.M.-- ADDRESS with comply with such provisions or this permit shall be Tap —_FAU —W.H. — deemed revoked. }fes — Fan —Other— CITY Tel. No'. LICENSED CONTRACTORS DECLARATION Dlap. — Room Air Coed. �NUMBER Class I hereby affirm that I am licensed-under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BusinesRDISTRICT NO. BY and Professions Ce,and my license is In full force and effect. Power Apparatus 8 targe Appliances p� Size&Type HP, KW, KVA, or KVA.0 L 57 d 9 O License Number I Ic. Class_ Up to 1 Incl. FINAL V Oyer I to 10 Irlcl. DATE / �� ^�� VALIDATION 0 Contractor Dat* Il Over 10 to 50 Incl.❑ FINAL G 1 am exempt under Sec. Over�0 to 100 Inc. BY B.&P.C. for this reason Over 100 Services, Swbd., MCC&Panelboards Date: 0 -,200 Amp. Under 600 V Signature 401 -1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V ElExemption for Reg. Malnt. Elect. SINGLE FAMILY Temp. Power Pole&.Appurtenances -7 7 2 7J A HOME OWNER-BUILDER DECLARATION Sign with Oce Br4nch Circuit I hereby affirm that I am exempt from the Contractors License 0 0 Addltlonal Sign Branch CircuCircuitsc 0 0 0 2 Law for the following redson (Section.7031.5, Business and Profession,Code): 2 1 7 25 I, as owner of the r will do the work and the M�sc. Conduits&Cpnductors o o'o 'r'] 2 5 p Other See Complete Fee Schedule )' Structure b not Intended or offered for strie (Section ( P )— 2,2 —8 3 70.", Business and Professlons Coded ' CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit N Issued PERMIT FEE (Sub-Total) (Sec. 3097, Cly. C_). PLAN CHECKING FEE Lender's Name PFRMfT ISSUING FEE Lender's Address I certf-y that I have read this application and state that the TOTAL FEE above Informatlon Is corrfto. I ogre*to comply with all County ordinances and State laws regulating Electrlcal wiring, and hereby authorize representatives of this County fo enter upon the ve-mentioned for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE /.Z/9 Signature of Permltt Date