HomeMy Public PortalAbout6036 CAMELLIA AVE_Electrical__ 1 �
"A°°'C`-'O 16/-M APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR A PIUCANT TO FU-L W 1
New Residential Bldgs.&Pooh EACH NO. FEE A RESS 6�1 �Q
1 &2-Family,Sq. Ft_. $ .025 — $ LOCALITY
Multi-family Sq. Ft.' .02 — IN
EAREST
D
Residential Swimming Pools 25.00
ROR
NAME
Outlets Re�Light_rSw. I
First 20 .50 ADDR
Total No. Add6onal .30 CITY C}{�{ Tel. No.
pIT
PP RNTK
Lighting Fixtures First 20 •50 ' ADDRESS
Additional .30
Total No. CITY Tel. No.
Fixed Appliances Not Over 1 HP PE MIT
Ran ge_Heater D.W. APPLICA ���,
Oven_Dryer W.M:— ADDRESS �¢ � -
Top _FAU —W.H._ GTY Tel.
Hood_Fan —Other LICENSE OR
Dlsp._Room Air Cond: 2.50 REG.NUMBER'2��� C1 Ms.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI A-
Power Apparatus&Large Appllarwms T10N AND STATE THAT THE ABOVE 2 CORRECT AND AGREE TO
Size&Type HP, KW;KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2.50 REGULATING ELECTRICAL WIRING.
Up to 1 Ind. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTStID AN Over 1 itl TO Ind. 5.00 LICENSED AS REQUIRE BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Irid. 12.50 CALIFORNIA OR THAT I AM ?HE LEGAL OWNER OF THE ABOVE Sv
Over 50 to 100 Inc
5.00 DESCRIBED RESIDENTIAL PROPERTY'
Over 100 40.00 PERMIT EE
SIGNATURE
Se'-y Ices DISTRICT NO. ROCESSED BY
0-200 Amp.Under 600 V 12.50 Z �_
201-1000 Amp. Under 600 V 25.00 •
Over 1000 Amp.or Over 600 V 50.00
Temp. Power Pole&Appurtenances 10.0.0 F
Sign with One Branch Circuli 10.04
AddRlonal Sign Branch Circuits 2'0-0
INSPECTION
10.00 INFORMATION g
Mist Conduits&Conductors
Other(See Complete Fee Schedule).. ON SID11
9 3 4•A
E
#.o o o o o 2
2'o o 2200
PERMIT FEE (Sub-Total) 0 0 0 2 2 (]
Z
PLAN CHECKING FEE (One-FouFth Permit Fee) .2 2 2—7 8
PERMIT ISSUING FEE $7.00 '�
TOTAL FEE L 001 T>
INSPECTION FINALED _
date, /- 3 �� By
1
"°°' 'APPLICATION FO
ELECTRIC :PERMIT
D!•11-6/1 I1-u
DriMON OF BUILDING AND SAFETY
Dant of County Engh- s .p
Co—ty o3 Lor Ang*l" D U I LD I N O /1 `
WM, J. ROW, GDUNTY ENOIN[R ADORM5 (E V
CAASATT D..QRIMN. SUl-T OF BUILDING
FOR APPLFCANTTO FILL 1N', LocALITY
PERMIT FMS _ �EA:SfTIB
NOSII IIT.
FRIJ
NUMDHR LACI-I _ '
Llollr ouTurTsOVV NER
REC EPTACL.EII V A I L d '
ice... _
WALL SWITCH EA ADDRKHII_
TOT O u•i•L.ETs 5 C I TY O
IILEC- RANGED 25 ELECTRICIAN
SL.EC. HEATERG 25. ADDREOf r
lCVV CfrYTEL. Nor.
FIXTURES LICL•NISNO.
UMBER OF LIGHT CIRCUITB- '
U DIS'TR ICT N0. GROUP -ZONE ■RADT POI Ill Pk CTION
MOTORS trtenzv+rr niv+In
mukaxie HORSEPOWER �E INSPECTION RECORD
NI[W ItvD. HP orLnt Inc. KACH
sr Lm" .2e
it .170
2 D 1.00
D 15
15 DO 2.50
DO 20b D.00
MI
NO. 1319NIF NO. TRANS. -
H N LAMPS
P
WIRING .. •1.00.
F I XT U REII -
LIPPt M .50_ .
py APPROVALS
TOTAL FEE {/ DATE INSPECTOR'S SIGNATbIIE
1 HEREPY ACKNOW-LEDGE THAT 4 'HAVE READ THIS APPLICATION CONDUIT
AND,STA THA THS ABOV IS CORRECT AND AQ TO COMPLY
WITH LL O ORDIKA CE9 AND STATE J..ANFREGULAT7NG WIRING
CAL WIRING.
1 HEREBY CERTIrX THAT I At PROPERLY REGISTERED AXD/Ota FJXTURISO
LICENSED As REQUIRED BY LOS ANGELES COUNTY AIID STAT'fF�, OF
GALIFORII A OR THAT 1 All THE I,.lSGAL O\IIIER OF E AYSOVE ER --
DQ7CRIBEf� RESIDENTIAL PROPERTY. - UTILITY CO NOTIFIED
SIONA•FURE
vv
OF PERMITTEE FIR:
WILLIAM J. FOX. COUNTY EtNOINKMi VALID TION 1 O a
� g FV190�
_ -
- 1 DKP`
WORKERS'COMI'ENSATiON DECLARATION
� h 4 CE-BO8G (2-80) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm. that I have a p"ficata of consent to self COUNTY OF LOS ANGELES ( ^ BUILDING AND SAFETY
inmrb, or ■ certificate of Worker'Compensatlon Insurance,or,
r
a certified copy thereof(Sec.3800,Lab.C,)
1 FOR APPLI-CANT TO FILL IN JOB
PollcyNp. Company NerirResidential Bldgs.&Pools EACH NO. FEE aDPPESS
Certined copy Is hereby❑nldthed. 1 &2-Famlly,Sq. Ft. a — a LOCALITY 9� ,{
Cert fled copy is flied•with the county bull Multi-famlly Sq. Ft.
Q1nQ inspection NEAREST—�" -'
department„ Resldentlei Swlmming Pools OOROS$8T
RGS4311 OR
FIRM NAME rP
Date Applicant Outlets: ROC'P Sw feTOMAIL
Irst ADDRESS
CER•)MICATE OF EX);MPTION FROM WORKERS' Total No/.06Additional CITY Tel No.
COMPENSAXION INSURANCE PLAN CHECK �^
(Thfs section need n �n
not be completed if the wo* volved PPLICA T as
by tate permit is for one hundred dollars ($100) or lead) Lighxinp FlxtUr First 20 ADDRt:36 !++
Total No. Addltlonal
I certify that in the p6rformepce of the work for which this �— CITY Tel No.
■hall Fixed Appliances Not Ovsr a HP
permtt'i/ Issued, I not employ any person in any maturer r PEFJINiT
so as to become subJeCt to thA�Woars'_CZanj" Laws Range_ Weeterr—D.W. _ APP61rANT 4ez e W
Oyen _ Dryer,W.M;T ADDRESS yQ
DatgL� � ppucant To-p _ FAU W.H.
Hood FEo _,Other CITY & f Tal
NOVICE TO ApPLICANTt If, after tnakirj tpir CerSificate of DW. _ Room Air Cond.
Exemption, you should becoip6 subject to the Worker' REO.
NU
Claim
ptovlalons of the Labor Code, you must forth, Power Apperatus& Larne Appllanon ' D18TRICT�G.� P BY
with comply vAth such provisions or this pe k shall be tlJf�
deemed revoked Size&Type HP,KW,XVA,or KVA ��
Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE f,0-2 —d'z VALIDA-rtof
LICENSED CONTRACTORS DECLARATION Over 10 toIncl.
I hereby affirm that I am licensed under provisions of Chapter �� Over 60 to r(x1 Inc. FINAL
9 (co-mmenclnQ with Sectlen-7000}of Divisrpn 3 of the BwL �_ Oyer 100 BY
ness and ProfeWom•Coda, and my license is in full force and
effect. Services
`� ,
0-200 Amp. Under BOO V
Llcnnse Nur L1c.Clisr!- 201-1000 Amp. Under 600 V �
Contractor Date / — /��S Over 1 WO Amp.or over 600 V
HOME OWNER-BUILDER DECLARAT70NTemp.Power Pole di gppurmenances
Sinn with One Branch Circuit �2'5 a 5 A
I Licebaranse
Law for
tfe I am exempt from the 031.5, Bust-tor's Additional Sign Branch Clrcuitx
License Law for thn following recon (Sectors 7031.5, Bust- #'o 0 0,o 0 2
neu and Professions Code):
Mac.Conduits&Conductor 2 -,- 2(150
1, as owner of *-property, wriU do th&work and the Other(See Complete Fee L Schedule)' o Io'0 2 Q 5 O
structure not Intended or offered for sale (Section
7044, Business and Profeaeions Code).
CONSTRUCTION LENDING AGENCY O H�.Q 7�S 2
I hereby affirm that there Is a conrtiuctibn lending agency
for the performance of the work for which this permit is
Issued(,Sec. 309.7,Cly:C.)• PERMIT FEE --rr (Sub-Totel)
Lenderis Name PLAN CHECKING FEE (I7no-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE
I certify that I have read t" application and stats that the TOTAL FEE
above Information is correct.I agree to comply with all County
ordinances and State laws re;utatinY Elegtrical twirl , and
hereby putrepresentatives of this County to enter upon
the■boy end 11 p-69 for Inspection purposes. SEE'REV ERSE FOR EXPLANATORY LANGUAGE
Slxtature of Permittee Date`
- r
' COUNTY OF LOB ANGILDS TDPLD CITY # 0505 RZAt 'QICILL PWRM T
` DDPARTMINT OF PUBLIC ROYIB 9701 L1S TUNAS IL 0508 0603010026
BUILDING AHD BITDTY / LAND DIVEIAPMDfT TDGLD CITY CA 91780
PHONE. (626) 285-0488 YZT,
LDGAL ID. FAXS PAID BUILDING ADDRDBS:
TR: 6561 LTA 154 UNz .002 6036 C XMI.LIA AV
FIX DE90tIPTION: QUANTITY. DOM, AMOUNT: TMCP CA 917802007
ASSESSOR INFORMATION HU103DR: NRARDST CROSS BI'RCICTi
5385-018-022 Al PERMIT ISSUANCE T" 27.75 TEXXKAS PARD: 597 C12ID1 A2 LOCILITYz TDSPLE CITY, C
LB 200 AXP PANDLS, MCC 1.00 PAI 38.85
TDHIINTTOTAL FIMS 66.60 ISSUED OKI PROCESSED BY, PLAN BY: DZPIRES OHI
03f01/06 Jx 08/28/06
01MICR. TIL. NO: FINAL FINAL BY. CODD:
aALAM, vr.r.Y
6036 CXXXILLI.A AV
TEMP 917502007 DRBCRIVTION OF WOR.
UPGRADE ILYCTRICAL PANEL TO BE 200 AMP
A.PPLICANT: TEL. NOi
JIFF LIN (909) 899-6063-
7831 NARIM COURT SPECIAL CONDITIONS:
FONTANA, CA 92336
CONTRACTOR: TXL. NO •APPROVALS DATD INSPDCTOR SIGNATURE
ALA DLDCTRIC i XLECTOR, INC. (909) 899-6065- _
7831 n4KK COURT LIC. NO TO(PORARY POWER POLE
FONTANA, CA 92336 644422 CIO
UNDDRGYODID CONDUIT
ARCHSTICT OR ENGI371MRi TEL. NO: U79R GROUND
LIC_ NO: ROUGH CONDUIT
RDUDH .AIRING
MASE I LINE /
PLASTICC Y/7/N METAL 7/H .17L.fr/J
UTILITY COMPANY IOTIIIID y� -
RIPORT ID: DPR265 ROUTE TO, BSOSOB