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Home My Public Portal About4804 CAMELLIA AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304150055 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0486 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 14467 IT: 52 UN: .002 4804 CAMELLIA AV IEEE DESCRIPTION: QUANTITY: COM: AMOUNT: ( TEMP CA 917804240 1ASSESSOR INFORMATION NUMBER I INEAREST CROSS STREET: CAMELLIA 18589-016-002 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE:, 597 GRID: A5 LOCALITY: TEMPLE CITY CAI TJX MOTORS, LT 3 HP 1.00 MOT 15.30 T (TENANT: I TOTAL FEES 43.10 (ISSUED ON: PROCESSED BY: PLAN BY: _ 104/15/13 SR TOWNER: TEL. N0: (FINAL DATEFXP Y: CODE: 1JIAN, PEIGID (626) 731-1668- ®� `• � �� 4804 CAMELLIA AV ITEMP 917804240 (DESCRIPTION OF WORK TELECTRICAL MOTOR FOR A GATE IAPPLI CANT: TEL. N0: I I I (SAME AS OWNER - ISPECIAL CONDITIONS: I I 11 I (CONTRACTOR: TEL. N0: JAPPROVALS DATE INSPECTOR SIGNATURE , (SAME AS OWNER I _ LIC. NO ITEMPORARY POWER POLE I- 1 1UNDERGROUND CONDUIT 1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROON➢ I I I I I I I I I LIC. NO: i (ROUGH CONDUIT I IROUGH WIRING . (MAIN WATER LINE (PLASTIC Y/N METAL Y/N T I I I I (UTILITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 11 I I I I I I I I I I I I I I I I I I I I I I I I I I I I 11 I 11 11 I I I I I I I I I I I I I I I I 11 I I I I I I I I I I I I (REPORT ID: pPR265 ROUTE T0: BS0508 I I I I I I • 76A663 5A ]SM SETS T-,B APPLICATION FOR PERMIT DEPARTMENT OF F LOS AG AND SAFETY �� i COUNTY OF LOS ANGELES 11 J. F CHIEF ENGINEER _a NAME DISTRICT NO. GROUP ZONE PERMIT NO. U 'ADDRESS / /—/ f-2 READY irCR U CITY �TEL.NO. RECEIVED BY FIRST INSPECTION DATE ISSUED COUNTY /J/I ,7/I LICENSE NO. SI(PIREB " r' ' APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK AOURESS D ,I 11 G l� NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST . LIGHT OUTLETS Isw. PLUGS IFIXT CROSS BT. CIRCUIT A B C D I E I F G JH wNAME I^ Z MAIL aC ; ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIWOF QUALIFI�CyA ITION.�J ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. ^ CORRECTIONS J Q Z E O TOTAL S NO. OF OUTLETS /.�I $ v S - APPROVALS NO. OF FIXTURES Z $ 6 - DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ 2 UTILITYCO.NDTIFIED y, s TOTAL FEE 4 Q FINAL i- �••I�A�"� 76A663 SA 2SM SETS 7-AR' APPLICATION n. R TEjRNM DEPARTMENT OF BUILDING AND SAFETY 21�a�LALWEAYCIYTCIIIIRCIC` COUNTY OF LOS ANGELES WM J. FO HI F_E G/NEER * < NAME „ DISTRICT NO. GROry/USP ZONE PERMIT NO. ADDRESS 7� 3 3 ! U CITY RECEIVED,BY READY FOR DATE ISSUED W I/(�� • G. TEL.NO. T8?!/.; _..q �/�� FIRST INSPECTION P � J COUNTY / W LICENSE NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK JAODORES. 1/10 + � 1 D' � ;1/0111'1 NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW. PLUGS FIXT CR S ST. CIRCUIT A B C D E F G H K NAME //` i, AO IQ/)�/low ADDRESSSS {JI19 O cin f�fiC.e i�flJfal'!2/EL TEL.NO. I.'T� I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELEGfRIC1AN. I AM THE UGAL OWNER OF THE PR PE9 DESCRIBED ABOVE OWNER. y / CORRECTIONS f ` J ! Z Z LI R 0 ± TOTAL wo. of outtErs s U APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ / V L/` ..UTILITYCO.NOTIFIED TOT FEE o.J FINAL 7SA563 DDS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ¢� COUNTY OF LOS ANGELES �� d WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN /� r RECEIVED BY READY FOR DATE ISSUED AODRE 9 Z Std G . �'7� FIRST INSPECTION 1 CITY TEL NO. -S`ZS�- -.�crLJ)C`` ^3 ` )4 ' COUNTY LICENSE NO. Z EXPIRES SUILDINO PERMIT FEES ADORES NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES _ WALL SWITCHES OWNER - i 1)! I TOTAL OUTLETS 5c $ MAIL �Q` r f I .1� LysELEC. RANGES 25 Z(� ADDRESS tl tl' G ELEC. HEATERS 25 CITY TEL NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. ( APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEB NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NuHDER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DESCRI ED ABOVE. NEW MVD. HP OVEq INC. EACH � ��(/////% I/ A LESS $ .25 SIGNATURE OF I/z 2 .50 PERMITTE _ 2 5 1.ao INSPECTION RECORD 5 15 1.50 /5 50 2.50 SO 200 5.00 ,��•p t//�,g/�J"T TQ i c-&- 200 i200 500 10.00 500 1000 15.00 . Z OVER IOOO 20.00 G M.G. SET/FRED. CHANGER-HP C WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS -.KVA TEMP. MOTORS (75% OF GRID.) MOVED MOTORS (75% OF ORID.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR113 NAME WIRING $1.00 O O CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER f . TOTAL FEE III l Z.� UTILITY CO. NOTIFIED ldw"✓ I'Jlrl FINAL iTJ"' I z 76p563-CE806 10/72 APPLICATION R Ed RliC�ALCR` 'R COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER EADDREss BUILDING AND SAFETY DIVISION 4 TEPApLE CITY FOR APPLICANT TO FILL IN .L0IYER AZ SA ROAD OUTLETS NO, EACH FEE OWNER OR S 5 FIRM NAME TNSTrRAN(IF, REPAIR CO RECEPT.7_ MAIL LIGHT TOTAL FIRST 20 1L 25 3 0 ADDNE,,1307 E POMONA AVE OVER 20 CITY SANTA ANA TEL. NO. SWITCH_ _Z� .10 PLAN CHECK GHTING TOTAL L 'FIRST 20 25 APPLICANT FIXTURES .10 I OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE_DRYER_WTR. HTR._ APPLICANT STA. COOKDISP. F.A.U._ ADDRESS 1754 N MAIN ST SPACE HTR. AIR GOND. CITY LOS ANGELES TEL. NO. 225-5945 CLOTHES WASH.—DI SHWASH._ LICENSE OR REG. NUMOER 69324 CLAS _10 FAN_OTHER 1.00 I HEREBY ACKNOWLEDGE ABOVE IS I HAVE PEND THIS APPLICATION AND STATE THAT THEDINAIS CORRECT AND LAWS E COMPLY MIND S, TER TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS PECULATING IND. HEATERS, ET[. HP. KW. l(VA. ELECTRICAL WIRING. SIZE B TYPE OVER TO HEREBY CE RT UFT THAT AM PROPERLY REGISTERED AND/OR 1 D — 1 1.00 LICENSED AS REOUIgEO BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR AM THE LEG qL,-_QW.NEP�.O _ ABOVE } 1 — IQ 3.00 OESCR ..D SIDE NTIP PRO y O PERMITE U 10 — 50 5,00 SIGNATUR C O 50 — 100 1000 U DISTRICT N0. w�/-(} Pft0 SSED BY. 100 _ 500 15.00 '� GD Z SIGN, GAS SIGN AND ONE CIRCUIT SOD APPROVALS` DATE INSPEC SSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1,00. TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, B:APPURTENANCES 5A0 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.Op FIXTURES POWER AUTHORIZED UTILITY CO, NOTIFIED FINAL PERMIT FEE (SUB TOTAL) 3, 00 NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 3, 00 TOTAL FEE 6.00 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI�(O�1N cn.7 M.D. CASH 1G G V I/ 6.6 V tl�o SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE • • \ WORKERS'COMPENSATION DECLARATJON CE-806 aoiet APPLICATION ImP IC p TION 'FOR rip IG/,TII IC p p r lGRMI II 11 ,.,d.-bes by.pffirm that.l have a certificate of consent to self CE-806G P91r Ir IL '4.PY IICI IG IL �s /'91L CVE IUI insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lob. C.) P❑ol¢y No. Company FOR.APPLICANT T FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH %NO.. FEEADDRESSCertified copy is filed with,the county building inspec- 1 & 2-Family, Sq. Ft. $ LOCALITYtion department. Multi-family Sq. Ft 'NEARESTResidential Swimming Pools - CROSS ST.Date Applicant. OWNER OR �iFIRM NAMECERTIFICATE OF EXEMPTION FROM WORKERS" Outlets: RecLightSvc. `MAILCOMPENSATION INSURANCE Tt - ADDRESS s sectid t b on neenot completed if the work involved b First 20 ' (Thip Y Additional CITY G Tel. Noi the permit is for one hundred dollars ($100) or less.) Total No. PAN HECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner - i so as to become subject to the Workers'Cc pensation Laws. Lighting Fixtures �j First 20 ADDRESS /1��i'� Total No.—Z Additional CITY ` No. 6 Date - Applicant ' S _40 NOTICE TO APPLICANT: if, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT G Exemption, you should become subject to the Workers' Range_ theater_D.W. _ APPLICANT Ci Compensation provisions of the Labor 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. - - CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ - lICENSE.OR [/ I hereby affirm that I am licensed'under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business - DISTRICT NO. PROCESSJD BY and Professions Code,and my license is in.full force and effect. Power Apparatus 8 Large.Applidnces y-c ^ 6 �f Size &Type HP, KW, KVA, or KVAR' v c O License Number �/'� Li lass/ Up to I Incl. FINAL 1J Over I to 10 Incl, t DATE VALI ATION O Contract ale Over 10 to 50 Ind. I" ❑ FIN am exempt under Sec. � Over 50 to 100 Inc. B W B.&P.C. for this reason - Over 100 N Services, n 5wbd., MCC& Paelboards ? dte" 0 -200 Amp. Under 600 V U � � 7Q A. Signature_ - 201 - 1000 Amp. Under 600 V # e e e=s a `L ElExemption 1000 Amp. or Over 600 V Exemption for Reg: Maint. Elect. I • o37.50 SINGLE FAMILY Temp. Power.Pole& Appurtenances HOME OWNER-BUILDER DECLARATION, Sign with One Branch Circuit e • e 3 7.5 0 Ft I hereby affirm that I am exempt from the Contractor's License additional Sign Branch Circuits 0 329-85 Low for the fallowing reason (Section 7031.5, Business and - Professions Code): ❑ I, as owner of the property, will dorthe work and the Misc. Conduits& Conductors structure is not intended or offered for sole (Section Other (See Complete Fee Schedule)— D 7044, Business ond'P,ofessions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for - - - the performance.of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). - PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's 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 laws regulating Electrical wiring, and 37,156hereby authorize repre ntative of this only to enter upon the ab men ' open r ins ctian purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu a of Permittee Date V