HomeMy Public PortalAbout4814 CAMELLIA AVE_Electrical__ oe=85A11.55 � APPLICATION' FOR ELECTRIC PERMIT
DIVISION OF BUILDING AND SAFETY
Depw Got of County Engineer BUILDING / /J II
COnIIty Of L08 AIIQBI08 - ADDRESS /�r7 /)� f�f
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..JOHN A, LAMBI E, COUNTY ENGINEER �..
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES ceoss sr. eNc �<iv LUQ
NUMBER
/ OWNER /
LIGHT OUTLETS MAIL
r
RECEPTACLES ADDRESS
.WALL SWITCHES FEE CITY TEL NO.
• TOTAL OUTLETS @ 50 § ' ELECTRICIAN
ELEC. RANGES 25
ADDRESS
ELEC. HEATERS 25
KW EA CITY i l�e� C TEL. NO. '66 !_
STATE
FIXTURES 5 f'. 1 LICENSE NO. /. 'SIJrL
MOTORS DIST I T.NO. I GROUP ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER
FEE J.
NEW MVD. HP OVER INC. EACH INSPECTION RECORD
R LE55 § .2$
2 .50 •". Z.1 57
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC.
4
NO. SIGNS NO.TRANS.
' NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 Uhl
FIXTURES $1.00 0
e SUPPLEMENTARY .50 APPROVALS
TOTAL FEE DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESID NTIA ROPERTY.
SIGNATURE UTILITY CO,NOTIFIED G $'7 L.c
OF PERMITTEE
JOHN A.LAMBIE, COUNTY ENGINEER ATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
CK MO
MCASH
{v0 5 9 35 MAR 11 2 3.6 5' 11
COUNTY OF LOS,ANGELE3 TEMPLE CITY # 0508 ELECTRICAL-PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9910200037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL FEES PAID BUILDING ADDRESS:
TR: 14467 LT: 54 4814 CAMELLIA AV
'- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804240
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-016-004 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
LB 200 AMP PANELS. MCC _ _1.00 PAN 38.85
TENANT: .. NOTAL FEES 66.60 ISSUED ON: PROCESSED Y: PLAN BY: EXPIRES ON:
10/20/99 UT 04/17/00
OWNER: TEL. N0: FINAL DATE FINAL BY:
POLO ANITA TR ANITA POLO TRUST
4814 CAMELLIA AV
TEMP 917804240 DESCRIPTIUN OF WORK
CHANGE OUT OF SERVICE PANEL TO 200 AMP
APPLICANT: TEL.—NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0:
PtAGE LE S CoAPPROVALS DATE INSPECTOR SIGNATURE
�O�j Ty
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECTOR EER: TEL. UFER GROUND
LIC. N0 111 X117 ROUGH CONDUIT
ROUGH WIRING
fn u n ^ O n O O I MAIN WATER LINE
JU ILIA ('�Vj_ \\V/I\\V// Ill/ Jl^lll(llllllK(uN�\J PLASTIC Y/N METAL Y/N
Y COPA NOTIFIED
0 o , r, L •
Servi�ceThao`
REPORT ID: OPR265 ROUTE TO: BS0508