HomeMy Public PortalAbout4841 CAMELLIA AVE_Electrical__ ..... APPLICATION FOR ELECTRIC PERMIT 4
SION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
..WM. J. FOX. COUNTY ENGINEER _ADORESS�
CASSATT D. GRIFFIN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PES RMIT FEES CROSSST%Z
NUMBER EACH FEE
T OWNER
OUTLETS --_—'
RF'TACLES MAIL
JI I _. - ADDRESS
AL SWITCHES /
Li TT
TOITAL OUTLETS M25
E CITU TEL, NO.
%LECRANGES ELECTRICIAN__
IELECt HEATERS ADDRESS
KW EA CITYTEL._ NO:
FIXTU RES 5 LICENSE NO. _
r NUMB ER OF LIGHT CIRCUITS �--
- - - QISTRICTNO. GROUP, ZONE aeAor to IxsPa<n oTl
NUMA:ER OF RECEPTACLE CIRCUITS
MOTORS V
NUM HORSEPOWER FEE INSPECTION RECORD
HEW
"Va. HP I OVER INC. BAC.
LESS _f .25
—�_ _ Il 2 .50
2 5 1.00 _
5 15 11.50
is 5050 j
— _50 200 '5.00
I
1
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS _
FOR EACH PERMIT: 1
WIRING _ 1.00 l
FIXTURES 51.00
SUPPLEMENTARY ,50 • APPROVALS
—TOTAL _FEE S yy - DATE INSPECTORS SIGNATURE_
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A AT N CONOUIT
AND EREB THAT THE ABOVEACKNOWLEDGE
A CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECT41CAL WIRING.
I HER'rWCERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESORIBEDXSIDENTIAL PROPERTY. _
SI gqT11JJ R)= UTILITY CO.ROTI FIED_
RERMITTEE FINAL
VALIDATION
WILE A10 4. FOX. COUNTY ENGINEER A. C. VEIT. CHIEF ELECT.INEPECTOH
DDS.SA 9.55 APPLICATION FOR ELECTRIC PERMIT �.
085.5A
DIVISION OF BUILDING AND SAFETY
.Department of County Engineer
�. County Of TAS Angeles BUILDING
WM.J. FOX. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN. SUPT OF BUILDING
LOCALITY [-GG
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. ✓ �
NUM0bER EACH FEE
OWNER a'.
LIGHT OUTLETS
MAIL
RECEPTACLES ADDRESS
WALLSWITCHES
TOTAL OUTLETS "f^ _ 54 S CITY TE
ELEC. RANGES 25ELECTRICI
_ELEC. HEATERS 25 O if- ADDRESS
KW EA CITY TEL. N
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP ZONE RuSV FOR IxsPELTIGx
NUMBER OF RECEPTACLE CIRCUITS /.'/ 't�
MOTORS e
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVO. HP OVER I INC. EACH
_ 1h @ LESS S .25
Vi 2 .50
2 5 100 . •-9_
s Is Lso
_ t5 50. 2.50
50 ' '200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT'
WIRING 1.001
$
FIXTURES 1.00 r�/rr111"''SL,Yfffy�
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE. is DATE IN PECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APIYLIDC.�TION CONDUIT
AND STATE THAT THE ABOVE I CORRECT AND AGREE TO C0I%Y
WITH ALL COUNTY ORDINA AND STATE LAWS REGULATING WIRING 'I
ELECTRICAL WIRING. J.
1 HEREBY CERTIFY T I AM PRO ERLY REGISTERED 0/OR FIXTURES
LICENSEDAS REDUIRE OS AN ES COUNTY AND TE OF
CALIFORNIA OR THAT THE E AL OWNER OF BOVE POWER
DESCRIBED RESIDENTI OPERTY T
SIGNATURE UTILITY CO. NOTIFIED / —A
OFPERMITTEE FINAL
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR
�J_A" 6 4 '1 6- mAR 2 6 2 3.8 5 In
0
a411L,
J6A863CE8O6 T58 APPLICATION , FOR ELECTRIC PERMIT
BdILDING AND SAFETY DIVISION
Department of County EngineerBUILDING
County of Los Angeles ADD.ESS .Ll
JOHN A. LAMBIE,'COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN caoss ST. L
, PERMIT FEES
NUMBER OWNER
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY TE . NO.
TOTAL OUTLETS :CN 5¢ '$ _6 ELECTRICIAN
ELEC. RANGES - 25 SQ ADDRESS //rz
ELEC. HEATERS 25 CITYTEL.4
KW EA STATE �J
FIXTURES
LICENSE NO,S
MOTORS DISTRICT NO. GROUP ZONE NEAOY FDR IREPECTION
NUMBER HORSEPOWER FEE" I � . �2z
NEW MVD. HP OVEP INC. EACH
e LESe $ .25 5 ^ INSPECTION RECORD
h 2 so
2 5 1.00
5 15 1.50 �•
15 50 2.50
1 ,
50 200
MISC!
NO. SIGNS .. NO. TRANS..
NO. SIGNS NO. LAMPS _
FOR EACH PERMIT:
WIRING-PERMIT $1.00
FIXTURE PERMIT $I.00
SUPPLEMENTARY .50r{ APPROVALS
TOTAL FEE $ IT TJ DATE INSPECTOR'S SIGNATURE
IHEREBYa ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. - FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWERCALIFORNII�ra
DESCRI BEDARESI BEHA i PROPERTYAM HELEGAL OWNER OF HE BOVE UTILITY CO.NOTIFIED !"J 7 V/1/
SIGNATURE
OF PERM ITT FINAL
JOHN A. LAMBIE. ATION ARTHUR C. VETT,
COUNTY ENGINEER cK Mo CASH _ ARTHUR
SUPERVISING C. ELECTRICAL ENGINEER
A07 4 0 2� APR22 2 2.4 5
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0801030005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
JTR: 14467 LT: 45 4841 CAMELLIA AV
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917804241
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA
8589-015-022 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY, CI
I IFI 120V, 15/20A BR CKTS 1.00 BR 17.25 1
(TENANT: IG1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75 TISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
IHA FAU LESS 3HP 1.00 FAU 10.95 01/03/08 SR 07/01/08
IJB AC UNITS a3-IOHP 1.00 AC 19.65 I
(OWNER: TEL. NO: TOTAL FEES 85.35 IFINr DAT FINA CODE:
ITSAI, MENG (626) 348-1496-
14841 CAMELLIA AV l 1
TEMP 917804241 IDE CRIPTION OF WORK
(INSTALL ONE CIRCUIT (40 AM, 230V) FOR AC CONDESING UNIT, 2
ISWITCHES, 1 LIGHT IN THE ATTIC FOR FAU
(APPLICANT: TEL. NO:
IDENG (626) 641-1546-
12730 W. RAMONA ED. (SPECIAL CONDITIONS:
IALHAMBRA, CA 91803 1 1
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IJ C D MECHANICAL AND ELECTRICAL (626) 641-1546- 1 - 1 1
12730 W. RAMONA ROAD 41 LIC. NO ITEM.PORARY POWER POLE
ALHAMBRA, CA 91803 700996 C20
I IUNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER: TEL. NO: UFF.R GROUND
LIC. NO: IROUGH CONDUIT
TROUGH WIRING
4-T
1
MAIN WATER LINE
(PLASTIC YIN METAL YIN
IUTTLITY COMPANY NOTIFIEDI
1
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IREPORT ID: DPR265 ROUTE TO: BS0508
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