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Home My Public Portal About4846 CAMELLIA AVE_Electrical__ 76A66D DES SA 25M SETS 11-93 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT No. FOR APPLICANT TO FILL IN p I/ ELECTRICIAN.e, � i i2A� . P".C'1�4.�JLA-1' RECEIVED BY READY FOR /DAT/E 19SUED FIRST INSPECTION 4 ADDRESS-/` /� �.,5� (- DITY i" !y /L';/4f:�{�iC_[.1 TEL. NO. f'� ✓ I LICENSE NO./ GA j;! iL '7 �/r BUILDING/ /.T / 6 �{ - f l EXPIRES✓ rS A�a� G ADDRESS V/ L a_ If OF WORK NUMBER I OUTLETS EACH FEES LOCALITY/p. 1 CROSS LIGHTS SD S 4f� STREET /�/r/, ^E'�-'�. 1y FIXTURES 5 OWNER / FIXTURES 3 .�rS� WALL SWITCHES 5 LA7 MAIL ADDRESS ELEC. RANGES 25 ELEC. HEATERS 25 ZS CITY TEL NO. MIBC. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE LIGHTS RECEPTACLES MOTORS �� -G-� '1✓li�� ELECTRICIAN. NUMEER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH 1 AM THE LEGA{- OWNER OF THE RESIDENTIAL PROP- Vp 6 LEGS S .25 ERTY DESCRIBED ABOVE. /Z 2 .50 2 B 1.00 OWNER. s I is 1.50 INSPECTION RECORD 15 so 2.501 s0 200 5.001 20O 500 lO."1 500 1000 15.00 J OVER 1000 20.00 1 _Z M.G. SET/FRED. CHANGER-HP 0 WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% DF DRID.) MOVED MOTORS (75% DF DRIG.) MISC. SIGNS TYPE: NO.TRANS. TYPE: N0. LAMPS APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: CONDUIT / WITHOUT FIXTURES $1.00pp r WIRING WITH FIXTURES 1.25 FIXTURES SUPPLEMENTARY .SO POWER TOTAL FEE B ( UTILITYCO. NOTIFIED I FINAL ;/71_o ,.Aa.,-ca.eaa-aa APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION LNEAREST ESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN.SUPT OF BUILDING LITY FOR APPLICANT TO FILL IN PERMIT FEES sr. ITEM NUMBER EACH FEE OWNER OUTLET ' $. 1O $ �V— MAIL Z14 YZ14 LIGHTS RECEPi. SW. fPF-/CJ— ADDRESS LIGHTING FIXTURES 10 CITY. TEL.N . Al ELEC.jf4WGE5 CLO.DRYERS ELECTRICI L,2 WATER HEATERS / .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY6�4,zz,2 Tlif. NO GARBAGE DISPOSERS AUTO.- STATE O6 WASHERS BTA.COOKING UNITS .2$ LICEN$ . MOTORS: OVER INC. H.P. DISTRIC NO. I G OUP I ZO E I P ESSED B O— I/2 .25 v2— 2 .50 INSPECTION RECORD 2— 5 1.00 $— 15 1.50 15— 50 2.50 50-200 5.00 ' SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 QQ SERVICE OVER BOOV 5.00 MISC. WIRING PERMIT 1.00 QD FIXTURE PERMIT' 1.00 Q SUPPLEMENTARY PERMIT .50 TOTAL FEE S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING u CONDUIT r y' 1 "�i — ✓ — ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING �- g Y' ✓ '� LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER O E ABO E DESCRIBED RESIDENT L PROPERTY. PCLWER /[1 SIGNATURE ILITY CO.NOTIFIED OF PERMITTE FINAL ®. ATION ARTHUR C.VEIT, CK MO .CASH SUPERVISING ELECTRICAL ENGINEER 1 a�v 8 2 6 3 NOY 3 0 2 A 5 .9 0 ""°"-"'° °° APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. A ITEM NUMBER . $ � OWNER _ �^ $-1/6 oC-e' ` tA�H MAIL $OUTLETS RECEPT. SW. 10 ADDRESS (pLIGHTS/ LIGHTING FIXTURES 10 CITY PG4. - L CI TEL.NO. 6 YY ELEC.RANGES ' CLO.DRYERS ELECTRICIAN !K p •Ola j6W WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY 4I�TEL. NO.L GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.-COOKING UNITS .25 LICENSE'NO.(_X�L'O MOTORS: OVER INC. H.P. DI5TRII$xj�O. ROUF' I ZONEOCESS BY O— Vz .25 z 1 v:- 2 / .50 45DINSPECTION RECORD 2— 5 1.00 5— Is 1.50 i IS— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 Y FIXTURE PERMIT1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE 8� a I HEREBY ACKNOWLEDGE THAT I.HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 4S CORRECT AND AGREE TO COMPLY - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING LICEN1 HEREBY CERTIFY THAT I AM ROPERLY R 1 ERE- AND/OR LICENSED AS REQUIRED HT LO ANGELES O9 /AND STATE OF FIXTURE$ SED OR THAT I E GAL H OF THE ABOVE DESCRIBED RESIDENTIAL POWER _ - SIGNATURE UTILITY CO.NOTIFIED / I' OF PERMITTE FINAL Ct 3I 6_q;) Aa:_,__ OF VALIDATIe -) ARTHUR C.VEIT, CK m0( cAaH SUPERVISING ELECTRICAL ENGINEER 2:.A' , . ,290. 76A663-CE806 ID/JZ APPLICATION FOR E&COT VCAL PERMIT � . COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER roe BUILDING AND SAFETY DIVISION ADDRE55 A A�✓� LOCALITY NEAREST cc FOR APPLICANT TO FILL IN CROSS ST, w4� V A OUTLETS N0. EACH IEE OWNER OR S 5 FIRM NAME �I// RECEPT._ MAI ADDRESS (O LIGHT TOTAL FIRST 20 ZS CITY �P�PL C%' TEL. NO. Z Yj�,-Z 1414 SWITCH_ OVER 20 ,10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 J0 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE—DRYER WTR. HTR._ APPLICANT I 6 _ MGWpp-7 09 STA. COOK OISP. F.A.U.1G / ADDRESS ZOS ¢ GG F-- 6 SPACE HTR. AIR COND. & � CITY 6 � M q TEL. N0. �- f!/ CLOTHES WASH. OISHWASH._ REG.NN —REG. Z6S0� Q- CLASS.C_le) FAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION lJ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE 6 TYPE OVER TO NSED A CERTIFY TNAT AM Pq OPERLY ISTER EO AND Q - 1 100 LICENSED AS REOUIgEO BY LOS ANGELES COU T AND STATE OF CALIFORNIA OR THAT I AM TXE LEG OW NE OF THE ABOVE a I - 10 3,00 DESCRIEED RESIDENTIAL PROPERTY U PERMITEE 10 - 50 5.00 SIGNATURE O CD 50 - 100 1000 U DISTRICT NO. PRO D SY d 100 - 500 15.00 �� /' Z SIGN, GAS SSIGN AND ONE CIRCUIT 5.00 APPROVALS !/ DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL r F PERMIT FEE (SUB TOTAL) loo NOTES: V PLAN CHECK FEE // 3.00 /�� V PERMIT ISSUING FEE 3 U V / TOTAL FEE S-00 PLAN CHECK VALIDATION CK. M.O. CASH PE MI VALIDATION CK. M.D. CASH ash 3 9 5 5" DE6 4 ? D 5.00A v SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE o.s DAPPLICATION FOR ELECTRIC PERMIT B55A 13 DIVISION-OF BUILDING AND SAFETY „4 Department of County Engineer - County of Los COUNTY ENGs BUILDING �- WM. J. FOX, FIW SUP ENGINEER ADDRESS CASSATTD. GRIFFIN. SUPT OF BDIIDING FOR APPLICANT TO FILL IN LOCALITY PERMIT FEES NEAREST o CROSS ST. NUMBER EACH FEE d� LIGHT OUTLETS _L'�- OWNE� v�e' RECEPTACLES L MAIL .A ADDRESS �C�'LM1�ii WALL SWITCHES '� ' TOTAL OUTLETS 50_ S _ - CITY TEL. NO. ELEC. RANGES '25 ELECTRICIAN -a -, ELEC. HEATERS 25 - ADDRESS KW EA s c CITY TEL. NO. FIXTURES 5 �`'� LICENSE NO. NUMBER OF LIGHT CIRCUITS DISTRICT NO. GR ��i OUP ZONE REn DY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS �-7 ' MOTORS' �-} NUMDER HORSEPOWER - FEE . INSPECTION RECORD NEW MVO. HP OVER INC. EACH Ih R LESS $ .25 /) 2 .50 _ 2 - 5 X1.00 5 5 1.50 _ 15 - 50 2.50 - 50 200 5.00 MISC. NO. SIGNS NO. TRANS. . NO. SIGNS NO. LAMPS FOR EACH PERMIT; WIRING 51.00 FIXTURES / $1.00 SUPPLEMENTARY ,50 APPROVALS TOTAL FEE - $ 30 D ' ' DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 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, I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF . POWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE UTILITY CO. NOTIFIED OF PERMITTEE FINAL ' WILLIAM J. FOX, COUNTY ENGINEER VALIDATION qq ,LDYg Ci O J _L 3.2 0 41 ❑EPUTY ' ION W.O.Rwat I ha b a certificate of consent to r 2�IAfi�OPW(12-91) APPLICATION FOR ELECTRICAL PERMIT •I�bJ�I67n1 In at I hav8 a certificate of consent to self insure, �yg or a.certilicate of Worker's Compensation Insurance, or a certified - COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab, C.) Policy No. - Company FOR APPLICANT TO FILL IN JOB ADDRESS ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ❑- $ $ LOCALITY Certified copy is filed with the county building inspection 1 &2-Family,Sq.Fl. NEAREST A department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR ]Q PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' � _39- OWNER OR COMPENSATION INSURANCE Outlets:Rec. Light Sw. ^ FICIO RM NAME 1� First 20 O'V MAIL �}� Ef 22A a (This section need not be completed It the work Involved by the Total Ng.� Additional ADDRESS •' permit Is for one hundred dollars($100)or less.) ` 11 I certify that in the performance of the work for which this permit si. l-.¢ Pc+ CI0'4— Tel. Q is issued, I shall not employ any person in any manner so as to PLAN CHECK 7 become subject to the Workers'Compensation Laws. Lighting Fixtures �� First 20 PLAN CHEC Total No. Atlditional ADDRESS Date Applicant - p�`, I I t^ c.01 P. JT 3 90 Nil l NOTICE TO APPLICANT: If, after making this Certificate of REST Flit LApPCIAIyCES IgyOj OVvVER3HP. CITY Tel. Exemption,you should become subject to the Workers'Compensation ` OTH E 110 �BR 3 HP. provisions of the Labor Code, you must forthwithcomply with such _ PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT flull LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 p ILS Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITYjte TaI.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. WL4LICENSED } Over SO to 100 Incl. REG.NUMBER Class. d Over 100 DISTRICT NO. P BY. 0 License Number Lic.Class Services,Swbd.,MCC&Panelboards 0-399 Amp.Under 600 V 2co I FINAL 0 Contractor Date s FlQ DATE F ❑ I am exempt under Sec. 400 1000 Amp.Under 600 V` Over 1000 Amp.or Over 600 V VALI ATION W FBIY AL d B.&P.C.for this reason BRANCH CIRCUIT FEES U) Date: 15A,or 20A, 120V,Lighting or ReCept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Main. Elect. 15A,20A,208V To 2T7V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances 7 HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit ACCT.: for the following reason (Section 7031.5. Business and Professions Additional Sign Branch Circuits Code): 3303 403.30 I, as owner of the property, will do the work and the structure Misc.Conduits&Conductors 1 ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)_ D and Professions Code). TOTAL 403 - 30 CONSTRUCTION LENDING AGENCY CHECK 403.n3n0 hereby affirm that there is a construction lending agency for the CHANGE .00 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) 3 ' Civ.C.) PLAN CHECKING FEE 0�0n n r c Lender's Name � O011ll-0001 �J/1.1/96 PERMIT ISSUING FEE Z �Q 6417 1 AN $-56 Lender's Address I certify that I have read this application and under penally of purlury state TOTAL FEE V that the above information is correct. I agree to comply with all County ordinances and State laws regulati Electrical wiring,and hereby authorize Sure lives of th" a er upon the bove-mentioned property { f sped pn urp as. SEE REVERSE FOR EXPLANATORY LANGUAGE <0. A4y l S N T O Er 11 £ DATE I WORKER'S hveacertificate COMPENSATION DECLARATION 266-A0606139 DPW(1291) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO RLL IN ADDRESS ,L - ❑ Certified co is hereby furnished. NO. EACH FEE PY Y New Residential Bidgs.&Pools LOCALITY d — ❑ eart NEAREST tl copy us filed with 1&2-Family,Sq.Ft. $ $the county building inspection department. Multi-family Sq.Ft. CROSS ST. - Date Applicant Residential Swimming Pools ASSESSOR .i, , MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. OWNER OR COMPENSATION INSURANCE FIRM NAME - (ThisFirst ddi io MAIL - perm section need not be completed 0 the work Involved by the Total No. Additional ADDRESS permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tel No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures - First 20 APPLICANT Total No, Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT: H ., after making this Certificate of CITY Tel No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW.KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind. CITY Tel No. >_(commencing with Section 7000)of Division 3 of the Business and d Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. OR Over 50 to 100 Incl. RIEG.CENSE NUMBER Class. Q License Number Lic.Class Over 100 DISTRICT NO. PROCESSED BY Ll.l ' J Services,Swbd.,MCC&Paneiboards LL FINAL Contractor Date 0-399 Amp.Under 600 V❑ DATE >_I am exempt under Sec. 400-1000 Amp.Under 600 V Over 1000 Amp.or Over 600 VFNAL VALIDATION Q B.&P.C.for this reasonBRANCH CIRCUIT FEEL BY 0 CL Date: 15A,or 20A.120V,Lighting or Recept. M 1 To 10 Branch Circuits W Signature 11 To 40 Branch Circuits F- - 41 Or More Branch Circuits Exemption for Reg.Valid.Elect. 15A,20A,208V To 277V Lighting Br.Ctrl SINGLE FAMILY Temp.Power Pole&Appurtenances 2 ♦ HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit s! I hereby affirm that I am exempt from the Contractor's License Law •�� for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 6M 1jl Code): S]lR y,ry� I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 1 1LIs7 _ is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). t„ ilC�T 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 (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE S,'Is Lender's Name PERMIT ISSUING FEE QI�Fti i � Q Lender's Address I certify that I have read this application and under penalty of pur)ury state TOTAL FEE that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property �fM',Irfspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - ELECTRICAL-PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508-9901200032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 14467 LT: 59 -4846-CAMELLIA- AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: .TEMP CA-917804240 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8589-016-009 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: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 01/20/99 UT 01/20/00 OWNER: TEL. N0: FINAL DATE FINAL FI�NA�L//B ODOD/E: SHRUBAR VICTOR E (818) 286-2249- iJfVL/,L�i`�[li�\\ LG=%II\/ 4846 CAMELLIA AV TEMP 917804240 DESCRIPTION OF Wfi NEW 200 AMP SERVIrE PANEL UPGRADE'S APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: Ply :ELES CO CONTRACTOR: TEL. NO: SOS �//yAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDER ROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: A U R ROUND LIC. N0:/ 1111111 ROUGH CONDUIT LLL ROUGH WIRING IT, f1 fI IS �1 C (T (� #O I-r�,flu ((� MAIN WATER LINE Ill~ UIv�ILI� \1VI/�11Jp Ilhl(1 I111C�`]N\1J PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIE 0 Serv�eTnat� REPORT ID: DPR265 ROUTE TO: BS0508 ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0302140003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: -TEff7AID BUILDING ADDRESS: TR: 14467 LT: 59 4846 CAMELLIA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804240 ASSESSOR INFORMATION UM NEAREST CROSS STREET: LOWER AZUSA 8589-016-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 140.00 OUT 201.00 TENANT: G2 LIGHTING FIXTURES 32.00 LGT 55.20 ISSUED 0 Y: PLAN BY: EXPIRES ON: HA FAU LESS 3HP 1.00 FAU 10.95 02/14/03 JK 08/13/03 H2 RES GREG DISP LT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: H3 RES RANGEDISHWASHR LT 3HP 1.00 DIS 10.95 FINAL D _J FINAL BY: CODE: 4846SHRUBAR VICTOR E (626) 285-0024- H4 RES RANGE HDS LT 3HP 1.00 WHODAS 10.95 �j{4846 CAMELLIA CAMELLIA AV NS RES WASH MACH LT 38P 1.00 WAS 10.95 TEMP 917804240 JB AC UNITS +3-10HP 1.00 AC 19.65 DESCRIPTION OF WOR LB 200 AMP PANELS, MCC 1.00 PAN 38.85 ELECTRICAL FOR ADDITION/REMODEL (FINALIZES PERMIT #6417) TOTAL FEES 397.20 APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY N F D REPORT ID: DPR265 ROUTE TO: BS0508 ;:OUNTY OF LOS ANGELES TEMPLE CITY $ OSuS /) J'rtif "1 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS / 1 F'� EL 0508 0406090036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 G 7fT PHONE: (626) 285-0488 EXT: LEGAL ID FEES PAID BUILD TivO ADDRESS: TR: 14467 LT: 59 4846 CAMELLIA AV FEE DESCRIPTION: QUANTITY: LXIM: AMOUNT: TEMP CA 917804240 ASSESSORNFCRMAT;icIF1'. BER: -- NEA"EST CROSS STREET: LOWER AZUSA 8589-016-009 Al PERMIT ISSUANCE FEE 27.75 -THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 140.00 OUT 201.00 TENANT: G2 LIGHTING FIXTURES 32.00 LGT 55.20 ISSUED CN: PROCESSE LANEXPIRES ON: HA FAU LESS 3HP 1.00 FAU 10.95 06/09/04 VG 12/06/04 _ H2 RES GREG Di SP LT 3HP 1.00 DIS 10.95 OWNER: TEL. N0: H3 RES DISHWASHR LT 3HP 1.00 CIS 10.95 FINAL DATE ry 6'4 CODE: SHRUBAR VICTOR 2 (626) 285-0024- H4 RES RANGE NDS LT 3HP 1.00 HOO 10.95 y 11 1 6/1 4846 CAMELLIA A'i H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 �,\\ TEMP 917804240 JS AC UNITS 13-lrHP 1.00 AC 19.65 DESCRIPTION OF WORK LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TO FINALIZE EXPIRED ELECT PERMIT #EL0302140003 TOTAL FEES 397.20 APPLICAN TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR:_-� TEL. NO: - APPROVALS - DATE -i i:SPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWERR P'OL UNDERGROUND CONDUIT i ARCHITECT OR ENG 1T)� R: TEL. 14 ': OF GROUND LiC. NO: ROJGH C7:CJIT --- -- _ i ROUGH WIRING -- MAIN WATER LINE PLASTIC "N METAL Y/N UTILITY CUM ANY NUTI IEU REPORT ID: DPR265 ROUTE TO: BS0508 i