HomeMy Public PortalAbout4847 CAMELLIA AVE_Electrical__ 76A... OBR SA 11-50 APPLICATION FOR PERMT
DEPAJAMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES � ����(�
WILLIAM J. FOX, CHIEF ENGINEERy
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMITNO.
ELECTRICIAN s
RESAWED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION /O
CITY /� TEL. NO. �A_�/
NII �/ (��� !
COUNTY LICENSE NO. EXPIRES BUILDIADDRESS T Q // ./✓ 1
PERT FEES / /
FEE LOCALITY. .5A_.ol O
NUMBER EACH
NEAREST
LIGHT OUTLETS 'ROSS IT. l�y_ / , 6�2 CfV
/
RECEPTACLES i qT'-
WALL SWITCHES OWNER / -yN/••/N��./a1�Y�Lt✓}}L, lS
TOTAL OUTLETS 5c $ AMAIL -
I I� '//. /l/Y>b➢�L/ �� /Y
ELEC. RANGES 25 ADDRESS
v y
ELEC. HEATERS 25 CITY �7 /0 TEL. NO.
FIXTURES 5 _ I
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NU.BT HORSEPOWER FEE OF THE RESIDENTIAL PROPERTY DESCRISED ABOVE.
NEW MVO. HP OVEN IN0. EAC.
1/a BLESS 3 .25 SIGNATURE OF /'LJ/ •.I( �.Iii�i '�`L
IA 2 .50 PERMITTEE d
I
2 5 1.00 INSPECTION RECORD"
5 is 1.50
15 50 2.50
50 200 5.00
200 Soo 10.00 J
soo 1000 15.00
Z
OVER 1000 20.00 ('
M. G. SET/FRED. CHANGER-HP R'
WELDERS: AC-KVA O
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (TS%of ONI G./
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS'
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING $1.00
WIRING
FIXTURES 31.00
SUPPLEMENTARY ,50 FIXTURES
I� OWER
TOTAL FEE S/ UTILITY CO. NOTIFIED
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C7 / FINAL ����
96/663 GBS,wA „-so APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OVL S ANGELES ���� R
WILLIAM J. FOX, IIIEF ENGINEER
FOR APPLICANT O FILL IN DISTi O. GROLLP Z NE °PERMIT NO..
ELECTRICIAN
�rq RSO IV D Y READY FOR PECTION DATE ISSUED
ADDRESS / Flq$TI Sy
CITY �ye TEL NO. �!/�pl�i/tel/i
COUNTY LICENSE NO. ^� EXPIRES 8UILDINGN �✓ ���-E
PERMIT FEES ADDRESS /�k(J
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES a ,y
WALL SWITCHES OWNER J / I.
TOTAL 13UTLETS 5C $ �(� MAIL !��
ELEC. RANGES 25 ADDRESS 0 (� t. , -.
ELEC. HEATERS ^j 25 CITY I TEL Na.
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 ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE r ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MVG. HP Cvca IHC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
a I.2BB $ .25 SIGNATURE OFj��`��L ol
1/2 2 .50 PATURE Er �Q /'b 1 <r��',t'I,. .
2 5 1.00 INSPECTION RECORD
5 15 1.50
_ 15 s0 2.50
so 20D 5.00
200 son 10.00 J
Baa 1000 15.00 Z
OVER 1000 20.00Lo
M.D. BET/FRED. CHANGER-HP B;
WELDERS: AC-KVA D
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or GRIG.)
MOVED MOTORS (75% OF ORIG.) _
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NC. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 D J CONDUIT 1n /'
FIXTURES $1.00 1 Q WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE ® 7 UTILITY CO. NOTIFIED
FINAL I /
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0207170005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285.0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 14467 LT: 44 4847 CAMELLIA AV
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917804241
INFORMATIONASSESSOR NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-015-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
82 1 OR 2 FAMILY DWELL 2525.00 SQ 265.13
TENANT: TOTAL FEES 292.88 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
07/17/02 JK 01/13/03
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
PEARSON WILLIAM L;SHARON L, WK#6262 (626) 287-2632-
4847 CAMELLIA AV (f/
TEMP 917804241 DESCRI6T (1-SR WORK
ELECTRICAL FOR ADDITION/REMODEL
APPLICANT: L. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: _ APPROVALS DA E INSPECT R IGNATURE
SAME AS OWNER -
LIC. NO �. � TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECTORENGINEER: N0: " R GROUND
LIC. NO: I ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LIN
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIF D
IT� /x
I
REPORT ID: OPR265 ROUTE TO: BSO508