HomeMy Public PortalAbout4902 CAMELLIA AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0909290033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 14467 LT: 61 4902 CAMELLIA AV
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I TEMP CA 917804242
(ASSESSOR INFORMATION NUMBER: iNEAREST CROSS STREET: LA ROSA
16589-016-011 JAI PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY, CI
IG1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95
TENANT: G2 LIGHTING FIXTURES 1.00 LOT 1.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
HA FAU LESS 3HP 1.00 FAU 10.95 109/29/09 SR 09/29/10 1
JB AC UNITS +3-10HP 1.00 AC 19.65 1
1OWNER: TEL. NO: TOTAL FEES 62.25 (FINAL DATE FINAL BY: CODE:
FAN, JOSEPHINE/BOB (626) 285-3707- 1 -
14902 CAMELLIA AV
TEMP 917804242 (DESCRIPTION OF WORK
ELECTRICAL FOR HVAC SYSTEM
jAPPLICANT: TEL. NO: j
SAME AS OWNER -
ISPECIAL CONDITIONS:
I
I I
I I
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATDAE
(SAME AS OWNER -
LIC. NO (TEMPORARY POWER POLE
I I 10NDERGROUND CONDUIT
I
(ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
I I
LIC. NO: IROUGH CONDUIT
IROUGH WIRING
MAIN WATER LINE
(PLASTIC YIN METAL YIN III
(UTILITY COMPANY NOTIFIED
EXPIRE®
I I I I I I
I I I I I I
I I I I I I
I I I I I I
(REPORT ID: DPR265 ROUTE T0: BS 0508
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY M 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1110130034
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: _ FEES PAID BUILDING ADDRESS:
ITR: 14467 LT: 61 4902 CAMELLIA AV
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917804242
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET:
18589-016-011 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 1
1 TENANT: IGS LIGHTING FIXTURES 18.00 LOT 34.90 (ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 66.60 110/13/11 SR
OWNER: TEL. NO: IFINAC DATE FINAL BY: CODE:
IRAN, JOAJO - I
14902 CAMELLIA AV
(TEMP 917804242 1 1DESCRIPTION OF WORK 1
INSTALL 18 CAN LIGHTING AND 2 OUTLETS
(APPLICANT: TEL. NO:
IJOHNSON, KEITH (323) 256-4034-
15190 CASPAR AVE 1 (SPECIAL CONDITIONS: 1
ILOS ANGELES CA 90041 1
III CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
JOHNSON ELECTRIC (323) 256-4034-
15190 CASPAR AVENUE LIC. NO TEMPORARY POWER POLE
ILOS ANGELES, CA 90041 348021 C10 *I
(UNDERGROUND CONDUIT
I
IARCHITECT OR ENGINEER: TEL, NO: IUFER GROUND I I I
I I 1
I LIC. NO: I (ROUGH CONDUIT I I I
I I IRGNGii WIRING I I I
I (MAIN WATER LINE I I l
PLASTIC Y/N METAL Y/N
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(UTILITY COMPANY NOTIFIED( I I
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EXPIRE®
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I 11- ADDITIONAL DATA ON FILE I I I I
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IREPURT ID: DPB265 ROUTE TO: BSO508 - - -
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76.563DE90`6
'C4-DsR' APPLICATION FOR ELECTRICAL PERMIT
UNTY'OF LOS ANGELESC
-DEPAR;h%ENT OF COUNTY ENGINEER BUIL OI NO /,�j ry
BUILDING A-NO-SAFETY DIVISION ADDRESS 7 /�17'-
JOHN A.LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS• SUPERINTENDENT OF BUILDING LOCALITY •�✓�/��+� C1TA
FOR APPLICANT TO FILL IN NEAREST
CO"ROST. h
f NO. EACE FEE
R e 'E P T�J s S OWNER /J�Lf.C'�J�jI✓�J�T—
LIGHT TOT/AAL FIRST 20 .20 V�R,D M AIL
ADDRESS 0Prqq
SWITCH 30 OVER 20 .10 {/ CITY i�l17pLL c EL. NO 17y
PLAN CHECK
LIGHTING TOTTSAL FIRST 20 .20 J APPLICANT
FIXTURES �—L–. OVER 20 .10 ADDRESS
RANGE—DRYER_WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP. F.A.U._ COiJ T.RACiOR
L. SPACE HTR.—AIR COND.— ADDRESS
R CLOTHES WASH._DISHWASH._ CITY TEL. NO.
FAN_pTHER 1.00 LICENSE NO. CLASS.
MOTORS.TRANSFORMERS RATING
IND. HEATERS, ETC. HE. KW. KVA. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS <PPLICATION
SIZE & TYPE OVER TO
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
HEREBY CERTIFY THAT BY AM PROPERLY LY REGISTERED AND/OR
I - 10 3.00 LICENSED AS REINAT BY LOS ANGELES COUNTY AND STATE OF }
CALIFORNIA OR THAT AM THE LEGAL OWNER OF. AND TEND T.
10 - 50 5.00 RES IpE IN, TI
B VE OESCP IPEO BESIDE NTI L Y. 0
1 SIGNATURE
50 - 100 10.00 PERMITTEE p
100 - 500 15.00 U
DISTRICT O. GFjO,UP I ONE PROCESSED Y w
TUBE,A SIGN AND ONE CIRCUIT 3.00 • V – N
p� Z
MARQUEE qp O1 TIONAL CIRCUITS 1.00 NOT ES ml �O `e_JAAK11. 1.
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE. 6 APPURTENANCES 3.00 APPROVALS' DATE INSPECTOR'S SIGNATURE
U 0
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEEL /
s] POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 /- �U UTILITY CO.NOTI FIED /
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL G
TOTAL FEE 4q (jQ JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASK
.60-E8 n 01�a JF:y 2 D 9.60-
EE
E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE