The URL can be used to link to this page

Home My Public Portal About4909 CAMELLIA AVE_Electrical__ TE2:MPLE COTY -Teti., 4 4 76A663-CE606 8.62 APPLICATION FOR ELECTRICAL PERM6 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER 71- e WILLIAM A. JENSEN, SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS ST. 0/0L2 RECEPT. l TOTAL NO. EACH FEE ry/ Ar OUTLETS FIRST 20 S 2O S OWNER / jG C LIGHT 1 4 MAIL 1 AUU2 f0 ADDRESS SWITCH. OVER 20 CITY TEL. . LIGHTING TOTAL� FIRST 20 .20 NO ' FIXTURES OV DR 20 10 ELECTRICIAN � RANGE. 'OLO:..YE.. —R. T.B.H1.00 y,(J ADDRESS `J a /////�^ ✓//��I f 'ZIARE.OISP. STA.COOK /1 4 CITY TEL. No F OLHWASH. AOTO..WgSH. STATE SPACE HTRS. STA.APP.('A H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST CT�N9O. GROUP P/jQ'CES/SED BY O 1 1.00 OV . 3 1.50 INSPECTION RECORD 3 8 2.00 - Z _ B 15 2.501 _ 15 50 3.00 _I L 50 100 5.00 0 SIGNS: NO.TRANS. NO.LAMPS _ '�— Qr >W ✓ //�\ v SERVICE O.6OOV-NOT OVER 2ODA 1.00 a SERVICE 0-600V-OVER 200 A. 2.00 In SERVICE OVER 600V 5.00 ... Z MISC. PERMIT ISSU ING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS GATE INSPECTO/R'B�SIGNATIIRE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT f/ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING i F✓IA�C� I HEREBY CERT AT 1 AM PROPERLY REGI fl.. ANGIOR U LICENSEB AS R UIRED T LOS ANGELES CO ND STATE OF FIXTURES CALIFORNIA OR THAT A THE LEGAL O F THE AROVE DESCRIBED REST ENTIA P PERTY. POWER. B IGNATU RE e UTILITY CO.NOTIFIED OF PERMITTEE - y� `'(1� '7 (,��(/r'�.•'�"'�M ' FINAL U ff 1 LIDATION ARTHUR C. VEIT C�1 MO CASH SUPERVISING ELECTRICAL ENGINEER _LGI 8._3 4�— JUL 2 7 2 D 4.0 0- d . 1 WO.RKERS'COMPENSATION DECLARATION CE-806G (2.801 APPLICATION - FOR .ELECTRICAL PERMIT {� CE-BOBlJ I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING ANDSAFETY insure, or a certificate of Workers'Compensation Insurance,or - a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN JOB /'� Policy No. - New Residential Bldgs.& Pools Company EACH NO.. FEE ADDRESS ( �; 4 -Certified copy is hereby furnished. - 1 &2-Family,Sq. Ft. S — S LOCALITY Multi-family Sq. Ft — NEAREST Certified copy is filed with the county building inspection CROSS ST department. - Residential Swimming Pools OWNER OR FIRM NAME Date Applicant Outlets: Rec. _Light Sw.� r �� ADDRESS First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY L9Tel No.�, .a� } COMPENSATION INSURANCE' PLAN CHE K \ Cc 1• O yJ� APPLICANT _ V Additional (This section need not be completed if the work involved r. by the. permit is for one hundred dollars ($100) or less.) Lighting Fixtures First ADDRESS cr Additional - _ Total No. O 1 certify that in the performance of the work for which thisCITY Tel No. U Fixed'Appliances Not Over 1 HPCITY is issued, I shall not employ any person in any manner PERMIT .� W so as to become subject to the Workers' Compensation Laws. Range_ Heater_•D.W. APPLICANT 1 Oven _ Dryer_W.M. ADDRESS Z Date Applicant Top _ FAU W.H. - — Hood _ Fan _L Other— ry /tp f CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond.— 7 l SO LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus&.Large Appliances DISTRICT NO. �/ PROCESSED BY with comply with such provisions or this permit shall be 0 (b/ deemed revoked. Size&Type HP, KW, KVA,orKVAR - Up to 1 Incl. f FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 loci. DATE. Z '2 VALIDATION - Over 10 to 50 Incl I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL Fn / - 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions Code, and my license is in full farce and effect. Services License Number Lie.Class 0-200 Amp. Under 600 V - 201-1000 Amp. Under 600 V . Contractor 'Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole& Appurtenances ' I hereby affirm that 1 am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): ;24•z O,O A Misc.Conduits& Conductors Lank 1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— # ore o 0 0z 'structure is not intended or offered for sale (Section 2 e e ,� 'L O 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 7 I hereby affirm that there is a construction lending agency e o o 200 Q for the performance of the work for which this permit is PERMIT FEE ISu b-Total) Ld issued (Sec. 3097.Civ.G). 10_g Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 1 cc,tifv that I have read this application and state that the TOTAL FEE AGS above information is correct. 1 agree to comply with all County ordinances and State laws regulating Electrical wiring, and ' hereby authorize representatives of this County to enter upon - the ove-mentioned operty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ' tature of Per it a Date / - ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0412150006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-.0488 EXT: LEGAL ID: FEESPAID- BUILDING ADDR SS: TR: 14467 LT: 41 4909 CAMELLIA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: _TEMP CA 917804243 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMNPLE CITY 8589-015015-018 - Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 20.00 OUT 39.00 TENANT: G2 LIGHTING FIXTURES- 6.00 LGT 11.70 ISSUED.ON: PROCESSED BY: PLAN BY: EXPIRES ON: H7 RES EXHAUST FANS 1.00 EX 10.95 12/15/04 JK 06/13/05 LB 200 AMP PANELS, MCC 1.00 PAN 38.85 OWNER: 71L. N0: TOTAL FEES 128.25 FINAL DATE FINAL BY: CODE: CHIU, ERIC/JULIE W - 49C9 CAMELLIA AV TEMP 917804243 DESC IPTION OF WORK ELECTRIAL FOR ADDITION AND UPGRADE SERVICE TO 200 AMPS. APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: --T-E-776; UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE .. - PLASTIC Y/N METAL Y/N UTILITY COMPANY WOTIFI �- REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0108310022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING ADDRESS: TR: 14467 LT: 41 4909 CAMELLIA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804243 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD. 8589-015-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 23.00 OUT 43.05 TENANT: G2 LIGHTING FIXTURES 7.00 LGT 13.65 ISSUED ON: PROCESSED . PLAN BEXPIRES ON: H7 RES EXHAUST FANS 1.00 EX 10.95 08/31/01 JK 02/27/02 JB AC UNITS +3-10HP 1.00 AC 19.65 OWNER: TEL. NO: LB 200 AMP PANELS, MCC 1.00 PAN 38.85 FINAL DATE FINAL BY: CODE: CH1U, ERIC WING (626) 291-5534- TOTAL FEES 153.90 /Q�--,0/ %� 4909 CAMELLIA AV 6 TEMP 917804243 DESCRIPFTTON OF WORK ELECTRICAL FOR ADDITION APPLICANT: TEL. NO: SAME AS OWNER - _ SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: ,+ � :-f�% v/'�= APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO �� / , - � TEMPORARY POWER POLE �� Iy`✓ ,'' \ � '.;.,'� UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. / ,\ 1 UFER GROUND LIC. NO: �F 1, ROUGH CONDUIT ROUGH RING {O l MAIN----WA—TER LINE PLASTIC Y/N METAL Y/N F - - UTILITY COMPANY NOTIFI c REPORT ID: DPR265 ROUTE TO: BS0508