HomeMy Public PortalAbout5021 CAMELLIA AVE_Electrical__ 76A6e3-CE908 3-59 / ^•_
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_ APPLICATION FOR ELECTRICAL ERMIT
COUNTY OF LOS ANGELES
`bLrP RTMENT OF COUNTY ENCANEER BU I LID
BUL�IN(� AND SAFET-Y DIV ISIOL�
f
DD FSS Oo2
t. JO A. LAMBIE, COUNTY ENMNEEk
COLEMp,N W. JENKINS, SUPERINTENDENT OF BUILDINGOCALITY
FOR APPLICANT TO FILL IN EARESTROSS ST.
NO. EACH F[[
f f OWNER
RECEIPT._ MAIL e
ADDRESS
LIGHT TOTAL FIRST 20 .20
CITY A.Z E /f"V TEL.N0.
SWITCH OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 _ APPLICANT
FIXTURES } OVER 20 •10 ADDRESS
RANGE DRYER WTR. HTR. CITY TEL.NO.
STA. COOK DISP. F.A.U.T_ CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. _ - CITY r TEL.N0.
FAN OTHER , f.00 LICENSE NO. rCIASS.
MOTORS,TRANSFORMERS RATING I HERESY ACKNOWLEDGE THAT I HAV[ READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STAT[ THAT THEAGOVE ID CORRECT AND AGR[[ TO COLIPLY
SIZE Q TYPE OVER TO WITH ALL COUNTY 0PQINANCES AND STAT[ LAWS REGULATING
ELECTRICAL WIRING.
O — 1 1.00 I HERESY CERTIFY THAT I AM PROPERLY R[GIST[RED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AMD STAT[OF
1 — 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO O!.•.'
RES 1 D[ IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
10 — 50 5.00 (J
SIGNATURE
50 — 100 10D0 OF PERMITTEE 0
100 — 500 15.00 DI.TftlCT M0. •ROUP xoyhN[ PRoc[eGED ■r
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 V' •"
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 O
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENAWES 3.00 APPROVALS DAT[ DISP[CTO" SIGMATURi
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 OQ
UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
�,. JOSEPH C. ROOHAN
TOTAL FEE .io
SUPERVISING ELE L ENGINEER
LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
l 18 2 5Q1 S&15 2 D 5.00- 14
EE SACK OF APPLICATION FOR COMPLFTF Ff[ SCHEDULE
PE —
COIIfTT. OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS -ELECTRICAL
_508 9910040025.`
BUADING AND SAFETY/ LAND DEVELOPMENT TEMPLE CITY CA 91780
_v PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING
TR: 14467 LT: 30 5021 CAMELLIA AV:
FEE DESCRIPTION: QUANTITY: UOM: AMQUNT: TEMP CA 917803854
ASSESSOR I NEAREST CROSS STREET: LOWER AZUSA
8589-014-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
F1 12GV 15/20A BR CKTS 1.00 BR 17.25
G1 OUTL�TS-LGTSW RECP 4.00 OUT 7.80 .
G2 LIGHTING FIiHAES 2.00 LGT 3.90 10/04/99 UT 04/01/00 .
TOTAL FEES 56.70
06NER: TEL. NO: FINAL DATE FINAL BY:.
KONOSKE ROGER J•SHARON E
5021 CAMELLIA ASI C9
TEMP 917803854
ELECTRICAL FOR STORAGE SHED TO REAR F E
WILDE'S CONSTRUCTION (626) 448-2175-
4905 BALDWIN AVE. SPECIAL CONDITIONS:
TEMPLE CITY
E
5 P�GI EDATE INSPECTOR SIGN.ATUlRE
CONTRACTOR: TEL.Iff-- S COU
APPROVALS
WILDE'S CONSTRUCTION (818) 448-2175- �T�
4905 BALDWIN AVE LIC. NO
TEMPLE CITY CA 91780 401407 B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFSZ.GROUIND
ROUGH CONDUIT
LICTER LINE
. 111111
ROUGH WIRING
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U� C `t�J\�/J (( I 1 I�` PLASS MAINTIC Y/N METAL Y/11
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• ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508