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HomeMy Public PortalAbout5032 CAMELLIA AVE_Electrical__ APPLICATION FOR ELECTRICAL PERMIT BUILDING D SAFETY DI IQN FOR APPLICANT TO RILL IN JOB New Residential Bldgs.&Pools 'Z-'2 EACH NO. FEE ADDRESS 1 &2 Finally Sq. Ft $ — $ LOCALITY Multi-family Sq. Ft — NEAREST Residential Swimming Pools CROSS ST.14 OWNER OA FIRM NAME Outlet.: Light,Switch&Receptacle O MAIL First 20 ADDRESS Additional CITY Tel. No. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel. No. PERIT Fixed Appliances Not Over 1 HP APPLICANT Ranger Heater_ D.W. ADDRESS Oven Dryer W.M. Top FAU W.H. CITY Tel. No. Hood Fen LICENSEOR Clete CD Disp. A.C. I H.R.1Y ACKIOML.D.. THAT I HAV. R.AD THIS APPLICATION CD _ AND ■TAT. THAT TH. A101K IS CORR.CT AND A.R.. TO COMPLY V Power Apl5eratus& Large Appliances WITH ALL COUNTY ORD INAX C. AND ■TAT. LAW R.GULATIIG LJ Size&Type HP, KW, KVA,or KVAR .L.CTRICAL WIRING. d Up to 1 Incl. I H.R.1Y C.RTIPY THAT 1 AM ►ROP.RLY R.GIIIT.R.D AND/OR Over 1 to 10 Incl. UC.N1.0 A• R10 UIR.D ■Y LO■ ANOW-8 COUNT`/ AID /TAT. OF CAU ..NIA OR THAT 1 AM TH. L.GAL OWNKR OF TH. A10V. Over 10 to 50 Incl. D..CR11.D R.11D.NTIAL PROP.RTY. Over 10 to 100 Incl. SIGNATURE /���� Over 100 EIONATU RE sees Services DISTRICT O. ED BY 0-200 Amp. Under 600 V 201 -1000 Amp. Under 600 V APPROVALS DATEIN Over 1000 Amp.or Over 600 V SI NATURE TEMP. POWER POLE Temp. POwer Pole&Appurtenances UNDERSLAB WORK Slgn with One Brandi Circuit ROUGH CONDUIT Additional Sign Branch Circuits (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES ITOTALFEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH l - 253 NOV 12 6.10 & L 0 ` &zt 7LAee15cEeoe „i�Q APPLICATION FO AL PERAT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS COLEMAN W. JENKI u Nr u LOCALITY NEAREST FOR APPLICANT TO FILL-IN CROSS ST. 04TLETS Fe QQ_ OWNER RECEPT. s MAIL FIRS �O LIGHT ADDRESS CITY �✓ TEL. N0. T Z SWITCH OVER 20 Ip PLAN CHECK l FIRST lkv APPLICANT LIGHTING Il TOTAL OVER 26ADDRESS FIXTURES I0 APPLIANCES CITY TEL. NO. RANGE DRYER_WTR. HTR. PERMITAPPLICANT dr STA. COOK DISP.r_F.A.U. ADDRESS SPACE HTR, AIR GOND. CITY EL. CLOTHES WASH.'_/—DISHWASH. LICENSE N0. CLASS. FAN OTHER ,.00 @ IHEREBY ACKNOWLEDGE THAT I HAV[ READ THIS APPLICATION AND STAT[ THAT THE ABOVE Il CORRECT AND AGREE TO COMPLY MOTORS, TRAMSFORMERS PLATING WITH ALL COUNTY o'I1DINANCES AND STAT[ LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. E.LE CTRICAL WIRING. SIZE, TYhI, OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — I I m LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA ON THAT I AM TH[ LEGAL OW ER OF, AND INTEND TO 1 — 1G app RESIDE IN, TH[ ABOVB D IEED SI [RTY. 0 SIGNATURE V 10 — BO 6.00 OF PERMITTE oC 60 — 100 10.00 0 D L/TRICT NO. 0.A1f PRO ED BY 100 - 600 15.00 -5 p / o. 8IGN, GAS SIGN AND ONE CIRCUIT 6A0 NOTES: Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS ,•00 SERVICENOT OVER 600VOLTS OR200AMP, 3.00 APPROVALS DAT[ DISPEL 'S 4NIW7UI! SERVICE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, IN APPURTENANCES 6.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTUR POWER AUTHORS ED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED LU PLAN CHECK FEE FINAL j PERMIT ISSUING FEE 3no JOSEPH C. AN . TOTAL FEE Q SUPERVISING E7Elp CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI M.o. CA IH 4611. M 2 2D SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 7&, -CE.°° ,,,7D APPLICATION FOR ELECTRICA PERMIT IJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 13UILDING AND SAFETY DIVISION ADDRESS JAII COLEMAN W. JENKINS u N or u LOCALITY NEAREST FOR APPLICANT TO FILL Ito CROSS ST. OUTLETS NO. EACHI FIVE OWNER RECEPT. S_ MAIL � LIGHT TOTAL FIRST 20 ADDRESS CITY TEL. N SWITCH OVER 20 .10 ' PLAN ECK FIRST 20 25APPLICANT LIGHTING Il TOTAL OVER 20 ADDRESS FIXTURES .10 CITY TEL. N0. APPLIANCES PERMIT RANGE ` DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO CLOTHES WASH. /~DISHWASH. LICENSE NO. CLASS FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AN STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE k TYPE OVER TO I HEREBY CERTIFY THAT I AM PR OPER LY REGISTERED AND/OR 0 - 1 IAO LICENSED Al REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.0101 OO RESIDE IN, THE ABOVE 0[S CR ID D R[fl NTnIAL PROPERTY. SIGNATURE / qf�� ) O 10 - 50 6.00 OF PERMITTEE r 1, 1 ,/ l � 50 - 100 IOAO 0 DISTRI CT HO ASS iONE Y 0 100 - 500 Ieoo oe ( CIL SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS IAO SERVI CENOTOVER 600 VOLTS OR 200 AMP DAO OD APPROVALS DATE U7SP[CTOR'1 SIGNATURE SERVICE OVER 600 VOLTS OR20D MP t0A0 TEMP.POWER POLE TEMPSERVICE,POLE, &APPURTENANCES 6.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTUR y POWER AUTHORIZED- ! C� PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED 1 PLAN CHECK FEE / 3 Q FINAL ` PERMIT ISSUING FEE DAO JOSEPH C RO HAN TOTAL FEE OO SUPERVISINpg ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT CK. M.O. CASH LAGo 4 6 9 0-2 2 D 6.0 0- SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE 7GA663 SA 25M SETS 7-48 APPLICATION FOR PERMIT t DEPARTMENT OF BUILDING AND SAFE'L'Y ELECTRIC � COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER Q NAME DISTRICT NO. GROUP I ZONE PERMIT NO. U ADDRESS 1- RECEIVED BY READY FOR DATE ISSUED UU CITY TEL.NO. FIRST INSPECTION J COUNTY W LICENSE NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOS DESCRIPTION OF WORK ADDRESS v NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST. CIRCUIT A B C D E F G H NAME Z MAIL 3 ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CEIFI�TE OF QUAL 151CA N.. - ll`�yy,, �((TT ffffff ELECTRICIAN. 1 AM THE"GAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS a z 0 0 TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES F 10 $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RKNGFS OR HEATERS $ FIXTURES EPIERMIrT LAN S $ POWER FEE ffi UTILITY CO.NOTIFIED FEE FINAL COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TURAS ` EL D508 9704030003 BUILDING AND SAFETY'/' LAND DEVELOPMENT TEMPLE CITY CA PRONE: (818) 205-0488 EXT: LEGAL ID: FEES PAID BUILDING TR: 1467 LT: 75 5032 CAMELLIA AV: 6- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803853 ASSESSOR IN NEAREST CROSS STREET: 8589-017-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID; A4 LOCALITY: TEMPLE CITY E1 TEMP SERV POWER POLE 1.00 TMP 43.50 TOTAL FEES 71.25ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ., 04/03/97 TC 04/03/98OWNER- TEL. NO: FIRAL DATE. BY CODE: SKIMMER WILLIAM R;LILLIAN A - 5032 CAMELLIA AV TEMP 917803853 DESCRIPTION OF WORK TEMPORARY POWER POLE FOR CONSTRUCTION SITE APPLICANT: TEL. NO- PERFORMANCE POWER SYSTEMS (9D9) 923-6133- SPECIXE. CONDITIONS: . CONTRACTOR- TEL. NO: APPROVALS DATE INSPECTOR, SIGNATURE PERFORMANCE POWER STYSTEMS (909) 923-6133- - 1326 E FRANCIS LIC. NO '- TEN RA POWER POLE ONTARIO 91761 693087CIO = s`• ARMTECT OR ENGINEER: TEL. NO: UFER GROUND LIC.- NO: r, — MAIN WATER _ PLASTIC Y/N - METAL Y/N UTILLTY 1 REPORT ID: DPR265 ROUTE TO: BS0508