HomeMy Public PortalAbout5123 CAMELLIA AVE_Electrical__ 7aAeB9-cl=eoa „�D A PERMIT
COUNTY_,. APPLICATION FOR E ECTRIC
DEPARTMENT OF COUNTY ENGINEER BUILDING / 9�7IG a
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENOINxKR LOCALITY e
COLEMAN W. JENKIND. SUPPMER1 IIENT
t4MRESTFOR APPLICANT TO RILL INS ST. O
OUTLETS OWNER f L�
RECEPT.2 MAIL
L FIRST 20 �� ADDRESS
LIGHT TOTAL
g— OVER 20 CIN TEL. N0.
SWITCH PLAN CHECK
FIRST 20 D APPLICANT
LIGHTING TOTAL
FIXTURES
'2_ I OVER 20 ADDRESS
APPLIANCES
CITY TEL. NO.
P ERM I T �7
RANGE DRYER_WTR_ HTR APPLICANT - C7,12
G
STA. COOK' DISP./F-A.U. ADDRESS d
SPACE HTR. AIR COND. CITY S TEL. NO. S3f^i`1s
CLOTHES WASH. DISHWASH. l LICENSE NO. ",LCC-r_3 CLASS. C-^!d
FAM OTHER 7 IOo rf A7 a I HEREBY ACKXOWL[D!R THAT 1 HAVE READ THIS APPLICATION
fes" f�
AN
D STAT[ THAT THE ABOVE 10 CORRECT AND AGREE TO COMPLY
MOTOR! TnAl1l FORM[R■ RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HF_A,TEn/, [TC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE S TYPE OVER TO
IHEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR
0 - I IDO LIL.[NSED AS RED U IRED ■Y L0S ANGELES COUNTY AND BTATK OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3O RESIDE IX, THE ABOVE OK8CRIBED RESIDENTFAL PROPERTY.
10 - 80 am OF PERMITTEE
sa — 100 IODo nt
DISTRICT NO. a !B77f/
XE
TUB P oc Br
100 - E00 I a.00
OAS SIGH AND ONE CIRCUIT 300 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS IAO
3 ERVI CE NOT OV ER 800 VOLTS OR 200'AMP 3
APPROVALS DATE ptW4[CTOR'S SIGNATURE
8ERVICEOVER BOOVOLTS OR200AMP aoo
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES &00
UNDERSEAS WORK
TEMP LIGHT OR RECEPT. SYSTEM 8.00
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (SO% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE U^ tJ
I
SUPPLEMENTARY PERMIT ISSUING FEE ,DO FINAL
JOSEPH C. ROOHAN
TOTAL FEE 7 SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION GDM . CASH
.�+. 2 0 1.61-- AWl 2 D 9.75N
■[[ BACK OF APPLICATION FOR COMPLETE SCHEDULE
7eA6e3-cEe" 11,70 APPLICATION FOR E CTRi�L PE IT LJ
COUNTY OF LOS ANGELES
DEPARTMENT aF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
COLHMAN W. JENKINS UPKRINTUNDKNT OF BIJILOCALITY i Cl
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. _�
OUTLETS NO. EACHI F OWNERL
S S
RECEPT._ MAI L
LIGHT TOTAL
FIRST 20 ADDRESS 6 I 3
OVER 20 cITy T L TEL. NO.
SWITCH OVER PLAN CHECK
LIGHTINGFIRST 20 APPLICANT
TOTAL
FIXTURES
��O .iD
ER 20 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT -y^
RANGEDRYER_WTR. HTR. APPLICANT J
STA. COOK D19P._.k F.A.U. ADDRESS /,RO C �-
SPACE HTR. AIR COND. CITY _ TEL. N0.
CLOTHES WASH. DISHWASH._X_ LICENSE NO. -1,6 CLASS. C�-
FAN OTHER 1.00 I HERESY ACKNOWLEDGE THAT I HA VL READ THIS APPLICATION
K�
AND STAT[ THAT THE,ASOVI IG CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND $TATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE 6 TYPE OVER TO
IHERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — I 1p0 LICENSED A$ RED IRED DY LOS ANGELES COUNTY AMD STATE OF
CALI FORM IA OR THAT I AIA THE L$G AL OWNER OF, AMD IMTEN D
[ND TO �-
1 — 10 SIXESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
SIGNA10 — 50 8.00 OF PEgMRITTEE
6o — 1 D 10D0 DISTAICTNO. CLASS =10
ED BY O
100 - Soo 15.00 5,( f l(IJJ
a
h
81GN, GAS SIGN AND ONE CIRCUIT _ 5.00 NOTES: Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CE NOT OVER 600 VOLTS OR 200 AMP 3.00 3 Op
APPROVALS DATE [tSPECTOWS SIMIATU'E
8ERVI CE OVER 600 VOLTS OR 200 AMP 10
TEMP.POWER POLE
TEMP SERVICE,POLE, h APPURTENANCES 5.00
UNDERBLAB WORK
j TEMP LIGHT OR RECEIPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTUR
POWER AUTHORI7ED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTJFIED
PLAN CHECK FEE
FINAL
li PERMIT ISSUING FEE 3� 3 '00JOSEPH C. ROOHA
TOTAL FEE 3 O ZJ SUPERVISING ELE E1fCINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CASH
}e'}
I �G 7,7, .,.sem 14 2 D 8.0 0 N 4
. L1�1� .
BEE BAC( OF APPLICATION FOR COMPLETE SCHEDULE ' +h
COUNTY OF LOS ANGEL£g TEMPLE CITY # 0508 ELECTRICAL PERMLT
DEPAR'DQNT OF PUBLIC MJRIS 9701 LAS TUNAS EL 0508 1107260045
BU=ING AND SAFETY / LAND DEVELOPFENT TfiT(PLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FESS PAID BU=INO ADDRESS:
TR: 15683 LT: 90 5123 CAMELLIA AV
FEE DESCRIPTION: QOANI'ITY: OOH: A 404OW: TM(P CA 917803856
ASSESSOR INFORMATION NT*MER: NEAREST CROSS STREET: LA ROSA
8589-013-012 Al PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-L(TT,SM,RECP 20.00 OUT 38.80
TENANT: G2 LIGHTING FIXTURES 12.00 LAT 23.30 ISSUED ON: PROCESSED BY: PLAN BY:
HA FAO LESS 3HP 2.00 FAO 21.80 07/26/11 SR
JB AC UNITS +3-10HP 2.00 AC 39.40
04RTER: TEL. NO: LB 200 AMP PANELS, MCC 1.00 PAN 38.80 F DATEBY: CODE:
NONG, HARRY H (626) 318-7189- TOTAL FEES 189.90
CAMELLIA CAA AVE
TF24PLE CITY CA 91780 DESCRIPTION OF "ORI
ELECTRICAL FOR NEW ADDTTION, HVAC SYSTEM AND UPGRADE SERVICE
PANEL TO 200 AMP
APPLICANT: TEL. 190:
NO HARRY (626) 318-7189-
SPECIAL CONDITIONS:
CONTRACTOR: TES,. NO: APPROVALS DATE INSPECTOR SIGNATURE
HONG, HARRY H (626) 318-7189-
3134 WASHINGTON AVENUE LIC. NO TEMPORARY POWKR POLE
EL MOIPi'E, CA 91731 NONE
UNDERGROUND COND=
ARCHITECT OR ENGIZZEStit: TEL. NO: UFER GROUND
LSC. NO: ROUGH CONDUIT
ROUGH 11IRZZaG
MAIN STATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NCYI'IFIED
' a
REPORT ID- DPR265 ROUTE TO: BS0508 ���