HomeMy Public PortalAbout5702 CAMELLIA AVE_Electrical__ APPLaATION FOR 5LECTRICAL P IT
COUNTY OP LOS ANGELES
DEPARTMENTOF COUNTY ENGINEER 5702 AVE.
BUI G D D
POR TO f�4 IN 7,L7i7c
New Rmldenrial Bldgs,d.Pools, EACH "
$ 025. — --IJLW 3 2-Family,Sq. Ft. R
Multi-family Sq.Tt. 02 HRM E t-
Residem al Swimming Pools 20.00 DDIL'.
RESS ►�"L.
Outlets:R„r Light_Sw. ; QTY Tel.No. _
first 20 .50
PLAN ECK ,
Total No. _. Addbonal .30 APPLI NT
J ADDRESS
Lightlnq Fixtures First 20 .50 -aTy Tel. No.
Total No.T� Additional .30 PERMIT
APPLJ.�ANT. TEAM UCC
Fixed Appiiances Not Over 1 HP ADDRESS 20'34.N.- PECK M,
Range—Heater_D.W.— CITYTel.N
Chen_Dryer_W.MKSE OR
��
Top -FAU .�W.H.
W.NUMBER 255094 Class.G,Za
Hood-Fan —Qther— HJ RMy,kCX KiWLEQGE TRAT J.HAVE READ n45 APPUG,TI ON MND 3T/�TE
Abp. — Rogm Air Cond. 2.001 50 TFJAT THE ABOVE M.C OWECT ANDTO COMPLY WfM All COUNTY DRISIN
ANM AND STATE LAWS REGLX TI NG RICTM&L W FJ4G. -
Power Apparatus S Large Appliances
Sae S'Type HIP, KW, KVA,or KVAR I H�Y 0CVZ&n FY TFIAT 1 AM PW>P'ay r�GurE32ED ANDAN LK::S AS
2 00 RE4URED.9Y i ANGBS CbONV AND TE GUJFORNII�AA oQ THAT 1 Aho
Uptb 1 Ind. TMELEGAL OWNER OFTHE ABOVE
Dl3Cta bAJ1lA1PROPETiTY,
Over I to 10 Ind. 5.00 FIERMJT
Over 10 to 50 Ind. 10.00 S4GNA UR
Over 50 to 100 Inc 20.00 SIGNATURE
Over 100 30.00 DISTRICT NO. PROCESS 6Y
Soryices �+
0-'200 Amp.Ander 600 V 12.5 APP V DAT(/ "POR?
201-1000 Amp.Under 600 V 25 Et
Qvef 1000 Am50.00 TEMP. POWER PO4E
Arno.or Over 600 V ,
Temp.Power Pole S Appurtenances
10.00 jF9
NDEF§LAB WORK
Sign with One Branch Circuit 10. ROUGH I CONbUF!
Additional Sign Branch Circuits 2.00. Wl Rl NG w
ER
Mist Cgnduits h Cor4u�grs
15.00 XTU RES
Other(sae Complete Fee Schedule) OWI R AUTHORIZED
UTILITY CO.NOTIFIED
FI NAL
PERMIT FEE (Sub-TQtal)+ W 50 NOTES
PLAN CHECKING FEE (One=Fourth Permtt Feel
PERMIT ISSUING FEE $6.00' 44
TOTAL FEE �.00 s
PLAN CH K VA11W�T10N CK M10. CASH EMIT VALIQA C1C wo. CASH
IEQ BACI(.OF APPLiCATFON FORCOMPLETE SCHKDUL E:
7eAee3ceeoe ,D,n APPLICATION FOR ELECTRICAL PERMIT
r—OUNWOP LOS ANGELES
D%PARTM'ENT OF COUNTY ENGINEER FLOCCALI
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. Fill! OWNER OR
. FIRM NAME
RECEPT.-7— MAIL /� / V
LIGHT TOTAL
FIRST 20 ADDRESS O L
CITY TEL. NO._—I&—
SWITCH — QVEk 20 10
PLAN CHECK
FIRST 20J. APPLICANT
FIXTURES
LIGHTING TOTAL
.OVER 24 .10 ADDRESS
.
RESIDENTIAL APPLIANCES CITY TEL. NO.
' ��iiM
RANGE DRYER PE
_WTR. HTR. 1 APPLIIT CANT
STA. COOK DISP. F.A.U. ADDRESS ,
SPACE HTR. AIR COND. CITY TEL. N0.
CLOTHES WASli. DISKWASH.— R>;O NUM6ER Ci ASS.
FAN OTHER 1D0 I HEREBY ACKXOWLEDIPE THAT I HAVE READ THIS AP]AD./-
:
AND NATE THAT THE ABOVE IS CORRECT AND ASR[[
MOTORS, TRAXSlO RM ERS RATINo WITH ALL, COUNTY ORDINANCES AND STATE LAWS R
IND. HEATERA, ETC. HP. KW. RVA. [LE CTR ICAL WIRING.
SIZE h TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTER
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND CALIFORNIA OR THAI I AM THE L[SAL OWNER OF T
1 — 10 8A0 QKSCRIRED RESIDENTIAL PROPERTY. Q
PER
I
10 — 50 0.00 SIGN
TFGT'R/ wGNATUFY p�
'SU — 100 16.00 DISTRICT NO. PROCESSEDIA
100 — 54DO 1800
Z_
SIGN, GAS SIGN AND ONE CIRCUIT 8.00 APPROVALB DAME ECrCW3 SWWATURK
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS ,DO TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTSOR,2OOAMP 10.00 ROUGH CONDUIT
TEMPSERVICE,ROLE, &APPURTENANCES 0.00 WIRING 101
TEMP LIGHT OR RECEPT. SY$TEM SIM FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEL (SUES TOTAL..). S NOTES: ,
PLAN CHECK FEE .
PERMIT ISSUING FEE 300 Q
TOTAL FEE �I
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION cK. IA.0. CASH
Q.2 9 N DEG 5 2 D 8.7 5
SE[BACK OF APPLICATION FOR COMPLETE SCHEDULE
APPLICATION FOR ELECTRIC PERMIT
DIVISION OF BUIWING AND SAFETY
d ,�, wnd-DRiis.3 0 2
JOHN A NTme ala, couY Enorm
e7AflJ1TT D. OR FEIN fvr^r oir■uri.C,na LACALJ7Y
FOR _ IC�.4NT TO FILL.IN ►I>Wtr�rt
11D[13 �'� cr*NMR 1
iv t BRA AW A
LIGHT Oururr! MAIL
RSCiPTACLAS AL}DRS"
w.,t a Fla
TIU.-
T2ZLL6 OuTwrm p 04 s ELECTRICIAI`I
RANO[/ 25Abbmm
HRATERD bk IID
CITY NO
KW to STAT't
P DCTUR= LICKN61%NO
MOTORS DISTRIGg&0. 10ROUP ZO as►�T roa lirttaifoa
Kummmt HORISTOWlM y+.
raw rvD. HP oven Dec. TACH ICiZON
� r•J.� .Yli
a .50
5 1.00
13 15 I.So
15 DO ---. 2.150
50 200 5.00
18C.
NO.DIo115 NO.TRANIi.
NO 1"qM NO. LA11PD
FOR RACH MIT;
WIRING 41.00 DD
FIXTU RMS 41.o.0
QUPPLXWKNTARY 50APPROVALS
TOTAL FEE 0 DATE IRBnCTOR'S SIGRATURZ
IHEICFxBT ACKROWLIEDO9 THAT I HAIR READ THIS APPLICATION
AILD STATIC THAT THE ABOVE 18 CO CT ARD AOM TO C011PLT CONDUIT
WrrH AL3. 11K,V ORDIRARCES A11b STATE LAWS REQOLAT'INa
ELECTYICAL WIRI 4. WIRING ate.
I HUMV CHRTIFY THAT I AS: PRq PERU REGISTMM ARD/011 rixrURES
LICERSED.AS RRC UMM ET LOIS ARGELES COURTT•AND STATIC OF
CCAA��.IFORRIA OR T 1 AS T LB Of TEX ABOTE POVWXR
DHECRIBED RE61D 0 _
OIONAT9JRE UnL.ITY CO.NOnFIm �Z l 'S
OF PIRlIM FINAL
JOHN A.LAMBIE.COUNTY ENGINSXPRArlON ARTHUR c.var rr.C UK ELzc r.I ro>R
YO CASH
3 4-6 .7 A DSC l 8 2 130 0
1
79Ae93-CXDOG_H-MIAPPLICATION FOR ELECTRIC PERMIT
covrTr of um xMRM=
IEPAUMUff OF COUNTY ENS BUILZING
BUHXUga rb�,Zt�D SAFFErr EMMON AID
(�)
C D. aa>�m.qct LOCALmr 1#1e
FOR APPCLL IN
1 T s Y w I
ONER I
W
OLTTLSTH' s !s MAIL
o1iTl' REcirr. ■111 O ADDRESS
LIGHTING FIXTUR" 16 Ty
RANa" CLO.DRY1Qt1 1 �O ELECTRICLALN
WAT<R HKAT[R■ / ADDR
M KC.GTAC;HTRL- DISHWALK]3t§
aARDwos r Avror / 1111Y TIL.NO.
WASTIA" LTA.CDOIUNo UNrrZ 1 IT A
LI
MOTORP. OVn[ INC- H.F
' RZAIfY rOR IX![O'TIOX'
0 — Vh .2 D _
2 .DO
IN$P=0N HECOBD
2 — D 1.00
D — 111 1-D0
1 D — 50 "o
DO— 200 5.00
sIdN6� NO.TRAM.
ND.LAYM
sERVIcE o-EoOv 1.00 d O
s1r'RvICE OVER DOOv 15.00
YISG
WIING PERMIT 1.60 0
FLXTUR$PERMIT 1.00
SUPPLEMENTARY PERMIT .DO
TOTAL FEE i APPROVAIS
I HEREAT AC OWL®GE THA I RAYS [HI2 APPLICATION DATA IASPE ' 1<1GAA
AND STATE THAT THE ABOVE I CORRECT AND AGREE TO,COXPLT CONDUIT
WITH ALL COUNTY ORDINANCES AND SPATE LAMS REOULATING
ELECTRICAL WIRING. WIRING
I MMEBT CERTIFY THAT I AN PROPERLY REGIST0ED AAD/OR
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STAT[ OF FIXTURES
CALIFORNIA OR THAT 1 I THH Ot11fiR OF THY ABOVE POWER
DESCRIBED RESIDENT
SIGNATURE UTILITY CO.NOTIFIED
OF FERMI
VALIDAT194, SU 141 EJ_[GTRICAL t
OK YO •
M4 5 9 8N SEP ! 8 2 A 2,75 N
COUNTY OF LOS ANGELES TEMPLE CITY y 0508 ELECTRICAL PEU41T
DEPAR714ENT OF PUBLIC WORKS 9701 LAS TONS EL 0508 0908180019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY .CA 91780 ,
PHONE: (626) 285-,0488 EYT:
LEGAL ID: FEES PAID BUTILD324G ADDRESS:
TR: 6561 LT: 550 ON: .002 5702 CAMELLIA AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802501
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CAMELLIA
8587-022-027 Al PERMIT ISSUANCE FEE 27.75 THON S PAGE: 597 GRID: A3 LO(7+LI'I'Y: TEMPLE CITY, C
Gl OLTPLEwrg-LGT,SW,RECP 12.00 OUT 23.40
TAT: G2 LIGHTING FIZTURRS 15.'00 LOT 29.25 ISSUED ON: PROCESSED BY: PLAN BY: EKPIRE9 ON:
HA FAD LESS 3HP 1.00 FAD 10.95 08/18/09 SR 08/18/10
H� RES DISHWASHR LT 3HP 1.00 DIS 10.95
01¢EA: TEL. NO: HS RES WASH MACH LT 3HP 1.00 WAS 10.95FINAL F Y: CODE:
THEIIACKER MA LON S;GAYLE C (626) 285-6555- H7 RES EZHAUST FANS 1.00 EK 10.95 '
5702 CAMELLIA AV H9 RES ADPL LT 3HP 4.00 RES 43.80
TEMP 917802501 LB 200 AMP PANELS, MCC 1.00 PAN 38.85 DtSClaPTION OF MIRK
TOTAL FEES 206.85 ELECTRICAL FOR REWDEL, SYSTEM AND UPGRADE SERVICE
PANEL TO 200 AMP
APPLICANT: TEL. NO:
SAME AS 04NER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS BATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO T24POiRARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH COND=
ROUGH WISLING
MAIN WATER T.
PLASTIC YIN .METAI, YIN
UTTII= COMPANY NOTIFIED
r
REPORT ID: DPP-265 ROUTE TO: B90508 -