HomeMy Public PortalAbout5703 CAMELLIA AVE_Electrical__ APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO Fal IN ADDRESS '
New Residential Bldgs. Pools EACH NO. FEE1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY
IF
Mulfi-family Sq, Ft. T— ..02 — -NEAREST.Residential Swimmirop Pools 25.00
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�IRM NAME
Outlets,PiDo_Light Sw-_ MAIL
RE55
First 20
Tgtal No. Addnlonal .30 CITY el.No.
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS `
Additional .30
Total No. CITY Tel. Na.
Fixed Appllorxon Not Over 1 HP P=IT
Range_Heater_D.W.— APPLICANT
,
Oven—Dryer'_W.K— ADD
Top _FAU _W.H. CITY Tal_. No.
Hood—Fon —Other LICENSEOR _
Dnp.—Rooru Air Coad. 2.50 REG.NUMBE Gass.
I HERBY ACKNOWtE)GE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT'THE ABOVE IS GORR�ECT AND AGREE TO
Size&Type HP, KW, KVA,or KVP R COMPLY WITH-ALL-fQIJ ORD
.50 INANCES AND STATE LAWS
2REGULATING ELECTRICAL IR NG.
Up to 1 Ind. F HEREBY CERTIFY THAT I-AM PROPERLYi2EGISTERED AND/Ok
Over 1 to 10 Irtd. 5.00 L1CBdSPD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Jnd. 12.50 CALIFORNIA OR THaj I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBEDRESID LPRWE
Over 50 to 100 IrK. 25.00
Chror 100 VY
40.OQ PERM1TH
SIGNATURE
ServketDISTRICT NO.
0-200 Amp.Under 600 V 12,50
201-100b Amp, Under 600 V 25.00
Over 1000 Amp.or Over 600 V 50.00
Temp. Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00
AddHlonal Sign Branch Circuits 2.00 INSPECTIONMisc.Conduits 8 Conductors - 10.00 INFORMATION
ON REVERSE(See Complete Fee Schedule) SIDE
;238aOA
#•o O.-o.o O.-o. o 2
PERMIT FEE / (Sub-Total)
0 0
PLAN CHECKING FEE (One.Fourth Permit Fee) O 2 1 9.5 0
PERMIT ISSUING FEE $7.00 19. 50LK.
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TOTAL FEE _ J ; 0A 1 8-79
INSPEC;10N�INAL5D
date, {zCj BY � (/��� .
COUNT`( OF LOS ANGELES TEMPLE CITY 0308 ELECTRICALERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TU AS EL 050$ 9803230006
BUILDING AND SAFETY / LAXD DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 551 5703 CAMELLIA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802502
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STRRET: LIVE OAK
SM7-017-001 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECA 8.00 OUT 15.60
Q LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PROCESSED BY: - PE)UFIT--- EXPIRES ON:
TOTAL FEES 51.15 03/23/98 VG 03
WARD ORDE B•MAUREEN F (626) 286-4224- �)�
5703 CAMELL�A AV /
TEMP.917802502
ELECTRICAL FOR ALTER AND REMODEL
APPLICANT: TEL. *0:
SAME AS 06MER -
SPECIAL CONDITIONS:
. /�5 GELES co
CONTRACTOR: TELNO:
SAME AS OWER - /�� U�TyAPPROVALS DATE INSPECTOR SIGNATURE
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LIC. NO //, TEMPORARY P061ER POLE
ARCHITECT OR ENGINEER: TEL. NO: - %
LIC. N0: I11111Ram
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ILI U I�)�L� �JI 1�1 l�J1�1� ,� PLASTIC Y/N METAL Y/MJv
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REPORT ID: DPR265 ROUTE TO: RS0508
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