HomeMy Public PortalAbout5729 CAMELLIA AVE_Electrical__ 7eAB"-CEe06 1/70 APPLICATION FOR ELECTRICA PERMIT u
.1 COUNTY OF LOS ANGELES
• DEPARTMENT OP COUNTY ENGINEER ABUILDING
DDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINE, SUIPKIRI?4TffX0KNT Of IIUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO, EACHFE
OWNER
RECEPT._ MAIL r
LIGHT TOTAL
FIRST 20 2p ADDRESS
CITY-r ?EL. N0.
SWITCH_ OVER 20 10
PLAN CHECS
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. J APPLICANT
STA. COOK DISP. F.A.U. l ADDRESS f
SPACE HTR. AIR COND.� CI TEL. N0. 01v
CLOTHES WASH. DISHWASH. LICENSE Nt. CLASS. (�
FAN OTHER 1 m I HERESY ACKNOWL[b G[ THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE It CORRECT AND AGREE TO CQMPLY
MOTOR/, TRANSFORMERS PATI N@
WITH ALL COUNTY ORDINANCES AND /TAT[ LAWS REGULATING
IND. HEATERS, ETC. HP. KW. RVA. ELECTRICAL WIRING.
SIZE G TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O — 11A0 LICENSED A■ REQUIRED BY
LOS ANGELES COUNTY AND tTATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10' Spp RESIDE IN, THE ABOVE DESCRI� RE/IPROPERTY.
SIGNATURE O
10 - b0 0.00 OF PERMITTEE, U
80 - 100 IODO
DI■TIIICT NO, A/■ GRO ZONE FROCK [ Y c9
100 - 500 tem
SIGN, GASSIGN AND ONE CIRCUIT 300 NOTES:
�IC� �-
TUBE, OR II/ H
MARQUEE ADDITIONAL CIRCUITS 1.00 / // c--4a a. �r'. 7 !�• ?
SERVICENOTOVER600VOLTS OR200AMP 1.00 I
APPROVAL/ DAT[ 11NIIMTURE
SERVI CE OVER 600 VOLTS OR 200 AMP Sm
TEMP.POWER POLE
TEMP SERVICE,POLE, QAPPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR REGEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) dD
POWER AUTHORIZED
PLAN CHECK FEE (SO% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE L00 b'i7
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1m
JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK.
I [ 9 1 6 aL—_ MM 16 2 D 4.00
SE[ BACK OF APPLICATION FOR COMPLETE SCHEDULE
WORKERS'aya a cep"°"°f`AI'°" � 10'B1 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certlfioate d oa�,ertt to_setf treure,
or a cwtfIcats d Workers' Corrperrsation I�r`rce, a certlfled COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy tiered(Bea 3800,Lab.C.)
Pdlcy Na Conwry FOR APPU ANT M FILL W JOB
❑ Certlfled copy is Aeby tumys*c, EACH NO. FEE S
New Reelderrt BbU&ti Fools
❑ CerfflW copy Is flied with the coifity bu0dhrg fnepedion 1 tt 2-Fan-iDy,S4 Ft $ — $ LOCALITY
departs 0 �-may�Ft. NEAREST
CF1098 8T.
Date pppf t Reebarrlel SwLnuT PodE
Pods OWNER OR
FFOA NAME
CERTIFICATE OF EXEMPTION FROM WORKERS MAL �+
COM PEN SAFUN INSURANCE Oitieta Rao— LJafrt Bw.— ADDRESS J
(Th%Mcdon need riot be eomrplabd If the work Imvh-ed by the Ft°t 20
permit 16 for one hundred dollar($100)or fee&) Total Na� Addrdcnal CITY Td.Na
I certify diet in the ponbrmance,of the work for which thb it permPLAN CHECK
APPL.KJ1NT
Is Issued. 16W not anploy ary pereon In any manner so as to
beoorne aubject W the VlUrfcere'CompenaaBon Lawn LJghtlng Fbt— First 20 ADDRESS
_ Total No. Addbx*0 CTTY TeL Na
Dela A Foxed Appflarx"Not Over 1 HP
NOTICE TO APPLJGANT: tt, after this Certttloafe of PST
Exe VbNi,you shadme becoaubjed the Worker'Corpersatlon Rerpe— Heater— D.W. APPUG,Nf
provleions of the Labor Code, you must forthwith oon#y with such Oven Dryer— WIN.— ADDRESS
provfelons or this permit shall be deemed rewked Top FAU — WJ--L — CITY Tel.1,40-
LICENSED CONTRACTORS DECLARATION Hood Fen — Other—
I hereby affirm Chet I am foeneed under provWcne d Chapter 8 pls4 Room Air Cond. LUNSE OR QWL
(aonuronofnp with Section 7000) of Dlvfeion 3 d the Buefneee and REa NUMBER
Professions Code,and my licorm is In full farce and effect. Power APPS S Large Appfler— Dt81RCT► , ^� w4T
BY
Stze& Type HP,KW,Kor KVAR (JJJ
License Number I 1 Lla Clens VO,Up to 1 incl
VILWATIQ
b
Over 1 to 10 trill. bATE
Contractor– Data 6
Over 10 to 60 IncL FINAL
❑ I am exempt under Sea Over 60 to 100 Inc. BY
BAP.C.for thb reason Over 100 Cn
Date: Swvbes,Swbd,MCC d Panemoards
0-200 Amp.Under 600 V
3i�ature 201 - 1000 Amp.Under 600 V
Over 1006 Amp.or Over 600 V
❑ Exampticn.for Rep.Malnt Elect.
SINGLE FAMILY Temp.Power Pcle ti Appurtenarrcee . 2
HOME OWNER-BUILDER DECLARATION Sign
I hereby atArm that I am exempt from thntractor`s e CoUcense LaW vrttt,One Brar,ct,Circuit ACCT.T.
for the Code). tdlowtng reason(Section 7031.6,Bushes and Proteeebne . Addklonal Sign Branch Circuffe7 CL
.00
Q I,as owner d perty,
the pro ,will do the work end the SblKtrre Mi9a Condufte a Conductors 1 I 1[.1 ti3
Is not frrterded or offered for sele (Section 7044, Buelneee Other(See Complete Fee Schedula) —
and Professions Coda). Poo.. NOTAL 56 .00
CONSTRUCTION LENDNG AGENCY CWCK 56■00
1 hereby storm that there Is a oord'uction lending agency for the
perfamnanoe of the work for whloh thle permft is lsmu (Sep.3087, PERMIT FEE (Sub-Total) cwku ■
Civ.C.).
PLAN CHECKING FEE r�r�_ryy�
L andere Nerve S ryR.RJ1.–M 7/24/90
PERMIT ISSUING FEE '
Landers Addrwe 5 2012 1 ASI 9:07
1 owttfy that I have reed this appOmtfon and abate that the above TOS-FEE ,
frtformatl n is coned.I agree to comply with all County ordkV noes
and State laws rW-rk rrg Electrical wiring, and hereby authortze
repreeantativee of thio County to enter upon the above-mentioned
Inspection purpoeos' SEE REVER8E FOR EXPL.AMATOFjY LANGUAGE
d N
I � q D
COUNL7 OF 10.9 ANGELES TEMPLE CITY # 0508 EL&CTorCAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1307290022
B=,DING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BT=ING ADDRESS:
TR: 6561 LT: 553 BL: .001 5729 C'ANELLIA AV
FEE DESCRIPTION: QUANTITY: DORS: AMOUNT: TEMP OA 917802502
ASSESSOR INFORMATION NUMBER: NRAREST CROSS STREET: LSVE OAK
8587-017-024 Al PERMIT ISSTANCE FEE 27.80 THOMAS PAGE: 597 GRID: A3 LACALITY: TE24PLE CITY CA
G1 OLT=S-L9T,SW,RECP 17.00 OUT 34.00
TEPIANT: G2 LIGHTING FIXTURES 25.00 Ld3T 45.70 ISSUED ON: PROCESSED BY: PLAN BY:
H2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 07/29/13 SR
H3 RES DISHWASHR IT 3HP 1.00 DIS 11.00
OWNER: TEL. NO: H4 RES RANGE HDS IT 3HP 1.00 HOO 11.00 F D?TE FINAL CODE:
YU, PEDC24G (310) 975-5899- TOTAL FEES 140.50
5729 CAM=TA AV
TEMP 917802502 D ION OF WORK
17 OUTLETS, 25 LIGHT F , GARBAGE DISPOSAL, DISHWASHER
AND RANGE HOOD '
APPLICANT: TEL. NO:
HO, CHIA HSIANG (949) 278-5354-
17130 VAN BUREN ST SPECIAL CONDI'T'IONS:
RIVERSIDE CA 92504
CO R: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CHIA HSIANG HO (949) 278-5354-
17130 VAN BUREN STREET LSC. NO TEM ARY POWER POLE
RIVERSIDE CA 92504 861939
UNDERGROUND CONDUIT
ARCHITECT OR RNOI7.1KER: TEL. NO: UFER GROUND
KWOK, TERENCE (323) 697-2120-
260 E GARVEY AVE LIC. NO:
ROUGE (UHIIGTT
W TERFi'Y PARE CA 91755 C24796
ROOGB WIRING
MAIN WATER L21S
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
f
COUNTY.OF LOS ANGELES TEMPLE CITY # 0508 I ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAE TUTAS EL 0508 0311120020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91750
PHONE: (626) 285-0488 EXT:
LEGAL
FEES PAID
Tit: 6561- LT: 553 BL: .001 5729 CAMELLIA AV
FEE DESCRIPTION: QUANTITY: UOM: AMIOUIT: ; TiEERP CA 9917502502
ASSESSOR INFOMATR% NUMBER: NEAREST STREET: LIVE OAK
8587-017-024 Al PERMAIT ISSLMNCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
H1+ FAU LESS 3HP 1.00 FAU --10:95
TOTAL FEES 38.70
1/12/03 JK /10/04 -
5FINAL BY:
1729 ECAMELLIALTREE ROYVL JR CO TR (626) X93-7539- DAT n-j1 CODE:
TEMP 917802502CPA ER TEL NO: F I Z -�/
HARDWIRE TO EXISTING CIRCUIT
APPLICANT: TEL NO: 7-
FASTTRAK PERMIT SERVICE (909) i79-0604-
5030 VICEROY AVE. SPECIAL CONDITIONS:
NORCO 92860'
CONTRACTOR: NO: APPMKt INSPECTOR SIGNATMr--
AIR TRO (626) 357-5311-
1630 MYRTLE AVE LIC. NO TMCMY POWER POLE
MONROVIA CA 91016 258228010 ;
CONDUIT
ARCHITECT LIFER GROUND
LIC. NO:
ROUGH WIRINr-
MAIi WATER LINE
PLASTIC Y/N METAL Y/X
UTILITY CCPtPANY NOTIFIED
II
k I
ADDITIONAL DATA ON FILE
REPORT ID: DPRz65 ROUTE TO: BS0508
I
76AG63 DEIS SA 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED
ADDRESS �i Z L- iy „ .t Ft C FIRST INSPECTION
J� r
CITY
COUNTY LICENSE NO. rr +� EXPIRES BUI
ADDRESSG •--'�
PERMIT FEES __ ,b
FEE y
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLESr
WALL SWITCHES OWNER _
�`'-+
TOTAL OUTLETS Sc $ MAIL .
ADDRESS _S
ELEC. RANGES 25 r
ELEC. HEATERS 25
CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING,
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
'12 S LESS .25
SIGNATURE OF -� ♦ E--` �=
I/2 2 .50 PERMITTEE-
2
ERMITTEE 2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
so 200 5.00
_ zoo Soo 10.00
Soo 1000 15.00 Q
Z
❑VER 1000 20.00 _-
M.G. SET/FREW. CHANGER-HP Q'
WELDERS:AC-KVA O
GENERATORS - KW -_
TRANSFORMERS - KVA __ _
TEMP. MOTORS (75% OF_ORIG-)
MOVED MOTORS (75% OF ORIG.) _
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.0D CONDUIT
FIXTURES $1,00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE Po UTILITY CO. NOTIFIED
FINAL -
J
1
40
COUNTY OF LOS ANGELES APPLICATION FOR PEHMT
Dopaof c° Elz ELECTRIC i
DMSION OF OCountyHUII�DING & SAFSAF ETY
WILLIAM L FOX, o.omty E291SWr
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
REO[IVICD MY READY FON DATE ISUMD
ADDREM FIRST INMT[OTION
CITY TEL. NO. �^
LINTY L.IOKNIWNo. 9XPIRE■ BUILDING /
PERMIT FEES ADDRI[�
FEi
NUMBER JKADH LOCALITY
LIGHT OUTL[TM NKARrMT
ROHM ST.
R[DEPTADLES
WALL EMT13HM OWNER u 011
TOTAL OUTLITs 613III •L MAIL
[Lia RANO[6 2.15 ADDREMS
[Lia H[ATERB 18 CITY L H
FIXTUREM M
1 H[RIMYKNOWLEDGE T I HAVE READ T
PPNI
APPLICATION110 RAT[ THAT THE AMOV[ 1■ CORRECT
NUMBER OF LIGHT CIRCUITS AND ADNEE TO COMPLY WITH ALL COUNTY ORDINANOEM
MUMMER OF R[C[PTADL[ CIRCUITS AND MTATE LAWS REVULATINO IRiOTRIOAL WIRINII.
MOTORB I OaTIFY THAT 1 POS� TH[ :OVi VALID LOS
NUMB" HDRSEPOWER FEE ANME KS COUNTY LICENSE. I AM [ LEDAL OWNER
NEW MVD. HP OVQi IMO. r.^H OF THE RESIDENTIAL D R ■[D ABOVE.
Ya • L� •u ■IONATURE
ya 2 .50 P[RMI
II s 1.00 INSPECTIO HECOHD
M 16 1.60
1f 613 2.513
MO Mm 6.1313
ROD MOO 10.DO J
MOO 1000 18.013 z
Z
DVrR 1❑DO 20.00 p
M.G. ■[T OHANI![R-HP
W[LDERAiAO-KVA
DEN[RATORM - KW
TRANSFORMERS - KVA
TEMP. MOTORS (76 OF 13111M.
MOVED MOTORS (76 Or DRIo
M 6a
BIONS /r
Na NO.TRANL I
re APPROVALS f
DATE IN6P60TOR'M NAM[ 1
FOR LASH PERMITS
WIRING 1.D0 / 100 CONDUIT
�r
.rrA-URE§ *1.00 D WIRING
ffuppLlrmrmTARY .no FIXTURES
POWER
TOTAL FEE 0 UTILITY CO.NOTIFIED
FINAL
T6AA9 DBS$5A 4-0