HomeMy Public PortalAbout5743 CAMELLIA AVE_Electrical__WDC tea: APPLICATION FOR ELECTRI AL PERMI
COUNTY.OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 9UILDING
BUILDING AND SAFETY DIVISION ADDS
JOHN A. LAMBIE, CouNTY ENGINum
WILLIAM A..JIMBIN, SUF'T OF BUILDING LOCALITY � k p
N UA RIST
CROSS ST.
nEC[PT. TOTAL No EACH
rSX
OurLET9 FIRST 20 20f.&O • OWNER G HA r
LI/HTMAIL
! ADD'L ADDRESS � �Q C
/WITCH. I'� � OY[R 20 .10 l
-i TOTAL CITY TCM C Td No716.LIGHTING FIRST 20 fj .20
FIXTURES 3 DVDR � .10 ELECTRICIAN
!L E
RANCNA CLo.DRY-l" F WTI.HTC/. 1.00 ADDRUSS 17-0 . F AVE
uls DIp. / STA.COOK cmr TEL Na
DISKWASH. AUTO.-WASH. / STAT=
QACI FI'r'RS. I /TA.AR.(44 H1.MAX.) .50
LICENSQ NO.m Er 1,1qW040
YdTo". Ov" NOT Ov"m Ns. DI C G P E P D B
O 1 1.00 �f
1 2 1.50 M E{TION RECORD
3 e 2.00 Z�
B f5 Lso
15 50 3.00 O
50 100 5.00 oc
O
SIGNI� NO.TICANS- I-
NO.LAia/ t�J
IL
SaSvIcE O-e00v-NGT Ovu 200A 1.00 to
Z
SFRVICE 0-e0OV-OVM 4.00 A. 2.00
SmeVICIE Oven eoav 5.00
YISC. I
FERYIT ISSUING FUI 2.00
SUPFL.KM NTADY FIRYIT ISSUING F7<i 1.00
TOTAL FEE rKwKcTowq*I"�
I H10C'IVY ALIOiOWLmGi THAT 1 NAV[ IIiAD THIS AFrI..ICATION DAT2
AND STAT[ THAT TN= JUDOW 1/ COFMCT AND ACIMM TO cow LY CONDUIT
WrrH .,, COUNTY OImINwNcsS AND STAT= LAWS R:GuLAnNG
QiCTMCAL WIRIN4. WIRING
1 H>93[1QY CIRTIFY THAT 1 AM FAOPl3CLY RGI/TKMM AND/OA
LICKN/m An RKWIRim NY LO/ ANG� COUNTY AND WTATI OF IrIXTU
CALIFORNIA ON THAT I AM TH/ L KQ& OWII=ll OF
DVOICIm NK2016 io�
Fowo1111411
SIGNATURI l UTI 1
O!r FURY rTTIK
FINAL
VALIDATIARYkVR C- VETt
' CK YO CAS7i g ISING ELiCTRICAL EHGINIIIR
6 4 8 4Q! NOV 5 2 0 1 5Z0
76AB6!-OEBOE 1-66 - .APPLICATIO FOR EL RICAL PERMIT
^. % 4CWNTY OF LOS ANGELES
�DEPARTMEVNT.OF COUN'T'Y ENGINEER BUILDING
BUILDJDJ-G AND SAFETY DIVISION AD REss
JOHN A. L AMBIE, COL]NTY ENGINEER
COLEMAN W. JENKINS, SUPIERINTIENDtNT OF BUILDING LOCALITY
NEAREST
FOIR APPLICANT TO FILL IN CROSS ST.
RE COWNER
EPT. i ' t�
LIMAIL
GHT TOTAL FIRST 20 .20 ADDRESS
-
-}-�
SWITCH OVER 20 .10 CITY L TEL. NO. 1633
�TOTAL
PLAN CHECK
LIGHTING FIRST 20 .20 APPLICANTFIXTURES OVER 20 .10 ADDRESS
RANGEDRYERWTR.HTR._ CITY TE NO.
STA.COOKISP. F.A.U.— CONTRACTOR ��^^ uy
`
SPACE HTR I AIR COND.� ADDRESS QCd p �7
CLOTHES WASH. DIS-HWASH— MW CITY TEL.
FAN—OTHER 1'00 LICENSE NO. O CLASS. C-ICI
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. Hl. KW_KVA. I HEREBY ACRNOWLEDSE THAT I HAVE READ THIS APPLICATION
SIZE TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE T'0 COMPLY
WITH AL4 COUNTY ORDINANCES AND STATE LAWS RESULATINS
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS "QU IRED BY LOS ANGELES COUNTY AND STATE OF.
CALIFORNIA OR THAT I AM THE LES AL 0 MER OF, AND INTEND TO
10 - 50 5.00 RESIDE IN, THE ABOVE DESCRIBED SIDENT AL PROPERTY.
80 - 100 10.00 SIGNATURE 1/
OF PERMITTEE vv ix
100 — boo 16.0DI�TRICT G Z P C D r
SIGN,OAS SIGN AND ONE CIRCUIT 3.00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS T.00
NOTES:
SERVICE NOT OVER 800 VOLTS OR 200 AHP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAS WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
]FINAL POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 U-}ILITYCO.NOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELE AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M.O. CASH
( 449 ' W
9EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
J A `
76A6,8,3-CES0611_71 APPLICATION FOR ELECTRICAL PERMIT RMIIT Ll
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALl' 67j 7M/a 1I
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
0 LETS F tN
OWNER
RECEPT. s
MAIL
LIGHTL TOTAL
FIRST 20 ADDREIP
OVER 20 CITY TEL. N0.
SWITCH .10
PLAN CHECK
LIGHTING FIRST 202 APPLICANT
OTAL,
FIXTURES OVER 20 10 ADDRESS
RESIDE AL APPLIANCES CITY TEL. NO,
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
c
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NOK CLASS.
FAN OTHER 1.00 I HER[■Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT[ THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFOR]d ERS RATING WITH ALL COUNTY 0RDIXALACES AND STAT[ LAW/ R[SULATING
IND. HEATERS [TC. HP. KW. KVA. ELECTRICAL WIRIKG.
SIZE S T I OVER TO
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1-00 LIC[N/[D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10 SpO
RESIDE IN, TH[ A Vj/D[f IS ED R[SID TIAL PROPERTY. O
SIGNATURE (�////��f__fJ,, Ed
10 — 60 E00 Or PERMITTE !�/��'1 �r1 O
b0 — 100 IO.Do
DISTRICT�XO�.y CLAI/ P wfD[D DY
100 — 800 tEDQ 5, v9 - 1 pc 'd 2
81QN, GAS SIGH AND ONE CIRCUIT 0.00 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1A0
SERVICENOTOVER600VOLTS OR200Amp 3.00
ArPRO VA LI DATE /I�ECTOR'1■IlL�TUIt
8ERV ICEOVER600VOLTS 0R200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, INAPPURTENANCES 0.00
UNDERSLAS WORK
TRIP LIGHT OR RECEPT. SYSTEM 5.00
ROUGH CONDI UT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE DA0 Q
TOTAL FEE LD
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.Q.
�-7)
fe
SEE SACT( OF APPLICATION FOR COMPLETE SCHEDULE
j
f 1
i
COMITY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DW#RTMENT OF PUBLIC WORKS 9701 LAS TUTAS EL 0508 0108270004
BI�,LLDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL FEES PAID BUILDING
TR: 6561• LT: 555 UN: .002 .5743 CAMELLIA AV•
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802502
NEAREST CROSS STREET: WORKMAN
8587-017-009 Al PERMIT ISSLMNCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SY RECO 1.O.D0 OUT 19.50
G2 LIGHTING FIXTII�LS 9.00 LGT 17.55 PROCESSED BY: PLAN ELY: EXPIRES ON:
TOTAL FEES 64.80 08/27/01 . UT 02/23/02 `
BURNS
OWNER:
M•BUINS DE90RAH A (626) 287-4943- Fr/7
�" � `� }
5743 CAMELLIA I1V i ff
TEMP 917802502 DESCRIPTION OF
ELECTRICALAPPLICANT: TEL. W:
SAME AS OWNER -
SPECIAL CONDITIONS:
S P�GELES C()CONTRACTOR: TEL. NO: (!
APPRVVALS DATE INSPECTOR SIMUTOWE—_
SAME AS OWNERLic. No TEMPORARY POWER POLE
LINDERGROUND CONDUIT
•- �� �T�
\\
ARCHITECT OR ENGINEER: TEL. NO:
LIC. NO•
PLASTIC Y/M METAL Y/M
Fl
Service-ih�t
REPORT ID:.DPR265 ROUTE TO: BS0508
9 COUNTY OF LOS AMRa.&9 TEMPLE CITY Q 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1112140003
BUI MNG AMID SAFETY / LAND DEVELOPMENT TRW LE CITY CA 91780
PHONE: (626) 285-0488 ETT: '
LEc7M.r, ID: FEES PAID BU=IWG ADDRESS:
TR: 6561 LT: 555 UN: .002 5743 CAMEIJ.IA AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: T104P CA 917802502
ASSESSOR =RM'ATION NUMBER: NEAREST CROSS ST=: NORIUAN
8587-017-009 Al PERMIT ISSUANCE FEE 27.80 THCk4.S PAGE: 597 GRID: A3 LgCAT=: TEMU?LE CITY, C
LB 200 AME PANELS, MCC 1.00 PAN 38.80
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY:
12/14/11 SR
OWNER: TEL. NO: DATE F BY: CODE:
BURNS-RICE, DEBORAH A (213) 400-0140- r_aA-v
5743 CAMELLIAAV �
Thi 917802502 DftSCR-IPtION OF WORT
REPLACE CURRENT 100 AMP BOX WITH 200 AMP BOX. BOX HAS BEEN
?GU= BY SCE
APPLICANT: TEL. NO:
SAME AS O90MR -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO T6?IORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENG22= TEL. NO: - UFER GROUND
LIC. NO: ROUGH GOND= f i
ROUGH WI12ING
MAIN WATER LJ3TB
PL&TIC Y/N METAL Y/N
O'PIISTY COMPANY NOTIFIED
kEPORT ID: DPR265 ROUTE TO: 13S0508