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HomeMy Public PortalAbout5809 CAMELLIA AVE_Electrical__ 76Aee3-CE806 3-89 APPLICATION FOR ELECTRIC L PERMI COUNTY OF LOS'ANGELES DEPARTMENT OR COUNTY ENGINEER BUILDING BUILMING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS 3T. NO. EACH FEE III i OWNER RECEIPT._ MAIL LIGHT TOTAL FIRST 20 20 ADDRESS CITY TE SWITCH OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 ,20 APPLICANT. FIXTURES } OVER 20 .10 ADDRESS RANGE_DRYER ATR. HTR. CITY TEL.NO. STA. COOK_DISP. F.A.U. CONTRACTOR SPACE NTR. AIR COND. ADDR _j.5_ / s CLOTH-ES WAS H._DISHWASH. CIT TEL 4, FAN_OTHER 1.00 LICENSE NO MOTORS,TRANSFORMERS RATING I HERE GY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND, HEATERS ETC, HP. KW. KVA. AND STATE THAT THE ABOVE 19 CORRECT AND AGR[[ TO COMPLY ;IZE a TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELXCTRICAL WIRING. . 0 - 1 1.00 1 HFREGY CERTIFY THAT I AM PROPER Y REGISTERED A10/OHI LICENSED AS REQUIRED BY LOS AN ELK COUNTY AMD STATE OF I - 10 3.00 CALIFORNIA OR THAT I A E O ER OF, AMD INTEND TO RESIDE IN, THE ABOVE ■CRI S NTIAL PROPERTY. 0 10 - 50 5.00 U SIGNATURE a 50 - 100 11O.DO OF PERMITTEE IF0 100 - EOO 15.00 DISTRI T NO..J�Cj • ZONE y SIgN, -AS SIGN AND ONE CIRCUIT 3.00TU E, OR STl MARQUEE ADDITIONAL CIRCUITS 1.00 N ES: S� ✓ Alf- Q /✓ S z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEND SERVICE, POLE, &APPIRTMANGFS 3.00 APPROVALS DAT[ GtSPE=TURb SMGIATUIM TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 O UTILITY CO.NOTIFIED �Tof OE SUPPLEMENTARY PERMIT ISSUING FEE 1,00 FINAL V TOTAL FEEJ EPH C. ROOHAN '5'00 SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONM.O. CASH CK. '6 0 2 5F IL23 2 0 (05.0 0' SEE SACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 1 I COUNTY OF LOS ANGEr, TE24PLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1204190060 BUILDEW AND SAFSI'Y / LAND DEVELOPMENT T534PLE CITY CA 91780 PHONE: (626) 285-0488 ETT: LRGAL ID: FEES PAID BUILDING ADDRR9S: TR: 6561 LT: 558 5809 CAMEIJIA AV FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802102 ASSESSOR INFORMATION NUMBER: wFaRRRT CROSS STREET: 8587-018-002 Al PERMIT ISSUANCE FEE 27.80 THOlR49 PAGE: 597 GRID: A3 LCKILITY: TocpLE CITY, C O1 OUT=-LOT,SN,RECP 6.00 OUT 12.00 TEUdgT: G2 LIGHTING FIXTURES 1.00 IAP 2.00 SIIED OA: PROCESSED BY: PLAN BY: TOTAL FEES 41.80 04/19/12 SR - OWNER: 5809 CAME JLIA AV 4 -f� . TEMP 917802102 D CRIPTION OF WORK ADD 6 OiTTL TS AND 1 LIGHT FIXTURE APPLIfiANP: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: C'ONPRACPOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SANE AS OWNER - LIC. NO TEMPORARY POWER POLE UiqDZRGROUND CONDUIT ARCHITECT OR ENGIN=: TEL. NO: UFRR GROUND LSC. NO: ROUGH CONDUIT ROUGH WIR-ING MAIN WATER LINE PLASTIC Y/N KREar. Y/N UTILITI COMPANY NOTI= REPORT ID: DPP-265 ROUTE TO: BS0508 - I COUNTY OF L0S A,NGEL&S TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC MORES 9701 LAS TUNAS EL 0508 0707130009 BUILDING AND 9AF5'i'Y / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ETT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 558 5809 CAMELLIA AV FES DF19CRSPTION: QUANTITY: DOM, A4OUNT: TEMP CA 917802102 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREFiT: WORJ34AN 8587-018-002 Al PERM= ISSUANCE FEE 27.75 THDAm.9 PACE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C LB 200 AMP PANFIS, MCC 1.00 PAN 38.85 TENT: TOTAL FEES 66.60 ISSUED ON: PROCE99ED BY: PLAN BY: EXPIRES ON: 07/13/07 SR 01/09/08 OFRIER: 5809 CAMELLIA AV TEMP 917802102 lkg�tLMPTIOtl OF ?LORE DPG�.ADE SERVICE PANEL TO 20 AMP APPLICANT: TEL. NO: SAME A9 O`MNER - SP ITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME A9 09RE R - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR E IMMR: TEL. NO: Ute' GROUND i LIC. NO: ROlJdH COST ROUGH W=120G MAIN WATER T, PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTI 7/7/ REPORT ID, DPR265 ROUTE TO: B90508 COUNTY OF LOS ANGELES TEMPLE CITY 1 0.508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORTS 9701 LAS TUNAS EL 0508 1009220047 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ETT: LEGAL ID: - FEES PAID BUILDING ADDRESS: TR: 6561 LT: 558 5809 CAMELLIA AV FEE DESCRIPTION: QUANTITY: DOM: AMO=: TEMP CA 917802102 ASSESSOR INFORMATION NUMBER: 1QRnARgT CROSS STREET: LAS TUNAS 8587-018-002 Al PERMIT IS9ftANCE FEE 27.80 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C F1 120V, 15/20A BR CTTS 1.00 BR _17.30 TENANT: F2 208, 277V LGT BR CTT 1.00 BR 27.30 ISSUED ON: PROCESSED BY: PLAN BY: 01 OUTLETS-LOT,SW,RECP 12.00 OUT 23.30 09/23/10 SR 02 LIGHTING FIXTURES 12.00 LOT 23,30 OWNER: TB AC UNITS +3-10EP 1.00 AC 19.70 5809 CAMELLIA AVE TOTAL FESS 219.50 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE M V CON.4TRUCTION (626) 278-6313- 9750 TOWNEWAY DRIVE LIC. NO TEMPORARY POWER POLE EL MO=, CA 91733 948305 B UNDERGROUND CONDUIT ARCHITECT OR ENGITU=- TEL. NO: U= GROUND CHAD, DAVID (626) 581-8861- 2649 E VALLEY BLVD fC LIC. NO: ROUGH CONDUIT WEST COVING CA 91792 C 057893 ROUGH WIRING ` MAIN WATER T PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED i i I REPORT ID: DPR265 ROUTE TO: BS0508 L