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
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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 -
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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
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REPORT ID: DPR265 ROUTE TO: BS0508
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