HomeMy Public PortalAbout5822 CAMELLIA AVE_Electrical__F VAee3-cee0e loin APPLICA N R ELECTRICAL PERMIT
COUNTY OF LAS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
LOCALITY Qr
N EAR ES T
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NOo tACHFEE °;"'R7OR
S. i1 NAME L a A if Ar ARGJ�
RECEPT.2 s ADDRESS ¢
LIGHT TOTAL
FIRST 2Q 23 (�
CI G EL. NO.
SWITCH_ OVER 20 .10 PLF,N'CHECK
FIRST 20 1b APPLICANT .
LIGHTING TOTAL
FIXTURES
OVER.20 .10 ADDRESS
RESIDENTIAL APPLIANCES CIT' TEL. No.
PERMIANT T + }r
RANGE DRYER�WTR. HTR._ / PPLICa � 'k-
STA. COOK DISP. F.A.U. ADDRESS 1Q /L."I'l l
SPACE HTR. AIR GOND. Cl �� Q /fXF-L. N0. 4"
CLOTHES WASH. DISHWASH. FSG SN1JEty1BF3t CLASSje--t
FAN OTHER Im I HERESY ACKNOWL[DSE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS., TRANSFORMER[ PLATING WITH ALL COUNTY ORDYNA HC ES AND STAT[ LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. 9LECTRi CAL WIRING.
SIZE Q TYPE OVER TO
I HERESY CEi1T IFY THAT 1 AM PROPERLY REGISTERED AND/OR
O — 1 1 LICERSEb AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE y}..
1 — 10 9A0 DESCRi RED RESIDENTIAL PROPERTY. y„
PERMITEE
10 - 80 3.00 SIGNATURE K
O
50 - 100 10A0 T7_EMP.
N0. ED 9Y
100 - 5DO feAO � t
SIGN, GAS SIGN AND ONE CIRCUIT 0.00ROVALS DAT[ SISNATlRlE
TUBE, OR
MARQUEE AD61TIONAL CIRCUITS 140 WER POLE
SF-RVICENOTOVFR600VOLTSOR20OAMP 3-00 6AB WORK
SERVICE OVER 600'VOLTSOR200AMP 10A0 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES &DO WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTII-'ITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) MOTES:
PLAN CHECK FEE
PERMiT ISSUING FEE 3. 0
TOTAL FEE ^7 5'
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
1 2.a 7.50
SEE SACS[ OF APPLICATION FOR COMPLETE SCHEDULE
' 1
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DepDMSIION O BUILDING & SAFETY
ELECTRIC 1
WILLIAM J. FOX, O�arb ¢adn�
FOR APPLICANT TO FILL IN DIWMICT NO. GROUP ZONE PERMIT NO.
14
ELECTRICIAN � �
�_ �DATE ISSUED
6
ADDRESS �L� • d Rl0[IVm BY FIRST INBTECTION
CITY TL N0. 7 ✓4
E
COUNTYLIC EXPIRES ■UILDI'
FEES ADDRESS Z1 I
F[i
NUM SER [ADH LOCALITY
LIGHT OUTLETS NEAII[ST
REOEPTA LES
WALL BWITCHEB 3 QwNIER
TOTAL OUTLETST—
[LEC. RANOES 26 ADDR[SS
ELIO. HFAT11M as • CITY TIL. N0.
FIXTURES 5 r
I HERESY AbKwowucDmK THAT I HAVE READ THIN
MIND. ArrnLICATION AND STATE THAT THE ABOVE 16 OCRRECT
NUMBER OF LIGHT CIRCUITS AND AMREI TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF REOErTAOLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LO■
Muwaam HORB[POWER FEE ANGELES COUNTY LICEMS.E. OR I AM THE LEGAL OWNER
Nrw MVD, HP w[w IND. r.^W OF THE RESIDENTIAL ■ROPEIII-Y DESCRIMFMM ANOVE.
a UC" 111 .as SIGNATURE OPit 2 F of 4 i L�SJ�
.50 1rERMrTrr�
S N 1.00 INSPECTION RECORD
■ 1S 1.50
1S BC 2.50
BC am B.00
am SCO 1 C.00 J
�spa 1CDC I&OD Q
Z
OvkR 10m aC.00
M.G. zzT/rRrq. oHANGER-Hr
WELDERSI AO-KVA E3
GENERATDRS - KW
TRANSFORMERS - KVA
TIMI-. MOTORS (76 or DAIS.
MOVED MOTORS (751S Or oRI■
BIONS
N0. NO.TRANS - APPROVAL$
No. N0. LAMPS
FOR EADH PERMITI DA INSPECTDR7 NAME
WIRING 1.00 CONDUIT
FIXTURES 81.013 WIRING r
.50 F OCTU RIS
POWER
TOTAL FEE • ��� UTILITY CO.NOTIFIED
FINAL
7LL6m DBa#BA 443
7 - `�tltcoEeNsoATloN��atont self APPLICATION FOR ELECTRICAL PERMIT
.I hero by �j '
Iruure, or a certificate of Works ' Compensation Insurance, COUNTY OF LOS ANGELES l C BUILDING AND SAFETY
N or a certlfi copy thereof-(Sec. 9800 C-), s
Policy N��mpany '/�, //� R TO ly.L N.. , JOB
FEE
❑ ified copy Is hereby furnished. New Residential Bldgs. & Pools = EACH NO. _ / ya1�
certified copy Is filed with the cbunty building Inapec- 1 d 2-Family, Sq. Ft.
LOCAL 0—
tion department. Multi-fpmlly Sq. Ft. — NFA
CRCS5 ST.
Date Appllcani Residential Swimming PoolsFIRM V
Oyytgj
CERTIFICATE OF DSVP ION FROM WORKERS'
Outlets: Rec_Llght Sw.� !O AXRESs MAA 2,
(This Yeethm need not be corhplefed III thework Involved by Total No 10 Fire Fire 220.
ortal CITY Tel. No
Adcl .2
the permH Is for one hundred dollala($100)or leg.)
PLAN CJ-�
1 certify that in the performance of the work for which this APPLICANT
permit Is Issued, I shall not employ any Person In any manner
to as to become sublect to the Workers. Compensation Laws. Lighting Fixtures First 20 ADORES$
Total No. Additional CITY Tel. No.
Date Applicant Fixed Appliances Not Over 1 HP� pERT
-NOTICE TO APPLICANT: If, after making this Certificate of APPLtG�Ni
Exemption, you should become subject to the Workers' Range_ Hbater_D,W. r
Compensation provisions of the Labor Code, you must forth- Oven _ Dryer W.M ADDRESS )
with compfy with such provlslohs or this permit shgH be Top FAIN
deemed revoked. Hood F73
an CITY Tel. No.
LICENSED CONTRACTORS DECLARATION Other s SV3 LKENM OR
I hereby affirm that I am licensed under provlslons of Chapter 9 Dlsp. Room Air Coad. REO NUMBtA3TZ07ZClass.
(commencing with Section 7000) of Dlvlslon 3 of tfie Business DISTRICT NO. P BY
and Professlom Code,and my license is Irl full forcb andeffed. s
Power Apparatus 8 Large Appliances k
Size 8 Type HP,KW, KVA or KVAR- �Q
Llcens -.Num 0 c. Classley Up to 1 Incl. NAL
�� �_ C>ver l.to 10 Incl. DATE r-q 06 V�ATION O
CvAtractor Date Over 10•1to 50 Incl. G
❑
lam exempt under Sec•• Over 50 To 100 Inc. BY
B.&P.C" for this reason Over 100
Date: Servitew, Swbd., MCCA PanaIboa rds , /I3
0 -200 Amp. Under 600 V o
Signature 201 - 1000 Amp. Under 600 V
EJExemption
1000 Amp, or Over 600 V
Exemption for Reg. Maint. Elect.
SINGLE FAMILY Temp. Por'ver Pole&Appurtenances
HOME OWN5R-BUILDER DECLARATION Sigh with One Branch Circuit ;F12'9 0 A
I hereby affirm that 1 am exempt from the Contractors License Addltlonol SI n Branch Llrcults
Law,for the followlr)g reason (Section 7031.5, Business and g # o 0 o o o 2
Prplesslom Code): 2ro�.o 3 Q'0 0
❑ 1, as owner of the property, will do the work and the Misc. Condults� Conductors ,
p pens'" Other (See Complete Fee Schedule)— 2
structure Is not Ihtbnded br offered for sale ($action 3 Q 0 0 C7
7044, Business and Professlom Code).
CONSTRICTION LENDING AGENCY 0,72 47.814
I hereby affirm that there Is a construction lending agency for
the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total) rc
(Sec. 3097, Cly. C.).
PLAN CHECKING FEE
Lenders Name
PE2d1fT ISSUING Fid O
Lender's Address
I c&dLfy that I have read this ppplfeation and slate that the TOTAL FEE 6 •'
above Inforhwflon is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
Hereby authorize ropresen tivei of this County to enter upon
v me tion rty far Inspect n pu SEE REVERSE FOR EXPLANATORY LANGUAGE
/—S—Igrooffre of Permittee 61ate
COUNTY OF LOS ANGELES TEMPLE CITY NM 0308 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 021105DO30
• BUIILDING AND SAFETY / LAND DEVELOPMRT TEMPLE CITY CA 91780
PHONE: (626) 285-OM EXT:
LEGAL ID:
TR: 6561 LT: 540 5822 CAMELLIA AV:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802101
ASSESSOR INFORMATION NUMBER: NEAREST VROSS STREET: LAS TUNAS
8587-021-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY:'TEMPLE-CITY
01 OUTLET$-LGT,SW RECD 3.00 OUT 5.85
G2 LIGHTING FIXTIlkES 1.00 LGT 1.95 ISSUED PROCESSED BY: PLAN BY: ENPIRES ON:
HA FAU LESS 3HP 1.00 FAU 10.95 11/05/02 . JK 05/04/03
JB AC UNITS +3-101P1.00 AC 19.65
OWNER: TEL. NO: TOTAL-SEES- 66,15 FINAL DATE COIDE:
MOORTHAY•ELIZABETH (626) 285-5683- l
5822 CAFIEIA AV EXPM
TEMP 917802101 DESCRIPTION OF WORK
INSTALL MELT HVAC SYSTEM
APPLICANT: TEL. XO:
ECONO AIR (800) 503-2666-
3366 E LA PALMA SPECIAL CONDITIONS:
ANAHEIM 92806
APPROVALS DATE INSPECTOR SIGN.ATURE
CONTRACTOR: TEL. W:
ECONO AIR (800) 503-2666-
3366 E LA PALMA.AVENUE LIC. NO '' 7-� �r "� ;,�
ANAHEIM CA 92806 445220HIC
ARCHITECT OR ENGINEER:
UNDERGROUND CONDUI.T. LIC. NO• 1 w
r � �1111111� .
L
ROUGH QONDUIT
PLASTIC Y/N METAL Y/M
Ll
UTILITY COMPANY WTIFIEff
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BSD508