HomeMy Public PortalAbout6023 CAMELLIA AVE_Electrical__ -7eAM,C_ «e"IS 11/75 APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
New Residential B s&Pools
EACH NO. FEE ADDRESS
1 &2 Finally Sq. Ft $ — $ LOCALITY
Mult}family Sq. Ft — NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR
FIRM NAME
Outlets: Light,Switch& Receptacle MAIL /1
ADDRESS �J
First 20
Addltibnel CITY ,gjTel. No.
PLAN CHEC
APPLICANT
Lighting Fixtures
First 20 ADDRESS
Additional
CITY Tel. No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range Heater— D.W. ADDRE Q17
Oven — Dryer W.M —
Top FAU, W.H. CITY Tel. No
Hood Fen — LICEN E O 8
RED. NUMBER Cl ea.
D frp. A.C.
1 H<RKSY ACNNOWLKDGf THAT I HAV RfAD"IS APPLICATION Q
AND T.T.• THAT THE A.—W 1■ CORM,CT AND AOR,, TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANOf■ AND STATE LAWS R<GULATING LU
-Size&Type HP, KW, KVA,or KVAR eLUCTRICAL WIRING. o
Up to 1 Incl. I HeRteY Ci RTIFY THAT I AY MOPfRLY RKGI■T<RUD AND/OR
Over 1 to 10 Incl. , LICKNSf AS RKQU1RKD BY LOS AN LATS COUNTY AND fTATU OF
CALIFORNIA OR THAT I M T OWNWR OR THE AeOVf
Over 10 to 60 Incl. DKS.RISKD nfelDf TY
Over 60 to 100 Incl. PERMITEE
Over 100 SIGNATURE
DIS I ICT�N/O. P CE BY��~—
Swvlces ,+ J O
0-200 Amp. Under 600 V T
201 - 1000 Amp. Under 600 V APPROVALS E R S
SIGNATURE
Over 1000 Amp.or Over 600 V
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
APOWER AUTHORIZED
PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL _
PERMIT ISSUING FEENOTES �� $ �T /-?Cf��
TOTAL FEE /D
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDXTTM-- CK. M.O. CASH
K0078r"-'JAN 13 2 D 10.50A`^�
COUNTY OF LOS ANGR7, TEMPLE CITY / 0508 ELECTRICAL PERMIT
'DEPAR`i1[PNP OF PUBLIC woRIS 9701 LAS TUNAS EL 0508 0712050021
,BGT=ING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEE_9 PAID BUILDIIIG ADDRESS:
TR: 6561 LT: 160 6023 C7JfTiLLIA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802008
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5385-014-006 Al PERMIT LSSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALS'L'Y: TEMPLE CITY, C
B2 1 OR 2 FAMILY DMF7,i, 1744.00 SQ 183.12
Tom: LB 200 AMP PANELS, MCC 1.00 PAN 38.85 ISSED ON: PROCESSED BY: PLAN BY: EZPIR.ES ON:
TOTAL FRES 249.72 12/05/07 SR 06/02/06
O"NERi TEL. NO: BY: CODE:
LIEU, JAMES (626) 757-8033-
6023 [a►tk'J Ii AVE. �60
TE34P. 917801344 DESCRIPTION OF WORE
RE'-WIRE ENTIRE HOUR i E SERVICE PANEL TO 200 AMP
APPLICANT: TEL. NO:
LUONG (323) 864-3868-
10647 OLIVE STREET CITY CA 91780 SPECIAL, CONDITIONS:
TEMPLEII`
CONTRACTOR: TEL. NO
TONY TRUNG LUONG (323) 864-3868- APPROVALS DATE INSPECTOR SIGNATURE1
2675 SICAEL STREET LIC. NO TEMPORARY POWER POLE
LOS ANGRI-ES, CA 90031 C20
UHIJERGROUSI) CONDUIT III
ARCHI'I'FiCT OR ENGlNPR'R: TEL. NO: UFER GROUND 4
LIC. NO: ROUGH CO Ill{
ROUGH WIRING}
MAIN WATER L
PLASTIC Y/N METAL Y/N
UTILI'i7 COMPANY NO
+ ADDITIONAL DATA ON F=
REPORT ID: DPR265 ROUTE TO: BS0508