HomeMy Public PortalAbout6158 CAMELLIA AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ELECTRIC i
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX. County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIpAN / U - EleG - C d 'Alve -�
ADDRESS �p O .S" d�( I,r (�. $ C. RECEIVED BY FIRSTAINSPECTION DY FOR DATE IB>$UED
CITY G (,p f` TEL. NO -` JC
COUNTY LICENSE NO. EXPIRE84-30• 7 BUILDING /4 N
1 j 1 C
PERMIT FEES ADDRESS n ' ��
NUMBER EACH FEE LOCALITY rr=
LIGHT OUTLETS 12, NEAREST ,
CROSS ST.
RECEPTACLES
I `
WALL SWITCHES OWNER 7f"S
TOTAL OUTLETS Sc g MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 28 CITY TEL. NO.
FIXTURES 6 Q_
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEB
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
"1
%2 & LESS $ .25 SIGNATURE OF
_ I�2 a .50 PERMITTEE / � --
2 5 1.00 INSPECTION RECORD
5 is 1.50
15 50 2.50
50 200 5.00
200__ 500 10.00 J
500 10130 15.00 Q
Z
OVER 1000 Y 20.00 Irl
_ M.G. SET/FREQ. CHANGER-HP M
WELDERS:AC-KVA C
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG•)
MOVED MOTORS (75% OF ORIG.)
MISC.
SINS
NO. ND.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE I 11SPECTORIB NAME
WIRING $1.013 64 CONDUIT
FIXTURES _ 81.00 11 �! WIRING
SUPPLEMENTARY�v .50 FIXTURES -'
POWER
TOTAL FEE UTILITY CO.NOTIFIED
v FINAL
76ASS3 DSS#SA 2-53
76A663-CEBC6 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING i /
BUILDING AND SAFETY DIVISION ADDRESS 1/
JOHN A. LAMBIE, COUNTY ENGINEER •
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 ffi 20 S OWNER L.i
LIGHT - MAIL A
ADD'L .10 ADDRESS
SWITCH. OVER 2O
LIGHTING TOTAL FIRST 0 .20 CITY • `it _•�' TEL. NO O
FIXTURES ADD'L 10 ELECTRICIA
O"", 2 0
RANGES CLO.DRYERS WTR,HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(�h H.P.MAX.) ,50 LICENSE NO.
MOTORS: OVER NOT OVER H . DISTRICT GROUP I ZONE PRO ESSED B
O 1 1.00 }�
I 5 1.50 INSPECTION RECORD
5 6 2.00
8 is 2.50
15 50 5.00 --
D.
50 100 5.00 0
SIGNS: NO.TRANS. �, -....__W......._.�...__......
NO.LAMPS -- O
H
SERVICE 0.60OV-NOT OVER 200A 1.00 W
CL.
SERVICE0.60OV-OVER 200 A. 2.00 --_ Z
SERVICE OVER 600V 5.00 -
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE ffi
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING -
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEE/NTIA PROP RTY. ,+ POWER
SIGNATURE UTILITY CO.NOTIFIED J
OF PERM ITTEW_'4;�� ---- --
FINAL
VALARTHUR C. VETT
MID
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1209130037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 19338 LT: 10 I I 6158 CAMELLIA AV I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801733 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15385-017-016 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 2.00 OUT 4.00 I- 1
(TENANT: IG2 LIGHTING FIXTURES 1.00 LGT 2.00 (ISSUED ON: PROCESSED BY: PLAN BY: I
TOTAL FEES 33.60 109/13/12 SR I
I I I I
(OWNER: TEL. NO: I IFINAL ATE FINAL B CODE: I
ICHEN, VIVIEN LIN-FEN (626) 287-4627-
16160 CAMELLIA AV I I 9 W12
(TEMP 917801733 1 IDES.RI`PtIIO/N OF-WORK
1 1 12 OUTLETS AND 1 LIGHT FIXTURE IN GARAGE I
I 1 I I
(APPLICANT: TEL. NO: 1 1 I
ISAME AS OWNER - I I I
I I ISPECIAL CONDITIONS:
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(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
(SAME AS OWNER - I I 1
I LIC. NO I ITEMPORARY POWER POLE I I I
I 1 11 1
I IUNDE:RGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1UFEF GROUND I I I
LIC. NO: I IROUGH CONDUIT I I I
I IROUGH WIRING II
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1 ZI' I
I IMAIN WATER LINE I I I
(PLASTIC Y/N METAL Y/N I I I
IUTI!ITY COMPANY NOTIFIEDI I I
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I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I 1
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