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Home My Public Portal About5724 CAMELLIA AVE_Electrical__78Aa63-CEe0611-71 APPLICATION FOR `ECTA"RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING EIUILDING AND SAFETY DIVISION ADDRESS LOCAL[ NEAREST FOR APPLICANT TO FILL IN CROSS ST, / OUTLETS NO. KAMi FEE OWNER RELCEPT._IL ADDRESD LIGHT TOTAL FIRST 20 OVER 20 CITY TEL. NQ. WITCH_ 10 PLAN CH LIGHTING TOTAL FIRST 20 25 APPLICANT F I XTU RL8 10OVER20 ADDRESS RESIDENTIAL APPLIANCES CITE' TEL. N0, PERMIT RANGE DRYERWTR. HTR.—APPLICANT STA. COOK DISP._V A.U. ADDRESS, SPACE HTR. AIR COND.y Q1 TY TEL. N0. CLOTHES WASH. 0DIDHWASH. LICENSE NO. CLASS. FAN OTHER IAO I HERESY ACKNOW41rDGE THAT 1 HAVE READ THIS APPLICATION AND STAT[.THAT THE ABOVE I[ CORRECT AMD AGREE TO COMPLY MOTORS"TRANSFORMERS- IIATI NG WITH ALL COUKTY ORDINANCES AMD STATE LAW[ REGULATING IND, HiAT[AG, ETC. HF. KW. RVA. ELECTRICAL WIRING. SIZE G Y7PE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/DR 0 - 1 1.0 LICENSED Ar RKQUIR[D BY LOS- ANGELES COUNTY AND STAT[ OF CALIFORNIA OII THIN I AM.THE LEGAL OWIOER Of, AND INTEND TO 1 - YO LA0 R_ E IN, THE ASOV DCECIYIE! R[1lD[ A "OPE TY. a I WtATU R 10 — 80 ti00 OF PERMITTIx b0 100 10D0 DI TRI CT NO CIL-AAS I I LauRO D Y 1 loo - Goo 15.00 y / O. SIGN, GAS SIGN AND ONE CLRCUFT 5.00 NOTESI TUBE, OR MARQUEE IADDITJONAI- CiRCUITS 1J10 BERVICENOTOVERBOQVOL-MOR200AMP m s 0 APPNOVAL/ MT[ SECTOR'S amdARPw 8 ERVI C E 0 VER 660 VO LTS 0 R ZOO AM P IO TEMP.POWER POLE TEMP SERVICE,POLE,IS APPURTENANCES 5.00 UNDEHSLAS WORK TEMP LIGHT OR RECEPT. SYSTEM 5,00 ROUGH CONDIUT WIRING FIXTURES POWER AUnRI PERMIT FEE SUB TOTAL) UTILITY Cd PLAN CHECK FEE FINAL PERMIT ISSUING FEE JDO TOTAL FEE Q PLAN CHECK VALIDATION CK. M.O. twin PEkMIT VALIDATION 2- 0 St[SACK OF APPLICATION FOR COMPLETE SCHEDULE Bim' EITS coMPF_1JSATION DEC 'T`°" B' APPLICATION FOR 'ELECTRICAL PERMIT t l[ebY affirm that I have a owtfioete of ooneent to self YaLm d bestfFlaate of.Workers' GomPanoatim Interne, of a certified COUNTY OF LOS ANGELrmS BUILDING AND SAFETY u Ppll-t3o ct n,per,y f POR P,PPUCANT To FLL IN Q Certified copy Is hereby fumlehed. New Residential Bilge.S Pool& EACH NO. FEE Coftfied oopy b Red wfthbuAdl inspection 1 d 2femty,Sc.Ft L.OGALfTY Muftl-famtty Sq.Ft NEAREST 87 Dade Appabant dY Resideht"Swimming Pools.." ONV EA OR FFtAI NAAE. FTCATs OF EXEMPTION FROM WORKERS' Outlets Fieo Llght Sw. t 1• Ap38 3COMPENSAWNWSURAWE Tile embon need not be comp6tad If theo fry tiworkbwro FW 20" permit Is for one hundred dollars($100)or bee_) Total No. Addftlone! CrIY Tel No. I:oertlfy that In,thio performance of the work for wtdch this perrhlt PLAN a ecx is beuedr I shall not employ any person In arty manner Oo as to become aA)ject to.tlte Wtxiaerq'Compeneatfon Law& Lighting Fkbffm Fket 20 ADDRESS Addtbop2JTotalNa T C1TY TOL Na Date AP t' Fbced App hn ea Not Over 1 HP PFRKT NOTICE TO APPLICANT: If, after maidng file Cartmoete of APPLICANT s ExQmptb you should become eub)gct to the Vkrkero'Compensation Fatga= Heater 0.W. — provlabite of the Labor Gide,you nx t forthwith oornpiy with'ouch Oven Dryer — W.M. ADDRESSPi if 15 . provlalons or this parmlt shall be deemed revoked. Top FAU WJ-L CLTY. Tel.No Q LICENSED CONTRACTORS DEWRATION Hood T Fan Outer— I.hereby,:all9rrn,that I am IVicerte9tl aider'provLelone of Ch4pterLCENSE OR8 _ plop — Roar Air Cond. F Nus 3. a. oonunendnp with Secdon 7000) of DfAslon 3.of the Buelneee and ProteasiExte Code,and my 5benes b M full force and effbot Fa—Apparnfue d Large AppBenoeq Dt$TAICT NO. Size& Type HP,KW,KNy or KVkR V v Llcense Number L ic.Clear I Up to 1 hoL FINAL p VVV Over 1 to 10 bol. DATE C ILIWALf Date Over 10 to 60 Ind qF1NAL I ani exempt wrier Sea Over 60 to 1W Inc- BY BAP.r_for this reason Over 100 Servbea;Swbd.,MCC A Parrefboarde Z . 0- 200 Arra Under 600 V SViaW re 201 - 1000 Arte.Under 600 Y Over 1000 Amp.or Over 600 V n F,*rnption for Req.Marrt_Elect SLNfL E FAMILY Temp,Power Pole d.Appu,rteneno6e HOME OWNER-BUILDER DECLARATION gym,wIth Ope Branch CLroult I hereby affirm that'l AIn exempt from the CxrbrwWs Ucenee Late hB1Signranc ytforthefolbWktpreason(Section 7031.6, Busbw and Pro(eealona Additional Code): ElI ae owner'of the ProPBrtY w10 do the work arty tate etnxthlre. Wisa Cord-ft d CdndicWa t IJ f lenot IIn/tte ndyedd or offered for sale (Section 7044, BuOLneee See Corrmpieie Fee Scttedub) V r1L aG .-.V and pre Code). CONStRUCrON LENDLNG AGENCY M.K . I hereby wY m that there b a oonetructlon I)rding agency for the performance d the work for wWotr tile,permit b Issued($ec 3087, PERMT FEE Su)-Total) CtV. C.). yy:– per PLAN CHECKING FEE U.RJ4 VL1V 1 71107 • Lenders Napne PERMIT ISSUING FEE., Q 4753 1. 171 9:90 reae thas Ihavereadthlee)ppLicatLonandaria that the above Tom FEErionIscorrecrt: I agree to conpty wfttt all County ordinances j2stAW ae Tawe rega*a&Q EOc tical wiring, and hereby and—btre rt}ativee ol thio to brrtrx upon rite ebova"rTtentbned for ISEE REVERSE FOR EXPLANATORY LANGUAGE 3/ COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0405050015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING TR: 6561 LT: 548 UN: .002 5724 CAMELLIA AV- FEE DESCRIPTION: QUANTITY: LION: AMOUNT:TEMP CA 917802501 NUMBER:ASSESSOR INFOWTION NEAREST CROSS STREET: LIVE OAK 8587-022-023 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C C2 SPAS HOT TUBS, OTHR 1.00 SPA 54.45 G1 OUTL TS-LGT,SV RECD 9.00 OUT 17.55 EXP I R ES ON G2 LIGHTING FIXT56 ES 3.00 LGT 5.85 03/05/04 VG 11/01/04 - TOTAL FEES 105.60 DOLT SCOTT E 626) 309-4345- 5724 CAMELLIA AV TEMP 917802501 UESCRIPTIONWORK ELECTRICAL OR PATIO & SHED AND FOR EXISTING SPA APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: SAME AS OWNER LIC. NO POWER POLE UNDERGROUND CONDUIT LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER-ITWF PLASTIC Y/N METAL Y/N UTILITY COMPANY k(TrIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUVIT OF LOS ANGRIag TEMPLE CTTY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0806170012 BUIL-DING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHOH : (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 548 UN: .002 5724 C MEJ LIA AV - FEE DESCRIPTION: QUATTTTY: UOM: AwUNT: TEMP CA 917802501 ASSESSOR INFORMATION NUMBER:NEAREST CROSS STREET: - 8587-022-023 Al PERMST ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 -IOCAIrI Y: TEMPLE CITY, C F1 120V, 15/20A BR CKTS 2.00 BR 34.50 TENANT: F2 208, 277V LOT BR CKT 2.00 BR 54.60 ISSUED ON: PROCF8SED BY: PLAN BY: EZPIRFLS ON: G1 OUTLETS-LOT,SW,RE-CP 17.Q0 OUT 33.15 06/17/08 SR 12/14/08 G2 LIGATING FIXTURES 1Q.00--LOT 35.10 O7NER: TEL. NO: HA FAIT LESS 3H 1.06 FAD 10.95 FROLL DATE FINAL BY: CODE: DOW, SCOTT/LAUREN 626) 359-9389- JB AC UNITS +3-10HP 1.00 AC 19.65 5724 CAMELLIA AV LB 200 AMP PANE)S, MCC 1.00 PAN 38.85 T538 917802501 TOTAL FEES 254.55 D2SCRIPTION OF WORK ELECT ICAL FOR REMODEL, ADDITION AND UPGRADE SERVICE PANEL TO 200 AMP APPLICANT: TEL. 90: SARI HSN 626) 359-9389- 160 E. FOOTHILL BLVD SPECIAL CONDITIONS: ARCADIA, CA 91006 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ROSS HOAGLAND 626) 390-0236- 247 N. NTAGRA STREET UC. NO TEMPORARY POWER POLE BURBANK, CA 91505 539031 B UN DE ZGROUN D CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND HERMAN ARCHITECTS 626) 359-9389- 160 E. FOOTHILL BLVD. - LIC. NO: ROUGH COND= ARCADIA, CA 91006 NONE ROUGH WIRIPG MAIN WATER LINE PLASTIC Y/N METAL Y/N LITY COMPANY NO=M REPORT ID: DPR265 ROUTE TO: BS0508