HomeMy Public PortalAbout10543 FREER ST_Electrical__ 76A663-CE806 x174 APPLICATION "F ELECT CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS oa
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BUILDING AND SAFETY DIVISION
LOCALITYJ�jvt' /
,
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Do
•
OUTLETS NO EACH FEE OWNER OR
FIRM NAME
RECEPT.) $ $ MAIL
FIRST 20 25 D ADDRESS
LIGHT TOTAL
OVER 20 CITY TEL. NO.
SWITCH 10 PLAN CHECK
FIRST 20 25 /� APPLICANT
LIGHTING
TOTAL (J
FIXTURES 10
OVER 20 ADDRESS '
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RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT ,, �(�
RANGE DRYER_WTR. HTR. APPLICANT V'L.1
STA. COOK DISP. F.A.U. ADDRESS
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SPACE HTR. AIR COND. CITY TEL. N0. 3
CLOTHES WASH. DISHWASH. \ LICENSE
OR - r- CLASS.
FANOTHER 100 /1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
VVV AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '
IND. HEATERS, ETC. HP. KW KVA ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY TIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED A RE UIRED BY LOS ANGELES COUNTY AN TATE OF }.
CALIFO T I ATHEGAL OWNEROFHA��A�BOVE CL1 - 10 300 DE IPED RE I P O
U
P RMI
10 - 50 500 SIG UR X Q O
U
50 - 100 1000 LLJ
DISTRICT N0. f ROC SED BY a-
100
-100 - 500 1500 ti S U 0 GO
SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING 6"Z,.'�fl✓-'y's �
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES
i
POWER AUTHORIZED
UTILITY'CO. NOTIFIED
FINAL 4 -77
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE jl-/
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. CASH
.05iL-nrr $ 2 l 8.8Q ♦96
SEE BACK OF. APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1212210010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE- (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR. 11290 LT: 15 BL: B 1 10543 FREER ST
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803446
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-021-051 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID- C4 LOCALITY: TEMPLE_CITY CAI
IG1 OUTLETS-LGT,SW,RECP 5.00 OUT 10.00 I
(TENANT. IH2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 11SSUED ON: PROCESSED BY. PLAN BY:
1 I TOTAL FEES 48.80 112/21/12 SR
OWNER. TEL. N0:
IFINAL DATE FIN4L BY- CODE: I
IYEN, ESHIN D (818) 448-1896- 1
110543 FREER ST 1
ITEMP 917803446 I IDDSCRYPTIOI< OF WORK uI
I (OUTLET CHANGEOUT FOR KITCHEN REMODEL, AND GARBAGE DISPOSAL I
I I IFOR KITCHEN.
(APPLICANT• TEL NO
ISAME AS OWNER -
I I ISPECIAL CONDITIONS:
I I I I
ICONTRACTOR: TEL NO. 1 (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - 1 I I
LIC NO i (TEMPORARY POWER POLE
I I I
I (UNDERGROUND CONDUIT I I
I I I
(ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I
_ I I I
I I
LIC. NO: IROUGH CONDUIT
1 11 I
-i i ROUGH WIRING
IMAIN WATER LINE II I V
IPLASTIC YIN METAL YIN I
I (UTILITY COMPANY NOTIFIEDI I
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IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 1
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