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HomeMy Public PortalAbout10708 FREER ST_Electrical__ 76A663-CE806 9#7 &6A *'fl APPLICATION FOR ELECTRI ALPERMIT . -- _COUNTY OF LOS.ANGELES DEPARTMENT OF COUNTY ENGINEER FEINGlhBUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGFOR APPLICANT TO FILL IN NO, EACH FEE c RECEPT. $ $ OWNS MAIL �{ LIGHT T�AL FIRST 20 20 ADDRESS SWITCH OVER 20 10 •STEL. NO. Y " LIGHTING TOTAL FIRST 20 20 0 CONTR ( v FIXTURES OVER 20 10 ADORES RANGEDRYER—WTR.HTR.— CITY, TEL. NO -))—lp STA.COOK_DISP. F.A U LICENSE NO. '7 , SPACE HTR AIR COND. I HEREBY ACKNdWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND ,STATE LAWS REGULATING ELECTRICAL WIRING. FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS RED IRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO IND. HEATERS, ETC HP. KW KVA. RESIDE IN, THE ABO V DESCRIBED RESIDENT IA RO PERTY. SIZE & TYPE OVER TO SIGNATURE 0 - 1 1 00 OF PERMITTEE 1 - 10 3 00 DISTRICrT,c�1N G OU / Z P OU 10 - 50 5 00 , ` " d' 50 - 100 10.00 N0TTEES O 100 - 500 15 00 `/ 1 -1LG N SIGN,GAS S TUBE, OR A IGN AND ONE CIRCUIT 3.00 .rC '�iL MARQUEE ADDITIONAL CIRCUITS 1.00 •� i SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING ISSUING FEE 2 00 FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED G PERMIT FEE UTILITY CO.NOTIFIED PLAN CHECK FEE (50`7 PERMIT FEE) FINAL ►" TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECT AL ENGINEER PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK. 0. CASH LACo 5 1 7 7 JUN 2 4 2 D a SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CEB06-'i-51, FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING V BUILDING AND SAFETY DMSION ADDRESS ;i L G L- JOHN A. LAIvIBIE, County Engineer CASSAlT D. GRIFFIN.Sup t of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN cttoss ST. (� l i�1l/ P �%�` PERMT FEES --- f ITEM NUMBERI EACH FEE OWNER OUTLET $ $ MAIL 6 1 LIGHTS RECEPT. - SW. :10 �• ADDRESS LIGHTING FIXTURES .10 j ,9!� CITY TEL.NO. t ELEC.RANGES CLO.DRYERS ELECTRICIAN >�. �p j'p 7 WATER HEATERS .50 qDD RESs ELEC.SPACE HTRS. DISHWASHERS _ //��� GARBAGE DISPOSERS AUTO.- CITY dl l/ i R TEL.NO.,�( a� � '• 0 STATE ` CI (✓ S WASHERS STA.COOKING UNITS 1 .25 LICENSE NO. MOTORS: OVER INC. H.P. o — +/z 25 DISTRICT-NO. I GROUP Z NE J READY FOR INSPECTION:, +/z — 2 50 f � INSPECTION RECORD 2 — 5 1.00 5 — 15 1.50 15 — 50 2.50 50— 200 Soo NO.TRANS. ' SIGNS: p NO.LAMPS ' SERVICE 0-600V 1.00 SERVICE OVER 600V 500 - - MISC. 8 - WIRING PERMIT 1.00 FIXTURE PERMIT "1.00 c[I? SUPPLEMENTARY PERMIT .50' t TOTAL FEE $ 3 APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS, APPLICATION 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 tICHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR- FIXTURES LENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIA iP'kUPEjRTT, SIGNATURE , s`� _ UTILITY CO.NOTIFIED _ ,e OF PERMITTEE FINAL ,/U 9d s>I3_ !/d(�ii1�.�rt.-�•��� A ATION ARTHUR C.VEIT. SUPERVISING ELECTRICAL ENGINEER CK Of CASH -LACo 4 53 1 m SEP 5 2 A 3 .40 "76A663 DBS SA 7-51APPLICATION FOR PERMIT /t ��r���J �,• + DEPARTMENT OF BUILD G AND-SAFETY ' COUNTY OF LOS.ANGELES WILLIAM J. FOX, CH EF ENGINEER fl FDR APPLIC NT O. FILL IN • •I DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN _ _� 1 � � g7 RECEIVED� . - BY READY FOR DATE ISSUE D ADDRESS Y' 'P a f),� FIRST INSPECTION �• ,©"� 5� CITY TEL- NON Y 1 /.-�I _ L r1"J COUNTY LICENSE NO. 40 737 EXPIRES BUILDING PERMIT FEES ; { 'ADDRESS FEE LOCALITY NUMBER EACH + ' LIGHT OUTLETS 'NEAREST CROSS ST. RECEPTACLES l WALL SWITCHES `OWNER _ r -- 4 -- TOTAL OUTLETS Sc $ i[, MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS / 25 I 2�CITY, TEL. NO. FIXTURES / 5 _ + -- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS �qAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS ; AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS +r' - I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE `;,ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP DVER INC. EACH ,OF THE RESIDENTIAL PROPERTY D SCRIBED ABOVE. r/2 & LESS $ .25 �8IGNATURE OF� •^'� _ I/2 2 .50 ,,r I PERMITTEE 2 5 1.00 - INSPECTION RECORD 5 is 1.s0 is sD 2.50 50 200 5.00 r 1 ' 200 500 10.00 J 500 1 000 15.00 Z OVER 1000 20.00 { _ V M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA y}�` O GENERATORS - KW h^ TRANSFORMERS - KVA TEMP. MOTORS (75% Or ORIGJ MOVED MOTORS (75% OF' OR16.) MISC. r SIGNS .r i NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 1 CONDUIT + WIRING Qt, FIXTURES $1.00 L^ , SUPPLEMENTARY .50 (.'FIXTURES v n POWER TOTAL FEE -UTILITY CO.NOTIFIED FINAL COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1207120003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE- (626) 285-0488 EXT: ILEGAL ID FEES PAID BUILDING ADDRESS- - 1 ITR: 17867 IT: 5 I I 10708 FREER ST 1 I _(FEE DESCRIPTION: QUANTITY: UOM- AMOUNT: ( TEMP CA 917803405 (ASSESSOR INFORMATION NUMBER: I - I NEAREST CROSS STREET: EL MONTE 1 18574-001-005 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE. 597 GRID: C4 LOCALITY TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 7.00 OUT 14.00 I - 1 (TENANT: IG2 LIGHTING FIXTURES 2.00 LGT 4.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 IH2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 107/12/12 SR I _IH3 RES DISHWASHR LT 3HP 1.00 DIS 11.00 1 (OWNER: TEL. NO: IH4 RES RANGE HDS LT 3HP 1.00 H00 11.00 IF DATE FINN&LL Y: CODE: IHSU, PETER H (626) 298-4363- TOTAL FEES 78.80 1 � ` 110708 FREER ST ` ITEMP 917803405 1 IDESC IPTION OF WORK i1 I 1 17 OUTLETS, 2 LIGHT FIXTURES, GARBAGE DISPOSAL, DISHWASHER 1 I -1 (AND RANGE HOOD 1 (APPLICANT. TEL. NO: - ISAME AS OWNER I I ISPECIAL CONDITIONS: I I I I (CONTRACTOR: TEL. NO: - (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I I LIC. NO TEMPORARY POWER POLE I I I I I I I (UNDERGROUND CONDUIT I I I I I I ( I ARCHITECT OR ENGINEER: TEL. NO I IUFER GROUND I I 1 LIC. NO: 1 IROUGH CONDUIT I I I I I I I I (ROUGH WIRING I I (MAIN WATER LINE I IPLASTIC YIN METAL YIN I I I I I I I I (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 VoC)RKERS"COMPENSATION DECLARATION - ,O,B, CE-806G -APPLICATION FOR ELECTRICAL PERMIT I.hereby affirm that I"have a certificate of consent to self CE-806 _l__ insure,.or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a cerfIfied copy thereof (Sec.3800, Lab C ) cy ry7b2 n 7 R 6 R 7 Company 5 t F61 n d FOR APPLICANT TO FILL IN JOB E . Freer T Certified copy is hereby furnished New Residential Bldgs & Pools EACH -NO FEE ADDRESS 107-08 Certified copy is filed with the ount bu Idmg inspec- 1 & 2-Family, Sq. Ft $ LocaurY _ $ Temp 1 e City tion department Multi-family Sq. Ft NEAREST CROSS ST 2/.2 2,/8 8 Residential Swimming Pools OWNER OR Date _ Applicant FIRM NAME C • R• C o l o n y CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw. _ MAIL COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed if the work involved by Total No Additional' CITY Tel. h48-4895 the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Additional Total No CITY- Tel. No. - Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE"TO APPLICANT: If, after 'making this Certificate of APPLICANT E n v i r o n me n t.a 1 E n i n e e r i n Exemption, you should become subject to the Workers' Range_ Heater—D.W. — g Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W.M.— ADDRESS 60 with comply with'such provisions or this permit shall be Top _-FAU —1—W.H. — 1 CITY Orange Tel: No-639-8281 deemed revoked. Hood Fan _Other_ LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions'of Chapter 9 Disp. _ Room Air Cond REG NUMBER 47-5226 CI&2 0 (commencing with Section 7000) of Division 3 of the Business DISTRICT NO PROCESSED and Professioris Code,and.my license is in full force and effect Power Apparatus& Large Appliances CL Size 8 Type HP, KW, KVA, or KVAR / O License Number 475226 Lic. Class C 2 0 Up to 1 Incl. FINAL V E n v. E n 2/22/88 DATE �1�1 7'� 0 g : 1 Over to. Incl. �' G/ C/ VALID I N Q Contractor Date Over.10 to 50 Incl FINA V ❑ BY W I am exempt under Sec. Over 50 to 100 Inc. CL B.BP C. for this reason Over 100 H Date: Services, Swbd., MCC & Panelboards r 0 01 —5 . Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ - Over 1000 Amp or Over 600 V ;2'9023 A Exemption for Reg. Maint. Eject SINGLE FAMILY Temp Power Pole& Appurtenances # o o a o o>2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit• I hereby affirm that I am exempt from the Contractor 's License - 36 00 Law for the following reason (Section 7031 5, Business and Professions Code): ❑ 1, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 0 2 2 3 s 8 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY 1 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) Z (Sec 3097, Civ C ). PLAN CHECKING FEE Lender's Name PERMIT-ISSUING FEE � Lender's Address -16 S6 I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances a Stat jaws regulating Electrical wiring, and hereby auth ize epr sentatives of this County to enter upon the bove- enti ned ropers r inspection purposes i 1 SEE REVERSE FOR EXPLANATORY LANGUAGE • Signature of Permittee Date