HomeMy Public PortalAbout10723 FREER ST_Electrical__ 76A663•CES06-X10-56 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING
County of Los Angeles ADDRESS �® .� �'��✓ •S
JOHN A. LAMBIE, COUNTY ENGINEER I
CASSATT D. GRIFFIN.'SUP'T OF BUILDING LOCALITY
NEAREST )
FOR APPLICANT TO FILL IN CROs,s E/ a1n
PERMIT FEES OWNER Aly &_ />
LIGHTS RECEPTACLES SWITCHES ,/ ® n
NUMBER t T E M EACH I FEE MAIL
ADDRESS & P1
TOTAL OUTLETS $ .f 0 $ -�,r ff cc
ELEC. RANGES, WATER HEATERS, CITY CtY—tf TEL. NO.
CLOTHES DRYERS .50 ELECTRI AN c� I
ELEC. SPACE HEATERS, STAT-Y. COOK- _
ING UNITS, GARBAGE DISPOSERS, ADDRESS O� y�
AUTO WASHERS, DISHWASHER .25 - ,p7-- //��
LIGHTING FIXTURES ,10 / C/ CITY�P-ty;0 C.f O�AQ TEL. NO.(��g'�O�Q
MOTORS STATE
LICENSE NO. /
HORSEPOWER
H.P. OVER INC. DIST RIC O. GROUP NE READY-FOR INSPECTION
I/; &LESS .25
16• - 2 .50 INSPECTION RECORD .
2 5 1.00
5 — 15 1.50
15 — 50 2.50
50 200 5.00
MISC.
SIGNS ( NO.TRANS
NO.LAMPS
SERVICE O--600V 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00 ® ,
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE $ o DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE•READ THIS APPLICPMON
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING ✓ ttd i,,.n/.n.,wG',1�-ao1�?�
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ND/OR FIXTURES ��'.i �„I/�/�,,.q �
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND TE OF
CALIFORNIA OR THAT 1 AM THE 'LEGAL OW R OF ABOVE POWER
DESCRIBED RES IDENT IA PROPERT
SIGNATURE UTILITY CO. NOTIFIED'
OF PERMITTEE 4 `
FINAL � !r.•
JOHN A. NGINELAMBIE. ATION ARTHUR C.VETT,
COUNTY ENGINEERCx MO_ CA..H - SUPERVISING ELECTRICAL ENGINEER
X0.5 1 :4' 6 T SEP 7 4 2 A
�IDEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PEPERMITPERMITy COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
Z yy� ,�yy �lzsw l DISTRIC-PT O. GROUP ZONE PERMIT NO:
ADDRESS-IJO.,.-� I��'N I/1
/ RECEIVED BY READY FOR DATE ISSUED./
MU CITY 'Bp.;. TEL.NO. w1 / l� FIRST INSPECTIONZi COUNTY
W CERT.NO. ./,Pf 7•'('� EXPIRES ke (g
APPLICANT FILL IN HEAVILY OUTLINED POR'T'ION ONLY A
JOB
DESCRIPTION OF WOR -ADDRESS o�/��/7 �41,9�y�
NUMBER OF OUTLETS ON CIRCUITS LOCALITY C 7 .Fik- �-�+
LOCATION BY ROOMS NEARE
LIGHT OUTLETS SW. PLUGS FIZT CROSSS T. �// (
CIRCUIT A B C D E F G H 0 NAME
/ Z MAIL J qa nJ[�11 � //
3 ADDRESS,] LVA, >-�
O '
CITY z, �, TEL.O.
AM THE lANGELES COUNTYLEGAL
CERITIFICATE OF QUALIFICPrT10N.
to
/ELECTRICIAN.
I AM THE�LEGiAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
IOWNER.
CORRECUONS
_ J
Q
Z
O
TOTAL a
NO. OF OUTLETS $ V APP OVALS
NO. OF FIXTURES / To $ 1p(aATE IN! QTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT If.ps►
NO. OF SIGNS TRANS. / ' $ (� WIRING I `
NO. OF RANGES OR HEATERS / $ J FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ f�i� UTILITYCO.NOTIFIED
TOTAL FEE FINAL LEO,/ A-- L
76A663-CE806 8/63 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEERIS
WILLIAM A.JENSEN, SUPT OF BUILDING' LOCALITY
FOR APPLICANT TO FILL IN CROSS ST. Z> -75Y
REC EP T, TOTALNO. EACH FEE OWNER �y� �� 0 a
OUTLETS FIRST 20 $ $ c III
LIGHT ® MAIL
I
ADD'L ADDRESS
SWITCH. 3. _ OVER 20 10
TOTAL 1
LIGHTINGl1 20
CITY
TEL. NO.F .
FIXTURES ADD'L 1O ELECTRICIAN14
OV R 20
gnRANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK •
- - CITY TEL. NO. Oxz
'
DISHWASH. AUTO.-WASH. STATE
SPACE HTRB. STA.APP.(I/a H.P.MAX.) ,50
LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. I GROUP ONE PROyESSED BY
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 B 2.00 d
s O 1s 2.so V
15 50 3.00 O
50 100 5.00 ;
SIGNS: NO.TRANS p d
NO.LAMPS Z
SERVICE 0.600V-NOT OVER 200A - 1.00 V
Fj
Lfb
SERVICE 0-60OV-OVER 200 A. 2.00 /
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTAEIY PERMIT ISSUING FEE 1.00 .
TOTAL FEE $
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 QQ
ELECTRICAL WIRING. WIRING •p`��G/{I
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR"
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGA O ER O THE ABOVE
DESCRIBED RESIDENTIAL P ERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE '
(:�� �d� -V --- QA-
FINAL
LIDATION ARTHUR C. VEIT
' CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L'Lo 3 1-7 1:a -AUG 2 6 2 D 6:0 O~ a
. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1010270030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID- I FEES PAID I BUILDING ADDRESS:
ITR: 13613 LT: 32 I 1 10723 FREER ST 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803406
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: EL MONTE
18573-004-011 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
ILB 200 AMP PANELS, MCC 1.00 PAN 38.80 I I
(TENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: I
I I 110/27/10 SR
(OWNER: TEL. NO: 1 IFINAL DATE FIN BY: CODE:
IDOSAL, MARGARITA (626) 350-0069- 1 I I
110723 FREER ST 1 1
(TEMP 917803406ESC IP ON OF WORK
• 1 GE ELECTRICAL BOX (METER FROM 100 AMP TO 200 AMP
I I I I
(APPLICANT: TEL. NO: I 1
ISAME AS OWNER
I ISPECIAL CONDITIONS:
I I I I
I I
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I
I LIC. NO ITEMPORARY POWER POLE I I
I I 1UNDERGROUND CONDUIT I I I
ARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND
LIC. NO: TROUGH CONDUIT II YJ I Vi I
IROUGH WIRING
I I I
IMAIN WATER LINE 1 I I
I-PLASTIC Y/N METAL Y/N
I I I
I 1UTI iITY COMPANY NOTIFIED(
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I I I I I I
I I 4 I I I I
I I I I I I
I I I I I I
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1 IREPORT ID: DPR265 ROUTE TO: BS0508
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