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Home My Public Portal About10749 FREER ST_Electrical__ 76A663-CE806 3-69 - - APPLICATION FOR ELECTRI AL PER • COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER fA UILDING BUILDING AND SAFETY DIVISION DDRESSJOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGOCALITYEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE $ $ OWNER ' RECEIPT. MAIL LIGHT 7 TOTAL FIRST 20 ,2 .20 z t54V ADDRESS / �./ OVER 20 .10 CITY TEL.N0. SWITCH PLAN CHECK LIGHTING TOTAL FIRST 20 44 .20 go APPLICANT L ADDRESS FIXTURES �T OVER 20 .10 RANGE_WDRYER_WTR. HTR. CITY TEL.NO. STA. COOK DISP. V F.A.U. CONTRACTOR SPACE HTR. t--*' AIR COND. ADDRESS SGy�4�j�/�o� v /�!•Qp CLOTHES WASH._DISHWASH. CITY � yl� /C 6 TEL.NO.,<-' /,3 d,r/ FAN OTHER 1.00 -7/O LICENSE NO. Z G 6 4 d CLASS. 1 0 MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. O - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF 1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO P- RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 0 10 - 50 5.00 V SIGNATURE OC 50 - 100 10A0 OF PERMITTEE 0 H 100 - 500 15.00 DISTRICT N GROUP 4rEl p ESS, I E,D, BYY A W • SIGN,GAS SIGN AND ONE CIRCUIT 3.00 ✓, v � '�`''� N TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES, — SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 2 C)C) 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 PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00, G FINAL TOTAL FEE0 JOSEPH C. ROOHAN ♦ SUPERVISING ELEC]ILENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONM.O. CASH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE V WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT I heT�qby affirm that I have a certificate of consent to self Insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES;r i DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof,(Sec..3800 Lab C)" " M• ' POIICy NO. Y Company FOR APPLICANT TO FILL IN ` JOB' ADDRESS `{%.� /`•C'E ❑' Certified copy IS hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY ❑^z:,Certified co is filed with the count building inspection 1 &2-Family,Sq Ft _ $ $ PY Y 9 P NEAREST department Multi-family Sq Ft CROSS ST Date Applicant Residential Swimming Pools MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR COMPENSATION INSURANCE Cutlets Rec.—Light Sw FIRM NAME First 20 MAIL ' p��o (This section need not be completed if the work involved by the Total No Additional ADDRESS L02-7 permit'.is to'r one hundred dollars($100)or less.) I certify that in the 'perfor'mance of the'work for which this permit CITY 7E'/yfir C� Tel No�fk—y y Is Issued, I shall not:emp loy any person'In any mann so as t0 PLAN CHECK become subject to the Workers' Compensation Law Lighting Fixtures First 20 APPLICANT Total No ,Additional ADDRESS Date / Applicant RESIDENTIAL APPLIANCES NOT,OVER 3 HP. NOTICE TO APPLICANT If, of r making Is ertificate of CITY Tel No Exemption,you should became subject to the s'Compensation OTHER APPLIANCES NOT OVER 3 HRIL iovisioris of the Labor Code, you must forthwrth'com with such PERMIT /4 p P•- Y P Y APPLICANT' (1 / provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances /n LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS.? �T$ y��.ftFs 1 hereby`affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Inc[ (commencing with Section 7000) of Division 3 of the Business and CITY�U�./�, Tel No Professions Code, and my license Is in full force and effect Over 10 to 50 Incl. O } LICENSE ORB /S•^�� Class. e� Over 50 t0 100 Incl. REG NUMBER (tf J� c /? Over 100 DISTRICT NO PRO"S/SED BY License Number►n V � Lic Class v - i i u 0 1Services,Swbd,MCC&Panelboards �• C Contractor Date � � 0-399 Amp. Under 600 V GATE /� O ❑ I am exempt under Sec 400-1000 Amp Under 600 V 3 <3 W Over 1000 Amp or Over 600 V FINAL ,VALIDATION W B&P C.for this reason _ BRANCH CIRCUIT FEES BY W Date 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11-To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption fof'Reg'Mamt Elect. 15A,20A,208V To 277V Lighting Br Circuits n , SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATIONr.�ACC tt. I hereby,affirm that I am exempt from the Contractor's License'Law Sign with One Branch Circuit' - •v E,s for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits —� � v Code) .J30 tr 43.80 ❑ I, as owner of the property,will do the work and'the structure Misc.Conduits&Conductors 1. ii'S Is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ,;t and Professions,Code) Poo... �i= L °'- CONSTRUCTION LENDING AGENCY f'HE 't 43.80 I hereby affirm that there Is a construction lending agency for the CHANGE .00 performance of the work for which this permit Is Issued (Sec-'3097, PERMIT FEE (Sub-Total) - Civ. C) PLAN CHECKING FEE Lender's Name 0100113-0;113 - -2I 16/'33 PERMIT ISSUING FEE Sx- 0- ANN 21 Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE �Q that the above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTR;--rL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0406210032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: -FEES PAID BUILDING ADDRESS: TR: 13613 LT: 30 10749 FREER ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803533 ASSESSOR IN`ORMATION NUMBER: NEAREST CROSS STREET: EL MCNTE AVE. 8573-005-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 24.00 OUT 44.40 _ TENANT: G2 LIGHTING FIXTURES 6.00 LGT 11.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H7 RES EXHAUST FANS 1.00 EX 10.95 06/21/04 JK 12/18/04 _ LB 200 AMP PANELS, MCC 1.00 PAN 38.85 OWNER: TEL. NO: TOTAL FEES 133.65 FINAL TE FINAL BY:- CODE: LUONG/FUNS, CHARLES/VIKKY (626) 279-7585- - - 10749 FREER ST TEMP 917803533 R PT ON OF WORK IE CTRL@AL FOR ADDITION APP_ICANT: TEL. N0: HOANG (626) 673-6996- SPECIAL CONDITIONS: I CONTRACTOR TEL. NO: (APPROVALS W DATE INSPECTOR SIGNATURE LUONG/FUNG, CHARLES/VIKKY (626) 272-9248- 10(49 FREER ST. LIC. NO `TEMPORARY POWER POLE TEMPLE CITY, CA 91780 NONE UNDERGROUND CONDUIT ARCHIIECT OR ENGINEER: TEL. NO: �UFER GROUND i _I HCANG, KEVIN (626) 673-6996- - 1820 S. CORDOVA ST. LIC. NO: ROUGH CONDUIT - P.L.HAMBRA, CA 91801 NONE � _ - i ROUGH WIRING 4 - p i (MAIN WATER LINE !PLASTIC Y/N METAL Y/N i UTILITY COMPANY NOTIFIED, ! I REPORT ID: DPR265 ROUTE TO: SS0508