HomeMy Public PortalAbout10919 FREER ST_Electrical__ DBS SA 25M SETS 7-47
APPLICATION FOR PEI?IiIIT
DEPARTMENT OF BUILDING AND SAFE'
COUNTY OF LOS ANGELES ELECTRIC
M. J. FOX CHIEF ENGINEER
zNAME DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESS
W CITY EL.NO. RECEIVED BY FIRST INSPECTION
READY FOR DATE ISSUED
J COUNTY /,/
W CERT.NO. 40 EXPIRES
APPLICANT FILL IN HEAVH.Y OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY •
LOCATION BY ROOMS 41
NEAREST
LIGHT OUTLETS SW. PLUGS IH
GROSS ST.
CIRCUIT A B C D E F G aCy MAILADDRESSpCITY �._ ' e, TEL.NO.1 AM THE LEGAL POS9 OR OF THE ABOVE LOS
—ADDRESS
COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE&JULAL OWNER OF THIS PRQPWITY DESCRIBED
ABOVE
R�Pr
f OWNER.
CORRECTIONS
Q
z
0
D
TOTAL �
NO. OF OUTLETS $ APPROVALS
1 NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. /Y $ CONDUIT
NO. OF SIGNS TRANS. af+ td $ WIRING
NO. OF RANGES OR HEATERS - $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITY CO.NOTIFIED
TOTAL FEE FINAL ' -
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ELECTRIC
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN -
RECEIVED BY READY FOR DAT ISSUEp
ADDRESS Q FIRST INSPECTION / F
CITY TEL. NO.
COUNTY LICENSE N0. C EXPIRES qD L61ING
PERMIT FEES_ _
RESS
NUMBER EACH FEE LOCALITY /
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST. (L �
WALL SWITCHES OWNER
TOTAL OUTLETS _ 5C 5 MAIL
ELEC. RANGES 25 �„tj ADDRES
ELEC. HEATERS 25 Z'S
_CITY TEL NO.
FIXTURES 5
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER _HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTYCRIBED ABOVE.
%2 4 L $ .25 SIGNATURE O
2 /
_ �2 _ 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 S00 10.00 J
500 1000 15.00 Q
-- Z
OVER 1000 20.00
M.G. SET/FRED. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIo.)
MOVED MOTORS (75% of ORIG.)_
MISC.
SIGNS
NO, NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMITS DATE INSPECTOR'S NAME
WIRING 51.00 u(1 CONDUIT
FIXTURED 51.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER y
TOTAL FEE 53 C) _UTILITY CO.NOTIFIED 3
FINAL
76A663 DBS#5A 4-52
COUNTY OF LOS ANGELES TEMPLE CITY iR 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC QORKS 9701 LAS TUNAS EL 0508 0009250037
BUILDING AND SAFETY / LAND DEVELOPMENT TELE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 10898 LT: 15 BL: B UN: .002 10919 FREER ST
FEE DESCRIPTION: GUAI(TITY: UOM: AMOUNT: TEMP CA 917803541
ASSESSOR INFORMATION N1 ER: NEAREST CROSS STREET: SANTA ANITA
8573-035-023 Al PERMIT ISSUANCE FEE 27.75 Tl�)MAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
F1 120V, 15120A BR CKTS 1.00 BR 17.25
TOTAL FEES 45.00 -
09/25/00 UT 03/25/01
OWNER: TEL. NO: FIkAL DATECODE:
WANG SUSAN (626) 447-0964- .
10919 FREER ST
TEMP 917803541 DESr-RIPTIW OF WORK
APPLICANT: TEL. NO:
PHILIP YEE (323) 221-8474-
32Z9 N FIGUEROA SPECIAL CONDITIONS:
LA, CA
GE LES C
CONTRACTOR: TEL. W: APPROVALS !NSPE
YEE PHILLIP (323) 221-8474-
3221) N FIGUEROA ST LIC. NO TEMR;06Y POWER POOLE
LOS ANGELES, CA. 90065 284729020 •
ARCHITECT OR ENGINEER: TEL. 0: UFER 9;�MDll
LIC. IROUGH C�XDUIT
111111
ROUGH �IRING
.MAIN WATER ErRr
!' I J BB DC
WO R"KS PLASTIC Y/N METAL Y/N
El
� D `
4b/ ❑ off$
1L Service That�N
I
4
ADDITIONAL DATA ON FILE
I
4EPORT ID: DPR265 ROUTE TO: BS0508
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WORKERS'COMPENSATION DECLARATION 76A,663 10/81 APPLICATION FOR ELECTRICAL PE r L IIT #M0I hereby_afflrm that I have a certiflcat6 -of consent to self CE-806(Insure, or acertlficafe of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec. 3800, lab, C.)
Policy No. Company POR APFUC M TO PILL N JOB
Cel-ttffed copy Is hereby furnished. New Residential Bldgs. 8 P6ols EACH NO. FEE ADDRd SS �d
❑ Certified copy Is filed with the county building Inspec 18 2-Famlly, Sq. Ft. ; _ LSI L G
tion department. Multi-family Sq. Ft. NEAREST
Residential Swimming Pools CROSS ST Y19N�
Date �p1ltant OWNER OR
FIRM NAME . L O
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�lghi Sw._ }OAAJL J HiQ
COMPENSATION INSURANCE F i rst 20
(This section Freed not be complefsd IF the work Involved by Total No� Additional CITY 1-:74C d/ Tel. No. VIA
(This
The permit as for one hundred,dollars($TOO)or less.)
I �ertlfy that In the performance of the work for which this AA PLl K
permit is Issued, I shall not employ any rson In any monner
w as to becormesublect to the Works mpe Ion.laws. Llghfing Flxtur" flW 20 ADDRESS
Total No. Additlonal
CITY-' _ Tel. No.
Dote Ilc�nt Fixed Appliances Not Over 1 Hf' PERMIT /
NdTld TO APPLICANT: If, aking this CerlifTtate of Ran ea Heater—D.W. S6-L - CCTX1
Eicemptlap you should besubtest to the Worker qComperfsatlon provlslons ofLabor Code, you must forth- ' Oven Dryer —W.M. ADDRESS
wlth comply with such provisions or 'this permit shall be Top — FAU _W.H. 7
deemed revoked. Hood Fan — CtthCITY -IAO V J9
er—
��� Tel:No.-7
_
UCIENSED CONTRACTORS DECLARATION. LK]Et S OR d
I bereby affirm tfwt I am licensed under provisions of Chapter 9 Dlsp. �'Room Air Cond. REG N ffIF9 J Claes. -fp
(commendwg with Section 7000) of Dlviilon 3 of the Bwlne•s Power Apparahn 8 Large Appliances DISTRICT
y
and ProfesslornCode,and m license is In full force and effect. ?
,(/-yd 6 Size 8 Type HP, KW, KVA, or KVAR' �tr 0
License Nambpr / / O q/ Llc. Clans `10 � 7 O
Up to 1 Incl. FINAL V
Over 1 t4,10 Incl. �/ DATE ' _ VADA O '
Contractor��[J(fG7- ate'`-r' Date Over 10 to 50 Incl, FINAL fir}
❑ I am exempt-under Sec. Over 50 to 100 Inc. BYa
11
B.BP.C. for this reasaa ----— Over 100 6t9.8'pl ys
SerySwbd., MCC A Panelboards
_ Amp. 600 V #.o • o • 0 2
Signature ��:Z 201 - p. r .• • 3 3,Z 5
❑ Over 1000 Arhp. or Over 600 V o,o.o 3 3 2 5.6
Exem tlon R Mafnt, riled.
p SINGLE FAMILY Temp. Pbwer Pole&Appurtenances 0 A 8 8?
HOME OWNER-BUILDER DECLARATION Sign wlth One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, B e•s and Additional Sign Branch Circuits
Professions Code):
❑ 1, as of the property, will do th work and the MItc. Condults 11Conductors
strnctu Is not Intended or offered r sate (Section Other (See Complete Fee Schedole)— ,
704 , Bus and Professions Code
CTf0N L37DING GENCY
}hereby dff Irm that the Is a co Ion lending agency for
the performance of the for Ich this permit Is Issued PERMFr FEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING fU
Lenders Name
PERMIT ISSUING FEE
Lenders Ad&
9 certify that I ave this appllcatlorr state that the TOTAL FEE
above Inform correct. I agree to comp Ith all County
ordinances a to laws regulating Electrl wlring, and .
hereby author) representatives of this County to enter upon
the abavo- eritloned prortj or Inapei�tlgn purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Lure of Permittee Date