HomeMy Public PortalAbout10929 FREER ST_Electrical__ ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 EEEGTR PER}f T
_.DEPARTMENT OF KELIC•WORKS 9701 LAS TUNAS —EL 0508 00019405
BUILDING AND SAFETY,/ LAND DEVELOPMENT TEMPLE CITY CA 91780 _
PHONE: (626) 285-044 EXT:
LEGAL ID: FEES PAID .-BUILDING ADDRESS:
TR: 10896 LT: 15 BL: B 10929 FREER ST
FEE DESCRIPTION: QUANTITY: UOM: AM"T: TEMP CA 917803541
NEAREST CROSS STREET: SANTA ANI-TA AVE.
8573-035.007 Al PERMIT ISSLWICE FEE 27.75 THOMAS PAGF: 597 GRID: D4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW RECP 33.00 OUT 56.55 -
G2 LIGHTING FIXT56ES 14.DO LGT 27.30 PR-OCESSED BY: PLAN BY: EXPIRES ON:
HA FAU LESS 3HP 1.00 FAU 10.95 01/14/00 . UT 07/12/00
H2 RES GREG DISP LT 3HP 1.00 DIS 10.95
OWNER- TEL. NO: H7 RES EXHAUST FANS 1.00 EX 10.95 FlkAL DATE FINA OWE:
MDC CHAN•TRINH T (626) 444-5373- JB AC UNITS +3-10HP 1.00 AC 19.65 l9�
1D929 FR
�ER ST LB 200 AMP PANELS, MCC 1.00 PAN 38.85.
TEMP 917803541 TOTAL FEES 202.95
DESCRIPTION UF795U-
ELECTRICAL-FOR ,ADDITION AND tTERIOR REMODELING
APPLICANT: TEL. NO:
W (626) 912-3289-
18403 VILLA CLARA SP EC I ALL DiTIONS:
RO"6 HTS 91748
P�GELES CO
CONTRACTOR- TEL. WO: OV . APPROVALS DAIE INSPECTOR SIGNATOffr_
KONGEA CONSTRUCTION CO. (626) 912.3289— `J
18433 VILLA CLARA STREET LIC. NO TEMPORARY POWER POLE
ROWLAND HEIGHTS, CA 91748 731678 B
ARCH-ITECT OR ENGINEER: TEL. NO:
Ws STEVE.0 Y (626) 912-3 \�=
18�r03 VILLA CLARA ST. LIC. 1}1111
RW—AND HEIGHTS, CA 91748 26073 C ROUGH WIRING
MAIN WATER LIWE_
U I I \�j/\�f/ R I�, S PLASTIC Y/N METAL Y/N
L� C 1J L1 u �]
r
D
UTILITY COMPANY NOTIFIED
N.
Service That
REPORT ID: DPR265 ROUTE TO: BSD508
wA)Fij-at I 'have
a ceSATION of cLAAAT1oN 7EA806 ,o,e, APPLICATION FOR ELECTRICAL PERMIT
•1 herebyeiTfrm that I have a certificate of consent to self Insure, CE-8060 � .
or a mate of workers' Cornpeneatior Ireurroce, or a cerdfled COUNTY OF LOS ANGELES BUILDING AND SAFETY
cwr thared(Sec 3600.L ab.C.)
Na C r parry FOR APPUG Nr TO FdL IN JOB
ADDRESS
CertFled copy Is hereby furnished. New Realderrhal Bldgs&Poofs EACH NO. FEE
❑ pedion 1 8 2-FanSq.Ft. $ — $ LOCALITY _ LC
Certified oopy Is fled with the county binding trx Muftl-fly NEAREST
dap-& t. CFC8S ST.
pie Ap¢I{ca7it Residential Pct OWNER OR
FRM NAAE
CEFTFT r-ATEIOF EXEMPTION FROM WORKERS' IL M
COMPENSATION INSlFW4CE Qftlets Rec Light Sw. ADDRESS
(This section need not be compleW If the work tnrow.d by the Fhst 20 ` '
permit Is for one hundred dopers(S 100) or less.) Total No. Addttioriel Cff Y TC6 No
I cwtffy that In the pen rmanoe of the work for which this permit PLAN(A-EClc
APPUC NT CrIff AN
la Issued, I shall rxrt employ arty person In any manner so as to
become subject to the Workers'Corpenaation Lew& Lighting Fbdlres First 20 ADDRESS -
i i ��l�
Tota!No. � �� CITY ;6.v j � TeL Na#`rte`' S-3pats Applicant Fbrod AppUnoss Not Over 1 HP
NOTICE TO APPUCANT: If, after making this Certt{loate of
Exemption,You should beoorne subject to the wbriws'Cortpermtton �Qe— He9fer_ D.W. APPUCJNT
provlelore of the Labor Code, you must krd- th octnpfy'with suoh Oven Dryer— wit ADDRESS
provieione or thfa pewit ohO be deemed rew4ad Top T FAU —' WJ-L —
L.iCENSI=D CONTRACTORS DECLARATION Hoed Fan Other— CITY T.I.Na
I hereby-affirm that I em BDwwed under provWone of Chapter 9 DKp, — Rin Air Cond —m � ANSE OR cl...
(comench�g with Sealion 7000)d r DWcsl 3 of'tjle Business and
Prdosabns Code,and rrry Ilcenee 68 In ful force and effect. P—APPerat-S Large Appller— MSTRICT NO. PF92giSSED BY
Size 8 Type HP,KW,KA or K AR at
Lbarse Number Uc.Class Up tc 1 Ind. FlNAL
O%W 1 to 10 UqL
Corrtraotor Date -�
Over 10 to 60 lnd.
FINAL
❑ I am exempt under Seq Over 60 to 100 Ina 13Y
B BP.C.for ttrle reason
Over 100
Date Services,%vbd�MCC& Panalbcards , Z
0-200 Amp.tkrder 800 V ate•
s4lat ue 201 - 1-600 Amp.Under 600 V
Over 1000 Amp.or Over 600 V
F-1F oerrption for Reg.Iv4alnt.Ebot
SINGLE FAMILY Temp,Po%w Pole&Appurtenancee 2
HOME OYVNER-BULDER DECLARATION Sign wIth One Brmich Cjratt
I hereby edfh that I am exarro trvm the Cantreotore License Lew Ad& 'ANT,4
for the fo0owtng reason(Section 7631.6,Buefnass and Pro(eaaiore S1� Clra#to
Code): 3307 16.60
Mlsa CoridulUs&Conductors
I,as owner of the property,wlI do the.wcrk and the strucb e 1 ITEM
ie not
rhtNid d r offered for sale (Section 704-4, Bualnees other(See Couplets Fee Scr,ed ) TOTAL 1 }E]
and
CCNSTRucTION LENDDtG AQENCY CASH 16.61
I hereby etlfrm trot there to a cansbicdw lerdfrg ager y for the
perforrrraroe of the work t4-'which this permR Is,leaned(Sea 3097, PERMFr FEE {SUb-Total) ,� C •
Ctv.C.).
Lenders Nemo PLAN CI-LECKING FEE _ tl1.ILi-LRJIJ 1 11/13/90
PERMIT ISSUING FEE „17
Lenders Address 1 1 9:58
1 oerlfty that I haw-read thb apptioetion and slate that the above TOS FEE / G
hfa'mabw Is correct.I agree to corrpy wft,all Coyrty on9nenom
and State iewe mWIEtng Elecblcal wtrtrp, and hereby authortna
representatvea of this Corny to enter upon the abovo-mentior»d
fly t4-'Irapoban purl' SEE REVERSE FOR EXPLANATORY LANGUAGE
r4- Date , , -
I
7eAee3ceeoe >t-" APPLICATION FOR ELECT P
&CAL
COUNTY OF LOS ANGELES
DEPIARTMEM OF COUNTY ENGINEER BUILDING
BUILDING AND 8AMFETY DIVISION ADDRESS �'O
JOHN A.LBIE,COUNTY ENQuN[tn
WILLIAM A.J1120KH, "T OF■u 1 LD ITIS LOQALI'PY
NtARXST
CROM ST.
R[ceTr. TOTAL No,
pU I Lr-1.5 FIRST 20 Sim S A OWNER C
LI§HT V MAIL
SWITCH. OV[R 20 .10 ADDREM
LIGHTINGTOTAL FIRST 20 .E0 CITY Tim-No.
N
FIXTURES }� ADD'L 1 ELECTRICIAN
v R 20
RANeiZS CLO.DKYZ" vrm FTTYM 1.00 ADDRESS 0
cn•Y s t TEL N0.AUTO.-WAIIIIH. IF
Q
M%Ux HT1eR, PTA.AFF.(W".MAZE .50 SICWSG N ��
MOTORS' woe NOT OVER H.P. DISTRjrT N G P P H B
O 1 1.00
1 >: 1.50 - IN ECTION RECORD
a a :.00 ! OV
Ia 50 3.00
50 100 5.00
SIGNS. NO.TRAXS.
NO.LAMS
SalVICE 0.600V-NET ovot 100A 1.00 r
SERVICE 0-600V Ovoe E00 A. !00
SERVICE 0VK9 600V a.00
MISC.
PRMIT ISSUING FEE X.00
SUPPLXMENTARY PERMIT ISSUMG rXX 1.00
TOTAL PIKEIII
1 NONNY ACKMWImaZ THAT 1 HAV[ RZAD THIS APPLJCATION ArrgoVAIJ
OA
AND ATATZ THAT THZ AROVS IS COIRCT AND AUR= TO COipLY CONDUIT
N1Y'1� ALL COl7NTT ORD DIANCO Alm RAT[ LAWS MG:7
KUMTRFCAL W=W a WIRING
I Ft�Y CPMFY THAT 1 AM MOMMY RMQIST- AND/OR
LKb� N RSgU Gem <l' !AS AN^K'n COUIi'fT STAT[ br Fl]lTU Rm 419
CAU ORNIA OR THAT I AM THS L KCLAL AMKM
DR7D7[J>� POWER
l�RMRmi, aUTIII-rTyan?qKD ll
FINAL
f
DATION A C. VIDT '
Cx 0 CASH �IJPERYISING HLECTRICAL ENGINEER
54683 HP10 2 D 3.70 �'