HomeMy Public PortalAbout10950 FREER ST_Electrical__ COUNTY OF LOS ANGST ES 7120 F: C= # 0508 RLECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORES 9701 LAS TUNAS
EL 0508 1102220013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHOUR: (626) 285-0488 E=
L&X3AL ID: FEES PAID 13UTLDIW ADDRFS3:
Bb: 237 PG: 100 PC: 1 1 10950 FREER ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803542
ASSESSOR INFORMATION NUMBER:
NEAREST CROSS STREET:
8574-009-085 Al PERMIT ISSUANCE FEE 27.80 TH(NAS PAGE: 597 GRID: D3 LOCALITY: Th24PL3 CITY, C
G1 OUTLE'T'S-LAT,SM,RECP 8.00 OUT 15.50
TENANT: G2 LIGHTING FIXTURES 13.00 LAT 25.20 ISSUED ON: PROCESSED BY: PLAN BY:
H2 RES GREG DISP LT 3HP 1.00 DL9 10.90 02/22/11 9R
H3 RFS DISHWA9HR LT 3HP 1.00 DIS 10.90
OWNER: TEL. NO: H4 RES RANGE HDS LT 3HP 1.00 ADO 10.90 Fp4AL DATE BY: CODE:
LAA LKVTNA SIU-FUND (626) 255-8036- H7 RES ETHAU9T FANS 1.00 EZ 10.90 � f
10950 FREER ST TOTAL FEES 112.10
TfW 917803542DESCRIPTION OF WORE
ETJ�CTRTCAL FOR KITCHEN REWDRL AND P-ECF69S LIGHTS
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS-
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATUR3
SAME AS OWNER -
LSC. NO T 24PORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGIT�: TEL. NO: UFSR GROUND
LSC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN NATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
J�iNbRKERS'COMPENSATION DECLARATION 7eAees 10101
afitm•that , nave a certfflcate ,, to SW Ing
. �-8°°°. APPLICATION FOR ELECTRICAL PERMIT
or a certHloete of VkdwB' Compons4t1on ineuw)ce, or a cert)tied COUNTY OF LPS ANGELES- BUILDING AND SAFETY
spy>Weof(Sea 3800,Leb.a)
Pdlcy Na' , wry FOR APPLIQWT TfkPILL IN JOB
Certffled oopy Is hereby fumW d. New Realdentiel Bk1Qa h EACH• NO. FEE
ertffled copy. f4 fled th th6 coon y bulldlrlp hWocbm 1 4 2-Famb,&t �t�+v p S — .S I QTY
'C � 29
depart—t Mufti-fainly Sp.Ft CFK088 9T,
DabB Appil4ant ' Resbwr W Swhnmin0 PQob CATER OR.
r Wv4.1
G -nFfOATE CF.EXEMPTION FROM WORKERS'. MAl
COMPEDtSQJON INSU Ou5gts:Roc—Llaht S1v_ u�DFt 38 S S
Flrat 20
Mi6 eacWn Hoed riot be corrVWW If,the,wok k votyod by the
pormtt f.for one hundred,doltaftotal No gd�tia,al CfTI NO' ' J
tt,(�]00).or 1�+) -
I,owdfy mHt In tt1p performance-of the worm for which.thla.perm ,R ww C NT- ,
tp.laeuad, I ehan.not,ornpjoy �.peraoo In arty rnari(1ef.•ao ae,ta
beoor*-aub(ect to the'Via' Flxturee Firat 20 ADDWSS
Date total No.T� A4ditbrlal UT Tei.r)p-
NOTI 70 If, aftermaktrio thio Car Moate of Fbred AppiOnoee Not fiver 1 HP PEFW
APPLICANT
Emnptlon,you aheadorr
beore eub9xA tothe WV*-V C mp--tlon FWW, Heed QW. - y
provkfooe of the Labor thwlttl Code, You muO forBonlpfy with such -Oven T Dryer— KIM�, ADDRE
prov{aldroeor thid�pertrk etlAn,be deemedTevoke . Top FAIrJ. :_ WN.
LICENSED URs pECfLARAllON Hood• �' Other_ ClT( ilk
Tel:
rl bwoby affirm that tarn-Ilcer» underprvrEebrla of apter or
Dfap, T Room.ASr.Gond. °I
ER
m, _
(co .w64V with S9atlon 7060}of N4Wcn 3 d,the'B(lt l hand t
Profeaelone Code, Power rrty hcerlar;le In full torce'aed effect Na Power Appa,"4.L.ar,ge APP lancee \/
FTA�BY
$rze d.Type NP.KW,.K%0,or KVAR
lbenee Number LIQ.'61esa1 FINAL .
- E -to' btcL DATE
over 1 to 101r1Qi.
�
Date o1b to e0 UioL,
LJV FINAL
I am exempt under Seo. _ Eker 6o to.100 im, _ By
BAP.O.for thk reeaon Over 900 GG��
ane
swvfcee,Swbda MCC S Par,eiboar&a
f . o-200 Amp.finder eco([
Sljieture o 20 T-100°Amp,ander 600 v
Over 1000.Amp.or Over 1800 V
ExkrCttan for Rea Matnt Eleni- _
r SINGLE FAMILY TwW-Power Pole d Appurtenen(-
HONE OPVNER-BUIL.I�ER DFQLA ]ION Sign wl(h'00e Bnv&rCtreutt ■
I hereby �fthm that 1 am exe(rpj from the Contrac,-tora Lbew Law FR.41.T
E Zpr the fdlowbic reaeen(Sgotlon 7081.6,WE tri and-Prrofeaekxle - _Q f>}onel SfpR Wanch Groupe r _
Code):, 3W.
0 I,as of the P�p@rlY lAl do thawcik and the etrucfure ' Iv so.Conduftn S Coridix�6ore . :.. 1.ITE
knot Ini.ndedor.offered for Bale,(Socbm 7044, Bu51n9aP' Ot17er(See Cbrtpieb Fie SobDduio) rye5
and Profeealori Code);, ► . J y l l L.'. 12 .94
CONSTRIJCTIQN LENDING AGENCY _ _ (XCK 0.94
J.hereby aiflim that there'is a 'era ng agency for the
.performance o(,the work for which tt1}a permft fa bared(Seo.3087, PERMFr FEE (Sub-Total)
Gv,C-). yy
PLAN CHLUUNG FEE L 4l lrV C7
landau Name
�ERW ISSUING F1 E /d 4M 1 0610=53
Lerldera Addreed
I certify that l have read tufa apoloarion and ataW that the dune TOS FEE -/ S•
krfamabon Ie come&-I agree to coney with 0 County—dl—"a
prod State La" m%rbft Eedricml wMrp,,and bereby aUffiart�a
repreaentat}vee of thb. Caalty to enter upw-the above merrtlor»d r
for tmpecbw purpoeee SFE REVERSE FOR EXPLANATORY LANWAGE
AatftTm of Defe U 11111