HomeMy Public PortalAbout10062 GREEN ST_Electrical__ LOBI C�7, CB G.:
76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEARTMENT OF COUNTY BPUILDING AND SAFETY DIVISION
ER ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER G
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY V
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
LIGHT •r,1 OUTLETS FIRST 20 r $20 $ /
OWNER
A L ER 'P
r ADD'L f0 ? ADDRESS
SWITCH. OVER 2O ` Q
TOTAL u CITY - - �.. \ TEL. NO.Q6 /
LIGHTING �t FIRST 201 .20 7
FIXTURES } FA
V R AOD'L 10 ELECTRICIAN
-+- 2 O
RANGES CLO.DRYERS WTR.HTRS, 1.00 ADDRESS
GARB.DISP. STA.COOK CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(yp H.P.MAX.) .50 el,1 LICENSE NO. �g
MOTORS: OVER NOT OVER H.P. DISTRI T GROUP Z NE t' ESSED BY
O 1 1.00 / /_�-7
1 3 1,50 INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00
a
50 100 5.00 tt r O
SIGNS: NO.TRANS- 7 v +
NO.LAMPS �v �:'i�� 'O
SERVICE 0.600V-Nor OVER 200A 1.00 ? ,. <. W
SERVICE 0-60OV-OVER 200 A. 2.00 a
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I 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
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATURE J-1UTILITY CO.NOTIFIED
OF PERMI..11_ -
FINAL
OCKMO
LIDATION ARTHUR C. VEIT
CASH SUPERVISING ELECTRICAL ENGINEER
.. .� ! 0 2
76A663-CE6064-60 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS C► 0 S
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'TOF BUILDING LOCALITY If
FOR APPLICANT TO FILL IN NEAREST CROSS CROSS ST.
PERMIT FEES OWNER jol
I T E M NUMBER EACH FEE MAIL
OUTLETS: S 10 $ ADDRESS
LIGHTS RECEPT. SW. G�
CITY EL. Q
LIGHTING FIXTURES .10
ELEC.RANGES CLO. DRYERS ELECTRICIAN
WATER H EATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO.
GARBAGE DISPOSERS AUTO.- STATE
LICENSE NO.
WASHERS STA. COOKING UNITS .25
MOTORS: OVER INC. H.P. DISTR CT NO. GROUP Z N/7F' P ESSED Y
0 — 1/2 .25 �� --- • LL
1/2 - 2 .50 INSPECTION RECORD
2 5 1.00 O_
O
5 — 15 1.50 U
Ix
15 — 50 2.50 Q
F-
50 — 200 5.00 U
W
CL
SIGNS: NO TRANS. 1)
NO. LAMPS Z
SERVICE 0.600V 1.00 ��
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ C-' I
IHEREBY ACKNOWLEDGE THAT I 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 ,
ELECTRICAL WIRING. WIRINGT
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ,4_1 9* =--- .
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 7
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERT / POWER
SIGNATURE / UTILITY CO. NOTIFIED
OF PERMITTE
FINAL
VALIDATISIAI- ARTHUR C.vE1T.
/ SUPERVISING ELECTRICAL ENGINEER
CK MO ( CASH /
\a1/oe Julli ? 3 rD 2.0C
WORKER'S COMPENSATION DECLARATION 21-Ml9 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT
I hereby afflrTrl thdt I have a certlflcate o1 consent to self Insure, 78A483
or a certl1cafe of workers Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Seo.3800 Lab. C.)
PoOoy NQ. y PDR APPLICANT TO F91-1-IM JOB
ADDOF1E88
❑ Certlfled copy Is hereby furnished. New Plaskk rltfal Bldgs.6 Pooh NO. EACH FEE LOCALITY
CerMW oogy Is Illed with the county buliding Inspeotim 1 S 2 femly,Sq.Ft = i $
department. Muhl-temly Sq.Ft CROSS ST.
Reekll n Swtmmlrp Pooh ASBE88OR Q�
Dasa AppOcent 14A BOOK U '� PAGE qo PAFICa`�
• CERTIFICATE OF E(E)IPTION FROM WORKERS' Outiete:Rea Light Sw. rLANE r
COMPENSATION INSURANCE Fl�� zy
(This section need not be oompleted ff the work Involved by the tivt Q �
Total No. Addttlofral ADOFl>=9a
perrntt h for one hundred dollar($106)or less.) -7-Cm
I oertlfy that In the performance of the work for which this permit CITY
1`If Tsl rlo 44e-A"2
Is Issued, I shall not employ any person In anner so as to Pt.AN CHE(X
become subject to the Workers'Compen ng Fbdurw Rrut 20 AFPLIC.�Nr
Total No.� Additional
ADDRESS
Da Appllaant RE81DENTLAL APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT: If, aft g this Certificate of CITY
Tel No.
E)Cemption,-.you ehould become eu to the Workerb' Compeneaffon OTHER APPLIANCES NOT OVER 3 HP.. rr
provlslone.of the Labor Code, you mutt forthwith compty with such Power Apperehrs S Large Appllancee KU
proVlalohe or this permit shalt be deemod revoked.
LICENSED CONTRACTORS DECLARATION Stze S Type HP,KW,KVA,or KVAR ADDRESS 2 LD(o
I hereby affirm that I am licensed under provlalone of Chapter 9 Over 3 to 10 Ind. ��r�`
(commencing with Section 7000) of Division 3 of the Buslneaz and CITY cu Tel.ria -�
Professions Code,and my Iloense to In full force and effect. Aver 10 to 60 Ind' /
Ovur 60 to 100 Ind. � 'T���� C�aa d
Lloense Number Llc.Chea Over 1010 D2TRJGTNO. By AL 8
MCC
contract« I[U�X� l 4✓1 C' bfliB '�'T 0 p "E DD,•t'TE O
400-1 D00 Amp.U nder OW v ~
Lf I am exempt under Sec. �r� VALIDATION W
Over 1000 Amp.or Over 600 V ANAL
a
B.aP.C.for this reason -FEES aacur-FEES BY cA
Diode:
16A,or 20A,120V,Llohf7ng or Recept, z
1 To 10 Branch Clroutts
Signature 11 To 40 Branch amts
❑ 41 Or More Branch Clrcu tt
Exemption for Reg.Malnt Elect. 16A,2A 206V To 277V Br.ctajb
SINGLE FAMILY Temp.Power Pole h,jppurterwroes ANT
.i
HOME OWNER$UILDER DECL4kAATI0N
I hereby afflrm that I am exempt from the Contractor's License Law Sign with One Branch Circuit 3303 uJ
for the following reason (Section 7031.6, Business and Profeeslons Additional Sign Branch Clrcufft
Code): 1 ITEM-
1, as owner of the property,will do the work and the structure Misc.Conduits S Conductors TO 1k ,
Is hot Intended or offered for sale (Seon 7044 m
, Business Other'(See Coin Fee Bobdule) ~,
ofl
T �.
and Professions Code). poll, O
CONSTRUCTION LENDING AGENCY
I hereby affirm that there la a oonstructlon lending agency for the
performance of the work for which this permit Is Issued (Seo. 3097, PERMFI-FEE (Sub-To* r,�-�L�-y� / rye
Civ. C.) L�tA1111 AFI 13/95
PLAN CHECKING FEE
Lerldera Nam PLAN
1 AM10:1'5
PERMFI-ISSUING FEE
t
Lenders Address Q •t'�
I certtly that I have read this app5oerion and under penalty of purfury state TOTAL FEE
ffraf the above Information is correct. I agree to compy with all County
ordln`ances and State laws reguiating Eleotrloal wiring,and hereby authortre
to eater upon the above-men5aned property
SEE REVERSE FOR EXPLANATORY LANGUAGE
DATE
COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0405070027
BUILDING AND SAFETY / LAUD DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 10062 GREEN ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803331
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8585-007-029 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 94 LOCALITY: TEMPLE CITY, C
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TOTAL FEES 66.60 .
03/07/04 VG 11/03/04
HOGGATT JERRY E III;LINDA E (626) 448-1492-
10062 GREEN ST
TEP 917803331
UPOWE ELECTRIC SERVICE TO 200 AMP
APPLICANT: TEL. W:
SAME AS OWNER
SPECIAL CONDITIC)NS:
CONTPLACTOR: TEL. APPROVALS DATE INSPECTOR SIGRATUWE--
SAME AS 06INER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUIND CONDUIT
ARCHITECT M WINEER: TEL. NO: UFER GROUND
LIC. NO:
ROUGH WIRING
PLASTIC Y/Nt METAL Y/N
UTILITY COMPAKY NOTIFIED
/.
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES « TEMPLE CITY 0508 .-EL GT�fR�I�'
DEPARTME]fT OF PUBLIC LARKS 9701 LAS TUNAS EL 09(f89V901210031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE
FEE DESCRIPTION: QUANTITY: UUM: SMT: t. `=1 91
3'n
NEAREST CROSS STR tf1 BALDWIN
8585-007-029 Al PERMIT ISSUANCE FEE 27.75 'THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP i.00 FAU 10,80
JB AC UNITS +3-10HP 1.00 AC 19.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRESON:
TOTAL FEES 58.35 01/21/99 UT 01 0
OWNER: TEL. NO: FINAL DATE FINAL CODE:
HOGGATT JERRY E III;LINDA E (626) 448-1492- Z
10062 GREEK ST
TEMP 917803331
EL-ECTR'ICAL-FOR-CHANIX OUT-6F f1Egq G_AND A/C SYSTEM
AIR TRO INC. (626) 357-5311-
1630 S. MYRTLE AVE SPECIAL CONDITIONS:
MONROVIA, CA
P%GELES C
CONTRACTOR: APPROVALS DATE INSPECTOR SIGNATURE—
AIR-TRO INC (626) 357-5311• � �T�. 1
1630 SOUTH MYRTLE AVE LIC. NO TEMPORARY POWER POLE
MONROVIA, CA 91016 /C20
LINDERGROUKD OMIT
ARCHITECT OR ENGINEER: TEL. NO: UFE3h GROW--
LIC. N[ Rft CON DU I
111111 �
MAIN WATER LINE
lip
��
U�L c \v�� (aI�` S) PLASMIC Y/M METAL Y/N
UTILITY COMPANY NOTIFIED
Z
67 . 1.
A El �g
46��c SQ��e Thst�ot
ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508