HomeMy Public PortalAbout10111 GREEN ST_Electrical__ 7`4"-06" APPLICATION FOR ELECTRIC.AL PERM1T
COUNTY OF LOS ANGELES BUILDING 4ND 5AFETY
FOR APPLICANT TO'PILL IN JOB
ADDRESS
FhF
sidentiaT Bldgs.&Pools EACH NO. FEE
-Family,Sq. Ft. S .025 — S LOCALITY
i-family Sq. Ft. .02 — NEA T
25.00 ST
ential Swimming Pools _ . . _.`._ ... - ..
FIRM E
Rac_�Light Sw. MAIL
First 20 .50 -ADDRESS
No_ Addltional .30 CITY Tel..
PLANAPDL CHECK
Fixtures Fixtures First 20 50 ADDRESS
Additional 30
No. CITY Tel, No.pplioncm Not C>ver 1 HP I APPLICANT
e_Heatbr_D.W. ADDRESS-'_Dryer_W.M—op —FAU W.H._ CITY TQI`No. 3,
Hood—Fan _Other_ LICENSE OR
Disp.—Rog naAirCond., 2.50 - EG.NUMB E R Class-�/D _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA.
P,ower'Apporatus&Large Appliances TIQN AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size b T HP, KW, KVA,or KVAR COMPLY WITH-ALL COUNTY ORDINANCYS'7WD^STATE LAW'S -�
Type 2.50 REGULATING ELECTRICAL WIRING, O
T lip tp 1 Incl. I HEREBY-URTIFY THAT-LAM PROPERLY'REGI5TERED AND/OR U
Over 1 to 10 IrKI. 5.00 LICENSED AS REQUIRED-BY Lbs ANGELES COUNTY AND STATE OF pie
Over 10 to 50 Irxi. 12.50 _ CA1JF0��ttJJIA QQR THA[ I f E LECAL,QWNER QF TtI�,A$OVE _
25.00 D(SCRIBED RESID(rNTIAL PROP .
Over 50 to 100 Inc. PERMiT� 4
Over 100 40.00 - -
SIGNATURE
Serves DISTRICT NO: - P
Q-200 Amp.Under 600 V 12.50 .
201-9000 Amp.`Under,600 V 25.00 - -
Over 1000 Amp,or Over 6b0 V 50.00 Z
Temp. Power Pale&Appurtenancaf
10.00 m
Sign with One Branch Clrcu}t
Add-rtlonal Sign Branch I=lrcuits 2.00 INSPECTION
Misc.Conduits&Conductors 10.00. INFORMATION
Other(See Complete Fee Schedule) ON REVERSE .
SIDE _ ..
;2-834,0
op
PERMIT FEE (Sub-Total)
�
Z
PLAN CHECKING FEE (One--Fourth Permif Feel O
PERMIT ISSUING FEE $7.00 - co
TOTAL FEE >
INSPECTION FINALED
date By es
7" CE906 j11 "�'� 'APPLICATION FOR ELE_C_ TRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING D SAFETY
POR APPLICANT TO FILL IN J B
New Residential Bldgs.&Pools EAQA NO. FEE D ESS
1.&2-Family,Sq. R. S .025 — S
LOCAL
Multi-family Sq. Ft. :'.D2 — N
Residential Swimming Pools 25.00 ST'OWNCROR
I RM NAME
OvtleN,Rer_4; Light _Sw.,.S 50 DRESS
First 20
JJ 30. QITY Tel.
Tdta�No. .f� - Additional
PLAN C KK
APPIL NT.
Lighting Fixtures First 20 .50 ADDRESS
Addirionol .30
Total No. CITY l - Tel. No.
Fixed Appliances Not Over-1 HP MmiT - -
APPLICANT
Range_Heater_D.W._ ADDRESS
Oven—Dryer_W.M.—r
Top _FAU W.H._ CI Tel.
Hood_Fan J_�Other_ �_ LICENSE OR
D'ap..—Room AIr Coad. 2.50 R NU
I HEREBY ACKNOWLEDGE TFLAT I HAVE READ THIS APPLIU-
Power Apparatus&Large Appliances TON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Stre&T HP,KW, KVA,or KVAR 'COMPLY'WITH 7{LL COUNTY-ORDINANCES AND'STATE LAWS
Type REG UATING ELECTRICAL WIRING.
UP to.1 lnd, 2.50 _Q
I HEREBY CERTIFY-THAT1 AWPROPERLY REGISTERED AND70R �+
Over 1 to 10 Inci. 5'00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF p!C
Over 10to-50Incl. 12.50 U IFORNL6 QR THAT.I AM THE LEGe,L OWNER,QLJ,4�AQOVE __0
Over 50 to 100 Inc
25.00 DESCRIBED RESIDENTIAL PRbPFRTY
Over 100 .40.00 PERMIT
SIGNATURE t�
Seryices f
T NO.
A-•2D0 Amp.Under 600 V 12.50 � 01
201-1000-Amp. Under 600 V 25•�
Over 1000 Amp.or Over 600 V 50.00
Temp. Power Pole&Appurtenances' 10,00 t
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuity 2.00 PECTION
Mist.Conduits&Conductors 10.00 RMATION9Other(See Complete Fee Schedule) REVERSE 1
SIDE :28228A
o a o o 0 2
PERMIT FEE (Sub-Total) 2 o c, 2 1,00
PLAN CHECKING FEE (One-Fourth Permit Feel 0 0 0 ^ 1. 006
PERMIT ISSUING FEE $7.00 �y - 1 ? 1 2 1 3-79
TOTAL FEE <>
INSPECTION FINALED
date: By
loop—
`
r 7swRsa-Ceaos irrie
r APPLICATION FO ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERJOB
D N F TY DIVIUIQN
LOCALITY TG.•�JPL�C C
New Residential Bldpi Pool[ EACH NO. FEE NEAR T
1 & 2-Fanlly, Sq. Ft 025 — OWNER CROSS SOR
T. /.t'
Multi-family Sq. Ft /��.02 FIRM NAME ��r.:57 1141tf le /AI;4 Cm
ResfdantW Swimming Pool[ 20.00 MAIL /
ADDRESS yI� �i9.e✓L
Outlets: Light,Switch & Receptacle A10 CITY ,Cey�jrfd Tal.No.
F I rt 20 ..so-
Additional .30 A PPI,.I CAN T
ADDRESS
Lighting Fixtures
Flat 20 .SO CITY Tal.No.
Additional80 �> �
APPLICANT
Fixed AppRaincus Not Over 1 HP ADDRESS je,,tq6 � /,�
Renge_Hoeter D.W.L CITY Tal.No.
Ovens
Dryer—W-M. LICENSE OR
yJ _
Top _ FAU _W.H. REQ.NUMBER /(lj Cu..
Hood Fen �•S�D r
I H[RIaY ACKNOWLEDGE THAT I HAVE IRK-AD THIS AFTLICATIOM
Disp A.C. � � AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
Pgml-AppareWG& Large Appllehces ELECTRICAL WIRING.
Size T HP,KW, KVA, or KVAR I HERESY CERTIFY THAT I AM PROPERLY REGIST[R[D ARD/fM
Y� LIC[RSED AS R[OU IR[D BY LOS ANGELEe COUNTY AND STATE OF }.
Up to I Incl. 2.00 CALIFORNIA OR THAI I AM THE LgGAL WN[R OF THE ABOVE ICL
6.00 DESCRIIIED RESIDENT PROPERTY. ^
Over 1 to 10 Ind.
Over 10 to 60 Ind. JO.Go PERMITEE
Oyer 60 to 100 Ind. 20.00 SIGNATURE
Qvar 100 30.00 DISTRICT NO. 10 CE G
Services ,A:" O
W
0- 200 Amp. Under 900 V INSPECTOR'S ¢,
201.1000 Amp. Under 900 V - 26.00 APPROVALS DA SIGNATURE 11A
Over 1000 Amp. Or Over 900 V 50.00 TEMP.POWER POLE Z
UNDERSLAB WORK
Temp. Power Pols&Appurtenances 10,00
Sign with One Branch Clrcuit ROUGH CONDUIT
Addltlonal Sign Branch Clr>cults 2• 0 WIRING -Z-7
(Other)
FIXTURE
POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $6.00
TOTAL FEE .�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA IDA CK MO. CASH
8-j6Z n,Alli Z4 , .2 .D 14-3-0 A,98
Stt SLACK OF A"LICATION FOR COMPLIETI[SCHEDULE — --
COUNTY OF LOS ANGELES TEMPLE CITY NM` 0508 ELECTRICAL PERMIT
DEPARTICENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9905050007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EKT:
LEGAL ID: FEES PAID =DING ADDRESS:
ON FILE 1011 GREEN ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: T CA 917803334
ASSESSOR INFORMATION NLIMBER: NEAREST CROSS STREET: BALDWIN
8585-003-035 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGTSW RECD 8.00 OUT 15.60 /
G2 LIGHTING FIii5kES 2.00 LGT 3.90 IMJED PROCESSED BY: PLAN BY: 4IRES
TOTAL FEES 47.25 05/07/99. VG /03/99 .
TEL. NO: FILDTE
BERG �STIPHEN (818) 448-7885-
1011i GREENST 'iv` -
TEMP 917803334 WORK
ELECTRICAL FOR E](TENSION AND CCKVASION
APPLICANT: TEL. NiOL
SAME AS 06 NER -
SPECIAL CON[DINEMS:
PNGELES Co
MNTRACTOR: NO:
SAME AS DAER - ,�05 �NT�_
APPROVALS DATE INSPEETM-grMUOTRr—
LIC. NO TEMPORARY POWER POLE
ARCHITECT OR ENGINEER: TEL. NO: UFarTx5UwF—
LIC. NO
111111
ROUGH WIRING
MAIN 4ATER LINE
n (�[� /� 17
U I L C
\111,U/ I K( PLASTIC Y/M METAL Y/M
vL� � V v Ll�
�. ❑
El
46,'c ❑ 0
Service That
REPORT ID: DPR265 ROUTE TO: RS0508