HomeMy Public PortalAbout10112 GREEN ST_Electrical__ '°A'°''! 9V4°' "
, APPLICATION FOR ELECTRICAL PERMIT LJ
COUNTY OF LOS ANGELES
DMAARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 2
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO, EACH eEff
OWNER
R EC EP T.—& MAIL
LIGHT_ TOTAL
FIRST 20 �� DD ADDRESS
SWITCH � OVER 20 CITY TEL. N0.
.10 PLAN CHECK
LIOHTINO FIRST 20 APPLICANT
TOTAL
OVER 20 ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CITY TE O.
PERMIT
RANGE
—DRYER�WTR. HTR APPLICANT
STA. COOK DISP-1—F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH.—,/_DISHWASH. LIC EN SE N0. CLASS. —�
FAN-[-OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAV[ READ THIS APPLICATION
AND STATE THAT THE ABOVE U! CORRECT AND AGREE TO COMPLY
MOTOR/, TRANSFORMER/ PL
2, WITH ALL COUNTY ORDINANCE/ AND STAT[ LAWS R[/ULATIN•
IND. HEATER■, ETC. HP. KW. KYA. ELECTRICAL WIRING.
SIZE / TYPE OVER TO
I H[R[BY CERTIFY THAT I AM PROPERLY REGISTERED AND/OA
D - I I.00 LICK
N/[D AS REQUIRED BY LO/ ANG[LK/ COUNTY AND /TAT[ OF
CALIFORNIA OR THA A-M THE LEGAL OWNER OF, AND INTEND TO
RE/IDE IN, THE / V[ D[/CRIDEq„ RE/ID NTIAL PERTY.
1 — 10 5.00 /IE Q_
SIGNATURE
10 — 60 0.00 OF PERMITTEE O
80 — 100 1 DAO
DISTRICT NO AS2 PROC /BED Y
100 — 800
91GN, GAS SIGN AND ONE CIRCUIT 8.00 NOTES: 71
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER600VOLTSOR200AMP 5.00
APPROVALS DAT[ /1�[CTDrt//TGl1A7TR;
SERVI CEOVER 600 VOLTS OR 200 AMP 10
.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 8.00
UNDERSLAB WORK
ITEMP LIGHT OR RECEPT. SYSTEM 5.00
ROUGH CONDIUT
WIRING 4
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE SAO U
TOTAL FEE
PLAN CHECK VALIDATION CK. .0. CASH PERMIT VALI 10 CK. M.O. CAJ*
1072?3. YM11 2 D 14.75-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
"""' 69 `°'" '° APPLICATION FOR ELECTRICAL PERMIT �]
COUNTY OF LOS ANGELES }pg
D&ARTMENT OF COUNTY ENGINEER ADDRF�S O/ R�
BUILDIN D AF DN ION ��
OR AWT P11-LIN LOCALITY ^G c
New Residential Bldgs.b Pools EACH NO. FEE
1 &2-Family,Sq.Ft. $ .025 — $ N ST.
Multi-family Sq. Ft. O R— _ FIRM NAME
Residential Swimming Pools26'� MAIL
RreESS �� ✓
Outlets: �rLight �7Sw. L—L CITY Tel. No. �.
first 20 .50 N��-{IECK
Total No. Additional .30 APPLIG4NT
ADDRESS`
Lighting Fixtures First 2-0 .60 CITY Tel. No. Tay—`
Total No.
Addltional .30 PERMIT
APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS 0,4
Range_Heater—D.W.— CITY Tel. No.
Oven_Dryer_W.M_ CENSE OR
Top —FAU —W.H.— REG.NUMBER CIS•
Hood_Fan -Other- I HEMY ACKNOWLEDGE YHAT I HHIS AVE READ TAPPLICATION AND STATE
Disp. _ Room Air Cond. 2.5� THAT THE ABOVE IS CORRECT Arra AGREE TO COMPLY WITH ALL COUNTY ORDNN-
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Sim&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPBRY REGMTBtED AND/OR PCINSED AS
REQUIRED BY LOB M
S ANGBCOUNTY AND STATE OF CALIFORJTA OR THAT I A
Lip- Ind. 2'00 THE LEGAL OWW THE DB6eeED RE&DENTN1 PROPBtTY.
Overr 1 1 to 10 Ind. 5.00
Over 10 to 50 Ind. 12-50 PERMITTEE
is
Over 50 to 100 Inc. 25.00 SIGNATURE
Over 100 `10.00 DISTRICT If ^ rIE:DBY
Sery ces 0 8
0-200 Amp.Under 60O V 1260 APPROVALS DATE 1 Ov
201-1000 Amp.Under 600 V 26.00 RE
Over 1000 Amp.or Over 600 V 60.00 TEMP. POWER POLE
UNDER;i1AB WORK
Temp.Power Pole S Appurtenances 10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Brand,Circuits 2.00 WIRING
Mi c.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
]FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE
ORKLrfflgK CffffRt:_NsAT10N- cAsH PEILwTVALIDAT>lo#4 C� r�o. Ic'"
OLICY HOLDER:
BEIR BACK OF OLICY NUMBER:
P�RCO HEDULl
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U I L D I N d A N D H U U V
P O R A P P I k , I C A N T T O F I L L I N L O C A L I T Y
N e w R e s i d e n t i a l B l d g s . & P o o l s E A C H N O . F E E R ��
1 S 2 " F o m i l y , S q . F t . 5 0 2 5 s N R R
W
M u l t i - f a m i l y S q . F t . . 0 2 H W N A M E
R e s i d e n t i a l S w i m m i n g P o o l s 2 5 ' 0 0 A b D R E S S Z
O u t l e t s : R e c L i 9 h t _ S w . C I T Y I . N o - ��
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A D D R E S S
L i g h t i n g F i x t u r e s F i r s t 2 0 . 5 0 3 L 4 . C I T Y T e l . N o .
T o t a l N o .
A d d i t i o n a l 3 0 P E R M I T
F i x e d A p p l i a n c e s N o t O v e r 1 H P A D D R E S S
R a n g e H e a t e r D . W . _ C I T Y r T e l . N o . Z Z
O v e n D r y e r _ W . M _ L I C E N S E O R
T o p F A U W . H . _ K E G . N U M B E R C l a s s .
H o o d _ F a n _ O t h e r - I H E R E B Y A 4 Q J O W L E D G E T H A T I H A V E R E A D T H I S A P P L I C A T I O N A N D S T A T E
D i s p . R o o m A i r C o a d . 2 6 0 T H A T T H E A B O V E t S C O R R E C T A N D A G R E E T O C O M P L Y W I T H A L L C O O ' M O R D I N -
A N C E S A N D S T A T E L A W S R E G I A A T I N G B _ E C T R I C A L W I R I N G .
P o w e r A p p a r a t u s S L a r g e A p p l i a n c e s
S i z e S T y p e H P , K W , K V A , o r K V A R I H E R E B Y C E R T I F Y T H A T I A M P R O P E R L Y R E G S T I E R E D A N D / O R L I C E N S E D A S
R E O U I R T D D Y L O S A N G E L S A N D S T A T E O f C A L J O R T H A T I A M
U p t o 1 I n d . 2 .
5 0 T H E L E G A L O W N E R o f D E S C R f B E D
O v e r I t o 1 0 I r x 1 . 5 . 0 0 + 8
O v e r 1 0 t o 5 0 I n c l . 1 2 - 5 0 P I E R N M I A T T E E 5 4 G t O
O v e r 5 0 t o 1 0 0 I n c 2 5 . 0 0 I j
O v e r 1 0 0 4 0 . 0 0 D I S T R I C T N O . P R O P i E D B Y
S e r v i c e s Q
0 - 2 0 0 A m p . U n d e r 6 0 0 V 1 2 5 0 I j } ��. P o v
2 0 1 . 1 0 0 0 A m p . U n d e r 6 0 0 V 2 5 . 0 0 A P P R O V A L S D A T E b I I ��N A T K i
O v e r 1 0 0 0 A m p . o r O v e r 6 0 0 V 5 0 . 0 0 T E M P . P O W E R P O L E
U N D E R S L A B W O R K
T e m p . P o w e r P o l e & A p p u r t e n a n c e s 1 0 . 0 0
S i g n w i t h O n e B r a n c h C i r c u i t 1 0 . 0 0 R O U G H C O N D U I T
A d d i t i o n a l S i g n B r a n c h C i r c u i t s 2 0 0 W I R I N G
M i s r C o n d u i t s & C o n d u c t o r s 1 0 . 0 0 F I X T U R E S
O t h e r I S e e C o m p l e t e F e e S c h e d u l e l P O W E R A U T H O R I Z E D 0 . 0 I
U T I L I T Y C O . N O T I F I E D o 0 0 9 Q
F I N A L T / Z
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P E R M I T F E E ( S u b - T o t a l ) Z . N O T E S
P L A N C H E C K I N G F E E ( O n e - F o u r t h P e r m i t F e e l
P E R M I T I S S U I N G F E E $ 7 . 0 0 7 ,
T O T A L F E E
b
R A N C H E C K V A L I D A T I O N C K M O , C A S H P E R M I T V A U D A T K M C K . W O . C A S H
8 1 5 E B A C K O F A P P L I C A T I O N F O R C O M P L E T E S C H E E D U L E !
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COUNTY OF LOS'ANOELES TEMPLE CITY 0508 ELECTRICAL PERMIT
DEPARTMENT OF,PUBLIC%MKS 9701 LAS TUNAS EL 0508 0105090018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 DIT:
LEGAL ID; FEES PAID nILD-ING ADDRESS:
BK: 60 PG: 55 PC: 1 1-0112 GREEN ST
FSE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803333
NEAREST CROSS STREET: BALDWIN
8585-007-055 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 .GRID: 84 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT SLI RECD 16.00 OUT 31.20
G2 LIGHTING FIfIT AES 6.00 LGT 11.70 ISSUED ON: PROCESSED BY: EXPIRES ON:
TOTAL FEES 70.65 05/09/01 UT 11/05/01
HSU SHERMAN S;SU WEN C (626) 448-3558-
10112 GREEN ST d I4
TEMPLE CITY "91780
REPLACED 6 LIGHT FIXTURE , 3 SWITCHES, 7 RECEPTACLES- 16 REC
APPLICANT: TEL. NO: LIGHT PLUS, 6 LIGHT FIXTURES 22 TOTAL
SAME AS OWNERCONTRACTOR: TEL. -
SPECIAL CONDITIONS,
�tAGELES ca AN5RCYALS DATE INSPECTOR SIGRATURE
SAME AS OWNER
LIC, NO ARCHITECT OR ENGINEER: TEL. UFER �3MD\
{ \ UNDERGROUND CONDUIT
LIC.
006 WIRING
' 111111
II II'10" L
C W O�IK( a PLASTIC Y/N METAL Y/N
/o
\ 7 ra
Service mat
REPORT ID: DPR265 ROUTE TO: BS0508
~ COUNTY OF LOS ANGPaF&S TEMPLE CITY 0508 =CTRICAL PERMIT
DEPARTMENT OF PUBLIC MORES 9701 LAS TUNAS EL 0508 0807010004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LJDGAL ID: FEES PAID BUTLDIM ADORB<99:
Bb: 60 PCS: 55 PC: 1
10112 GREEN ST
FEE DESCRIPTION: QUANTITY: QOM(: AMOUNT: TEMP CA 917803333
ASSESSOR INFORMATION NEER: NEAR= CROSS STREET:
8585-007-055 Al PERMIT ISSUANCE FEE 27.75 THDF0IS PAGE: 597 GRID: B4 LO2AI.STY: TEMPLE CITY, C
LB 200 AFD? PANELS, FICC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCFSHED BY: PLAN BY: EZPTRRS ON:
07/01/08 SR 12/28/08
OWNER:TT THTEL. NO: DATE — 7,_BY: CODE:
HSU Ol9v9 (626) 575-3788- 3- (
10112 GREEN 9T.
TEMPLE CITY CA 91780 DI&CRIPTION OF WORK
UPGRADE 200 AMP METER
APPLICANT: TEL. NO: ,
TRAM U9 CONSTRUCTION (626) 215-3919-
2204 CHARLOTTE AVE. SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR 9IGIOLTURE
U 9 CONSTRUCTION (626) 215-3919-
2204 CHARLOTTE AVE _ LSC. NO TEMPORARY POWER POLE
ROSEM6'AD CA 91770 66103-TB
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFRR GROUND
LSC. NO: ROUGH COADUTT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY
+ ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508
r COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMTT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0803270017
BU=ING AND SAFETY / LAND DE'VIIAPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EYT:
LEGAL ID: FEES PAID BUILDING ADERMS:
BK: 60 PG: 55 PC: 1
10112 GREEN ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803333
ASSESSOR I FORM4ATION NUMBER: NEAR&ST CROSS STREET: BALDWIN
8585-007-055 Al PERMIT ISSDANCE FEE 27.75 T 314AS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CTTY, C
O1 OUTLETS-LOT,SW,RECP 30.00 OUT 52.50
TENANT: G2 LIGHTING FISTUR.FS 13.00 LGT 25.35 ISHUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
HA FAU LRSS 3HP 1.00 FAD 10.95 03/27/08 SR 09/23/08
JB AC UNTP9 +3-10FP 1.00 AC 19.65 _
Oi0m: TEL. NO: LA 100 AMP PANFaLS, MCC 1.00 PAN 38.85 F FIX BY: CODE:
HSU THOMAS S (626) 575-3788- TOTAL FEES 175.05
10112 GREEN ST. / 1p/
TEMPLE C= CA 91780 D ON OF WORE
ELECTRICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE PAN£I,
TO 100 AMP
APPLICANT: TEL. 90:
CHEN (626) 454-9555-
1517 S. 8TH ST. SPECIAL CCtgDMONS:
AL AhBRA, CA 91803
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNP.TIIRE
GSD INTERNATIONAL (626) 454-9555-
1517 S 8TH ST. LIC. NO TENPORARY POWER POLE
ALfAMBRA CA 91803 572661 B
UNDERGROUND CCrND=
ARCHITECT OR ENOINEF%R: TEL. NO: UFER GROUND
CHEN, CHARLES (626) 454-9555-
1517 S. 8TH STREET LSC. NO: ROUGH CONDUIT
ALfAMBRA, CA 91803 C 019359
ROUGH WIRI93
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTTILLITY COMPANY NOTIF
lo
I
REPORT ID: DPP-265 ROUTE TO: BS0508