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HomeMy Public PortalAbout10211 GREEN ST_Electrical__ 76A663-CE806 3-69 APPLICATION FOR ELECTRICAL PERMIT 'COUNTY OF LOS ANGELES ` DEPANTMENT OF COUNTY ENGINEER FNEARE7ST BUILDING AND SAFETY DIVISION JOHN A. LAMBKINE, S , COUNTY ENGINEER e m S fi COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING 1 FOR APPLICANT TO FILL IN 5�'} C NO. EACH FEE RECEIPT. $ $ OWNER Ic re „S7• LIGHT It TOTAL v (,j' cc TOTAL FIRST 20 .20ew SWITCH A-_ OVER 20 10 CITY , N W GAP TEL.NO.1 YA- PLAN CHECK o APPLICANT LIGHTING TOTAL FIRST 20 .20 2 ADDRESS FIXTURES _ OVER 20 .10 CITY TEL. N0. RANGE_DRYER WTR. HTR. STA. COOK DISP. F.A.U. CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._ZDISHWASH. CITY TEL.NO. FAN_OTHER 1.00 -300 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATEOF 1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO CL RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O 10 - 50 5.1000 U 50 - 100 t0ASIGNATURE 0 OF PERMITTEE ` Q H 100 - 5'500 15.00 DISTRICT NO. GROI� ZO,N� PROCFSSEO BY W CL _Z'5—,SIGN AND ONE CIRCUIT 3.00 �f -� `� L� - `' '- N TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: ,7 ) SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 III SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 f UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE ` JOSEPH C. ROOHAN SUPERVISING ELECTR�L ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. , M.O. CASH fir,. 6 6 6 4c_' SEP 22 2 0 6.00-{� - Ca SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE / / Ill1 70Ae53-CEOC611-71 APPLICATION R ELECTRICAL PERMI LJ t COUNTY Of LOS ANGELES DE RTMENT OF COUNTY ENGINEER 7ESS WILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN CROSS ST. OUTLETS Fill /� OWNER RECEPT.11MAIL T LIGHTOTAL, FIRST 20 12 ADDREW SWITCH - C17YTEL. N0. ' OVER 20 iO PLAN CHEF!( TOTAL LIGHTING l 10 FIRST 20 25 -APPLICANT FIXTURES J} OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. P IT RANGE DRYER _WTR. HTR. A PLICANT ETA. CbOK DISP. F.A.A. ADDRESS, SPACE HTR._ _AIR COND. CITY C TEL, NO. -�Z( CLOTHES WASH. DISHWA8H. LICEi3F NO69je/Z CLASS.y��� FAN OTHER I.00 I HERESY AC[NOWLED" THAT I HAVE R[Ap THIS APPLICATION AND [TAT[ THAT THE /JOVE U CORRECT Alfb AGR[[ ,TO COMPLY MOTORS, TRANEFORMIRS RATIN[ WITH ALL, COUNTY ORDINANCE{ AND STATE. LAWS REGULATING [NO. HEATERS, ETC. HP. KW. RVA. ELECTRICAL WIRING. SIZE G TYPE OVER TO I HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND Q — 1 1D0 LICENSED As REQUIRED BY LOS ANGELES COUNTY AND STATE IrF CALIFORNLA OR THAT I AM_THE LEGAL OWNER OF, AND INTEND TO Q 1 — 10 3A0 Pit DR IN, THE ABOVE. D[ECR ELS RES I ENTI PRO ERTY. V SIGNATURE 10 — so 5m Or PERMITTEE 50 — 10Q 10.00 DUTRrCTNO. CLASS Z [SS[D Y 100 — 500 1600 D14 1 a- 9IGN, GAS 1151GIN AND ONE CIRCUIT 6.00 NOTES: L3 TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SOiVICrrOTOVER600VOLTSOR200AMP 3A0 APPROVALS DAT[ INltclo'G SNWTUSE SERVI CE OVER BOO VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVIbE,POLE, &APPURTENANCES ILCO TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTiFIED PLAN CHECK FEE � / 7Qi PERMIT 138UIN9 FEE 3.00 FINAL TOTAL FEF_ PLAN CHECK VALIDATION CE. M.0. CASH PERMIT VALIDATION cN.' M.d. CASIt � o Q 3 7877 PR 4 2 D , 6,50- W SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A66t- EN261.1/70, APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS D / LOCALITY ` COLEMAN W. JENKINS, SUPERINTENDENT OF BUILpING NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACHI FEE OWNER RECEPT._ AIL /'may Z f FIRST 20ADDRESS VV / �.� LIGHT / TOTAL .25' CITY TEL. NO. SWITCH OVER 20 10 PLAN HECK LIGHTINGTOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 .10 ADDRESS APPLIANCES CITY TEL. N0. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. 140. �2J/ CLOTHES WASH. DISHWASH. LICENSE N0. V�2 or,✓ CLASS.0—/✓ FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING W IT ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1 001 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a 1 - lO 300 RESIDE IN, THE /AJBOOVJE DES BED REES�IIDENTIA PROPERTY. 0 SIGNATU 10 — 50 5.00 OF PERMRITTEE / ��+� V. ex 50 — 100 10.00 DISTRICTr CLASSZONA P O Y F- 100 — 500 15.00 ,�`J CL N SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT t WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) S UTILITY CO. NOTIFIED PLAN CHECK FEE 3 FINAL PERMIT ISSUING FEE 3.00 Cro IVAD E-----FNH CrEC ROOHAN TOTAL FEE ING ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIION M.O. CASH 61 s� JO 2 2 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �pAeea--c",9.6 t: ee APPLICATION FOR ELECTRI L PERMI COUNTY OF LOS ANGELES DLPARTMENT OF COUNTY ENGINEER BUILDIN�1G BUILDING AND SAFETY DIVISION ADUDIL ST JOHN A. LAMBIE,COUNTY ENGINIEMR r, lo COLEMAN W. JENKINS, SUPIERINT=NDENT OF BUILDING, LOCALITY rt /"l ef NEAREST FOR APPUCANT TO lqLL IN CROB1 ST. REC¢PT, OT10LANo. XACJj S W ONER LIGHT FIRIIT 20 •10 MAIL BWIT4tHADD'L .10 ADD[tlZM OVER 20 TOTAL FIRQT ;2O Z .10 CITY Ta. H0. LIGHTING FIXR[6 FIXTURES ADD'L .10 CONTRACTOR CQ e ,Q OVER 10 RANG" DRYERS VrM MrM. 1.00 ADORE" BARB.Dur. ETA.coon crTY / /�1 No. DTxHVrXSH. AU'TO.-v/ASH. 8TATIZ7 I ? EPA=MINN. ETAL,. APF .60 LIC�ISE NO. 1 3 G MOTORS' ovER NOTOVOt Hr. DIST�i1C1,T C4R�C NP ZONE r ED O 1 1.00 rte:777F• �f 3 1.60 INSPEC ION RkhR6 2 6 2.00 V Dc 6 15 1.60 O 10 60 3.00 o. 60 100 5.00 2 nar»I NO.TRANS NO.LAMPS SERVICE 0-000V-NOT OVER 200A 00 SERVICE 0.60OV43VIOt 1Go A. 1.00 SIERVICI OVER GOOV 6.00 OTHER (&EK COMPLETE FEE OCHEDULI[) FERMIT IMUING Fit 1.00 SUPPLEMENTARY FIRMIT ISSUING FM 1.00 OATIK TOTAL FBQ 1 HEREBY ACXNOWLEbdE THAT I HAVE READ THIS APPLICAT70N UNDERSLAB WORK AND STATE THAT THE ABOVE If CORRIMT AND ABREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCE! AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM Y RIGIST�tID AND/OR FIJCRJRIS LICENEEn ti REQUIRED Los ANG1 COUNTY AND STATE OF CALIFORNIA OR THAT 1 14 LE FOWQ RESIDE IN,THE A N���NYTOAFIKAL SIaNATURIC UTILITY 00 NOTIFIED OF FQM ITT �LI CAS JOSEPH G ROOFIAN CK MOo CASH >dUF=ItVISINa ll..iCTRICAL GIaINmt '� 8 7 3 5MAR 1 0 k D $_8Q,�- V I 7y683-CLVS 1-60 APPLICATION FOR ELECTR PERM COUNTY OF LOS ANGELES ►� DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLaMAN W. JENKINS, SUPKRIHTKNDKNT DF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT._ OWNER MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH OVER 20 .10 CITY TEL. NO. PLAN CHECK LIGHTING �TOTAL FIRST 20 .20 PPLICANT FIXTURES OVER 20 .10 ADDRESS RANGERYER—WTR.HTR. CITY TEL. NO. STA.COOK_DISP.—F.A.U.— CONTRACTOR SPACE HTR. 2– AIR COND. ADDRESS Po CLOTHES WASH,_DISHWASH.— CITY L. .Z FANOTHER 1.00 LICENSE NO. CLASS. 6—/D MOTORS,TRANSFORMERS FIAT NG IND. HEATERS, ETC: HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE TYPE OVER TO AND 1TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANC CG AND STAT[ LAWS REGULATING ILECTR ICAL WIRING. 0 - 1 1.00 I HIREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENCED AS REQUIRED BY LOS ANGELS COUNTY AND STATE OF CALIFORNIA OR THAT I AM HE LES AL Efl Of, NDIINT[1� TO 10 - EO 8.00 RESIDE IN, THE ABO RIPE EGIDP AL PROPERTY. 30 - 100 10.00 SIGNATURE L) OF PERMITTEE GL 100 - 600 13.00 DI I T G P 1 0 8IQN,GA8 BfGN AND ONE CIRCUIT 3.00 TUBE, OR _ a MARQUEE ADDITIONAL CIRCUITS 1.002 NOTE&: SERVICE NOT OVER 800 VOLTS OR 200 AMP 2.00 i I SERVICE OVER 600 VOLTS OR 200 AMP 8.00 TEMP SERVICE, POLE, h APPURTENANCES 3.00 APPROVALS BATE GNI PECTOR'I IIGNAT LRS TEMP. POWER POLE i UNDERSLAB WORK ROUGH ND IT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE ?.00 U SUPPLEMENTARY PER-MIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELE AL ENGINEER PLAN CHECK VALIDAVON CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH tK., 9 a 5E 9 X o 4 OQ- SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS'COMPENSATIONDECLARATION CE-808G (2-80) APPLICATION FOR ELECTRICAL PERMIT E� �f eroby affirm that I have a cartificate of consent to self ,00UN'4(OF LOS ANGELES BU LDING N SAFETY insure, or a car tific�aate of Workers'ZR ion Insurance,or a certified copy ttfbreof(Sec.3800 FOR APPLICANT TO FILL IN JOB Policy No. Compare ADDRESS D New Realdentlal Bldgs.&Pools EACH NO. FEE Certified copy is hereby furniahed. 1 &2-Family,Sq. Ft. S — $ LOCALITY MultiNEAREST Certlfiod copy is filed with the county b Q inspection Residential wi miFt. CROSS ST department. Resldentlai Swlmminp Pools OWNER OR q-, Q, FIRM NAME Date Applicant Outlets: Rec.____Light SW. MAIL �Irst 20 ADDRESS O CERTIFICATE OF EXEMFKON FROM WOR S' Total No. Additional CITY Tal No 2 COMPENSATION INSURANCE PLAN CH (This rection need not be feted if the work Imotved APPLICANT ccoommpp LiFixtures First 20 ADDRESS b5' the pe=mlt is for one hundred dollars (5100) or less-) Additional ADDRESS Total No. I certify thapp t In the performance of the work for which this Fixed Allances Not Over 1 HP CITY Tel No. Uj permit is Issued, I shall not employ any person In any manner PERMIT W to as to become subject to the Workers' Compensation Laws. Range_Heater_D.W. APPLICANT a Oven _ Dryer_W.M._ ADDRESS f Date Applicant Top _ FAU 4W.H. Hood _ Fen _Other_ CIT Tel No.Ll NOTICE TO APPLICANT: If, after making this Certificate of Dlsp. _ Room Air Cond— Exemption, you should become subject to the Workers' REO. NUM ER Cine C Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. ` PROCE SED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVA deemed,revoked. Up to 1 Incl. FI AL Over 1 to 10 Inc]. DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. 1 VALIDATION I herebyaffirm that I am licensed under p FINAL provisions of Chapter Over(i0 to 100 Inc. FI 9 (commencing with Section 7000) of Division 3 of the Busl- Over 100 ness and Profess!ons.Coda, and my license is In full force and arfect. nn Services l License Numb e Lic.Class /CJ x200 Amp. Under 800 V U 1 Ga 201-1000 Amp. Under 800 V Contractor Data 7 / 'N Over 1000 Amp.or Over 800 V HO DER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I ■m exempt from the Contractor's Sign with One Branch Circuit License Laws for the following reason (Section 7031.5, Busl- Additional Sign Branch Clrcuits 1 334 A near and Professions Code): Mlsc.Conduits&Cgnductors Otto 0 0 0 0 2 FI, as owner, of the property, will do the work and the Other(See Complete Fee Schedule)— Z�o'o 2 1'. O structure Is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY '0 0 0 21,005 1 hereby affirm that there Is ■ construction lending agency for the performance of the work for which this permit Is PERMIT FEE (Sub-Total) Q 0 4,2 0,-8 3 issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permlt Fee) Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE above information Is correct.I agree to comply with all County . ordinances and State laws reg-ulating Electrical wiring, and hereby authorize roprrAentatives of this County to enter upon the above-mention r party for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE 3 3 tore of Permlttee Data COUNTY OF LOS ANGELES _ TEMPLE•CITY 050& ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS . 9071 LAS TUNAS EL 0508 9609200003 BUILDING AND SAFETY / LAND-DEVELOPMENT TEMPLE CITY CA PHOME.=-(81-8) 285-0488.. EXT: ON FILE 10211 GREEN ST FEE DESCRIPTION: QUANTITY: UDM-; AMOUNT: Ta1P CA 917803337 -NEAREST CROS STREET� GL I CKMAX $5 . =005- 18 Al PE;*IT ISSUMINLE FEE' 27. THOIUS PAGE: 597 GRID: 94 LOCALITY:. TEMPLE CtTY Q1 OUTLEI`VLGT SW RECD 29.00'dUT -511 • G2 LIGHTING FIf(iaES 3.00 LGT• 5.,85 TOTAL FEES 84.75 09/20/96 .. . - TC` t 09720/9T MINER: TEL. 100: FINAL DATE4 AM�RE'SHIMELIS;HAILU ELENI • " '(818) 444 6467- ' 1.DZ91 rGREEX ST - TEMP,917803337 OF�WORK , MISC. ELECTRICAL FOR 310 SQ.; TION SAME AS OWNER _ TEL,-ND,- APPROVALS UAlt: INSPECTOR SIGWATW� UK 'AS OWNER • _ LIC. NO � �/� OR ENGINEER,: EL.- NO: -lJFER GROUND LIC. NO: ' ROUGH CONDUIT ROM WIRING f}.' V B L 1 O �s tl tl ; PLASTIC YIN METAL Y/N co l rcl.�E? iced` REPORT ID: DPR265 ROUTE TO; BS0508 COUNTY OF IAB ANUIMRS TMULZ CITY # 0508 m•inTCAL PYRI[IT DIPARTF[R=T OF PUBLIC WORF.B 9701 LAB TUNAS RL 0508 0609080003 BU2LDING AND BAFlPS / LAND DEVIIAPMZfT TOOLE CITT CA 91780 PRO": (626) 285-0488 IZTi LZGIL ID, F=YB PAID BUILDING ADDRMBS� ON FILM 10211 GRMM BT FRY DESCRIPTION: QUANTITY. UON. AMOUNTS TEMP CA 917803337 ABM90R INFORMITION NUM3= nMTOT CROSS STRYrT. 8585-005-018 Al PERIQT IBSUINCZ FZZ 27.75 THOMAS PAQE. 597 GRID. B4 LOCALIT7t TAMPLN CITY, C LB 200 AMP PANELS, MCC 1.00 PAI 38.85 TZSANT: TOTAL FINS 66.60 IBBIIID ON: PROCESSED BY: PLAN BYs aPIRZS ON1 09/08/06 JI 03/07/07 OWNER: TEL. NO FrNaI. B7s _ CODYa TRAM, JERRY (626)ffi 636-5258— F717)-10211 GOZBT TEMP 917803337 D SCRIPT 01 WORK UPORADE BYRVICE TO 200 AMP APPLICANT: TSL. Not JON WONG (626) 716-0138- 9659 WOODRUFF AVE SPICIAL COKDITIOYB: TM[PLZ CITY CA 91780 CONTRACTOR: TEL. NOi APPROVALS DATE INSPECTOR SIGNATURE JON WONG (626) 716-0138- 9659 WOODRUFF AV13FUZ LIC. NO TEMPORARY POWZR POLE TYMPLZ CITY, CI 91780 695429 CIO UND"GROUND CONDUIT ARCHITMCT OR R90130M. TIN,. NO UFYR GROUND LIC. 1901 ROUGO� C0KDDI2 ROUGI$ MIRING MA.II']DTIR LINZ PLASTIC Y/N MYTILI, TIN UTILITT COKPANY NOTIFIED REPORT ID, DPR265 ROUTE TO: B80508 I