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