HomeMy Public PortalAbout10224 GREEN ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING & SAFETY ELECTRIC 1
WILLIAM 1. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN iG9
ADDRESS RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION ,
CITY
COUNTY LICENSE NO. EXPIRES BUILDING h .t
PEIMITTEM ADDRESS
FEE
NUMBER EACH LOCALITY / f
LIGHT OUTLETS - NEAREST ) +
RECEPTACLES ROSS ST.
WALL SWITCHES ty
WNER &f !"
TOTAL OUTLETS 5C $
"MAIL
ELEC. RANGES 25 ' ADDRESS f9V
ELEC. HEATERS 25
r CITY- TEL. NO
FIXTURES S w..:
- 1 HEREBY ACKNOWLEDG THAT 1 HAVE READ THIS
MISC.
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MVD. HJF OVER I INC. EACH OF THE RESIDENTI PROP T E3CRIBED ABOVE.
+/Q a LESS $ .25 t SIGNATURE O
+/x 2 .50 PERMITTE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 1 200 5.00
200 500 10.00 J
500 1000 15.00 a
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP R�
WELDERS: AC-KVA 0
GENERATORS -KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. MPRO 1I`r
ALS•
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING i
SUPPLEMENTARY .50 FIXTURES
1 POWER
TOTAL FEE $ 1 UTILITY CO. NOTIFIED 'T
FINAI,
76A 663 0884 6A. 4-52
COUNTY OF LOS ANGELES j TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1208080029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ON FILE I I 10224 GREEN ST I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803336 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN
18585-006-025 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 1 1
(TENANT: I TOTAL FEES 66.70 11SSUED ON: PROCESSED BY: PLAN BY: 1
I 108/08/12 SR
I
(OWNER: TEL. N0: I 1F AL My'E : CODE: I
(WHITING GLENN B;SUZANNE R (323) 257-4187-
110224 GREEN ST. 1 I l
ITEMPLE CITY CA 91780 I IDESCRIEVION OF WORK
I I ICHANGE/UPGRADE SERVICE PANEL 200 AMP I
I I I 1
(APPLICANT: TEL. NO:
SAME AS OWNER - I
I I (SPECIAL CONDITIONS:
ICONTRACTOR:
TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
SAME AS OWNER - I
LIC. NO i (TEMPORARY POWER POLE
I -1-1 I
I I (UNDERGROUND CONDUIT
I I I
1ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND I I
I I I I I
LIC. NO: i TROUGH CONDUIT I
I IROUGH WIRING
I I
IMAIN WATER LINE
I I IPLASTIC Y/N METAL Y/N
I 1 (UTILITY COMPANY NOTIFIED ^I�
I I I i I I
I I I I I I
I I I I I I
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IREPORT ID: DPR265 ROUTE TO: BS0508 I I