HomeMy Public PortalAbout10227 GREEN ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC �
DIVISION OF BUILDING & SAFETY
WILLIAM 1. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I N>fy PERMIT NO.
ELECTRICIAN S Z �-\
ADDRESS RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
CITY cm TEL. Ng.
COUNTY LICENS NO. ol EXPIRES BUILDING
PERMIT FEES•• ADDRESS .0
FEE
NUMBER EACH LOCALITY J
LIGHT OUTLETS
NEAREST o✓ (J"`��I/'�
RECEPTACLES CRO88 T
WALL SWITCHES -7 OWNER I
TOTAL OUTLETS 0 5C $ 40 MAILQ�O
ELEC. RANGES 25 ADDRESS (� ,V
ELEC. HEATERS 25 26
FIXTURES 5 CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE VTHAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS J APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUIT AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2&LESS $ .2517
- SIGNATURE OF
I/2 2 .50 .15-t PERMITTE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00
500 1000 15.00 ✓ a
OVER 1000 20.00 " « Z
M.G. SET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA O
GENERATORS .KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT.• DATE INSPECTOR'S NAME
WIRING $1.00 113 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY ,50 FIXTURES
p POWER
TOTAL FEE $ 7 -
UTILITY CO. NOTIFIED
76A 663 DBS(I BA. 4-52
y • Y•' COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DSof County Engineer ELECTRIC 1
DIVISIONION OF OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
�"
EL TRICIAN
_L—
— p RECEIVED BYE READY FOR DAT[,18HUED
ADDRESSFIRST INSPECTION
L �j
OITY ,,..� TE ` Mt
COU TY LICENSt NO. t- EXPIRES Gl' ,Y BUILDING /) �; `•
PERMIT FEES ADDRESS /C
FEE
NUMBER EACH LOCALITY �� m
LIGNT OUTLETS NEAREST - -
RECEPTACLES CROSS 9T.
WALL SWITCHES OWNER
TOTAL OUTLETS 5C 8 D MAIL •
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES B
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 19 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 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MVD. HP OVER INC. EACH OF THE RESIDENTIIALL PROR,ERTY DESCRIBE_D ABOVE.
I/z 6 LESS $ .25 SIGNATURE OF
1/2 Z 50 PERMITTEE
2 s 1.00 INSPECTION RECORD
5 is 1.50
i5 50 2.50
50 200 5.00
200, 500 10.00 J
500 1000 15.00 Q
Z
OVER 1000 20.00
MOVED MOTORS (73% OF ones.) Q
M.G. BET/FREQ. CHANGER-HP O
WELDERS'AC-KVA
GENERATORS - KW
TRANS F RMERS - KVA
MISC. r
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING 41.00 G'0 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE H ! l D UTILITY CO.NOTIFIED Y
FINAL /
76A663 DBS#SA Cd b )2.5,3
WORKER'S COMPENSATION DECLARATION 20-0010 DPW 112-91, APPLICATION FOR ELECTRICAL PERMIT
'I hereby�ffirm that I have • certlfioale of consent to self Insure,
or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF.LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
-copy thereof(Sec.3800 Lab.C.)
Policy No Company TO P7 L IN JOBDORE88 A
El CecdW copy Is hereby fumhhed. NeSv EACH FEE
i i LOCALITY
❑ Certfhed copy b Ned with the oovnty build nq Inspection 1 �N'S'PL NEAREST
691-brwnt- MuftNamlly Sq.PL — CRCS8 ST.
RaslderrtiaJ 8wlmmtnq Pooh YAP SOR �y��
OJ PAGE PAFICB/
OR
CER IRCATE OF EXEMPTION FROM WORKERS' Outieb.Rec._Light "�r"E sw. °`YHfl�ME L//V
COMPENSATION INSURANCE FIrs
t 20(This section need not be oomplated It the work Involved by the dcADOLRE88 Z
permit to for one hundred dollars(i100)or lees.) Total No. Addttbnal O Lbb
I certify that In the performance of the work for which this permit Crry Tel.
le Issued, I shall not employ any person In any manner to as to PLAN CHECK
beoome subject to the Workers'Compensation Laws. I-VTtlnG FbdOree Bret 20 APPLr-,ver
`]! Total No. Additional ADDRESS
Daio z _L ``U Appfloaat
NOTICE TO APPLICANT: If, after making this Certificate of RESIDENTIAL APPLWICEB NOT OVER 3 HP. CITY Ta Na
Exemption,you should beoDme subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code, you must forthwfth comply with such Poorer APPS S targe Appllances AP ANT
provtelons or this permit shall be deemed revoked.
LICEN8ED CONTRACTORS DECLARATION Size S Type HP,KW,INA,or KVAR ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind.
(commencing with Section 7000) o1 Division 3 of the Business and CITY Th NO
Professions Code,and my license Is In full force and effect. Over 10 to 60 Incl. UCE34SE OR Clew a
Over 60 to 100 Ind. RE&NU143ER
Over 100 Dt9TR1CT NO. BY
Lbense Number Lk;.Class
Services,Swbd.,MCC S Pwwboerds r=wjr,��
contractor Date0-396 Amp.Under 900 V PATE b
El am exempt under Sea 400-1000 Amp.Under 900 V 4--/7 1VALIDATION W
LU
Over 1000 Amp.or Over 000 V
r3tu- (
BY U)
B.SP.C.for tf>la reason BRANCH CIRCUIT FEES Qs. - Z
Date: 16A,or 20A.120V,LglTd q or RecepL —
1 To 10 Brenoh Clrculte
Signature 11 To 40 Branch Chaffs
41
tlR
Or More Branch Ctros
❑ Exemption for Req.Malrrt-Elect. 16A.20A,206V To 2TIV LqArq Br.
SINGLE FAMILY Temp.Power Pole✓f AppurLer -oea
HOME OWNER-BUILDER DECLARATIONT.T
affirm hereby arm that I am exempt from the Contractor's Ucenea Law �with One Branch Clrmit
for the following reason (Section 7031.6, Business end Professions AddTdonal Sign Brsnoh CKroults 77.32
C(de): 1 ITEM
I,an owner of the property,will do the work and the structure Msec-Conduits S Conductors
/` Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 0110. TOTAL 97 - 32
and Professions Code). (A-Eryr 97.6-2.
p7
CONSTRUCTION LENDING AGENCY CHANE 7 .W
I hereby affirm that there Is a construction lending agency for the
performsnoe of the work for which this permit Is Issued (Seo. 3097, PERMR'FEE (Sub-Total)
CN.C.)
PLAN CHECKING FEE 000 0MI 2/27/96
LwKWs Name PERMFI ISSUING FEE 1 AM11:24
Lender's Address
I car"that I have read this appllcation and undw penalty of pur)ury state TOTAL FEE .
that the above Information be correct. I agree to comply with aE County
ordlrances and State laws rep lai EKecirloal wlring,and hereby au&xctze
repreeertfatives of this Courrty to enter pori the above-rnerrdoried property
for IVPu SEE REVERSE FOR EXPLANATORY LANGUAGE
X a�+ r�
WORKER'S COMPENBATFON DECXAARATION 7 DPW c,2-0,, APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certlfloate of consent to self Insure,
or a oertj0tSate of Worker's Compensation Insursnoe, or a certifled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(89o.%&&Lab.C.)
Policy No. Company Pon AFPIJCAxT TO FX-L IM JOB
❑ Certified copy Is hereby tumished. New Residential Bldgs.S Poots NO. EACH FEE /
_ = LOCALITY
❑ Ceroopy Is filed wtth the oounty building inspection 1 S 2 femlfy,Sq.Ft
tified _ NEAF09T
deqaartnant. MuM-famlly Sq.R. cao88 ST. /
Date Appfkcent Fteelderttlal Swimmtrig Pools OR
=D90K �! PAGE PARCaL��t�
CERTIFICATE OF EXEMPTION FROM VyORKEAB' Outlets Rec._Light—L—Sw.J— Ffl�-M w►�E
COMPENSATION INSURANCE Rrat 20 MAIL
a.dr"i
(This section need not be oompleted If the work Involved by the AADDREBB
permit Is for one hundred dollars(8100)or less.) Total No. AddWonal
I certify that In the performance of the work for which this permit CiN Tel.��
Is Issued, I shall not employ any person In any manner so as to PUN C✓i
bsocme subject to the Workers'Ccmpenaatfon Laws. Lighting Fbdtirss Brat 20 APPLICANT
Total No. Adc1donel ADDRESS
Date Applbant RESIDENTIAL APPLANCE3 NOT OVER 3 HP.
NOTICE TO APPLICANT: If, after making this Certificate of CIN Tel-Na
Exemption,you should beoome subject to the Workers'Compensatlon OTHER APPLIANCES NOT OVER 3 HP.
I'E3tNIT
provldlons of the Labor Code, you must forthwith comply with such Power APPS d Large Appliances appy
provisions or this permit shall be deemed revoked.
LICENSED CONTRACTORS DECLARATION Stre d Typo HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 8 Over 3 to 10 Incl.
(commencing with Section 7000) of Division 3 of the Business and CITY TM Na
Profession@ Code, and my Iloenae le In full fora and effect. Over 10 to Go Inch. LIC>ttBC
Over 60 to 100 Ind. FEa.NUMBER
Over 100 Dt8TRiCT NO. BY
LillNumber tic.Clamp / O
ne
SerNoee,Swbd.,MCC S Palboerda O iG
Contractor Date 0-389 Amp.Under 600 V FINAL Q
❑ I am exempt under Seo. 400-1000 Amp.Under 600 V �� �` l VALIDATION U
W
Over 1000 Amp.or Over 600 V FNAL d
Cn
B.SP.C.for this reason BRANCH CIRGUrr FEES z
Data: 15A,or 20A,12oV,Llghttng or-leoept.
Z
1 To 10 Brw)oh Ctrcutte
Signature 11 To 40 B arxh
Branlts
❑ Exemption for Reg.Malnt-Elect 15A,20A,206V To 277V�A{oreC#outsCircuits
SINGLE FAMILY Temp.Power Pole S Appurtenances
HOME OWNER BUILDER DECLARATION Sign with One Branch C#oultACCT.•i
I hereby affirm that I am exempt from the Contractor's License Law
for the following reason (Section 70L31.5, Business and Professions Add lora Sign Branch Clrculta � 33.30
I,ae owner of the property,will do the work and the structure Mlso.Ccodufts S moors 1 ITEMS
Is not Intended or offered for sale (8ection 7044, Business Other(See Complete Fee Sdredule) , TOTAL 33-30
and Professions Code). C{E/�y.�rry
CONSTRUCTION LENDING AGENCY rylA4yT .00I hereby affirm that there Is a construction lending agency for the CWNGE
performance of the work for which this permit Is Issued (Sec. 3087, PERMIT FEE (Sulp-Toto ,
Civ. C.) PLAN CHECKING FEE 0000-- l 1 /20/95
Lender.Nam. PERMrT ISSUING FEE a y a 3886 1 AN 9:17
Lenders Address .
I certify that I have read this spplloetbon and under penalty of pur ury state TOTAL FEE
that the above Information is oorrecL I agree to oompty with all Courrty
ordinances and State taws regulating Electrical wiring,and hereby authortxe
representaflves of this County to upon the above-rn wYdoned property
for 1 cn W SEE REVERSE FOR EXPLANATORY LANGUAGE
ab3mATu RE oP DATE
Q"TY OF LOS ANGELES T�MPLE CITY 050$ E TJtL p
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS -
BUILDING AND SAFETY/ LAND DEVELOPMNT TEMPLE CITY CA
PHONE: (818) 285-0488 ERT:
LEGAL ID.- FEES, PAID Sul
ON FILE
FEE DESCRIPTION; OLkNTITY: UOM: AMOLNT: N 19 g
8585-005-016 Al PERMIT IS$UI�NCE FEE 27.75 T A6F;`599 GRID: B4 LOCALITY: TEMPLE CITY
61 OUTLEtS-LGT,SW RECD 58.00 OUT 30
1;2 LIGHTING FIXTaES 20.00 LGT 39.00
FAU LESS 3HP- 1.00 FAU 10.80 UT /98 .
77 RE$ El(HAU$T FAN$ 1.00 EX 10.80 .
06INER: TEL. NO: JS Ac LWITS +3-10HP 1.00 AC 19.65
CHEN LINDA (000) 000-0000- LB 200-AMP PANELS, MCC 1.00 PAN 38.85
10227 GREEN STI TOTAL FEES 237.15
TEMP 917WODO.0DrM
ALL EL RICAL WDRK FOR HOUSE ADDITION-AWO NEW HEAT/AC LININ
APIPLICAN'T: TEL. W:
C. K. ELECTRIC (818),451-0251
SPECIAL MITIONS-
C. K. ELECTRIC (818).827-7280-
1419 -s,
818)•827-7280-1419 $, MARGUERITA #D LIC. NO \ R POLE
ALHAMW, CA. 919" 583218 C10
ARCH'ITM OR ENGINEER: TEE. NO: \ UFERWCULANP
-
1
LIC. N0: ' /
-ROUGH WIRING
MAIN 61ATER LINE
P`U 8 L WORKS PLASTIL` T/N METAL T/N '
REPORT ID: NR265 ROUTE TO: BE0508 �.
T
s
COUdTY OF LOS ANGELES TEMPLE CITY f 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TU AS EL 0508 0309040027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT;
LEGAL ID: FEn PAID BU I L
ON FILE 10227 GREEN ST
FEE DESCRIPTION: QUANTITY: UDM: AMXT: TEMP CA 917803337
NEAREST CROSS STREET: BALDWIN
8.585-005-016 Al PERMIT ISSUANCE FEE 27.75 THOM PAGE: 597 GRID: 34 LOCALITY: TEMPLE CITY
JX MOTORS, LT 3 HP 1.00 NOT 15,30
TOTAL FEES 43.05 .
09/04103 A 03/02/04
OWNER: TEL. NO: F I NAL BAT E FIKAL BY:
YU JOHGRM -
10227 GREDi ST
TEMPLE CITY 91780 DRTRT
ELECTRICAL LINE FOR POND PUMP
APPLICANT: 0:
HAROLD SALISIAN (626) 574-9175-
2 SOUTH GOLDEN WEST SPECIAL CONDITIONS:
ARCADIA CA
CONTRACTOR: TEL. NO: APPROVALS INSPECTOR SIGNATURE
HAROLD SALISIAN LJINDSCAPING (626) 574-9175-
2 SOUTH GOLDEN WEST AVENUE LIC. NO
ARCADIA, CA 91007 4097909027
ARCHITECT OR ENGINEER: TEL. IU-. urmFumum
LIC. NO: ! - ROUGH CONDUIT
RD" fJlRI9r-
Tflir-
FwflrlgTmr
PLASTIC Y/N METAL Y/M
REPORT ID: DPR265 ROUTE TO: BS0508
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