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HomeMy Public PortalAbout10034 LA ROSA DR_Electrical__ ♦ �, COUNTY OF LOS ANGELES APPLICATION FOR PERMIT VISION OF of County Engineer ELECTRIC � �� �� DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL 1 DISTRI�NO. GROUP ZONE PERMIT NO. r,— _r , ) 5 Z' -1 X6.388' ELECTRICIAN lig / % . L READY ADDRESS FIRST INSPECTION DA 691BB OU CITY / //i•(r/� COUNTY L CEN6E NO. / EXPIRES .ADDRESS PERMIT FEES �_' FEE NUMBER EACH LOCALITY I LIGHT OUTLETS NEAREST _ �+ RECEPTACLES +J CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS Sc B MAIL ELEC. RANGES 2S ADDRESS ELEC. HEATERS 2B CITY TEL. NO, FIXTURES Z B I HEREBY ACKNOWLEDGE 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 1 POSSESS THE ABOVE VALID LOS NUMncv HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER New MVD. HP oven C. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I�z s Les. $ .25 SIGNATURE OFA✓"n 1/2 2 .50 PERMITTEE -- 2 5 1.00 / INSPECTION RECORD 5 19 1.50 15 so 2m5D _ 50 200 SAO 200 Sao 10.00 Soo 1000 15.00 e 4 LAG Z OVER 1000 20.00 M.G. SET/FRED. CHANGER-HP. O! WELDERS:AC-KVA O GENERATORS - KW +. TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIS.) _ MOVED MOTORS (75% OF DRIB.) MISC. SIGNS N0. NO.TRANS. NO. NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPE OR'S NAME WIRING $1.00 CONDUIT FIXTURES_ 91.00 WIRING BUPPLEM ENTARY .50 FIXTURES ��•�NI+s4 Tot TOTAL FEE $ ^ UTILITY CO. NOTIFIED i G FINAL 76A663 DOS#SA '2-53 76A661{EB0612/75 APPLICATION FOR ECECTRIC•AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT.OF COUNTY ENGINEER JOB BUILDINO-AND AFETY DIVISION. ADDRESS (/ FOR PP A F L N LOCALITY New Residential Bldgs& Pools EACH NO. FEE. NEAREST C. 1 & 2-Family, Sq. Ft. $ .025 — $ CROSS ST. OWNER OR , ` Multi-tamlly Sq. Ft. .02 FIRM NAME Ir Residential Swimming Pools 20.00 MAIL - ADDRESS Outlets: Light, Switch & Receptacle CITY TBI.,NO. First 20 •50 PLAN CHECK- Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Additional - '30 PE"MIT APPLICANT L ec C Fixed Appliances Not Over 1 HP ADDRESS T_ P 7 5' s` - Range_Heater_D.W._ CITY % O Tel.No. Oven_Dryer_W.M._ LICE ,U B Top FAU _W.H._ � REG.NUMBER gN � Class.G•-+�� Hood_ Fen •2.00 1 XEXEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Dlsp.�A.C. _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus& Large Appliances Size& Type HP, KW, KVA, or KVAR HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS REOUIREO BY LOS ANGELES COUNTY ANO STATE Of Dp to 1 Incl. 2.00 CALIFORNIA OR TXAI AM THE LEGAL OWNER OF THE ABOVE 9L 5.00 OESGRICED nESIDENT L PROPERTY. 0 Over 1 to 10 Incl. V Over 10 t0 50 Incl. 10.00 PERMITEE 20.00 SIGNATURE (A Over 50 to 100 Incl. 94 Over 100 30.00 DISTRICT NO. SSED BY 0 Services W 0- 200 Amp. Under 600 V 32.50 - IN ECTO R'S 0. - 201.1000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNATURE Z Over 1000 Amp. or Over 600 V 50.00' TEMP.POWER�POLE Temp. Power Pole & Appurtenances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits ._ 2.00 WIRING �� �� /, .�.�•I (Other) `` FIXTURES • I�-` POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) NOTES USE OF /ST/NG •s(-�V(GE PLAN CHECKING FEE (One-Fourth Permit Fee) A S✓B/��'rvf�L OK ��> PERMIT ISSUING FEE $6:00 L/�fv✓GfT�9r'F i? TOTAL FEE L-5- PLAN -PLAN CHECK VALIDATION CK. M.O. _CASH PERMIT VALIDATION Mo. CASH 16 SEE.BACK OF APPLICATION FOR COMPLETE SCHEDULE °6A663.`EB°B '° APPLICATION F R ELECTRICAL PERMIT L� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS C�� BUILDING AND-SAFETY DIVISION - LOCALI TY�_ , NEAREST FOR APPLICANT TO FILL IN CROSS ST. _ OUTLETS NO. EACH AEE OWNER OR RECEPT. $ $ FIRM NAME i MAIL C1 l) ADDRESS LIGHT FIRST 20 TOTAL C OVER 20 CITY TEL. N0. SWITCH_ PLAN CHECK -- LFIRST 20 © APPLICANT .IGHTING T TAL 25 OVER 20 ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES DI TV TEL, No, PERMIT �s RANGE_DRYER_WTR. HTR._ APPLICANT - C `fd I +H STA. COOX_DISP._F.A.U._, ADDRESS .SPACE HTR. AIR'.CON., CITY TEL. NO. CLOTHES WASH. OISHWASH._ LICENSE ORqY /7 REG. NUMSER.2 - CLASS. (,1 FANOTHER -IACD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION , 4-ll AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITHA" COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS; ETC. Al. KW. RVA. ELECLRICAL WIRING._ 'SIZE & TYPE OVER TO HEREBY CERTIFY THAT 1 AM PROPERLY LY REGIS TEfl ED`AND/OR 0 - 1 100 LICENSED AS REQUIRED I A. LOB ANGELES COUNTY ANO STATE OF !- CALIFORNI4 OR TH 1 AM THE LEGAL OWNER OF THE. ABOVE p„ 1 - 1D 3.00 DESCRIBE. RESID JTIAL PROP RTY. CD PERMITEE ¢ 10 - 50 6.00 SIGNATURE O C.D 50 - 100 _ 10.00 W OISTRI� NO. � P E 5 d 100 - 500' 15.00 U N, SIGN, GAS SIGN AND ONE CIRCUIT. 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE,¢OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICENOTOVER'600 VOLTSOR 200AMP 3.00 UNOERSLAB WORK SERVICE OVER 600 VOLTS OR200AMP' IGo ROUGH CONDUIT r� y _ TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING T•'Z7-'76 TEMP LIGHT OR RECEPT. SYSTEM 3.00 _ FIXTURES POWER AUTHORIZED' UTILITY CO. NOTIFIED . FINAL O ' PERMIT FEE (SUB TOTAL) U NOTES: PLAN CHECK FEE PERMIT ISSUING FEE TOTAL FEE A PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CN. M.O. CASH 2=0' 'SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE606 12-65 T APPLICATION FOR ELECTRICAL PIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION BUILDIADDRESS /GY�.3 �, OS JOHN A. LAMBIE. COUNTY ENGINEER +7�� COLEMAN W. JENKIN$: SUPERINTENDENT OF BUILDING� LOCALITY /� Lf¢�// NEAREST ^ `^' FOR APPLICANT TO FILL IN CROSS 6T. RECEPT. - TOTALNO. I EACH FEE 2 OUTLETS FIRST 20 S.20 S OWNERMAIL p SWITCH ADD'L 10 ADDRESS Z7 444 Rd-Xl / OVER 20 1� TOTAL FIRST 20 .20 CITY. &7a79LC Ci'lJ -TEL. NO. -� LIGHTING l FI%TURES 1 FIXTURES Jr ADD'L 1O CONTRACTOR G'� Avco-S �FcT OVER 201 RANGES DRYERS WTR.HTRS. 1.00 .QO ADDRESS /oo3S/c, LA,Las-,4 pi _ GARB.DI9P. STA.COOK �� CITY QLt Cii�TEL. NO. -J.J 0 GARB.OISHDISPASH. AUTO.-WASH. STATE SPACE HTR9. STA. APPL. .'jG LICENSE NO. IF MOTORS: OVER NorI H.P. DISTBICT N GROUP NE P O E BY O 1 1.00 �GJ 1 3 1.5o INSPECTION RECORD a 9 8 2.00 s —� l/-6� /i" if / /L✓� O m 8 IS 2.50 ,.Q s, ' O 15 50 3.00 /SF u 50 100 i 5.00 W a _ w SIGNS: NO.TRANS Z NO.LAMPS SERVICE 0-60OV-NOT OVER 200A i00 zleal SERVICE 0-600V.OvEn 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER ISEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 y SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DAT[ INBPECTOR•B BIGNATUR6 TOTAL FEE IF 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDER$LAE WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1' HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA ORTHAT 1 AM THE LEGAL OWNER OF.AND INTEND TO p�yyER RESIDE IN.THE ABOVE O RIBED SIDENTIAL PR RTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL VALIDATE JOSEPH C. R OLA CK MO ASH SUPERVISING ELECTRICAL ENGINEER D 6 8 3 2Zo- JAN 23 2 D 4.0.0- WORKERS'COMPENSATION DECLARATION CE 863 APPLICATION FOR -ELECTRICAL PERMIT CE806G (2-801 APPLICATION r LLLl. 1 F1L PERMIT - 1 hereby affirm that I have a certificate.of consent to self COUNTY OF LOS ANGELES .� /.' BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or C_ - a certified cop [here L(Sec. 3800,Lab.C.) J pp - JOB Policy No.� �Company' FOR APPLICANT TO,EACH FILL N NO: FEE. ADDRESS 'VO.:J Gr{Y i .W New Residential Bldgs.&Pools NN ❑ Certified copyis hereby furnished. 1 &e2-FamllySq. Ft. $. — $ LOCALITY . .T��� I Multi CR Ft. — NERAEST. k/ 1 - ®1 Certified,copy is filed with the county building inspection CROSS ST' depart m nt. Residential Swimming Pools OWNER OR [,^� 'f FIRM NAME Date 2 O` AP plicant Outlets:'Rec_Li9ht Sw. - MAIL �y.� // n _ F irst 20. ADDRESS'-IW34' �t—A. RQp p CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY I' ''C�� Tel No. 4 -57 p } • COMPENSATION INSURANCE PLAN CHECK ll Pin �S a0 APPLICANT V (This 'section need not be .completed if the work.involved U by-the permit is,for one hundred dollars (SI00) or less.) Lighting Fixtures First io ADDRESS �(� Z- TotaLNo. Additional .. r i /v Q- c I'certify that in the performance of the'work for which this Fixed Appliances Not Over 1 HP - CITY � h el Tel No. 7i�s-22�I 0 permit is.issued, I's6a11 not em ploy'any person in any manner PERMIT 11 U so as to become subject'to the Workers"Compensation Laws. Range_ Heater_D.W. APPLICANT 00\S �y- W .a Oven Dryer_W.M.. ADDRESS h (� 1JnC+-s Z Date Applicant Top. ._ FAU`_W.H.._ ' Hood — Fan _Other— CITY S IlOr;�,• Tel No. NOTICE TO APPLICANT:-If, after making this Certificate of Disp. Room Air Cond.— i LICENSE OR `GC,.`Q� •Exemption you should become subject to the Workers' REG'. NUMBER CJ lass J .. Compensation' provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCES D BYE - with comply with such 'provisions or this permit shall be ' Size&Type HP,KW, KVA,or KVAR deemed revoked. v� • Up to.1 Incl FINAL Over'l to 10 Incl. DATE n LICENSED CONTRACTORS DECLARATION VALIDATION _ Over-10 to 50 Incl.. I hereby affirm that 1 am licensed under provisions of Chapter Over 50 to 100.1 or. B N'QL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions.Code, and my license is in full force and - - effect. Services . pp ��.�r� L-5 of 0-200 Amp. Under 600V License Nu((myytier�oSp��L -Lig. Class' p� 201-1000 Amp. Under 600 V C/ Contractor`la PoeD15. Date 3'-rt.4 Over 1000 Amp.or Over 600 V ��� HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances . . .. I Sign,with One Branch Circuit • hereby affirm that I. exempt. from the Contractor's Additional.Sign Branch Circuits - - License Law,for the following.reason_(Section 7037.5, Busi- !;93319A s ness and Professions Code): •. ' ' _ - Misc.Conduits& Conductors _ r ❑ I, as owner of [he property, will do the work and theCompletet # }�•� a 2 ' Other(See Fee Schedule)— structure Bu is not intended or offered for sale. (Section '2.e'e 3'a 5 0 ' 7044, Business and Professions Code). � � ' , � - - CONSTRUCTION LENDING AGENCY ' I hereby affirm that there is ..construction lending agency - - ' ' 3 4 5 0,5 for the performance of the work for .which this permit is PERMIT FEE (Sub-Total) 9Q r issued-(Sec. 3097,Civ.CJ: \ •J <: 0'a 2 4--8 2 Lender's Name LJ n K-3U-0-WU PLAN CHECKING FEE (One-Fourth Permit Feel ( - ,ender's Address PERMIT ISSUING FEE S�^ I certify that I have read'this application and state'that the TOTAL FEE above information incorrect. I agree to comply witli all County ordinances and State laws .regulating Electrical wiring, and ' he cry authorize representatives of this County to enter upon - - - th above-mentioned property for inspection purposes. SEEREVERSEFOR EXPLANATORY LANGUAGE ' Signature of Permittee ate WOR KERS'COM PENSATION DECLARATION CE-806G E-806 APPLICATION pp,LIC /k TION -FOR ELECTRICAL 1 pee IT q ' 76A663 G (2801 F1rr /"� �9 R L ' Il M` fLIC,.1 1 U 7 hereby affirm that I have a certificate of consent to self COUNTY OF LOS.ANGELES TG BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified-copy thereof(Sec. 3800,•Lab. C.) - - ( �1�� y1�-���qq ^^ - L //pp�� (� p - FOR APPLICANT TO FILL IN - - ADDRESS f '-1.T /�l_aJ�1. 1✓I .. Polido.L! 1( JOB f any r•-'�-f + New Resideriti al Bldgs.'&Pools EACH NO. FEE ' - Certified copy is hereby,furnished'- 1 &2-Family Sq. Ft. $ — $ LOCALITY rJJ❑��" Certified co Multi-family Sq.,Fr. — NEAREST copy is filed with the county gilding .CROSS ST �Cde.Qj�larjt'7 �01. - Residential Swimming Pools OWNER OR - FIRM NAME Y Date �pplic - ` MAIL Outlets; _ • CERTIFICATE OF E M TION R M WORKERS' .First 20 ADDRESS - '( COMPENSATION INSU NCE Total No. Additional- CITVT No Y O } PLAN CH CK (' O (This section need not be completed if the work involved - APPLICANT U by .,the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS r - Additional 'Total No. • . O t I certify that in the performance of the work'for which this CITY ' ' Tel No. I— ermit is issued, I shall not employ an Fixed Appliances Not Over 1 HP" - U ,r p p y y person n any manner PERMIT ,� -r^ eT7 Tyles so as.to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. 'APPLICANT- �V-'.]VI f / S- f Oven — Dryer_W.M. ADDRESS rn eo, :, z Top FAU- _W.H. _ Date Applicant e (� C Hood Fan _Other_ CITY ''��- Tel No.,. U .: -y NOTICE TO .APPLICANT: If, after making this,Certificate of Disp. Room Air CondLICENSE ORy, Exemption, you should become subject to 'the Workers' REG.NUMBER Class C__ Compensation provisionsof the Labor Code, you must=forth- Power Apparatus& Large,Appliances DISTRICT N.C. PROCES EDGY with comply with such provisions or this.permit shall be deemed revoked. Size&Type HP;KW, KVA,or KVAR !/ Up to 1 Incl. , Over 1 to 10 Ind. FINALDATE Ste•,,,/ LICENSED CONTRACTORS DECLARATION VALIDATION Over'10 to 50 Inc ./r-hereby affirm that Lam licensed under p FINAL jp_ y provisions Cha ter Over to 100 Inc. BY - / 9 (commencing with Section 7000) of Division 3 of the Bust- Over 100 ness and Professions.Code, and my license is in full force and effect. CI / . Sewices - I License Numbe t -fZLI Lic. Class --yo 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V r \ontractor"I���-'-1�' Date `{I ZZI Over 1000 Amp.or Over 600 V &0 J / HOME OWNER-BUILDER DECLARATION Temp. Power Pole&.Appurtenances I hereby affirm that 1 am exempt. from theContractor's Sign with One Branch Circuit - License Law for the following reason (Section 7031.5; Busi- Additional Sign Branch Circuits '3.7•(J,6 A ness and Professions Code): v Misc.Conduits& Conductors ,# •1e e•.re ••.2 F 1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— ' structure is not intended or offered for sale' (Section - 2,e�e•� 5 Q 3 7044, Business and Professions Code). . .CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is a construction lending agency '• '^.1 A 5 for the performance of the work for which this permit is - PERMIT FEE issued (Sec. 3097;Civ. C.). , (Sub-Total) - . . .0 Q,2.2'—8 2 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEET, I certify that I have read this application and.state that the TOTAL FEE above information iscorrecC'I agree to comply with:all County ordinances and State laws regulating Electrical wiring, and - hereby authorize representatives of this County to enter upon the overTenti' d property for inspection pus oses. SEE"REVERSE FOR EXPLANATORY LANGUAGE Sign tur of rmittee Date , • COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1106150025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: 1 ITR: 10821 LT: 4 BL: .001 10034 LA ROSA DR I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803301 ASSESSOR INFORMATION NUMBER: II NEAREST CROSS STREET: BALDWIN ] 18585-008-021 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl ]LB 200 AMP PANELS, MCC 1.00 PAN 36.80 TENANT: I TOTAL FEES 66.60 JISSUED ON: PROCESSED BY: PLAN BY: 106/15/11 SR (OWNER: TEL. NO: FIfJAL TE FINAL BY: CODE: ]NICHOLAS WILLIAM (626) 442-0972- 1 �1 110034 LA ROSA DR 1 1 TEMP 917603301 lDrSCRIPTION OF WORK ] (UPGRADE SERVICE PANEL TO 200 AMP (APPLICANT: TEL. NO: ] 1SAME AS OWNER - (SPECIAL CONDITIONS: ] I I (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - ] ] I LIC. NO (TEMPORARY POWER POLE I I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND J� J� I-. !�N LIC. NO: IROUGH CONDUIT I 1 ] I IROUGH WIRING (MAIN WATER LINE ] (PLASTIC YIN METAL YIN 1 1 (UTILITY COMPANY NOTIFIED I I 1 I I ] I 1 I I I I ] I I I I I I 1 I 1 1 I 1 I I I I I II I I I I I I II I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 1 I I 1 I I