HomeMy Public PortalAbout10039 LA ROSA DR_Electrical__ °° °°°° °° APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER rAA'
ILDING
BUILDING AND SAFETY DIVISION OREssJOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING CALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
ITEM NUMBER I EACH FEE OWNER L -LM
OUTLET 5 $ MAIL
LIGHTS RECEFT. BW. ,Ip !Q ADDRESS
LIGHTING FIXTURES 10 (a CITY TEL.NO.
ELEC.RANGES "0.DRYERS ELECTRICIAN J ♦O/
WATER HEATERS .SO ADDRESS L
ELEC.SPACE HTRS. DISHWASHERS k 6.
CITY bTEL. NO.Ar.
_
O GE OIBPO AUTO. STATE
WASHERS BTA.COOKING UNITS .25 (y LICENSE NO.
MOTORS: OVER INC. H.P. DISTRITNO. I(jRUUPI ZONE I PR CESSED BY
0— +/a .25 �.!
so14711,
INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 0c)
SUPPLEMENTARY PERMIT .50
TOTAL FEE Is
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECLOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT G
ELECTRICAL WIRING. WIRING ���Y'J J
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BT ANGELES COUNTY AN STATE OF FIXTURESi—
CAL'
FORNIA OR THAT 1 E Al. WNE HE ABOVE
DESCRIBED RESIDENT] ROP R POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
FINAL ✓1
�! J�I,.Io CASH ARTHURC.VETT.
/f/MG GBH ARTHUR C. ELECTRICAL ENGINEER
Ifl77658 - I'av1 ! 2 A 8.45
" COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9807310004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
L GA ID: FEES PAID BUILDING ADDRESS:
TR: 10821 LT: 5 BL: A 10039 LA ROSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803302
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8585-007-044 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 13.00 OUT 25.35
TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PROCESSED BY: PAN BY: EXPIRES ON:
H7 RES EXHAUST FANS 1.00 EX 10.80 07/31/98 UT 07/31/99
TOTAL FEES 71.70
OWNER: TEL. NO: FINAL DATE FINAL BY.) CODE:
FRAGOSO, JESUS (626) 443-1276- TICJ //_
sZ
10039 LA ROSA DR. G Lj7
TEMPLE, CITY DESCR— OI�N OF WORK'
ELECTRICAL FOR ADDITION AND REMODEL
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
r,NC,ELES c0
CONTRACTOR: TEL. NO: OS ��/,. APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: - _ 11))11 ROUGH CONDUIT
ROUGH NG
U�j r O Lj;� f1�� MAIN WATER LINE
� v v u PLASTIC Y/N METAL Y/N
-UT-l-Ll7Y COMPANY NOTIFIED
u } A.
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Service TV,
REPORT ID: DPR265 ROUTE TO: BS0508