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Home My Public Portal About10061 LA ROSA DR_Electrical__ 7GA663-CE806 468 APPLICATION FOR ELECTRI AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILo NG BUILDING AND SAFETY DIVISION AU'L " IO'O JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO. EACk FEE RECEPT._ $ $ OWNER MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH OVER 20 .10 CITY TEL. NO. PLAN CHECK rl LIGHTING lTOTAL FIRST 20 .20 APPLICANT FIXTURES /(� OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK_OISP._F.A.U._ CONTRACTOR I SPACE HTR.—AIR COND.— ADDRESS o-ID L v CLOTHES WASH,_DISHWASH._ CITY TEL. NO. FAN_OTHER 1.00 LICENSE NO. MOTORS.TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION SIZE S TYPE OVER TO ANp STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 HEREBY CERTIFYIR THAT I AM PROPERLY REGISTERED AND/OR 1 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE TOF O CESIDE NIA OR THAT AM THE LEGAL OWNER Of, AND INTEND TS- 10 10 - $0 5.00 RESIDE IN, THE ABOVE OESCP IP.ED RESIDENTIAL PROPERTY. � /1 n U 50 - 100 10.00 SIGNATURE I tj '^—V'�,E`^A`-^t,•2LL2� � OF PERMITTEE p 100 - 500 15.00 U DISTRICT P Z P O w SIGN.GAS loa SIGN AND ONE CIRCUIT 3.00 TUBE, OR N 2 MARQUEE ADDITIONAL CIRCUITS 1.001 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE. POLE. 8 APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAS WORK ROUGH CONDUIT PERMIT FEE ISUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED Q C. PERMIT ISSUING FEE 2.00 UTILITY CO.NOTI PIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL [. TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH VC t cr a 4 a 1:� OCT 27 2 D p6g_20 IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �A�./,%/,'I�✓✓✓ WORKERS'COMPENSATION DECLARATION 63 10,81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that.I have CE 8a certificate of consent to self CE806G .insurer'Mr a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a,certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB /�� ❑ Certified copy is hereby furnished. New Residential Bidgs. 8 Pools EACH NO. FEE ADDRESS m IT Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. S — S I LOCALITY tion department. Multi-family Sq. Ft. — NEAREST L W Residential Swimming Pools CROSS ST. Date Applicant OWNER OR rr{ FIRM NAME W (JL-4.FC CERTIFICATE OF EXEMPTION FROM WORKERS' _ MAIL Ovllets: Rec Light $w. COMPENSATION INSURANCE ADDRESS do fo UU"t (This section need not be completed if the work involved by First 20 CITY the permit is for one hundred dollars ($100)or less.) Total No. Additional C-[vl Tel. No. Q 3 PLAN CHECK I certify that in the performance of the work for which nee APPLICANT permit is issued, I shall not employ any person in any manner so os; become bje<t to the Work Com)a tion Laws Lighting Fixtures First 20 ADDRESS Total No.--I-- Additional CITY I. No. Date pplicant Fixed Appliances Not Over 1 HP PERMIT NOTI TO APP (CANT: If, after m aing this ertificote of APPLICANT '� Exemption, you should become subject to the Workers' Range— Heater—D.W. Compensation provisions of the Labor Code, you must forth- Oven _ Dryer -L- W.M.— ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood — Fan _Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Dis _ Room Air Cond. Class. I hereby affirm that I am licensed under provisions of Chapters p REG. NUMBER } (commencing with Section y tic of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PROCESSED BY d' and Professions Code,and my license is in full force and effect. 0 Size &Type HP, KW, KVA, or KVAR License Number tic. Class Up to 1 Incl. FINALD= Over I to 10 Incl. DATEhi VIA VALIDATION U Contractor Date Over 10 to 50 Incl. ❑ FINAL W I am exempt under Sec. Over 50 to 100 Inc. BY a' Over 100 1n B.BP.C. for this reason Z_ Date: Services, 0 Am MCC Panelboards 1111P0 - 200 Amp. Under on V Signature 201 - 1000 Amp. Under 600 V OOver 11X10 Amp. or Over 600 V Exemption for Reg. MaiN. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances # 4 5 69 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ( - -.1625 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits • • • 1 6255 P—Professlons Code): aMisc. Conduits 8 Conductors o224 -87 s owner of the property, will do the work and the Other (See Complete Fee Schedule)_ structure is not intended or offered for sale (Section , 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) 3 (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE 61�15 above information is correct. I agree to comply with all County ordinances and State lows regulating Electrical wiring, and hereby authorizer presentonves of this County to enter upon thea Le-menti �d property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 7-7 � J ? S g azure of Permittee Date DEC TION 76A663 Worm that I have SATION cafe of corse CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT y� ` I here Ly 4.tirm that I have a certificate of consent to self CF-8066 �J ih;ure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Pol Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESSCS— ❑ 18 2-Family, LOCALITY Certified copy is filed with the county building inspec- y, Sq. Ft. $ — $ tion department. Multi-family Sq. Ft. — NEAREST Yd 1 Residential Swimming Pools CROSS ST. Date ApplicantOWNER OR e� FIRM NAME G E71�i CERTIFICATE OF EXEMPTION FROM WORKERS' � MAIL COMPENSATION INSURANCE Outlets: Rec Light ` Sw. a T ADDRESS (This section need not be completed if the work involved by First 20 "��l the permit is for one hundred dollars ($100)or less.) Total No. Additional CITY Tel. No. y certify that in the performance of the work for which this PLAN CHECK _APPLICANT permit is issued, shall not employ any person in any man so as Io become subject to the Wier rs"Compens s.n L s. Lighting Fixtures First 20 ADDRESS \ Additional Total No. r CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after ma g this ficate of Exemption, you should become subject toe Workers' Range— Heatef�D.W. _ APPLICANT Compensation provisions of the Labor Code, y u must forth- Oven — Dryer _ W.M.— ADDRESS with comply with such provisions or this permit sholl be Top — FAU —W.H. — deemed revoked. CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood _ Fan 3.Other— LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO� PROCES D BY CL and Professions Code, and my license is in full force and effect. Power Apparatus 8 Large Appliances /`� O. Size 8 Type HP, KW, KVA, or KVAR- J t U License Number Lic. Class Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE `�� VAL ATION Contractor Date Over 10 to 50 Incl dFlNA W' ❑ I am exempt under Sec. Over 50 to 100 Inc. BY n B.BP.C. for this reason Over 100 NZ Date: Services, Swbd., MCC 8 Ponelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption 1000 Amp. or Over 600 Van for Reg. Mainz. Elect. 2 5 12 2 Q SINGLE FAMILY Temp. Power Pole 8 Appurtenances e e e e e HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 2 I hereby affirm that I am exempt from the Contractor's License Add itional Sign Branch Circuits O e - 4025 Law for the following reason (Section 7031.5, Business and Professions �rofeCode): ! ! e 4 Q 2 5 5 LrJ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors - structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ► 0 7 2 4 Y 8 6 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Io Lender's Address O 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 ordi noy55,,ees and State ws regulating Electrical wiring, and here y70u'heri ze r res a yJas of this County to enter upon th a to-menu ed y far in pion p Fposes., SEE REVERSE FOR EXPLANATORY LANGUAGE S- atore o 'rmitteE Dote COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9710020033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: _ LEGA D: FEES PAID �-aB ILDI G-ADDRESS: TR: 10821 LT: 8 BL: A 1 10061 LA-ROSA DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: -�-TEMP:.CA-'917803302 ASSESSOR INFORMATION NUMBER: NEAREST-CROSS-STREET: RYLAND 8585-007-012 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 7.00 OUT 13.65 TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: ROLESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 47.25 10/02/97 UT 10/02/98 OWNER: TEL. NO: FINAL DATE FINAL B ODE: GRUETER ROBERT T;BETTY N TRUSTEES (818) 918-3912- ��_ n n�0 1249 MICHELLE ST 7/ WCOV 917905334 DESCRIPTION OF K ELECTRICAL FOR BEDROOM EXTENSION APPLICANT: TEL. NO: FINNELY (714) 857-1145- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE EDWARD FINNECY CO. (714) 857-1145- _ 14881 GENEVA LIC. NO _ - \ - TEMPORARY ER POLE IRVINE, CA 92604 280689 B - UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: 1 - � �• - - � � LIFER GROUND LIC. NO: - ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N U L Y COMPANY NOTIFTff REPORT ID: DPR265 ROUTE TO: BS0508