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HomeMy Public PortalAbout10108 LA ROSA DR_Electrical__ ""6s36E-e06(6"8' APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY c Q� FOR APPLICANT TO FILL IN JOB ADDRESS /40/,Of 11 New Residential Bldgs.&Pools EACH NO. FEE 1 8 2 Fami1Y,S9 F. $ .025 — $ LOCALITY Mull[ familySq. Ft. .02 — NEAREST CROSS ST. LLm Residential Swimming Pools 25.00 OWNER OR / FIRM NAME Outlets: RecLLight�Sw.� j] MAIL � First 20 .50 I/ ADDRESS ' Total No. Additional .30 CITY Tel.N PLAN CHECK APPLICANT Lighting Fixtures First 20 .50J ADDRESS Additional .30 Tocol No.�� CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT APPLICA. G ..{ Oven—DryerRange—Heate _ D.W. _ ADDRESS _ Oven—Dryer_ W.M.—. Top _FAU — W.H._ CIT , mel.No�� JA Hood_Fon Other 2.5a LICE SE ORDisp.—Room AirCond. Z REG.NUMBER -�. / Class �''HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLIPower Apparatus 8 Large Appliances TION AND SiATE THAT THE ABOVE IS CORRKT AND AGREESize&Type HP, KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LA2.50 REGULATING ELECTRICAL WIRING.Up to 1 Incl. HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Over 1 ro 10 Ind. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOver 10 to 50 Incl. 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOvq� 25.00 DESCRIBED RESIDENTIAL PROPERTY Over 50 to 100 Inc Over 700 40.00 PERMi�CL SIGNATU b Services DISTRICT O. RO ED B 0-200 Amp.Under 600 V 12.50 Q 201-1000 Amp, Under 600 V 25.00 Over 1000 Amp,or Over 600 V 50.00 t/vG Temp. Power Pale&Appurtenances 10.00 q,J 5l 9 Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > 0.00 INFORMATION u Misc.Conduits B Conductors ON REVERSE s Other(See Complete Fee Schedule)_ SIDE u Z Q i P49Q8A PERMIT FEE ISub Total) e ol PLAN CHECKING FEE (One-Fourth Permit Feet ZO # 2 Q PERMIT ISSUING FEE $7.00 ,s o 2 • • 2380 TOTAL FEE 'f�j, p !� > • • ° 2380'u ` INSPECT�I,ON/L FINALEDy W /3-79 date. ��!/7 / B � , CJs lv 7SA663-CESO6-8_57 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY.ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER '1- CASSATT D.GRIFFIN, SUPT OF BUILDING LOCALITY a,4 NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNER LIGHTS RECEPTACLES SWITCHES NUMBER 1 T E M EACH FEE MAIL YY ADDRESS TOTAL OUTLETS $ .10 $ Y ELEC RANGFL WATER HEATERS, J� CITY TEL.NO. CLOTHES DRYERS 'SG ELECTRICIAN ELEC. SPACE HEATERS, STAT Y. COOK INC UNITS, GARBAGE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER .25 LIGHTING FIXTURES .10 CITY [St TEL.NO. MOTORS STATE 9a4r /- C,'d LICENSE NO. HORSEPOWER H.P: OVER INc. DISTRICT�10. F�OUP ZONE READY FOR INSPECTION Pi A LESS .25 2 so INSPECTION RECORD 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. SIGNSI NO-TRANS NO.LAMPS SERVICE D-60OV 1.00 ©0 SERVICE OVER 6O0V 5.00 nn WIRING PERMIT1. q 00 OtnJ FIXTURE PERM IT 1.00 l SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL EE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPER SIGNATUREPERMITTE .....r Y� ' � UTILITY CO.NOTIFIEDOF FINAL JOHN A.LAMBIE. VALIDATpN� ARTHUR C.VEIT, COUNTY ENGINEER CK No CASH SUPERVISING ELECTRICAL ENGINEER &4635 W"?7 2 4.85 M t 7 l5 ,Y �'4*irm that t I hove a TIOcertificate erNcate of TIONcorse 76ACE- 63 ID,BI APPLICATION FOR ELECTRICAL PERMIT I hdreby affirm that I have a cert of icate of consent to self CE-806G insure, 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 p Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS el16 os/�l ❑ Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. S —Is LOCALITY r e.45vq e L'2 rk tion department. Multi-family Sq. Ft. — CR NEARESTST. OS QD W2�/ Residential Swimming Pools NE /J Date Applicant OWNER OJ e FIRM NAMRE O CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light 10 Sw.� MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work Involved by Total No. Additional CITY re,6.21Jf C, t 5'" Tel. No. the permit is for one hundred dollars ($100)or less.) I certify that in the performance of the work for which this PLAN CHECK permit is issued, I shall not employ any person in any manner APPLICANT so as to become subject to the War l rs'Co pe s tion ws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT / NOTICE TO APPLICANT: If, aft r making this Certificate of APPLICANT S e 6L ecT.f-/ G Exemption, you should become subject to the Workers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W.M._ ADDRESS 10131 with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood Fan _Other_ CITY 7eMOJC L/ L Tel. Noyy,7-J'>7) LICENSED CONTRACTORS DECLARATION LICENSE oR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. L REG, NUMBER J�� Class. G/O (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESS D BY CL and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances n 0 uq �j Size 8 Type HP, KW, KVA, or KVAR ,5s V U License Number-� // YO Lic. Class G _.16 Up to I Incl. FINAL (if SreJ�p G/��(�C /�� Over 1 to 10 Incl. DATE �_9j� VALIDATION Contractor !-L Date f9 O Over 10 to 50 Incl. FI V W ❑ I am exempt under Sec. Over 50 to 100 Inc. Tam am B.BP.C. for this reason Over 100 z Dare: Services, Swbd., MCC 8 Panelboards J ► 0 -200 Amp. Under 600 V Signature 20) - 1000 Amp. Under 600 V ❑ �48Q6A Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V # • • ••• • ,2 SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ( • • 5 Q 5 Q I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits x F11, for the following reason (Section'7031.5, Business and • • . 5 115 Q V Professions Code): I, as owner.of the property, will do the work and the Misc. Conduits 8 Conductors 0626,-86 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ poll7044, 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 Lender's Address 15-0I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon th above- d pert for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 1 S,9 V oil Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0609260032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 10821 LT: 1 BL: C 10108 LA ROSA DR FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803303 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8585-013-002 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 09/26/06 JK 03/25/07 OWNER: TEL N0: FINAL E FINAL BY CODE: HAMMER HAROLD P;MABEL A (626) 443-9813- / F 10108 LA ROSA DR TEMP 917B03303 DESCRIPTION OF WORK 200 PMP MAIN ELECT SERVICE UPGRADE APPLICANT: TEL. NO: COLEMAN ELECTRIC (6261 655-9017- 5004 N. BONNIE COVE SPECIAL CONDITIONS: COVINA, CA 91724 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE COLEMAN ELECTRIC (626) 665-9017- 5004 BONNIE COVE LIC. NO TEMPORARY POWER POLE COVINA, CA 91724 819050 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: OPR265 ROUTE TO: HS0508