The URL can be used to link to this page

Home My Public Portal About10116 LA ROSA DR_Electrical__ APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER eulLolrvG BUILDING AND SAFETY DIVISION AooREss 047-S."; JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN. SUPT OF BUILDING LOCALITY C FOR APPLICANT TO FILL IN NEAREST ,04, MIT / PERFEES CROSS ST. ITEM NUMBERI EACH FEE OWNER Yoej OUTLETS: S S MAIL LIGHTS RECEPT. SW. ,10 ADDRESS LIGHTING FIXTURES 10 CITY TEL.NO. ELEC.RANGES CLO.DRYER9 ELECTRICIA/N .d .e_ypWATER HEATERS .50 ADDRES [ELEC.SPACE HTRS. DISHWASHERS CITY ) TEL. N GARBAGE DISPOSERS AUTO.- /f� STATEWASHERS STA.COOKING UNITS .25 Ly/ LICENSE NO.MOTORS: OVER INC. H.P. DISIICT O. IGROUP I ONE PR CES 0- /. .25 A- V.— 2 .50 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 SUPPLEMENTARY PERM I Q .50 TOTAL FEE /s S 1 HEREBY ACKNOWLEDGE THAT I AVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT /q / �I / �p� ELECTRICAL EBY WIRING. WIRING cI/'{.I�ei_a ,C'� a.,, !._,�... 1 HEREBY CERTIFY THAT I S PROPERLY REGISTERED ANO/OR CALIFORNIA AS REQUIRED A LOS ANGELES COUNTY AND STATE OF FIXTURES ///D ll�, r oV..C�J✓1..� CALIFORNIA OR AT I AM THE LEGAL NER OP THE ABOYE _ DESCRIBED RES) E TIAL }'ROPERTY. POWER / SIGNATURE UTILITY CO.NOTIFIED it/�/�� OFPERMITT FINAL, I 4 v ®r DATIONARTHUR C.VEIT. CK MO CASH SUPERVISING ELECTRICAL ENGINEER Lf' o6632 �g SEP P0 2 D 1 .UU F' . APPLICATION FOR ELECTR C PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER r LDING ��/// /� BUILDING AND SAFETY DIVISION RESS 6044JOHN A. LAMBIE,.COUNTY ENGINEERCASSATT D. GRIFFIN.SuP'T or BUILDING - ALITY FOR APPLICANT TO FILL-IN NEAREST ST. -i:LJF—SD PERMIT FEES CROSS ITEM NUMBER EACH FEE OWNER .{ .t.� OU MAIL LI RE .f0 ADDRESS r LIGHTING FIXTURES 10 3 CITY TCE D.ELEC.RANGES CLO.DRYERS ELECTRICIAN 4444 Pim•WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO.SAGEDISPOSERS2 AUTO.. STATEWA STA.COOKING UNITS ,25 LICENSENO.MOTORS: OVER INC. H.P. DTRIOCTN . I GROUP I ZONE I PR O— Yz ,;,�_ .25 '/, 2 1 •50 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 SUPPLEMENTARY PERM IT .50 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH16 PPLICATION APPROVALS DATE INSPECTOR-SSIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY WITH ALL COUNTY ORDINANCES AND STATE. LAWS REGULATING CONDUIT If o11 ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR WIRING 1. �Art� LICENSED AS R ]RED BY LOS ANGELE COUNTY AND STATE OF FIXTURES //'Lf' JC..IyR.a.._� CALIFORNIA OR AT I IN THE G OW ER OF THE ABOVE f — A DESCRIBED REST TI NOPERTY. POWER SIGNATURE �� UTILITY CO.NOTIFIED le >_. ,Cp OF PERMITT -i— FINAL t w ®. DATIONARTHUR C.VEIT, MO CASH SUPERVISING ELECTRICAL ENGINEER CK Uro: 0 5 7 n nub :15 2 D y .75 Wm that I havea COMPENSATION ofDECLARATION 76"663 'pre, APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, CE-805G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800.Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. EACH NO. FEE _ ADDRESS ` G oZ New Residential Bldgs.&Pools ❑ 1 & 2-Family, Sq. Ft. $ _ $ LOCALITY Certified copy is filed with the county building inspection department. Multi-family Sq. Ft. NEAREST CROSS ST. Residential Swimming Pools OWNER OR Date Applicant FIRM NAME ' CERTIFICATE OF EXEMPTION FROM WORKERSOutlets:Bee Light Sw. MAIL _ r COMPENSATION INSURANCE . �! i ADDRESS ' (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars ($100) or less.) Total No. Additional CITY Tel.No: I certify that in the performance of the work for which this permit PLAN CHECK'is issued, I shall not employ any person in any manner so as to APPLICANT , become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS - 's` Additional � �Date Applicant .. Total No. CITY Tel.No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HE PERMIT i Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICANT 1 i i r- i �. I 1 I . provisions of the Labor Cade, you must forthwith comply with such Oven _ Dryer _ W.M. _ ADDRESS 1 provisions or this permit shall be deemed revoked. Top _ EAU _ W.H. CITY r Tel.Na. LICENSED CONTRACTORS DECLARATION Hood Fan Other_ - I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. Room Air Cond. REG.NUMBER Clus. Professions Code,and my license is in full force and effect. DISTRICT NO. /r PROCESSED BY Power Apparatus& Large Appliances , S BY U Size& Type HP,KW,KVA,or KVAR ..� -„� W License Number it Class Up to 1 Incl. FINAL ,¢J ,2J --I Over 1 to 10 Inc[. DATE C(57,1/✓ � VALIDATION } Contractor l Date Over 10 to 501nc1. 7 FINA am exempt under Sec. Over 50 to 700 Inc. BY B.&P.C.for this reason Over 100 0 Services,Swbd.,MCC& Panelboards f } ILI� Date: 0- 200 Amp.Under 600 V W Signature 201 - 1000 Amp, Under 600 V C' J Exemption for Reg.Maint Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch CircuitA drably affirm that I am exempt from the Contractor's License Law +'.L 1•( u e the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits de): 7yf, Misc.Conduits &Conductors TG�'v7 I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ► y and Professions Code). VIA 0- sL- CONSTRUCTION LENDING AGENCY y affirm that there is a construction lending agency for the } A41 IL •• once of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) PLAN CHECKING FEE lame PERMIT ISSUING FEE 1'�I 7]vn /4��.�)+•• ddress ,at I have read this application and state that the above TOTAL FEE is correct. I agree to comply with all County ordinances laws regulating Electrical wiring, and hereby authorize tives of this County to enter upon the above-mentioned I inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ' of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0506200027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 10821 10116 LA ROSA DR FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803303 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-013-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C JB AC UNITS a3-10HP 1.00 AC 19.65 TENANT: TOTAL FEES 47.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 06/20/05 JK 12/17/05 OWNER: TEL. NO: A FINAL BY: CODE: SANTIN, MAURICIO (626) 444-2928- 10116 LA ROSA DR PMED TEMPLE CITY CA 91780 DESCRIPTION OF WORK 220 V CIRCUIT APPLICANT: TEL. NO: IWAI COOLING AND HEATING (626( 932-1163- 848 S. MYRTLE #2 SPECIAL CONDITIONS: MONROVIA, CA 910016 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE IWAI COOLING AND HEATING (626) 932-1163- 848 MYRTLE STREET LIC. NO TEMPORARY POWER POLE SUITE# 2 B/L357259 MONROVIA CA 91016 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 ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0500 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0605260016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 10821 10116 LA ROSA DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803303 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-013-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 THWART: TOTAL FEES 31.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 05/26/06 JK 11/22/06 OWNER: TEL. NO: FINAL OAT I^$HI®BY: CODE: 10116SANTIN, EVELYN (626) 499-2928- n,J`C 10116 LA ROSH DR. TEMPLE CITY CA 91780 DESCRIPTION OF WORK BATHROOM REMODEL (1) GFI (1) SWITCH APPLICANT: TEL. NO: MORAD (018) 519-7706- 12348 MAGNOLIA BL. SPECIAL CONDITIONS: VALLEY VILLAGE 91607 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HIGH STAR CONSTRUCTION (888) 272-6868- 18375 VENTURA BLVD. #206 LIC. NO TEMPORARY POWER POLE TARZANA, CA 91356 877520 B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508