HomeMy Public PortalAbout10133 LA ROSA DR_Electrical__ 76AG63C- CE106B 12„6 APPLICATION FOR ELECTRICAL PERMIT
BUILDIN SAFETY DJ N
FOR APPLICANT TO FILL IN
EACH NO. FEE ADDRESS
New Residential Bldgs. & Pools /
1 &2 Finaily Sq. Ft. $ — $� LOCALITY
Multi-family Sq. Ft. — NEAREST
OSS ST
CR . YJ
Residential Swimming Pools OWNER OR
FIRM d NAM / L�
Outlets: Light, Switch &Receptacle _, AODREss / ' ' A
First 20
Additional CITY l Tel. No.
PLAN CHECK
Lighting Fixtures APPLICANT y Ow
First 20 ADDRESS
Additional
CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT '
Range Heater D.W. x
Oven Dryer W.M. ADDRESS /
Top FAU W.H. CITY Tel. No.
Hood Fan LICENSE OR y �3 Q
REG. NUMBER / / ✓t Class.
Disp. X A.C.
I HEREBY ACR1O1I_BlG1 THAT I HIVE 'Ell'"IS APPLICATION
C
COMPLY
Power Apparatus& Large Appliances ORDINANCES E IS C.AND STATE LAW REDuunN
Size&Type HP, KW, KVA,or KVAR CE CTa'CA`A'N'N`' w
OL.
Up tot Incl. I HEREBY CERTIFY THAT I A. IN.P.." REGISTERED AND/OR Z
Over 1 to 10 Incl, L CENSER AS REQUIRED .1 LOS ANGELES OUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEE
Over 10 to 50 Incl. ESCRIBEo PROPER D"` OWNER of THE AEov
R
Over 50 to 100 Incl. PERMITEEE
Over 100 SIGNATURE
Services DISTRICT NO. yq ROCE ED B
J/ �U
0-200 Amp. Under 600 V
201 - 1000 Amp. Under 600 V APPROVALS DATE 1 PECTO R'S
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT �
(Other) WIRING (2 76 ZOA�
FIXTURES
V
POWER AUTHORIZEDM 19
PERMIT FEE ($ b-'y�J�_a•'lle UTILITY CO.NOTIFIED
PLAN CHECKING FEE (O o P r i 7_�,p .j3 FINAL
PERMIT ISSUING FEE 6 �1'�- 52)
/�f NOTES
TOTAL FEE q
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
8 8 1 =DEG 23 2 D 3 8.4 0 �' `
76AS63C- CE606B t2/75 APPLICATION" FOR ELE TRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB KESS0 J
New Residential.Bldgs.& Pools EACH NO. FEE ADO
1 &2 Finaily Sq. Ft. S — $ LOCAL17Y T
Multi-family Sq. Ft. — NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR
FIRM NAME M-Z
Outlets: Light,Switch& Receptacle MAIL
First 20 /
ADDRESS W
'
Additional CITY Tei. No. D Q
PLAN tHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tei. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT +
Range Heater_ D.W. ADDRESS 13J
Oven Dryer W.M.
7
Top _ FAU W.H. CITY Tel. No.
Hood Fan ''`` LICENSE /J a
Disp. �ZA.C. S� Q_t/ REG. NU ER iJ Class. O
V
21
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE T coNT O
Power Apparatus& Large Appliances WITH ALL COUNTY
T
ORDINANCES .No STATE L.ws EGu ICZ'Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. i
Up to 1 Incl.
olOF =
Over 1 to 10 Incl CALIFORNIA OR THAT I A _
Over 10 to 501ncl. BSC.IEC.PAR�o R ` DINER 1e01
Over 50 to 100 Incl. PERMITEE
Over IDD SIGN qTU RE
DISTRICT NO P OCES DBY
Services g
0-200 Amp. Under 600 V 1
201 - 1000 Amp. Under 600 V APPROVALS D TE INSPECTOR'S
Over 1000 Amp.or Over.600 V SIGNATURE
TEMP. POWER POLE
Temp. Power Pole& AppurtenancesUFee)
UNDERSLAB WORK
Sign with One Branch Circuit V V
Additional Sign Branch CircuitsROUGH CONDUIT W
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SubTotal) UTI LITY CO.NOTI F I ED
PLAN CHECKING FEE (One-Fourth PermFINAL
PERMIT ISSUING FEE
NOTES
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
9 0 1 DEC 24 2 U 7,5 0 A,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0909100027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 205-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS: 1
ITR: 10821 LT: 12 BL: A 10133 LA ROSA DR 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803305 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
18585-007-018 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
I IC2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45
1 TENANT: JUL OUTLETS-LGT,SW,RECP 40.00 OUT 66:00 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
I IG2 LIGHTING FIXTURES 20.00 LOT 39.00 109/10/09 SR 09/10/10
1 IRA FAU LESS 3HP 2.00 FAU 21.90 1
1OWNER: TEL. NO: IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 IFIINAL DATE FINAL Y: CODE: 1
IKWOK, TERENCE (323) 697-2120- H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95
110133 LA ROSA DR. IH4 RES RANGE EDS LT 3HP 1.00 HOG 10.95
ITEMPLE CITY CA 91780 IH5 RES WASH MACH LT 3HP 1.00 WAS 10.95 ID RIP ION OF WORK
JB AC UNITS .3-10HP 2.00 AC 39.30 1ELECTRICAL FOR ADDITION, REMODEL AND HVAC SYSTEM
TOTAL FEES 292.20 1 I
(APPLICANT: TEL. NO: I 1 I
IKWOK (323) 697-2120- 1
110133 LA ROSA OR. I ISPECIAL CONDITIONS:
ITEMPLE CITY CA 91780 1 1
I I I I
1CONTRACTOR: TEL. N0: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
IT T L CONSTRUCTION CO. (626) 284-1097- 1 1
1405 N CAMPBELL AV LIC. NO I ITEMPORARY POWER POLE I I
IALRAmSRA, CA 91801 626157BHIC
UNDERGROUND CONDUIT
I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
IKWOK, TERENCE (323) 697-2120- 1 1 1 1 1
1260 E GARVEY AVE. LIC. NO: I IROUGH CONDUIT I I 1
IMONTEREY PARK, CA 91755 C24796 I I 1
(ROUGH WIRING
MAIN WATER LINE
(PLASTIC YIN METAL YIN
I I I I
I I (UTILITY COMPANY NOTIFIED( I I
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IRE PORT ID: OPft265 ROUTE 70: 850508 I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRit*- PERNIT
' DEPARTMENT 01: PUBLIC YORKS 9701 LAS TUNAS - EL 0508 :';-- RiI0013
BUi LDING AND SAFETY / LARD DEVELOPMENT TEMPLE CITY CA 91730
PIIONE: (6261 285-0488 EX;: -
LEGAL !D: PEES AID BUILDING ADDRESS: T
TR: 10821 LT: 12 BL: A i 1.0133 LA ROSA DR
_ FEE CESCRI.PTION: oUAN'ITY: UOM: AMOUNT: TEMP CA. 917803305
ASSESSOR. IRFvRMA ION NUMBER: — NEAREST CROSS STREET: BALDWIN
8585-007-018 Ai PERMIT ISSUANCE FEE 27.75 T OMAS PAGE: 597 GRID: 34 LOCALITY: TEMPLE CITY, Cl
G1 CUTLETS-LGT,SW,RECP 19.00 OUT 37.05
TENANT: G2 LIGHTING FIXTURES 7.00 LGT 13.65 'SSNTDN: PROCESSED P AMU- %PIRES ON:
T01AL FEES 78.45 08/31!04 JK 02/27/05OWNER1
10133 TEL. N0: F1P1A!. DnTE :DT CODE:
GONZALEZ, LU? 1626) 451-0931-
10133 LA ROSH
TEMPLE CITY
I `IOFSC°!PT ON OF WORK
C-W!RE IST FLOOR, OF THE 11009,
APPLICANT: IEL. NO: In I
SAME AS OWNER -
ISPF:CIAL CONDITIONS:
I
COP:?^ACTOR: IEu. No: IA P20VALS :1,1 INSPECTOR SIGNAIJ:-I
SAM[ F.S OWNER - t
LSC. NO iEt %i' ARY P L—b E i
IL'VDF4GRC'.:Y.O CONDUIT
A&....TTS..--' C�cT:NccR; -;"'.yr
LIC. NC: ROIUiTCCNDUtT
I
..—..—
__—_. !MAIfS 'Y..A7El' LINE
FLAS'!iC 'i/N METAL Y/N
UTiL`i(C i,PAN�' 'T' NOTI FI'cD'-- - ---------
I
REPORT ID: DPR265 ROUTE TO: BS0508 i—
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC iL'ORKS 9701 LAS TUNAS EL 05C8 0409230020
BUILDING AND SAFETY ! !AFD DEVELOPMENT TEMPLE. CITY CA 91780
_ PHONE: (626) 285-0488 EXT:
LcGAL !D: --'— FEES PAID BL']i.DING ADDR SS:
TR: 10821 LT: 12 BL: A ( 10133 LA ROSA DR
FEE DESCRIPTION: QUANTIT' : UO!.;: AMOUNT:• TE'•!P CA 917803305
ASSESSOR INFORMATION UMBER: I W AREST CROSS STREET': BALDWIN
� _
8585-007-0.8 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY,
_ H7 FES EXHAUST FANS 1.000 EX 10.95
NAFIT: JB AC UNITS +3-10HP 1.00 AC 19.65 'SSUED ON: -PROCESSED BY: PLAN BY: EXPIRES ON:
LB 200 AMP PANELS, MCC 1.00 PAN 38.85 09/'.',!04 JK 03/22/05
_ TOTAL FEES 97.20
OWNER: (EL. NO: IT—!NAI. DATE CODE:
GONZAL'eS, LU2 (626) 451-0391- _I
10133 !A ROSA DRIVE EXPIRED
TEMPLE'CITY CA 91730 DESf f-PTTON Cr WOR.
HEE_ECTR?CSL FOR HVAC SYSTEM, UPGRADE SERVICE TO 200 AMPS
_ 4IiC 1 EXHAUST FAN. �
APPLICAi1T: TEL. NO: !
SAME AS OWNER -
S'PcCIAL CONDITIONS: -----_i
AS OR:OWNER TEL.. i:0: SW
SAME .4S d0'JALS DATE INSPECTOR SIGNAIIE
SAME - I-
LIC. NO II h1PORAfi`f POWER PUL
]UNDERGROUND CONDUIT
ARCHITECT OR WFFR GROUND I '
LIC. NO: ROUGH CONDUIT �— ---_—I
---- �--- '�— AMAIN WAT Ek LI—NE
--- —_i
(PLASTIC Y/N METAL Y/N
Ui!LI1 COMPANY IFIED ----�
1 H
REPORT ID: DPR265 ROUTE TO: BS0508 — -`I