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Home My Public Portal About10220 LA ROSA DR_Electrical__ APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEEReuaDl NG BUILDING AND SAFETY DIVISION ADDRESS i ()Pp() F T'S ROAA JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY TBBI ple City FOR APPLICANT TO FILL IN NEAREST. / PERMIT FEES CROSS ST. OWNER LaCorte OTLETS: 1 TEM NUMBER $EACH $ FEE MAIL LIGHTS L HTS RECEP8W. .10 ADDRESS LIGHTING FIXTURES 10 CITY TEL.NO. ELEC.RANGES I CLO.DRYERS 1 0 ELECTRICIAN] Conlee & Son Electric WATER HEATERS .50 ADDRESS 1030 N. Grandview Ave. ELEC.SPACE HTRS. DISHWASHERS CI a TEL. NO. _ GARBAGE DISPOSERS AUTO.. STATE WASHERS Siq.COOKINGUNITS .2$ LICENSE NO. l O C-10 MOTORS: OVER INC. x.P. DISTRICT NO. GROU ZONE I PR CESSED BY 0— v: .25 �'d v°— 2 .50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 IS— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. _ NO.LAMPS SERVICE O-BOON 1 1.00 1 00 SERVICE OVER 500V 5.00 MISC. WI RING PERMIT 1.00 1. 00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ 2. 50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE ANO STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. .WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF .FIXTURES CALIFORNIA OR THAT�AM THE LEGAL OWNER OF THE ABOVE ' DESCRIBED RESIDENT P OPERTY. ( POWER SIGNATURE � \r�'Y��.aY UTILITYCO.NOTIFIED �o SCGe OF. ERMITTEE ��n�FINA ®r / y(1�,i{0 CASH ARTHUR C.VETT, I// OJK//^�'O DASH SUPERVISING ELECTRICAL ENGINEER , l ACA / 2 3 5 V OCT, 4 2 U 2 .5 0 Lr 7BA663-CE806 IO-BI APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES - -- DEBUILDING BPUILDI1NG AND SAFETY DIVISIONENT OF COUNTY ADDRESS 10220 La Rosa JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple Cit FFOR APPLICANT TO FILL IN CROSS ST. Arden Dr. ' I T E.M NO. EACH CROSS OUTLET (FIRST2O '1 $ s QOWNER LaCorte RECEPT. SW. T '2O(ADD'L UNITS) 10 : OpODRESS RECEPT. SW.FIXTURES: (FIRST 20) .20 1.20 CITY TEL. NO.FI XTURES: (ADDITIONAL) ELECTRICIAN C}onlee--& Son Electric CLO.DRYERS WTR.HTRS. 1.00 ADD(RRiSiiQ Q N. Grandvi^ewAve. '7. . STA.COOK CITWo. San GabrielrEL. NUt.Q-2007 DISHWASH. AUTO.WASH. STATE .u.+, ^/ (� SPACE HTRS. STA.APP (I/&H.P.MAX.) ,50 LICENSE NO.I3']I/6I `�-1Q MOTORS: OVER NOT OVER. H.P. DISTRICT NO. I GRO_XjU ZONE P CESSED)3Y O t 1.00 L' C t a 1.50 INSPECTION RECORD' } s s 2.00 .vtl .o a 1s1 12.50 1s 50 3.00 (/ 0 so 100 5.00l 4 / SIGNS: NO. qhs NO.LAMPS Z SERVICE 0-600V.Nor Oven 200A %t #,"OOol SERVICE 0-60OV-OV ER 200 A.SERVICE OVER 600V MISC. PERMIT ISSUING FEE 2.00 2 OO SUPPLEMENTARY PERMIT ISSUING FEE 7.00 - TOTAL FEE I HEREBY,ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING n 0,4 ELECTRICAL WIRING. WIRING Q G2 I 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANOIOR- / LICENSED AS REOUIREO D OS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM HE' EGA MINER OF THE ABOVE . I/ DESCRIBED flE R THAT PRO ERT Qj p POWER SIGNATURE 'UTILITY CO.NOTIFIED !1 OF PERMITTEE //yy iijFINAL !O' GT /7]�e1 ALIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LAj of 4 2 6 10, 2 0 7.3 0 \VOIt KERS'COMPENSATION DECLARATION 76A663 6G 12801 APPLICATION FOR -ELECTRICAL PERMIT {� u I hereby effirm-that I have a'certificate of consent to self COUNTY OF LOS ANGELES �• BUILDING AND SAFETY insure, ora certificate of Workers'Compensation Insurance,or - / tified o' y thereof( . 3800,Lab.C. 'ill r /� FOR APPLICANT TO FILL IN JOB 1 �/� 'I� -�f ^o. Compan �J New Residential Bldgs.& Pools EACH NO. FEE ADO RESSt (xb — IT Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY .Multi-family Sq. Ft. _ NEAREST t ified copy is'filed with the county building inspection CROSS ST ..�. .T depait men[. I Residential Swimming Pools _ OWNER OR U FIRM NAMEI Uate 1•!1^ pplican t Outlets: Rea_Light_ Sw,_ MAIL ESS First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITYTeI COMPENSATION INSURANCE PLAN CHECK t - d (This section need not be completed if the work involved - - APPLICANT - O Fixtures First 20 by the permit is for one hundred dollars ($100) or less.) Lighting ADDRESS Total No. Additional tr I certify that'in the performance of the work for which thisFixed Appliances Not Over 1HP ' CITY Tel No. permit is issued. I shall not employ any person in any manner PERMIT W so-as'to Become-subject to the Workers''Compensation Laws. Range_ HeaterD.W. - APPLICANT d Oven _ Dryer_W.M,'_ ADDRESS to Date Applicant, _Top FAU _W.H.._ Z Hood — Fan _Other— CIT - Tel NOTICE TO APPLICANTS If, after making this Certificate of Dista. _,Room Air Cond._ LICENSE OR Exemptionm , you sho old become subject to the Workers' - REG. NUMBER \J lass Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances I DISTRICT NO. PROCES ED'BY with comply with such provisions or this permit shall be - deemed revoked. Size&Type'HP,KW, KVA,or KVAR ZSl lot Up to t Incl. FINAL, Over 1 to 10 Incl. DATE / 0 y x�J/ LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl, ' (� ( Q VALIDATION . 'I hereby affirm that I am licensed under provisions of Chapter _ Over 5Q to 100 Inc. FINAL - ' BY 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 ness and-Professions,Code, and my license is in full force and effect. ft\� )�&te (/t5Services - -7y License NumbeLic..ClasS 0-200 Amp. Under 600 V �/ 14- " 7CZ� 201-1000 Am p Under r 0 V Con[racte Over 1000 Amp.or Over 600 V , HOME OWNER-BUILDER DECLARATION Temp.Power.Pole& Appurtenances ' , 1 Sign with One Branch Circuit 1 hereby affirm that I am exempt from the Contractor's additional Sign.Branch'Circuits License Law for,the following reason (Section 7031.5, Busi - - - ' ness and Professions Code): , ❑ - Misc.Conduits& Conductors 1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— c 4 8 7,3 A structure is not intended\or offered for sale -(Section 7044, Business and Professions Code). - e e=e e e 'Z CONSTRUCTION LENDING AGENCY - . 1 hereby affirm that there is a construction lending agency -T - 2 e,e 3200 for the performance of the work for which this permit is PERMIT FEE-, (Sub-Total) issued 3097,Civ.C J. e e e 3 2 O O 5 Lender's's Name PLAN CHECKING FEE '(One-Fourth Permit Fee) ` Lender's Address PERMIT ISSUING FEE O Q 2 1 81 I certify that I have read this application and state that the TOTAL FEE 3 •above information is correct. 1 agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon - ' eabove-mentioned property (or inspection purposes. , SEE REVERSE FO R'EXPLANATORY LANGUAGE _ 9n ure of Permittee G�a / 1 - Z WORKERS'COMPENSATIONDECLARATION 76A663 APPLICATION FOR ELECTRICAL PERMIT CE806G (2801 I hereby affirm .that .I have a certificate of consent to self COUNTY OF LOS ANGELES ( ' BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800, Lab.C.) FOR APPLICANT TO FILL.IN JOB Policy.No. Company EACH NO. FEE ADDRESS '/07-1,6 /� /t?,, ElCertified Residential Bldgs. & Pools Certified copy is hereby furnished. 11 &2-Family,Sq. Ft. $ — $ LOCALITY A Multi-family Sq. Ft. — NEREST - Certlfied'copyis filed with the•cou my building inspection CROSS ST -/1/' department. Residential Swimming Po OIs OWNE R OR _ • - FIRM.NAME .Date Applicant Outlets: Rec._Light_Sw._. MAID First.20 ADDRESS le1Z 2,p% 1 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY" Tel No. G „ COMPENSATION INSURANCE > CtT �� Lb } . PLAN,CHECK d (This section need.not be completed if the,wotk involved ' APPLICANT 0 by the permit is for one .hundred dollars ($100) or less.) Lighting Fixtures -First•20 ADDRESS 7 ' Additional - cc Notal No. - 0 .I certify that in the performance of'the work for which this CITY Tel No. p Fii:ed Appliances Not Over t AHP L) permit is issued, Ishall not employ any person,in any manner � � PERMIT - W so as to become subject to the Workers' Compensa[ion Laws. Range_ Heater_D.W. APPLICANT a . Oven _ Dryer W.M.c ADDRESS Z• Uate4_-Z ryo -Applicant�D�,{Iy- /f r/t Top, _ FAD W.H.._ _ L�-'�—: PP "_ vef'� rCITY Tel No Hood — Fan —Other— - NOTICE TO APPLICANT: If,,after making this•Certificate of 'Dis LICENSE OR ., p.'_ Room Air Cond._ REG.NUMBE Class �£xerription, you should become subject to the Workers' ' Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PROCES D BY with comply with such provisions or this permit, shall be ' deemed revoked* , _ Size'&TYPe;HP,KW, KVA,or KVAR 0 - Up to 1 Incl. r - FINAL Over 1to 10 Ind. DATE VALIDATION. LICENSED CONTRACTORS DECLARATION Ove'r'10',to 50 1nc1. � I hereby affirm that 1 ]FINAL .am licensed under provisions.of Chapter" Over 50 to 100(Inc. 9 (commencing with Section 7000) of Divisiom3 of the Busi- Over 100 BY ness and Professions.Code,'and my license is in full force and U� _ effect. Services License Number' Lic.Class .0-200 Amp. Under 600 V - 201-1000 Amp, Under 600 V . Contractor Date - - .Over,1000 Amp.or Over 600 V ` HOME OWNER-BUILDER DECLARATION • Temp. Power Pole.& Appurtenances _ I hereby affirm, that I am exempt,from the Contractor's 'Sign with One Branch CircuitAdditional License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): - '- Misc.Conduits& Conductors,. I, as owner of the property, will do the work and the Other ISee.Complete Fee Schedulel— - b,0.31:6 A structure is not intended. or offered for sale (Section _ -, . 7044, Business and Professions Code). i e'e • e CONSTRUCTION LENDINO,AGENCY .. -. - # i t Z _ I hereby affirm that there is a'construction lending agency for the performance'of tha,wPERMIT FEE (Sub-Total)ork for which this permit - .2 ei 19.50 - AA issued (Sec. 3097.,Civ.C:).- < � _' V � � Lender's Name PLAN CHECKINGFEE' (Ona-Fourth Permit Fee) a;ee1.9,.50�, Lender's Address PERMIT ISSUING FEE - ` 09-0.3,—8•, ' I certify that I have read this application and state that the TOTAL FEE aboveinformationis 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 the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE, 4ignatore o e�ttee Date , i WORKER S'COMPENSATIONDECLARATION 768A6 (2 801 63 CE 6G APPLICATION FOR ELECTRICAL PERMIT I heresy affirm that I have 'a certificate of Consent to self. COUNTY OF LOS ANGELES U DING AND SAFETY insure, or a certificate of Workers'Co pensationansurance,or n �� a c tied copy thereof Syo.)800, .C.) L� ��'g D(]n� FOR APPLICANT TO FILL IN JOB A .P 11 ccy No o pang EACH NO. E ADDRESS (J �f----11I New Residential Bldgs.&Pools Certified copy is hereby furnished. _ lam 1 &2-Family,sq. Ft. $ _ $ LOCALITY Multi-far ly.Sg. Ft. NEAREST Jr Ca . adl copy is filed with the county building inspection CROSS ST de a m-n[. Residential Swimming Pools OWNER OR FIRM NAME Date Applin t Outlets: Rec.—Light—Sw. MOOR ESS. 0 O First 20 CE TIFICATE OF EXE TION FROM WORKERS' Total No. t Additional ' CITY r Tel No. .� COMPENSATION INSURANCE }a' PLAN CHECK , (This section need not becompleted if the work,involved APPLICANT O by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 - ADDRESS U Total No. •Additional I certify that;in the performance of the work for which this Fixed Appliances Not:Over 1 HP CITY Tel NO. 0 permit is issued, I shall not employ any person in any manner PERMIT L) so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT W Oven Dryer_W.M._ - ADORES l y Date Applicant Top FAU _W ' Hood — Fan _Otgl CITV NOTICE TO APPLICANT: If, after making'this Certificate of Disp. Room Air Cond,_ < LICENSE OR ^J Exemption, you should become subject to the Workers' 0- REG.NUMBE s Compensation provisions of the Labor Code, you most forth- Power Apparatus& Large Appliances DISTRICT NO. P 5 D BY with comply with such provisions or this permit'shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR R ' Up tollncl. FINAL �C/ Over 1 to 10 Incl.. DATE VALIDATION ' LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. BY AL 9 (commencing with Section'7000) of Division 3 of the Busi- Over 100 ness and Profetsions,Code, and my license is in full force and , effect. .� Services License Numb• .Class 01200 Amp, Under 600 V - 7— . 201-1000 Amp. Under 600 V _ Contractor Date Over 1000 Amp.or Over 600 V r HOME O NER-all ILDER DECLA ATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's' Sign with One Branch Circuit. License Law for the following reason (Section 7031.5; Bost- Additional Sign Branch Circuits • - ness and Professions Code): ;'4 9 7.9 A Mise.Conduits& Conductors F1 I, as owner of the property, will do the.work and the Other (See Complete Fee Schech lel— #r. 0 . e . 2 structure is not intended or offered for sale (Section .. 7044, Business and Professions Code). 2-',l 0 CONSTRUCTION LENDING AGENCY 1 hereby affirm that' there is a construction lending agency .'.'o . x for the performance of the work for which this permit is .9.S 0 issued (Sec. 3097,Civ.C.). PERMIT FEE (Sub-Total) ) Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel � �2'7—g ) Lender's Address PERWT ISSUING FEE 7 I certify that 1 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 , hereb W1 'ze representatives-of this County to enter.upon th ove-ment oned property r inspection purpose ' SEE"REVERSE FOR EXPLANATORY LANGUAGE t y/uf 66mittee to