HomeMy Public PortalAbout10225 LA ROSA DR_Electrical__ 088 SA 25M 5E 8 1-40 "PLICATION
FOR
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�DSPARTIILL?NII OF BULLDIlVG A1�D SAFETY
AiCELlL4liE•1VC1�T1lllRl CILiCL�1lLL
COUNTY OF LOS ANGELES
Z ' CHIEF H
NGINEER
` NAME / _ Uiyy DISTRICT NO. GROUP ZONE PERMIT NO.
AY PIRSTIINSPECTION s,n ' S _/ d / EL.NO. RECBIVDDYREADY FOR
DATE IBBUED
CCRJNTYam v 7-
CENT.NO. EXPI as 2617
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK AnoRESS 217
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BV ROOMS
NEAREST
CROSIE
LIGHT OUTLETS SW. PLUGS nx4 C
CIRCUIT A B C D E P G H W NAME -/J 1l /(ifI-CI O.Jr
MAIL
ADDRESS
L 2 O
CITY TEL.NO.
AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGQLEB COUNTY CERTIFICATE
OF Q
UA
LIF
ICATION..
R1,=RIC1AN.
-I AN THE LEG"OWNER OF THEPROPERTY DESCRIBED
ABOVE
!� / OWNER.
CORRECTIONS
I / 21 1/
/ I
J
Q
Z_
I7
O
TOTALO
NO. OF OUTLETS 3�/� I S APPROVALS
I '
NO. OF FIXTURES DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. S CONDUIT
NO. OF SIGNS TRANS.. $ WIRING L�
NO.AOR HEATERS S 2a5 FIXTURES
LSC L O S c -POWER
PERMIT FEE S �J .UTILITYCO.NOTIFIED "7
TOT I n S FINAL
76A663-CESO6 4-65L 1
APPLICATION FOR EL TRICAL .PE MIT
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER BUILDING - ^-
BUILDING AND SAFETY DIVISION ADDRESS 22 La
JOHN A. LAMSIE..COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITYty
NEAREST
FRECEPTACLE
R APPLICANT TO FILL IN CROSS ST. r D
TALNO. EACH FEE - jSt .
TL FIRST 20 15 .20 S 3 OO OWNER Dale F. ROgerMAIL5 ADD'L IO ADDRESS IU225 La Rosa Dr.OVER 20TAL FIRST 20 .20 CITY Tem le Cit TEL. NTURES ADD'L IO CONTRACTOR _ ee & $
OVER 20
RANGES CLO.DRYERS ^WTR.HTRS. 11.001 ADDRESS 10917 E FarndoGARB.DISP. STA.COOK ` CITY E to TEL. NDIBHWASH. ANTO..WASH. 'STATE
SPACE HTRS. STA.APP.Iyy H.P.MAX.) 5 ,50 'LICENSENO. 137567
MOTORS: oven NOT OYER H.P. I 'DISTRJCT NO. GFIj�U_P N -
O 1 1.00 �/--r���� 1�.
1 — 3 1 1.50INSPECTION RECORD
s — B 2.001 1
B — Is 12.5011
1s so 3.001 1 O
V
50 100 5.00 ad
NO.TRANS. O
SIGNS: NO.LAMPS I V
W
SERVICE 0.600V.NOT OVER 200A1.00 d
N
SERV ICE 0�600V.OVER 200 A. 2.00 ?
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
I
PERMIT ISSUING FEE 2.00 2.60
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 '
TOTAL FEE 6 13. 10) APPROVALS DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION f U- RSLAB WORN
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING, WIRING
1 HEREBY CERTIFY THAT I 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. ND INTEND TO POWER
RESIDE IN.THE ABOV SCR) ED RESID NTIAL P PERTY.
SIGNATURE U UTILITY CO.NOTIFIED
OF PERMITTEE f/`
FINAL
OOHAN
OCK
MO ON JOSEPH C. G ELECTRICAL
SUPERVISING ELECTRICAL ENGINEER
MO GASH
L.�o8 1 6 2� DEC20 2 D 9.10 Q
'°A•®.RE°•°'-°° APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION gDDREss 10225 -LaRosa
.JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUWTOF BULLRING LOCALITY Tem le 'Cit
FOR APPLICANT TO FILL IN NEARESTBaldwin-"--- -
PERMIT FEES CROSS .
ITEM NUMBER OWNER 1 Rogers EACH FEE'
OUTLE 5: / % S $ MAIL
LIGHTS RECEPT. SW. .f0 2 . 7/.1 ADDRESS
LIGHTING FIXTURES 10 • )V CITY- v TEL .NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN-COftlOC &' Son"EI
WATER HEATERS .50 ADDpRESS 0 0_ N Grandview
ELEGSPACEHTRS. DISHWASHERS CITZO San.. Gabi'ielTEL. NoAt
GARBAGE DISPOSERS AUTO.-
STATE C-10-10
WASHERS-- srA.coo KING UNlrs '.85 LICENSE NO.
zz
MOTORS OVER INC. H.P. l DISTRIC NO. GROLP_ ZONE /P�R2 Fan 6E-Faq- /2/ 25 0 � 7
v:— z 50 INSPECTION RECORD 6
z— 5 1.00 _ -
•5— 15 1.50
15— 500
50-200 5.0.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 1100
FIXTURE PERMIT 1.00 1•o
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES. AND STATE LAWS REGULATING CONDUIT /
ELECTRICAL WIRING. WIRING J-/'�.
1 HEREBY CERTIFY THAT 1 S PROPERLY REGISTERED ATE OR
LICENSED AS R THAED Y LOS ANGELES COUNTY AND STATE OF FIXTURES ,f I' V L 'J
CALIFORNIASCRIBEES ENTA TIS LE OWNER OF THE ABOVE
DESCRIBED RESIDENT OPE�2M. �. POWER.
SIGNATURE J1TJ UTILITY CO.NOTIFIED
OF PERMITTEE -
FINAL
8a - ,`VALIDATION ARTHUR C.VETT,
C/rc/ MO CASH SUPERVISING ELECTRICAL ENGINEER
LfC78562 MAR17 2 A 570