HomeMy Public PortalAbout10239 LA ROSA DR_Electrical__ 76A363-CE80E 1/70 �� I
APPLIC�ATIQN F R ELECTRIC L PERMIT r
COUNTY OF LOS ANGELEAS \�
DEPARTMENT OF COUNTY ENGINEER FICROSS
SS � \
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER TY 'T 45,4/--,
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING L�1
T [�
FOR APPLICANT TO FILL IN ST. l �IOUTLETS Nod EACHFEE /�Yr /$ S !f/RECEPT.=1 '%I` FIRST 20 SS rX
LIGHT_ TOTAL CITY f EL. NO.�(U(,�..
SWITCH OVER 20 .10 PLAN CHECK 44
LIGHTING TOTAL FIRST 20` 2 APPLICANT
FIXTURES `
OVER� .10 20 ADDRESS
APPLIANCES CITY TEL. NO.
PERM'T
RANGEDRYERWTR. HTR.— APPLICANT
STA., COOK + OISP._F.A.U. I A I ADDRESS . 3 67
YDOIJ�/J�
71
10E HTR. FAIR COND._� T. CITY TEL. N0.
'CLOTHES WASH. DI SHWAS H,_ AALICENSE N0. CLASS.
FAN_OTHERL00 vPHEREBY ACKNOWLEDGE THAT I HA VE'REAO THIS APPLICATION
AND STATE TNAT THE ABOVE IS CORRECT AND AGREE,TO COMPLY
MOTORS, TRANSFORMERS RATING - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. r
SIZE & TYPE OVER TO C.
HEREBY CERTIFY THAT I AM PROPERLY'REGISTERED ANO/OR p
O — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
- 1 — 10 300 RESIDE IN, THE ABOVE OESCP P.E RESIOENTIAL- P OPERTY. W
J
10 — 50 S00 SIGNATURE /
OF PERMITTE �! }
50 — 100 1000 a .` DC
A
ISTRICTNO. CLASS GROUP ZO&E /PROCESSED BY
.100 — 500 13.00 / r ( Y Q
L, t, a
SIGN, GAS SIGN AND ONE CIRCUIT 0 NOTES: ��•:�
TUBE, OR H
MARQUEE ADDITIONAL CIRCUITS 100 '
SERVICE NOTOVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP fu00 -
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES !n—o - -
UNDERSLAB WORK, �. •�_
TEMP LIGHT OR RECEPT. SYSTEM' ' �+ 300 I
ROUGH'CONM UT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE) ,
]UTILITY CO. NOTI FIEO
PERMIT.ISSUING FEE I12;00
FINAL
SU UING FEE
JOSEPH C. ROOHAN �
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER. _
PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALIDATION CK. . M.O. CASH .
1
3 3 5X,149 16, w d'
7, } V •J.i
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUJ}Y OF'LOS ANGELES TEMPLE CITY # OSOB ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0508030029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
IN: 13531 LT: 6 10239 LA ROSA DR
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803307
ASSESSORINFORMATIONNUMBER: NEAREST CROSS STREET: ARDEN
8585-006-006 - Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW;RECP 20.00 OUT 39.00
TENANT: G2 LIGHTING FIXTURES 12.00 LGT 23.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
HA FAD LESS 3HP 1.00 PAU 10.95 08/03/05 JK 01/30/06
H2 RES GREG DISP LT 3HP 1.00 DIS 10.95
OWNER: TEL. NO: H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 FINAL DATE EXPIR Y. CODE:
FRANCO MAX;CHACON CHRISTINE (626) 448-7942- H4 RES RANGE BOB LT 3HP 1.00 HOO 10.95
10239 LA ROSA DR H5 RES WASH MACH LT 3HP 1.00 WAS 10.95
TEMP 917803307 LB 200 AMP PANELS, MCC 1.00 PAN 38.85 DESCRIPTION OF WORiK7 -
TOTAL FEES 183.75 ELECTRICAL FOR ADDITION AND UPGRADE SERVICE TO 200 AMP
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE .t
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: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1007120043
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 13531 LT: 6 10239 LA ROSA DR
1 IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 919803307
1ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: ARDEN
18585-006-006 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY 1
IG1 OUTLETS-LGT,SW,RECP 20.00 OUT 38.80 1
ITENANT: IG2 LIGHTING FIXTURES 12.00 LGT 23.30 IISSUED ON: PROCESSED BY: PLAN BY: 1
I IHA FAU LESS 3HP 1.00 FAU 10.90 110/25/10 SR 1
IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.90 1
IOWNER: TEL. NO: IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.90 1FI AL DATE FINAL Y: CODE: 1
IZHOU, YOE Z (626) 589-8085- IH4 RES RANGE HUE LT 3HP 1.00 HOD 10.901
110239 LA ROSA DR IHS RES WASH MACH LT 3HP 1.00 WAS 10.90 1 I
TEMP 917803307 In AC UNITS a3-10HP 1.00 AC 19.70 InSCRIPTION OF WORK
ILB 200 AMP PANELS, MCC 1.00 PAN 38.80 1ELECTRICAL FOR ADDITIONAA UPGRADE SERVICE TO 200 AMP
TOTAL FEES 202.90
APPLICANT. I ,
TEL. NO:
ISAME AS OWNER -
I _ I (SPECIAL CONDITIONS:
I I I
I I 1
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
SAME AS OWNER -
LIC. NO ITEMPORARY POWER POLE
I I I
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND / I
LIC. N0: TROUGH CONDUIT
IROUGH WIRING I I
IMAIN WATER LINE
PLASTIC YIN METAL YIN
(UTILITY COMPANY NOTIFIEDI
1 I I I I I
I I I I I I
I I I I I
I I I I I I
1 I I I I I
REPORT ID: DPR265 ROUTE TO: 850508
I I I
I I I I