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Home My Public Portal About10240 LA ROSA DR_Electrical__ '°" APPLICATION! FOR ELECTRIC PERMIT 1 Das.Ow u.36 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer BUILDING /C'21/0 f• L-4 /l�7 01q Covntvof Los Angeles ADDRESS 0.S4 F/ JOHN A. LA BIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY ) C_ T [ / FOR APPLICANT TO FILL IN NEAREST AR �� DQ PERMIT FEES CROSSST. NUMBER • OWNER U/, L1—/14 M 1043. LIGHT OUTLETS MAIL RECEPTACLES .' ADDRESS /09-yc /- '0AZ WALL SWITCHES FEE C,TY —rCLI LP C I T f TEL. NO.If TOTAL OUTLETS ® 50 S ELECTRICIAN ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 KW EA CITY TEL NO. STATE FIXTURES B LICENSE NO. MOTORS DISTRICT NO. IG CIPPI ZC3N% I READY FOR INSPECTION NUMBER HORSEPOWER FEE S /f NEW I MVD. HP OVER INC. EACH h s LEES $ 25 INSPECTION RECORD Ya 2 .50 2 5 1.00 , 5 t5 1.50 11 IS 50 2.50 //++ 50 200 5.00 G/dGl (_/•Y MISC. (/ / f 1-1 / � NO. SIGNS NO.TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 _ --- - FIXTURES $1.00 SUPPLEMENTARY .50 / /� APPROVALS TOTAL FEE S ` !' DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TNI. APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. c, N^ 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES z_-4-'-59 /-4-✓1.1•.�TH.:i� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. SIGNATUREUTILITY CO.NOTIFIED / OF PERMITTEE / / FINAL JOHN A.LAMBIE.COUNTY ENGINEERATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR CK MO GeM �� 7 0 mAy31 2 2.6 5 � TEMPLE C9TV APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING y� BUILDING AND SAFETY DIVISION ADDRESS G� Y-O ei JOHN A.LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN, $UP'T OF BUILDING LOCALITY I FOR APPLICANT TO FILL IN NEAREST CROSS ST. PERMIT FEES OWNER ITEM NUMBER EACH FEE MAIL OUTLET S S ADDRESS LIGHTS RECEPT 6W. .10 LIGHTING FIXTURES 10 CITY EL NO ELEC. RANGES CLO. DRYERS ELECTRICIAN Gty WATER HEATERS .SO ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY . TEL.NO. GARBAGE DISPOSERS AUTO.. STATE WASHERS STA. COOKING UNITS ,25 LICENSE N MOTORS: OVER INC. H.P. DIST ICT O. GR ZONE P ESSED Y O — %z .25 r V� — 2 .50 INSPECTION RECORD 2 — 5 1.00 y 5 — 15 1.50 O U Is — so 2.50 O 50 — 200 5.00 1– U UJ SIGNS: NO TRANS. 0- NO. NO. LAMPS C Z SERVICE 0.600V 1.00 SERVICE OVER SOOV 5.00 MISC. WIRING PERMIT 1,00 FIXTURE PERMIT 1,00 SUPPLEMENTARY PERMIT .50 TOTAL FEE I S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE I6 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING' 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE - DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATUREUTILITY CO. NOTIFIED OF PERMITTE FINAL, VALIDATION... ARTHUR C.VEIT. CK NO CASH SUPERVISING ELECTRICAL ENGINEER 16 2 D 2 .9 Lr::O WORKERS'COMPENSATIONDECLARATION CE806G12 601 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES . C 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 7� Policy No. Company EACH NO. FEE ADDRESS Q pS.4 D New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Ca1?4 Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST APDrAt department. Residential Swimming Pools OWNER OR /J FIRM NAME A,er i/1Z J- erfii ,ee L fFN Date Applicant Outlets: Rec.—Light— Sw._ First ADDRESS i,0240(O Lh '�, ♦C,16 tlft CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITV'��+ n COMPENSATION INSURANCE 'yH LC l T Tel No. PLAN CHEC 1 (This section need not be completed if the work involved APPLICANT O by the permit is for one hundred dollars (5100) or less.) Lighting Fixtures First 20 ADDRESS Total No. Additional O 1 certify that in the performance of the work for which this CITY e1 lo. permit is issued, I shall not employ an Fixed Appliances Not Over 1 HP L) p y person n any manner PERMIT W so as to become subject to the Workers' Compensation Laws. Range_ Heater—D.W. APPLICANT a Oven _ Dryer_W.M._ ADDRESS W Date Applicant Top — FAU _W.H.. Hood — Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond.— LICENSE OR _ Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Cade, you must forth- Power Apparatus& Large Appliances DISTRICT NO. - PROCE EDV with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR deemed revoked. �y Q Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Q Over 1 to 10 Incl. DATE / / VALIDATION Over 10 to BO Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc, FINALBy �— 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. Services st 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 1 am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits 913722Ax ness and Professions Code): # e e o � 2 Mise.Conduits&Conductors 1, as owner of the property, will the work and the ether (See Complete Fee Schedule)— 2,• • 1 9,5 0 structure is not intended or offered for sale (Section 7044, Business and Professions Code). • a = CONSTRUCTION LENDING AGENCY e 1 9.,5 0 5 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit isPERMIT FEE (Sub-Total) 3-81 issued(Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE IOne-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certifv that I have read this application and state that the. TOTAL FEE0 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 the above-mentioned proper[% for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE /- !3-g! Signature 00/permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RL 0508 1211210033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 13531 LT: 12 1 10240 LA ROSA DR I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 919803306 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: ARDEN 18585-014-003 TAI PERMIT ISSUANCE FEE 29.80 THOMAS PAGE: 599 GRID: B4 LOCALITY: TEMPLE CITY CAI I G1 OUTLETS-LGT,SW,RECP 2.00 OUT 4.00 1 TENANT: ISO LIGHTING FIXTURES 1.00 LGT 2.00 (ISSUED ON: PROCESSED BY: PLAN BY: I TOTAL FEES 33.80 111/21/12 SR I TOWNER: TEL. NO: (FINAL DATE FINAL BY: CODE: ISANG CHI W;PHYLLTS K (626) 617-8889- 110240 LA ROSA DR ITEMP 919803306 IDESCRIPTION OF WORK (REPLACE 2 OUTLETS AND 1 LIGHT FIXTURE FOR BATHROOM REMODEL (APPLICANT: TEL. NO: I I I IPHONG, DAN D (626) 382-6938- 1 1 1 1524 N ORANGE AVE qB I SPECIAL CONDITIONS: I IMONTEREY PARK 91955 I I,r I � e tkk Jw< G bl ICONTRACTOR: TEL. NO: (APPROVALS DA E INSPECTOR SIGNATURE T SAMESWOOD CONSTRUCTION (626) 382-6938- 1 1 1524 N ORANGE AVENUE #B LIC. NO (TEMPORARY POWER POLE I I 1 INANTEREY PARK CA 91955 965086 1 1-1- I 1 I IUNDERGROUND CONDUIT I 1 1ARCHITECT OR ENGINEER: TEL. NO: T IDFER GROUND I I I I I I I I I LIC. NO: IROUGH CONDUIT I I I I I (ROUGH wlRlrvc (MAIN WATER LINE (PLASTIC Y/N METAL Y/N I I I DTILITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IRE PORT ID: DPR265 ROUTE T0: BSOS OB I I I I I I COUNT'i Of LOS ANGELES TEMPLE CITY N OSu^8 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0408110024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 2115-0488 EXT: !EGALhDo FEES PAID BUILDING ADDRESS: TR: 13531 LT: 12 10240 LA ROSA DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803306 ASSESSORNFOR A IOtTI;L'k9ER: NEAREST CROSS STREET: ARDEN - I8535-014-003 — Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 64 LOCALITY: TEMPLE CITY, C G1 OUTLETS—LGT,St:,RECP 10.00 OUT 19.50 TENANT: G2 LIGHTING FIXTURES 5.00 LGT 9.75 I SUED ON- PROCESSED L Y: EXPIRES ON: H5 RES WASH MACH !.T 3HP 1.00 WAS 10.95 08/11/04 JK 02/07/05 H7 RES EXHAUST FANS 1.00 E% 10.95 TOWNER: TEL. NO: TOTAL FEES 78.90 FINAL DATE FINAL BY: - :ODE: �SANG CHI W;PHYLLIS K (626) 582-8988- 110240 LA ROSA DR F�7—•- TEMP 917803306 DESCFIPTiON OF WORK ELECTRICAL FOR ADDITION TAPPET CAS— TEL. kC: Y00 (562) 260-8588- 17125 ANTONIO AVE SPECIAL CONDITIONS !CERRITOS, CA 90703 i CONTRACTOR: TEL. F'0: - APPROVALS DATE INSi ECTO;: SIGNATURE PERFECT CORNERSTONE CONSTRUCTION (562) 802-3016- _ 17125 ANTONIO AVE LIC. NO TEM ORAS—'P—NE POLE CERRITOS, CA 90703 7400216 UNDERGROUND CONDUIT AkCItI T?CF OP, ENC'.N'_'ER: TEL. NO: UPER GP.OUYD ---- ICHAC, LAWRENCE (626) 532-89'x9- 136 VISTA LANE. LIC. NO: ROUGH CCNO'11T TEL MONTE, CA 91731 NONE ' TVA—IN STATER L1KF. --_--- PLASTIC Y,% ..ETAL 'i/N UiICI�1 COMPnfjr NO'I ifT-ED { REPORT ID: DPR265 ROUTE TO: BS0508 CUi11-(Y OF LOS ANGELES TEMPLE :: - ss t�--L. P FC i?.ICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LJ;S ^6nS -__ ^iOF. 0410/90050 BUILDING AND SAFETY / LAND DEVELOPrl�'- TEMPLE 'A 0 PIIOC"c: x.-26) 2ii--0488 EXT: 1lEC-AL ID: _ �_ __. _EES PAID — - BUI LDIi.0":'ruF<E=:�.t TR: 13531 LT: 12 ' 10240 LB `_A DP. IFEE DESCRIPTION' QUANTITY: UOM: sM0!q:T' TEMP CA A...,E.,SCR i�NfGF.MAT IO,. NU. tlENEAREST C,...:.5 STREET: ARDEN 6585-014-003 lA'I PERMIT ISSUANCE :=!iE 21.75 THOMAS PAGE: 5V7 GRID: 84 -CCA; -.T -l-'l-LE CITY, C IIA FAU LESS 311P 1.00 FAU 10.95 �I EJAN7! - JB AC UNITS +3-',OHP 1.00 AC 19.65 ISSUED ON: •P PLAN BY: Ezviera LR: � B 200 AMP PANELS; M1��C 1.00 ?AN 3F:.85 X10,'19/04 J.i 04'17105 _ TOTAL FEES 97.20 OTF1?k: TEL NOFINAL DATE Ff!;Al- BY: -PJB ;SANG CHI W;PHYLLIS K (626) 575-'i5C:'- '.0240 LA ROSA OR _,-_ _( ITEMP 9178C3306 iDESCRIPTION Or Wrp' _--- `---- UPGRADE METER Tip 200 AI/.PS, ONE CIRCURT '=AU iCIRCURT FOR COMPRrSSOr;. In PLICANT: TEL. Nn: la C D MEECHANIC AND F.LE-TRIC (626) 641-746- ______ i2[.LS W. AVESS Ns: !LOS ANGELES CA 90065 1 jSPEC1AL CUND?T�0 iI � iCONT R C1'Oiii TEL. APPROVALS "Ai ii iJ C D MECHANIC AND ELECTRIC (626) 54 -1546- ?428 W. AVESS LIC. NO ITLMPDRARY PO!i"c -- -- �;0S ANGELES, CA, 90065 7009960 i0 1 curl NcEk: 7?L. f jUFER GRuc.".0 r Al I iF1AiN WAi ER L:NE � i ! IPLASTIC Y/i: i / I JiT�TY CO'1PA7;'lRF IFiEU 7j _- I I I i REPORT ID: DPR265 ROUTE TO: BSO5C8 -` --