HomeMy Public PortalAbout10257 LA ROSA DR_Electrical__ C� L/
:BABES-CEGOS I0-60
APPLIC T ON FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER ADDRESS BUILDING �OZS7 « oSf{
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER /A-r
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY S T �L/ ��+/
CROSS {J
FOR APPLICANT TO FILL IN �—;
PERMIT FEES OWNERIAIL / — 0 N1NS"
ITEM NUMBER EACH FEE ADDRE55 D�J /- T6
OUTLETS: S $
LIGHTS RECEPT. SW. •10 CITY E C{/ TEL. NO.
LIGHTING FIXTURES .10 � / X/ E4E^ / l�
F�H C. RANGE6 CLO. DRYERS -�/t ELECTRICIAN f/4J �+ M,I
WATER HEATERS /" .SO LYO ADDRESS CIH 01–E//�I
ELEC.SPACE HTRS. DISHWASHERS rr [,
CITY � G �I � TEL No. / ���O
GARBAGE DISPOSERS AUTO. STATE ^-� �1
4-5
WASHERS STA.COOKING UNITS ,25 LICENSE NO. // 732L–
MOTORS:
3 L
MOTORS: OVER INC. H.P. DIST CT N GROUP ON PR E BY
0— '/E .25
_— 2 .50 INSPECTION RECORD r
2— 5 1.00 D.
77
O
5— 15 1.50 V
z
Is— so 2.So OO
50— 200 5.00
W
a
SIGNS: NO TRA
Saul
NO.LAMPSPS /Zz
SERVICE 0-600V 1,00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 L/
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ 60
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
ANO STATE THAT THE ABOVE ICORRECT AND AGREE COMPLCONDUIT .
WITH ALL COUNTY ORDINANCES
S AND STATE LAWS REGULATING OMPL
ELECTRICAL WIRING. WIRING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/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 I
SIGNATURE ,,,`.✓, � UTILITY CO.NOTIFIED
OF PERMITTE FINAL
VALIDATJAN--,) ARTHUR C. VETT
CK MG (cnsH/sH SUPERVISING ELECTRICAL ENGINEER
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT
_ DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0712270010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 13531 LT: 9 10257 LA ROSA DR
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917803307 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ARDEN
18585-006-009 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
G1 OUTLETS-LGT,SW,RECP 30.00 OUT 52.50 I I
ITENANT: IG2 LIGHTING FIXTURES 6.00 LOT 11.70 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
H7 RES EXHAUST FANS 1.00 EX 10.95 112/27/07 VG 06/24/08
TOTAL FEES 102.90 1
OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE:
TAMMY DIEP, SIMONE DIEP (626) 350-4034- /( 1L1 4
110257 LA ROSA DR ( �'" I�
ITEMP 917803301 IDE CR TION OF WORK 1
(ELECTRICAL FOR ADDITION
1APPLICANT: TEL. NO:
KHAN (626) 318-9039- 1 1
19101 MEMOS DR. 1SPECIAL CONDITIONS:
ITEMPLE CITY CA 91780 1
I I
CONTRACTOR: TEL. N0: JAPPROVALS DATE INSPECTOR SIGNATURE
IDIEP, SIMONE (626) 350-4034- 1
110257 LA ROSA DR. LIC. NO (TEMPORARY POWER POLE
ITEMPLE CITY, CA 91780 NONE
' (UNDERGROUND CONDUIT
I
ARCHITECT OR ENGINEER: TEL. NO: JUPER GROUND
LIC. NO: IROUGH CONDUIT
IROUGH WIRING 1
4
I I (MAIN WATER LINE 1
1PLASTIC YIN METAL YIN
(UTILITY COMPANY NOTIFIEDI
I I I I I I
1REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF.LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT]
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ',EL 05089701220056
BUILDIK•G AND' SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13531 LT: 9 110257-LA-ROSH-DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803307
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-006-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 25.00 OUT 45.75
TENANT: G2 LIGHTING FIXTURES 7.00 LGT 13.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H2 RES GRBG DISP LT 3HP 1.00 DIS 10.80 01/22/97 TC 01/22/98
H4 RES RANGE HDS LT 3HP 1.00 HOO 10.80
OWNER: TEL. NO: H5 RES WASH MACH LT 3HP 1.00 WAS 10.80 FINAL DATE FINAL B E:
DIEP JOSEPH OUYEN PHU;JENNIFER SIU - H7 RES EXHAUST FANS 1.00 EX 10.80
10257 LA ROSA DR LB 200 AMP PANELS, MCC 1.00 PAN 38.85 L '
TEMP 917803307 TOTAL FEES 169.20 DESCRIPTION OF WORK L
ELECTRICAL FOR NEW ADDITION 460 SQ. FT.
APPLICANT: TEL. N0: ��d3�d� ��•�yq-ti
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: ��o A\\� -- ° APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - 9'ii`V L J q
LIC. NO -T POR OWER POLE
�A UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: �o%\ `�% u ; Q�J 1. . UFER GROUND-
LIC.
RO DLIC. NO: "� ' � ROUGH CONDUIT
RSG GLl
• �.� AMAIN WATER LINE t
' PLASTIC Y/N METAL Y/N
LI COMPANY NOTIFIED
�
REPORT ID: DPR265 ROUTE TO: BS0508