The URL can be used to link to this page

Home My Public Portal About10310 LA ROSA DR_Electrical__ DEC TION 76A66 WORKERS'that t I hove a certificate cafe of corse CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES �� BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lob. C.) v/ Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS 10310 La Rosa ❑ Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. 1996 S — $ LOCALITYTpMPIP City tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. Arden OWNER OR Dote Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecLight_Sw._ MAIL 9088 Las Tunas COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Total No. Additional CITY Temple Cit Tel. No 286-3636 the permit is for one hundred dollars ($100)or less.) I certify that in the performance of the work for which this PLAN CHECKAPPLICANT Martin Electricpermit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws, Lighting Fixtures First 20 ADDRESS 1560 N. Lassen Total No. Additional �� CITY Ontrio Tel No.98207880 Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate APPLICANTMartin Electric Exemption, you should become subject to the Worke Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven — Dryer _ W.M._ ADDRESS 1560 N. Lassen with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood _ Fan _ Other_ CITY Ontario Tel. No.982-7880 LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER 304982 Class —10 (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PROCESSED BY Y and Professions Code, and my license is in full force and effect. ,�(('�}} d �J Size 8 Type HP, KW, KVA, or KVAR' p/ �/ O y 9 tic. Class �— �� FINAL tJ License Number Up to I Incl. - Ty ¢A -�/p Ind. VALIDATION DATE /�j� 0 Contractor�y�'Pi 'I-/ K rL�DaYe AC �, —'2g— Over 1 to 10 In &31- �" ❑ Over 10 to 50 Incl. FINAL I am exempt under Sec Over 50 to 100 Inc. BY !`— B.BP.C. for this reason Over 100 r t Services, Swbd., MCC 8 Panelboards ► Z Date: 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V 7 1 6 7'A ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Mainz. Elect. �+ n o 0 0 0 2 SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch 7 c Circuit hereby affirm that I exempt from the Contractor's License - 0 Law for the followingg r reason (Section 7031.5, Business and Additional Sign Branch Circuits o ,7 i.91 w Professions Code): 11 1.29-8 ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— , 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) ! - (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 1050 Lender's Address I certify that I have read this application and state that the TOTAL FEE (91 above information is correct. I agree to comply with all County ordinances and State lows 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 nature of Permittee Date - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1312040039 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 37580 LT: 18 T 10310 LA ROSA DR (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I TEMP CA 917803401 (ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: ARDEN 18585-018-081 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI I ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 1 T ITENANT: I TOTAL FEES 66.70 1 ISSUED ON: PROCESSED BY: PLAN BY: T 112/04/13 SR I TOWNER: TEL. N0: I (FINAL DAT FI Y. CODE: T jsc�N 10310 AL 110310 SHELLY (626) 833-4447- I 11LA ROSA DA TEMP 917803401 ID SCRIPTION OF WORK (ELECTRICAL SERVICE UPGRADE (200 AMPS) 1APPLICANT: TEL. NO: 111 ) HELM, JOHN (562) 944-4447- ) 114461 LIGHT ST SPECIAL CONDITIONS: WHITTIER CA 90604 T T I I I (CONTRACTOR: TEL N0: (APPROVALS GATE INSPECTOR SIGNATURE INOVA ELECTRIC (562) 254-0798- T 114461 LIGHT STREET LIC. NO T ITEMPORARY POWER POLE 1 WHITTIER CA 90604 512379 ) (UNDERGROUND CONDUIT I ) ) ARCHITECT OR ENGINEER: TEL. NO,- INFER GROUND I _ 1 I LIC. NO: TROUGH CONDUIT (ROUGH WIRING I I I MAIN WATER LINE ) (PLASTIC Y/N METAL Y/N 1 (UTILITY COMPANY NOTIFIED) I I I 11 I "Y I )1 I I 11 I I 1 i I I I I I1 11 ) I I I ) I I I lull ) • ADDITIONAL DATA ON FILE ) ) ) I I I II I I )REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701. LAS TUNAS EL 0508 1312030006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ITS: 37580 LT: 18 10310 LA ROSA DR IEEE DESCRIPTION: QUANTITY: COM: AMOUNT: ( TEMP CA 917803401 (ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: ASPEN 8585-018-081 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI IG2 LIGHTING FIXTURES 3.00 LGT 0!00 TENANT: THA FAD LESS 3HP. 1.00 PAU 11.00 TISSUED ON: PROCESSED RY: PLAN BY: 1JR AC UNITS +3-10HP 2.00 AC 39.40 112/03/13 SR TOTAL FEES 84.20 1 1 1OWNER: TEL. NO: (FINAL DATE FINAL BY CODE: 5 , SHELLY (626) 833-4447- IYfl�� A I 103100310 LLA ROSH DR ITEMP 917803401 DE CRIPTION-OF WORK 111 ILIGHT, FAU IN ATTIC, NEW LINE A/C UNIT, REPLACE DISCONECT IONLY 1 A/C UNIT (APPLICANT: TEL. NO: IZABATTA, JOHN (323) 627-3132- IPO BOX 9368 IALTA LOMA CA 91701 SPECIAL CONDITIONS: I I I _111 ICONTRACTOR: TEL. NO. IAP PRCVALS DATE INSPECTOR SIGNATURE ZABATTA HEATING AND AIR CONDITION (909) 989-9200- IPO BOX 9368 LIC. NO ITEMPORARY POWER POLE (ALTA LOMA CA 91701 561159 1 11 IUNDFRGROUND CONDUIT I I I ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I I 1_ I I LIC_ NO: ROUC'9 CONDUIT I I I ROUGH WIRING 1 MAIN WATER LINE PLASTIC YIN METAL YIN I I I 11 UTILITY COMPANY NOTIFIED) I I 11 I I I I 11 I I I 11 I I II 111 II 111 I 111( 11111 1111- i , I* ADDITIONAL DATA ON FILE 1111 1111 1111 REPORT ID: DPR265 ROUTE TO: BS0508 I