The URL can be used to link to this page

Home My Public Portal About10703 LA ROSA DR_Electrical__ J6A689 DSS-5A DDS APPLICATION FOR ELECTRIC PERMIT 1 I2-5q DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING O � �` WM. J. FOX, COUNTY-ENGINEER - ADDRESS CASSATT D. GRIFFIN, SUPT OF BUILDING / `y'�'/N'• ,\ FOR APPLICANT TO FILL IN LOCALITY" PERMIT FEES NEAREST �f L.9,�ewyLiy.Y.1—�/ FEE NUMBER EACH CROSS ST. (/ /� LIGHTOUTLETS OWNER L2--?� i A��5�� RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS 5C S O S CITY TEL, NO. IO ELEC. RANGES 25 ELECTRICIAN — LL. ELEC. HEATERS 25 ADDRESS SIS i� TEL-71t- FIXTURES � Cy- NO !Y �/ -7 KW EA CITY //L 1-- FIXTURES 5 LICENSE NO./O1r' pS I NUMBER OF LIGHT CIRCUITS NUMBER OF RECEPTACLE CIRCUITS DISTRICT. GROUP ZONE READY FOR INSPECTION MOTORS 3 NUMBER HORSEPOWER FEE INSPECTION RECORD NEW'/ MVD. HP OVER INC. EACH Ih a LESS S .25 2 .50 _ 2 5 1.00 _ _ 5 15 1.50 _ _ 15 50 2.50 50 200 5.00 MISC. NO. SIGNS NO.TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT' WIRING 51.00 FIXTURES $1.00 SUPPLEMENTARY .50 _ 3� APPROVALS TOTAL FEE S / r DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY . WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ' ELECTRICAL WIRING. I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR FIXTURES .�-ZJ •sr Lf„I' LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT I AM THE LEGAL W ER F THE ABOVE DESCRIBED RESIDENTIAL P OPERTY. �yyq ,j] 2 _ UTILITY CO. NOTIFIED SIGNATURE PERM TTEE✓—y-�s�_L6 FINAL I'L WILLIAM J. FOX, COUNTY ENGINEER VALIDATION Al a l a r. SEP 21 2 1 .3 0 O �� DEPUTY COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Departmentof County Engineer � �� DIVIVISIONIONOF OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. 702,1 ELECTRICIAN $_ W HERRI-t� s RECEIVED BY READY FOR DATE ISSUED CIT ,,DREBB 4937 EL MONTE, CALILIEORNW,NO FIRST INSPECTION COUNTY LICENSE NO. * EXPIRES 0 BU I LDI NB PERMIT FEES ADORERS y39 O 7 O'd <4�A_ NUMBER EACH FEE LOCALITY / V LIGHT OUTLETS /3 NEAREST CROB9 BT. RECEPTACLES WALL SWITCHES ♦ OWNER TOTAL OUTLETS 47 5c ® I MAIL ELEC. RANGES --t— 25 ADDRESS ELEC. HEATERS 25 'CITY TEL NO. FIXTURES _ 6 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. q APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS �(i� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND BTATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE NEw MVS. HP BVER I.C. EAOR OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 A I-EBB S .25 SIGNATURE OF _ I/2 7 .60 PERMITTEE/ /� 1/✓[�+-4 ° 1'O° INSPECTION RECORD 5 1B l.so _ _ is 50 _2.50 _ _ 6° 200 5.00 _ 200 6°° 10.00 __ J 50D 1GDD 15 .0 0 __ G z --_ _— OVER 1000 20.00 (J M.G. SET/FRED. CHANGER-HP G! WELDERS:AC-KVA D GENERATORS - KW _ TRANSFORMERS - KVA TEMP. MOTORS (7S% or BRIG•) MOVED MOTORS (75% OF ORIS.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 �� CONDUIT FIXTURES 91.00 D WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE ® q UTILITY CO.NOTIFIED A 7 FINAL o rpepps DDS#eA 4-52 75A663-CE00;1-60 "APPLICATION FOR ELECTRICAL PERMIT CbUNTY,,OF LOS ANGELES Df.PARTN�ENT OF COUNTY ENGINEER [!A DO • 'BUILDING AND SAFETY DIVISION AoL Ess �' '7,6 3 SCS, JOHN A. LAMBIE. COUNTY ENGINEER Q� T COLEMAN W. JENKINS,-SUPERINTENDE NT OP BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. /%ya,S 21J1 M<'J NO. EACH FEE RECEPT5- 5 $ ��77 OWNER LIGHT - NOTAL FIRST 20 / .20 �-(-v ADDRESS /If� �C �J 1- . b-4 d SW I TC Hj— _� OVER 20 .10 CITY .e �,. fTEL. NO. go 3 PLAN CHE K LIGHTING TOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 .ADDRESS RANGE�-DRYER—WTR.HTR. CITY TEL. NO. STA,COOK DISP. F.A.U._ CONTRACTOR SPACE HTR. AIR GOND. ADDRESS CLOTHES WASH._DISHWASH._ CITY TEL. NO. FAN^OTHER 1 .00 LICENSE IN O. CLASS. MOTORS,TRANSFORMERS RATING IND, HEATERS, ETC. HP. KW. KVA. I HEBERY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1.00 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY L05 ANGELES COUNTY AND STATE OF CALIFORNIA 0R THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 10 - 50 5.00 RESIDE IN, THE ABOVE DESCRIFED RESIDENTIAL PROPERTY, O 50 - 100 10.00 SIGNATURE uF PERMITTEE pd 100 - 500 15.00 O sICN,GAS DISTRICT NO. GTVP ONE Ph20C SSED BY SIGN AND ONE CIRCUIT 3.00 W TUBE, OR L MARQUEE ADDITIONAL CIRCUITS 1 1 .00NOTES: z //'�� Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 12.00 00 SERVILE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE IN5PECTOR'S SIGNATURE TEMP. POWER POLE UNOERSLAB WORK ROUGH CONDUIT 7/07 PERMIT FEE (SUB TOTAL) Q WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) t1 POWER AUTHORIZED PERMIT ISSUING FEE F2.00 %� UTILITY CO.NOTIFIEOSUPPLEMENTARY PERMIT ISSUING FEE FINAL TOTAL FEE b JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION 0 M.O. CASH LA(O 4 9 8 7 JUN 7 . 2 D 6.4 0" �= '.EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WO^,KERS'COMPENSATION DECLARATION CE-806 APPLICATION FOR ELECTRICAL PERMIT I herebyaffirm that I have a certificate of consent to self COUNTY OF LOS AN S ' _ ILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or I a certified copy thereof(Sec. 3800, Lab.C.) FOR APPLICANT TO FILL I Policy No. Company 646 1 DRESS 10'702 LA � A New Residential Bldgs.&Pools EACH NO. FEE Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY LL .f-r ❑ Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST /» N department. Residential Swimming Pools OWNER OR F IRM NAME PL.0 E Date Applicant Outlets: Rea.1 Light. Sw._ �� MAIL F ifst 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.2_ Additional - CITY Tel No. COMPENSATION INSURANCE - } PLAN CHECK O. (This section need not be completed if the work involved APPLICANT 0 U by the permit is for one hundred dollars (5100) or less.) Lighting Fixtures First 20 Additional ADDRESS Total No.� C) 1 certify that in the performance of the work for which thisCITY Tel No. 0 permit is issued. I shall not employ an Fixed Appliances Not Over 1 HP p y person in any manner PE MIT so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. _ APPLICANT W Oven _ Dryer_W.M._ ADDRESS N Top FAU _W.H. Z Uate Applicant Te Hood _ Fan —Other— CITY ' 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 Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PR D By with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR (51 Up to 1 Incl. FINAL Over 1 to 10 Inc[. DATE a Z j� LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. o ( VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ness and Professions Code, and my license is in full force and effect. Services License Number Lie.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 I 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 ness and Professions Code): Misc.Conduits&Conductors _ 54 I, as owner of the property, will do the work and the Other (See Complete Fee Schedule) structureis not intended or offered for sale (Section 7044, Business and Professions Code). � ) .' .� {, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency - # o a o o e 2 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.CJ. 2 e o o (� 5.Q Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE o o e 0 9.5 Q v I certify that I have read this application and state that the TOTAL FEE 0 R 1 5—S O above information is correct. I 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 properly r inspection purposes. SEE REVERSE POR EXPLANATORY LANGUAGE Signature of Permittee Date • - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 f.ECECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL:0508_9707240056 - BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL FEES D - BUILD _ADDRESS:. - TR: 17867 LT: 43 - - x;10703- LA'ROSkDR FEE DESCRIPTION: QUANTITY: UOd: .AMOUNT: TEMP'CA 917803410 - ASS SSOR ORMAT ION NUMBER: NEAREST CROSS STREET: 8574-002-019 - Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 _ LOCALITY: TEMPLE CITY HA FAU LESS 3HP - 1.00 FAU 10.80 TENANT: JB AC UNITS +3-10HP - 1.00 AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRESION: TOTAL.FEES 58.20 07/24/97 TC 07/24 98 OWNER: TEL. NO: FINAL DATE FINAL BY: ODE: PURSELL CECILIA A - - - - 10703 LA ROSA DR - TEMP 917803410 - - DESCRIP ION OF R( ELECTRICAL FOR NEW HEAT. AND AIR/ N - SYSTEM APPLICANT: TEL. NO: SUPER COOL AIR GOND. (626) 575-5178- - SPECIAL CONDITIONS: � CONTRACTOR: TEL. N0: �--_.,� y APPROVALS DATE INSPECTOR SIGNATURE SUPER COOL AIR CONDITIONING (818) 575-5178- - y 2126 SEAMAN AVE LIC. NO TEMPORARY POWER POLE SOUTH EL MONTE CA 91733 C20 / C10 UNDERGROUND UNDERGROUND CONDUIT ARCHITECT G NEER: TEL. NO: UFER GROUND LIC. NO: jl1/ I -ryIjI - ' 4 11 ROUGH CONDUIT ROUGH WIRING 11 �p1 _p p 't4JI�,U�L!' O �r\,q� - a -� _ MAIN WATER LINE . � � ` .io i�. � PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED o CIO �arvsc� �� * ADDITIONAL DATA ON FILE - REPORT ID: DPR265 ROUTE TO: SS0508 -