HomeMy Public PortalAbout10708 LA ROSA DR_Electrical__ 1
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ELECTRIC
DIVISION OF BUILDING & SAFETY
WILLIAM 1. FOX, County Enpinear
FOR APPLICANT TO FILL IN DISTRICT�KIO. OROLIP ZONE �P�ERMIT NO.
'I `J/ / 0 7i-7i3
ELECTRICIAN
RECEIVED BY READY FOR DAT[ ISSUED
ADDRESS EL MONTE, CALIFORNIA ' FIRST INSPECTION 1I/ rte
CITY TEL.
TEL. NO.1O1 7
COUNTY LICENSE NO. 4 7 EXPIRESBUILDIN9DORESB ^(] �J
PERMIT FEES A ��/' 31r i
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER P //J /-
TOTAL OUTLETS 5c 9 D MAIL
ELEC. RANGES 25 - ADDRESS
ELEC. HEATERS 25 -CITY TEL NO.
FIXTURES �- 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS 1-L S AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NUMaca HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AN THE LEGAL OWNER
New MVD. HP Duca IHc. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
!gyp a "as 9 .25 SISNATURE OF
I/ S .50 PERIAITT[E
2 5 1.00 INSPECTION RECORD
_ 5 15 1.50
_ 1S 50 2.50
_ BO 200 5.00
_ 200 500 10.00 J
_ SOO 1000 15.OD Z
_- Z
OVER 1000 20.00 0
M.G. BET/FRED. CHANGER-HP S'
WELDERS: AC-KVA O
GENERATORS - KW _
TRANSFORMERS - KVA _
TEMP. MOTORS (759' OF BRIG-) _
MOVED MOTORS (75q OF oRIR.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME_
WIRING $1,00 CONDUIT
FIXTURES 91.00 WIRING n.sC4a..J d/
SUPPLEMENTARY .50 FIXTURES
/ POWER
TOTAL FEE S� UTILITY CO.NOTIFIED
I / FINAL j 7
76A662 Dns#5A 4-52 ✓
...... " APPLICATION FOR ELECTRIC PERMIT
COUNTY OF. LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER
- BUILDING AND SAFETY DIVISION ADDRE55
II _ JOHN,A.7LAMBIE. COUNTY ENGINEER
_ WILLIAM A.JENSEN':..SUPT OF..BuWolm. LOCALITY /'
SSIS-
E FOR APPLICANT TO FILL IN CROSS Sr. D !-
PERMITTEES
y ITEM NUMBER I EACH .FEE OWNER
MAIL
OUTTSLETS: $ $ a ADDRESS .��'[ IYl G
LIGH ' RECEP. '� 6W. '7 .10
LIGHTING FIXTURES 10 CITY
� �'/ Q CG 2 TEL. O.
ELEC.RANGES CLO.DRYERS ELECTRIC AN
WATER HEATERS .50 ADDRESS
! ELEC.SPACE ATRS. DISHWASHERS
CITY TEL. NO.
GARBAGE DISPOSERS AUTO.- STATE
:WASHERS STA.COOKING UNITS .25 LICENSE NO.
iMOTORS: OVER INC. H.P. DISTRIDCTNO. GROUPI ZONE IP ESSED'BY-
0- 1/2 .25 UU --TT'
V2 2 .50 p / INSPECTION IRECORD
2— 5 1.00 _J//1Ge� %. (/kT/I oYl .//.T/7/�)C- Xi4NP" Ll /
5— 15 1.50 ,��
�7 Q.o'421_ .a . :nfO,MrrL�/deY .7
15— 50 2.50 1
50-200 5.00 :M'..'t` O!/ t/I
NO.TRANS.
' + /
-SIGNS: NO.LAMPS
SERVICE 0-600V 1.00 L, -
SERVICE OVER 600V 5.00
MISC.
I
j
WIRING PERMIT 1.00 • n
FIXTURE PERMIT 1.00 I I I
SUPPLEMENTARY PERMIT .50
TOTAL FEE
n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATEI IN_SPECTOR'S EIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ^
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT il J,
I
ELECTRICAL WIRING. WIRING
I ,HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 'FIXTURES ' ' V
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE UTILITY CO.NOTIFIE61 �I
OF PERMITTE L/�.C�C'\� 'FINAL
®eALIDATIQN'\ ARTHURVETT.
CK Mo T1CAB/H J SUPERVISINN G ELECTRICAL ENGINEER
�_;La6 1 8 5 AR28 2 D 3 .80
a ) -WORKERS'COMPENSATION DECLARATION 20 W19 DPW 3/8v O
_ 11 ereby affirm that I have a certificate•of consent to self •7EeW� APPLICATION FOR ELECTRICAL PERMIT
G '
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a certified copy thereof (Sec. 3800, Lab. C.)
Policy ofnF' 7$6$8 Compa4t. Fund FOR APPLICANT TO FILL IN JOB
El Certified copy is hereby,furnished. New Residential Bldgs. 8 Pools EACH NO. FEE
ADDRESS 10708 LaRosa
, �ti ied copy is filed with the ou wilding inspec- 1 8 2-Family, Sq. Ft. $ — $ LOCALITYrem le Cit
11'—'tion department. Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools CROSS ST.
Date S�A/R 9 Applicant OWNER OR
CERTIFICATE OF EXEMPTION FROM WORKE Outlets: Re<_LightSw. MAR
FIRM NAME
COMPENSATION INSURANCE - First 20 ADDRESS
(This section need not be completed if the work involved by Total No. CITY j'7 g_'7'7f9IfjNo.
the permit is for one hundred dollars (S100)or less.) �
Additionol
I certify that in the performance of the work for which this PLAN CHECK
permit is issued, I shall not employ any person in any manner APPLICANT
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS -
Additional
Date ' Applicant Total No. CITY Tel. No.
NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption, you should become subject to the Workers' Range— Heater—D.W. — AP T
Compensation provisions of the Labor Code, you must forth- Oven — DryerW.M.— ADDRER 1 N PO lar
with comply with such provisions or this permit shall be Top — FAU iW.H. —
deemed revoked. CITY T 1. No.
Hood — Fan —Other— —
LICENSED CONTRACTORS DECLARATION LICENSE OR A�}
Disp. _ Room Air Cond. REG. NUMBER75226 C20 Class.
I hereby affirm that I am licensed under provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. ✓ PROCESSED BY >
and Professions Code,and my license is in full force and effect. IL
Size
(� Size 8 Type HP, KW, KVA, or KVARos J O
License Numbe475226 Lic. 0990 Up to 1 Incl. FINAL
7—' Over 1 to 10 Incl. DATE VALIDATION Q
ContractorEny, Encl. Date 5�8�8g O
❑ Over 10 to 50 In . FINAL ~
amexempt under Sec. Over 50 to 100 Inc. gy O
W
B.BP.C. for this reason Over 100 - d
Services, S cards Z
Date: ; Z
200 Amp. Under 600 Vu]
Signature 201 - V
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Mainz. Elect.
SINGLE FAMILY Temp. Power Pole 8 Appurtenances
HOME OWNER-BUILDER DECLARATION -
I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ,
Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits
Professions Code): ---"" _• ,iA.
?
f Conduits 8 Conductors
❑ I, as owner of the property, will o the work and the Misc.
structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)—
Business and Professions Code). - ,u6 - 00
CONSTRUCTION LENDING AGENCY
hereby offi�m that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) - ,Gcl
(Sec. 3097, Civ. tl).,-
PLAN CHECKING FEE
Lender's Name
Lender's Address
PERMIT ISSUING FEE
O O
I certify that I have read this appli<afion and state that the TOTAL FEE AN 10 4 _7
'
above information is correct. I agree to comply with all County
ordinon d Stale laws regulating Electrical wiring, and
hereby ut o ize representatives of this County to a ter upon
the a ve- n an roperty for inspecti purp es. '
i-7 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of PerrnittqAN Claite - ®'
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1406160035
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS:
ITR: 17867 LT: 53 1 10708 LA ROSA DR
I IEEE DESCRIPTION: QUANTITY: DOM: AMQUNT: 1 TEMP CA 917803409
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
18574-002-029 IA1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
IG1 OUTLETS-LGT,SW,RECP 11.00 OUT 22.00 1 1
(TENANT: IG2 LIGHTING FIXTURES 7.00 LGT 14.00 (ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 63.80 106/16/14 SR
TOWNER: TEL. NO: I (FINAL PATE FI L Y: CODE: 1
110708 , WROSA (626) 523-6040- R(/,
110708 LA ROSA DR �/
ITEMP 917803409 JDfCRrPTION OF WORK
1 1 17 GET, 4 OUTLETS AND 7 RECESS LIGHTS FOR KITCHEN REMODEL 1
I I
IAPPLI CANT: TEL. N0: 1 1 I
IROSS, SHIRON (800) 968-2558- 1 1 1
123679 CALABASAS RD I ISPECIAL CONDITIONS:
ICALABASAS CA 91302
I I I I
I
(CONTRACTOR: TEL. N0: T JAPPROVALS DATE INSPECTOR SIGNATURE
IHI TECH REMODELING GROUP INC. (800) 348-7292- 1
123679 CALABASAS ROAD STE 1101 LIC. NO ITEMPORARY POWER POLE
CALABASAS CA 91302 986591
I I (UNDERGROUND CONDUIT
I I
ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND
LIC. NO: IROUGH CONDUIT
IROUGH WIRING
I MAIN WATER LINE I 1
PLASTIC Y/N METAL Y/N
I (
I (UTILITY COMPANY NOTIFIEDI 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
REPORT ID: OPR265 ROUTE T0: B50508