HomeMy Public PortalAbout10714 LA ROSA DR_Electrical__ COUNTY OF LDS ANGELES APPLICATION FOR PERMIT
Dof County Engineer � �����
DIVISIONSION OFF BUILDING & SAFETY
WILLIAM J. FDX, County Enpinoar
FOR APPLICANT TO FILL IN DISTRICT y0. GRDUP ZONE PERMIT NO.
ELECTRICIAN W. HERRIN S 70yV
V V RED I. ED BY READY FOR DATE ISSUED
ADDREBB eAki_ [ FIRST INSPECTION Jj
CITY TEL. N S 6
COUNTY LICENSE NO. EXPIRES 4 BUILDING n I,
PERmrfFEES ADDRESS
FEE ' /1 i
NUMBER EACH LOCALITY G.J
LIGHT OUTLETS NEAREQT
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER �F' 4
TOTAL OUTLETS Sc 8 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 1, 25 /1 CITY TEL NO.
FIXTURESy 6 d
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. q APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS Z / AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND BTATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POWERS THE ABOVE VALID LOS
N unleeR HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MYG. HP Gv[R IHe. IIAC' OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
!/2 6 [eae 8 .25 SIGNATURE OF
_
V
. 2 .SO PERMITTEF /
s 1.00 INSPECTION RECORD
is 1.50
_ SO 2.50 _
200 5.00 _
500 10.00 J
1000 15.00 a
Z
OVER 1000 20.00 0
M.G. SET/FRED. CHANGER-HP O
WELDERS:AC-KVA O
GENERATORS - KW _
TRANSFORMERS KVA
TEMP. MOTORS (75% OF ORIG.) _
MOVED MOTORS (75% OF ORIG.)
misc.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS —
FOR EACH PERMIT: DATE," INSPECTOR'S NAME_
WIRING 91.00 CONDUIT x
FIXTURES 91.00 WIRING 3L-fyT ' u'� �I /O
SUPPLEMENTARY Sol FIXTURES
POWER
TOTAL FEE a y- UTILITY CO. NOTIFIED w / .✓��
1OA663 DDS#5A 4-52 /
_ COUNTY OF LOS ANGELES TEMPLE CITY H 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 6402200020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
-LEGAL FEES PAID BUILDING ADDRESS:
TR: 17867 LT: 52 10714 LA ROSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803409
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PERSIMMON
8574-002-028 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN Y: EXPIRES ON:
02/20/04 VG 08/18/04
OWNER: TEL. NO: FINAL DATE INAL /� CODE:
GOODY, SERGIO (626) 454-5383- Z�1";�Y:0� (� /
10714 LA ROSA DR \
TEMP 917803409 DESCRIPTION WORK
RELOCATE AND UPGRADE SERVICE TO 200 AMP
APPLICANT: L. .
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER-GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING -
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTI IED
REPORT ID: DPR265 ROUTE TO: BS0508