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Home My Public Portal About10715 LA ROSA DR_Electrical__ °E°°°"°" APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES '/ DEPARTMENT OF COUNTY ENGINEER BUILDING /O / Jr 102 /4 BUILDING AND SAFETY DIVISION AooRE5s ✓ /T JOHN A. LAMBIE, COUNTY ENGINEER TEM /e C' WILLIAM A:JENSEN.SUPT OF BUILDING LOCALITY I7-U FOR APPLICANT TO FILL IN NE sr. R OL4 /HHD PERMIT FEES 'ROSOWNER A/D s� I-.'At//!EL ITEM NUMBER EACH FEE MAIL /� OUTLETS: $ $ ADDRESS O M LIGHTS RECEPI'. 6W. .10 LIGHTING FIXTURES 10 CITY I TEL.P /NO. -61^pp CLO.OTYERy"� ELEC.RANGES ELECTRICIAN J�E+ WATER HEATERS _ .50 ADDRESS ELEC.5PACE HTRS. DISHWASHERS CITY TEL. NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRI TND. (GROUP ZO E IP ESSED 0— y .25 i— 2 .50 INSPECTIOM R CORD t 2— 5 1.00 b / 5— 15 1.50 / 15— 50 2.50 50-200 5.00 NO.TRANS. SIGNS: NO.LAMPS SERVICE 0-500V 1.00 % SERVICE OVER 600V 5.00 —J— MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT TOTAL FEE I$ J 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECT R'SSIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING / A_ LICENSED AS REQUIRED BYILOS ANGELES OUNTY AND STATE OF FIXTURES ' CALIFORNIA OR THAT PAM THE LEOq OWNER OF THE ABOVE DESCRIBED RESIDENT,I(AI: '�PROPE/R/SY. ///// POWER F SIGNATURE / OA/1' 1�w/��ll / UTI LITY CO.NOTIFIED OF PERMITSIGNATURE FINAL 4I- ®r VALIDAT N-, ARTHUR C.VEIT, CK mo CASH SUPERVISING ELECTRICAL ENGINEER h,�03 1 9 0 n JUL 6 2 A 2.5 0s COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer ® �� DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer ELECTRIC FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN HERRIN 1 7 D 24k' r ON ROAD RECEIVED BY ST INS FOR DATL ISSUED ADDRESS ee FIRST INSPECTION /�� ! � CITY I I'No. W -6 COUNTY LICENSE NO.0ea EXPIRESBUILDING? PERMIT FEES ADDRESS Y-4—lo ) NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS 5' MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 / CITU TEL NO. Fi%TURES 5 V 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS 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 LOS Nu.aFEE HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER Ntw Mv.. NP .VER Inc. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. NE. rM�D. HP %2 a "as B .25 SIGNATURE OF _ I/] 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD _ 5 Is 1.50 _ _ is 50 2.50 50 200 5.00 _ _ 200 500 10.00 J SOO 1000 15.00 a Z OVER tOOO 20.00 0 M.G. HET/FRED. CHANGER-HP Q' WELDERS: AC-KVA D GENERATORS - KW _ TRANSFORMERS - KVA TEMP. MOTORS (75% Or .NI.-) MOVED MOTORS (75% or ORI..) M ISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO, LAMPS FOR EACH PERMIT: DATES INSPECTOR'S NAME WIRING 81.00 CONDUIT FIXTURES _ 01.00 WIRING -�'!✓ �r A SUPPLEMENTARY .50 F{XTUREB 7 POWER TOTAL FEE S L UTILITY CO.NOTIFIED A All. FINAL �- 7GA383 DBS#5A 4-52 75A663-cEBD6 468 APPLICATION FOR ELECTRICA° PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING r�++`� BUILDING AND SAFETY DIVISION ADDRESS V 1 S ` 12- JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W.,JENKINS, SUPERINTENDENT OF BUILDING LOCALITY A NEAREST FXTURES OR APPLICANT TO FILL IN CROSS ST, /�J1 NO. AC FEE hI $ $ OWNER - -� 4!a MAIL /�� TOTAL FIRST 20 (} .20 Q� ADDRESS G S' _sL OVER 20 v .10 U CITYEL. NQ_PLAN CHECK G lTOTAL FIRST 20 .20 APPLICANT S /!� OVER 20 .10 ADDRESS pRY ER—WTR.HTR.— CITY TEL. NO.K_DISP.—LF.A.U.— CONTRACTORTR._AIR COND. ADDRESS S WASH.�DISHWASH.— CITY TEL. NO. OTHER Z 1.00 Z LICENSE NO. CLASS. MOTORS.TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - I 1.00 1 HEREBY CERTIFY THAT.1 AM PROPERLY REGISTERED AND/OR 1 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL 9WHER OF, AND INTEND TO 10 50 5,00 RESIDE IN, THE ABOVE ESrRIP. RESIDENTIAL PROPERTY. 4ATU E 0- 50 - 100 10.00 OF PERMIRT TEE V V 100 - Soo 15.0o DIS IC NO. GRI}UP NET P ESSED BY p SIGN.GAS SIGN AND ONE CIRCUIT 3.00 _/ ~ TUBE. OR V W MARQUEE ADDITIONAL CIRCUITS � I .00 NOTES' y �� Z SERVICE NOT OVER 600 VOLTS OR 20D AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE. &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE V B WORK DUIT PERMIT FEE (SUB TOTAL) PLAN CHECK FEE (50% PERMIT FEE) HORIZEDPERMIT ISSUING FEE 2.00 .NOTIFIEE) LLSUPPLEMENTARY PERMIT ISSUING FEE 1.00 /'lo'`V / TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELE� ]CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ! cJ M.O. CASH LR(„U 9 9 4 1 ? 1 1 .70 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �� WORKERS'COMPENSATION DECLARATION CE 863 APPLICATION FOR ELECTRICAL PERMIT 76A66G (2.80) v I hereby affirm that 1 have certificate of consent to self COUNTY OF LOS ANGELES m BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab. C.) h Policy No. EACH N Company FOR APPLICANT TO FILL IN ,IOADDRESS B / !- C� r CH O. FEE fllJ L f z New Residential Bldgs.& Pools s_ ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. S — S LOCALITY 4 NEAREST— Certified copy is filed with the county building inspection Multi-family Sq. Ft. CROSS ST ✓l/� (/1/ 7-- t department. Residential Swimming Pools OWNER OR - FIRM NAME Date Applicant Outlets: Rec..7Light�L Sw. --. MAIL - First O ADDRESS L • S - 1 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.A__7_ Additional ' COMPENSATION INSURANCE CITY Tel No. - 6 C PLAN CHECK (This section need not be completed if the work involved - yjC ' SC PPLICANT OU First 20 by the permit is for one hundred dollarLighting Fix s ($100) or less.) ADDRESS Total No. t Additional - O I certify that in the performance of the work for which this CITY LT1 No. ♦— permit is issued, 1 shall not employ any person in any manner Fixed Appliances Not Over 1 HP U PERMIT W so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT d N _ Oven _ Dryer_W.M. ADDRESS z Date Applicant Top _ FAU _W.H.._ Hood _ Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: if, after making this Certificate of Disp. _ Room Air Cond.4- 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. PROCESSED BY _ with comply with such provisions or this permit shall be R K W HP &T Size Type ,K , VA,or KVA deemed revoked. Si Up to 1 Incl. Over 1 to 10 Ind. FFINT L LICENSED CONTRACTORS DECLARATI ON / Z� 7— �� VALIDATION Over 10 to 50 Incl. 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- BY Over 100 � ness and Professions:Code, and my license is in full force and effect. Services License Number Lic.Class •0-200 Amp.Under 600 V 201.1000 Amp. Under 600 V Contractor. Dale 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): - _ 13 3 2 3 6 A Misc.Conduits&Conductors 1, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code). ' CONSTRUCTION LENDING AGENCY. j .e'e 1 BOO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is e e e 1 800 PERMIT FEE issued (Sec. 3097,Civ.C.). (Sub-Total) Q ,Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 1.28-8 O Lender's Address PERMIT ISSUING FEE I certify that 1 have read this application and state that the. TOTAL FEE (� above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby a ze representatives of this County to enter upon thea ve- en wed property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE . �m e o rmitlee ,Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0006080017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 17867 LT: 45 10715 LA ROSA DR FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917803410 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PERSIMMON 8574-002-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75 TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.95 06/08/00 UT 1,2/05/00 H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 FINAL DATEFINAL BY: CODE: ANDREWS PHILIP A;KAREN E TRS - H9 RES APPL LT 3HP 1.00 RES 10.95 10715 LA ROSA DR TOTAL FEES 87.15 �1� TEMP 917803410 DESVV IP31ON OF WORK ELECTRICAL FOR KITCHEN REMODEL APPLICANT: TEL. NO: SAME AS OWNER - __ SPECIAL CONDITIONS: GtLEcC p CONTRACTOR: TEL. N0: QS �/� �� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO / TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: _ �� /. UFER GROUND LIC. N0:�-� I � ', IO ROUGH CONDUIT - l:.�J -�' -�� ROUGH WIRING �.� `_ �� ,... /1 '• � iI�1� �; 'j: �, l MAIN WATER LINE -,� PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED service REPORT ID: DPR265 ROUTE TO: BS0508