HomeMy Public PortalAbout10726 LA ROSA DR_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department OF of CountBUILDING
Engineer ELECTRIC
DIVISION AM BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO.
ELECTRICIAN 5. W HCPgllSl RECEIVED BY READY FOR 06 1SBUE�
ADDRESS 4937 BUFFINGT FIRST INSPECTION �' 'JJ
ciT 11 ONTEE, CALIFO NO. /
COUNTY LICENSE NO. �Y EXPIRES BW LDINB r�I O � I
PERMIT FEES ADDRESS J
�/1
NUMBER EACH FEE LOCALITY C/
LIGHT OUTLETS NEAREST
RECEPTACLES / CROSS ST.
WALL SWITCHES OWNER /L
TOTAL OUTLETS Sc S MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 23
q -- CITY TEL NO.
FIXTURES �r9 S
I 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
NuMRER HORSEPOWER
FEE
HPANSELEB COUNTY LICENSE, OR I AM THE LEGAL OWNER
N[w MYv. I OVER IRc. EACR OF THE RESIDENTIAL PROPERTY DES R1BED ABOVE.
I/2 s "So S .25 SIGNATURE OF L
_ I/2 a .50 PERMITTE I/! -----
a 5 1.00 INSPECTION RECORD
SE21
1,50
_ 15 2.50 _
_ sD s.DD zOO 10.00 J
1000 15.D0 a
Z
OVER 1000 2D.00 - ES
M.G. SET/FRED. CHANGER-HP O.'
WELDERS' AC-KVA D
GENERATORS --KW _
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF vR...)
MOVED MOTORS (75% OF ORI..)
M IBC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DAT/1E INSPECTOR'S NAME
WIRING 51,E �- CONDUIT
FIXTURES $1.00 L_ WIRING
SUPPLEMENTARY .SO FIXTURES
POWER
TOTAL FEE S � UTILITY CO.NOTIFIED
i
FINAL
7GA6G3 I)BS#5A 4-52
COUNTY OF LOS'ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1107060037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 1]86] LT: 50 10726 LA ROSA DR
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917803409
ASSESSOR INFORMATION NUMBER: INEAREST CROSS STREET: EL MONTE
8574-002-026 JAI PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
G1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.30 1 1
(TENANT: IG2 LIGHTING FIXTURES 5.00 LOT 9.70 TISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 60.80 07/08/11 SR
(OWNER: TEL. N0: FIYAL FINAL BY: CODE:
110726 LS GU (416) 878-5508- / 2. -J_]�1T{�J
10726 LA ROSA DR
TEMP 917803409 IDESCRIPTION OF WORK
(ELECTRICAL 12 OUTLETS AND 5 LIGHT FIXTURES FOR NEW ADDITION
APPLI CANT: TEL. N0:
(LAM, KEITH (626) 277-8067-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
ANDRADE CONSTRUCTION (909) 437-9740-
116638 VALENCIA AVENUE SUITE 5 LIC. NO (TEMPORARY POWER POLE
FONTANA, CA 92335 878116
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: 1UFER GROUND
CHIEN YEH ARCHITECT (626) 288-8178-
1160 W VALLEY BLVD LIC. NO: IROUGH CONDUIT
SAN GABRIEL CA 91776 22638 C
ROUGH WIRING
(MAIN WATER LINE
(PLASTIC Y/N METAL Y/N
1UTILITY COMPANY NOTIFIED( I I
I I I II I II
I I I I I
I I 1 I I
I I I
I I I I I
REPORT ID: pPA265 ROUTE TO: 850508
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