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Home My Public Portal About10733 LA ROSA DR_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY � �� WILLIAM J. FOX, CaUnty Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT/NO. ELECTRICIAN O Z` RECEIVED BY READY FOR DATE ISSUED ADDREBB — _ FIRST INSPECTION CITY TEL.N �j f, POVV7 COUNTLICEN Y BE NO. EXPIRES ® SUILDINB� PERMIT FEES ADDRESS PEE T� NUMBER EACH LOCALITY s LIGHT OUTLETS NEAREST RECEPTACLES CROBH ST. WALL SWITCHES OWNER TOTAL OUTLETS 5. MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 C ITY TEL NO. FIXTUREB _ B 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS M1BC. 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 NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVO. NP ovcq inc. EAC. OF THE RESIDENTIAL//L PROPERTY DESCRIBED ABOVE. I/p s Ltss S .25 BISNATURE I/a 2 .60 PERMITTEE 2 6 1.00 INSPECTION RECORD _ 5 IS 1.50 _ 15 50 2.50 _ _ 50 200 5.00 _ _ 200 500 10.00 J 1000 15.00 a Z _ OVER 1000 20.00 M.G. BET/FRED. CHANGER-HP WELDERS: AC-KVA O GENERATORS - KW _ TRANSFORMERS - XVA TEMP. MOTORS (75% OF BRIB.) _ MOVED MOTORS (75% OF ORIG.) MIBC. SIGNS NO. NO.TRANB. APPROVALS NO. NO.LAMPS FOR EACH PERMIT. DATE/ INSPECTOR'S NAME WIRING S1.00 CONDUIT _ FIXTURES $1.00 WIRING � � A"Q��► L/�r�G SUPPLEMENTARY .50 FIXTURES 111111 POWER TOTAL FEE J3 7 UTILITY CO.NOTIFIED ��_�♦ 1 FINAL 76A663 DBS#5A 4-52 ✓ .H 'VJ�RKEItS- `GnAPE"SAT'°" DECLARAT.°" '°"663 '°'B' APPLICATION FOR ELECTRICAL PERMIT y. CE-9066 [I I,h9reby'affiirw that I hove d certificate of consent to self I`'fIf insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB O Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO, FEE ADDRESS ❑ Certified copy is filed with the county building nspec- I & 2-Family, Sq. Ft. S — $ LOCALITY tion department. Multi-family Sq. FL — NEAREST Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�ght�Swq MAIL COMPENSATION INSURANCE ADDRESSif This section need not be com leted if the work'involvad b �q� First 20 ( R Y Total No. V Additional CITY T.I. No.' the permit is for ono hundred dollars ($100)or less.) 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 Total No. Additional Date Applicant CITY 1e1, No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT ' I Exemption, you should become subject to the Workers' Range_ Heater_D.W. APPLICANT Compensation'provisions of the Labor Code, you must forth- Oven _ Dryer — W.M. ADDRESS LIZIe' with comply with such provisions or this permit shall be Top — FAU —W.H. ! ` deemed revoked - CITY Tel. No. �! /6 LICENSED CONTRACTORS DECLARATION Hood _ Fan — Other_ O LICENSE OR Disp. _ Room Air Cond. 6 class —f I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000) of Division 3 of the BusinessPower Apparatus 8 Large Appliances DISTRICT NO. _`!' PROC Y "a• and Professions Code,and my license is in full farce and effect. Lfli`UAV( 0 Size 8 Type HP, KW, KVA, or KVAR' L V License Number Lic. Class Up to I Incl. FINAL. ILI Contractor Date Over I to 10 Incl. AT �- /.z:f— VALI ION 0 ❑ Over 10 to 50 Incl. FINAL' I am exempt under Sec. Over 50 to 100 Inc. BY d B.BP C. for this reason Over 100 N Services, Swbd., MCC 8 Panelboords ► z Date: 0 -200 Amp, Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Low for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of thero ert will do the work and the Misc. Conduits 8 Conductors p p Other (See Complete Fee Schedufe)_ 4.7 Q.9 Q structure is not intended or or offered for sale (Section 7044, Business and Professions Code). ► # • �.e•e,e 'Z CONSTRUCTION LENDING AGENCY ) �Ie 4•�,Q 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) Z x (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE I above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby thorize representatives of this County to enter upon the a e-ry tion er for inspection purposes. // SEE REVERSE FOR EXPLANATORY LANGUAGE Sfr5gnature 0f Permi to Date COUNTY OF LOS ANGELES TEMPLE CITY g 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1305020013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: I LEGAL ID: FEES PAID TR: 17867 IT 48 BUILDING ADDRESS: 10733 LA ROSA DR I _IEEE DESCRIPTION: QUANTITY: POM: AMOUNT: 1 TEMP CA 917803410 ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: PERSIMMON 18574-002-024 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 26.00 OUT 47.10 1 1 ITENANT: IG2 LIGHTING FIXTURES 6.00 LGT 12.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 HA FAD LESS 3HP 1.00 FAU 11.00 105/02/13 SR H2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 1 IOWNER: TEL N0: IHl RES LT 3HP 1.00 DIS 11.00 +FI / FINALY: CODE: 1LIAW, KATHERINE (909) 331-1155- 1RANGE DOE'H4 AES RANGE HDS LT 3HP 1.00 H00 11.00 1 1110733 LA ROSA DR IH5 RES WASH MACH LT 3HP 1.00 WAS 11.00 TEMP 917803410 IJB AC UNITS *3-10HP 1.00 AC 19.70 DrSOCRIPTION OF WORK TOTAL FEES 161.60 126 OUTLETS, 6 LIGHT FIXTURES, A/C AND HEATING, GARBAGE (DISPOSAL, DISHWASHER, RANGE HOOD AND WASHING MACHINE APPLICANT: TEL. NO: GRANADINO, HUGO (626) 618-2288- 12022 SANTA ANITA AVE 1SPECIAL CONDITIONS: 1S EL MONTE CA 91733 CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE TOUCHSTONE CONSTRUCTION DEVELOPMENT (626) 618-2288- 12022 SANTA ANITA AVE LIC. NO 1TEMPORARY POWER POLE 1SOUTH EL MONTE CA 91733 938018 1 1 1 1 1 UNDERGROUND CONDUIT I I I ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND LIC. NO: 1ROUGH CONDUIT 1ROUGH WIRING W03 Azo MAIN WATER LINE PLASTIC Y/N METAL Y/N �I I I I - (UTILITY COMPANY NOTIFIEDI 1111 I 1111 I I I 11 I 111 I I II � I 1111 I I 1111 � � I 111 I 111 I 11 1 11111 � 11111 1* ADDITIONAL DATA ON FILE I I I I I 11 I 11 I 11 REPORT ID: DPR265 ROUTE TO: BS0508