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HomeMy Public PortalAbout9142 LA ROSA DR_Electrical__ 76A663-CE606 9-64 APPLICATION FOR ELECTRIC L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FADDRESS yg BUILDING AND SAFETY DIVISION qZ h JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT. OF BUILDING rFOR APPLICANT TO FILL IN RECEPT, 7_1 TOTAL NO. EACH FEE LIGHT OUTo TSS FIRST 20 y1 $20 $ OWNER' f� MAIL ADD'L 10 ADDRESS SWITCH. OVER 20 LIGHTING FTOTAL , FIRST 201 .20 CITY TEL. NO. FIXTURES 10 ELECTRICIAN ,�L • OVERR 20 2 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS //L l/ ' ,y/ GARB.OISP. STA.COOK CITY 'Z 11401f ,6 TEL. NO. -U� / DISHWASH. AUTO.-WASH. STATE SPACE HTR9. BTA.APP.(%a H.P.MAX.) ,50 LICENSE O. MOTORS: OVER NOT OVER H.P. DISTRICT NO, GROUP ZONE P L ED O 1 1.00 � 1 3 1.so INSPECTION RECORD 3 8 2.00 a O 8 15 2.50 U Is 50 3.00 O I- 50 50 100 5.00 u W SIGN61 NO.TRANS- a NO.LAMPS V7 Z SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 I SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIING APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPCONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATI ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/ FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND RESIDE IN, THE ABOV RIBED RESIDEN L P OPERTYPOWER SIGNATURE i UTILITY CO.NOTIFIED OF PERMITTE FINAL �. DATION EPH C. R O CK MO GASH SUPERVISING ELECTRICAL ENGINEER LALO 4 7 2 3 SEP 14 2 D 3.4 0! 76A663-CE806 6;63- APPLICATION FOR •ELECTRICAL RMIT COUNTY OF LOS ANGELES. DEPARTMENT OF COUNTY ENGINEER [NEAREST UILDING BUILDING,AND SAFETY DIVISION DDRESS aSfl JOHN A. LAMBIE, COUNTY ENGINEER C WILLIAM A. JENSEN, SUPT OF BUILDING OCALITY FOR APPLICANT TO FILL IN CROSS ST. RECEPT.Q 5 TOTAL NO. EACH FEE 6, 6- OUTLETS' FIRST 20 $.20 $ 0� OWNER LIGHT 3 � MAIL ' ADD'L .f0 ADDRESS SWITCH. S� OVER 20 TOTAL - CITY TEL. NO. LIGHTING � FIRST 20 .20 r} . FIXTURES 5 ADD'L ll 10 ELECTRICIAN Cti G RANGES CLO.DRYERS WTR.HTR8. 1.00 ADDRESS GARB.DISP. BTA.COOK / CITY TEL. NO. (/ .3 Z3 ' DISHwasH. AUTO.-WASH. _ STATE SPACE'HTRS. BTA.APP.(y■H.P.MAX.) .50 LICENSE NO.• O l0 MOTORS: /OVER NOT OVER H.P: - DISTRICT N . GROUP - j P OC BY ' G 0 1 1.00 �� 117, 1 3 1.50 INSPECTION RECORD s 6 2.00 d� } _ a. S is 2.50 15 50- 3.00 O SO 100 5.00 r ~ Lu W SIGNS NO.TRANS (L NO.LAMPS Z SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 - SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT`I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING' THEREBY. CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR / LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES r CALIFORNIA- OR THAT 1 A THE LEGAL NER OF THE ABOVE DESCRIBED RESIgEN A}P ERTY. POWER SIGNATURE (f UTILITY CO.NOTIFIED OF,PERMIW FINAL 7 '(,��/, !! ` - VALIDATION ARTHUR C. VETT "✓ - SUPERVISING ELECTRICAL ENGINEER CK MO CASH ''' f :5 4:-? '?� OCT 25 2' 0 1 6.00f-- V \7 1 76A663-CE806 4.65 APPLICATION FOR ELECTRIC PERMIT LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / �S�T BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN•W. JENKINS• SUPT OF BUILDING LOCALITY M %� NEAREST ,/ FOR APPLICANT TO FILL IN CROSS ST. RECEPTACLETOTAL NO. EACH FEE 7- )R S a - ` 1 OUTLETS FIRST 20 $.20 $ OWNER N LIGHT J} MAIL //�� �/( . OVER 20 . ADDR 10 SWITCH ESS _54/� 1 E /� LIGHTING I FITOTALXTURES FIRST 20 ,20 CITY � '�`•�� EL. NO. FIXTURES ADD'L CONTRACTORL-EC �C- OVER 20 •10 v RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS .32- &- - GARB.DISP. STA.COOK CITY ..ANO. DISH WASH. AUTO.-WASH. STATE / �/ � .s /1 If SPACE HTRB. BTA.APP.(I/a H.P.MAX.) .50 LICENSE NO. C MOTORS: OVER NOT OVER H.P. DISTt�54cT No. I GROUP I ZONE PROCE E BY O 1 . 1.00 `J Q i s 3 1.50 St) INSPECTION RECORD s S 2.00 ')1 8 15 •o 2.50 �" , .r�l�aGs� .► �/ 15 50 3.00 I ,,,,/t �� _ v V , 50 100 5.00 r '� NO.TRANS SIGNS. NO.LAMPS /jjt V Lu rL SERVICE 0-600V.NOT OVER 200A 1.00 J v N SERVICE 0.600V.OVER 200 A. 2.00 SERVICE OVER 600V 5.00 , OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTAgY PERMIT ISSUING FEE 1.00 TOTAL FEE $ APPROVALS DATB INSPECTOR'S SIGNATURE IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR. FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND O POWER. RESIDE IN,-THE ABOVE DES .BED RESIDENT P ERTY. SIGNATURE UTILITY,CO.NOT IFIED �X OF PERM.TTE9 FINAL - LIDATION JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER :6.,Afi=47:%o DEC 2 2 :'D 76A663"CESOG 4-65 APPLICATION FOR ELE - RI RMIT Tu COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS' ! /9 dys/9 COLEMAN WJOHN A. LJENKINS�SuPrUNTY EoF BUILDING LOCALITY NGINEER /erne/F �% / NEAREST FOR APPLICANT TO FILL IN -CROSS ST. f1 VL°� !✓f•g RECEPTACLE7JfOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ OWNER LIGHT �Q (rV MAIL ' SWITCH4/ f ADD'L VER20 10 ADDRESS i O TOTALFIRST 20 .20 CITY ` .TEL. NO. - LIGHTING FIXTURES 11 FIXTURES ADD'L 'CONTRACTOR C� PC OVER 20 .10 RANGES CLO.WARS .TR.HTRS, 1.00 ADDRESS GARB.DISP. BTA.COOK CITY ,.���.L � �'�" TEL. NO. T 3 2'3? DISHW ASH. AUTO.-WASH. STATE D A �® SPACE HTRS. STA.APP.(+/x H.P.MAX.) .50 _ LICENSE NO. (� MOTORS: OVER NOT OVER H.P. DIST CT GROUP Z NE P71CE E BY W '1, 1.00 1 3 1.50 INSPECTION RECORD 3 8 2.00 8, 15 2.50 is 50 3.00 O s0 100 5.00 V ce SIGNSI NO.TRANS - O NO.LAMPS I� • V W SERVICE 0.600V-NOT OVER 200A 1.00 - H SERVICE 0.600V-OVER 200 A. 2.00 ? SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTABY PERMIT ISSUING FEE 1.00 T L FEE APPROVALS OATS INSPECTOR'8816NATUR! �-' S I HEREBY AC OWLEDGE THAT I HAVE READ THIS APPLI ATI ON UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT I A PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY L ANGELES COUNTY'AND STATE OF CALIFORNIA OWTHAT I M T LEGAL WNER O AND INTEND TO POWER RESIDE IN,THE ABOV S BED R IDENTI ROPERTY. SIGNATURE f UTILITY CO.NOTIFIED OF PERMITTEE FINAL VALIDATION JOSEPH/C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER' 0 6-2-.7':0 DSC 8 2 D 9.4 0� ,g —WORKERS'that COMPENSATION DECLARATION CE-806 10i81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or o certified copy thereof (Sec. 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB �• , ` /► /� Certified copy is hereby furnished. New Residential Bldgs:& Pools EACH NO FEE ADDRESS-1 '�1� LA ��T"r- ❑ Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft + $ = $ LOCALITY tion department Multi-family Sq. Ft. NEAREST /S Residential Swimming Pools`t w�, ,` ;.+ CROSS ST 1 j-� Date Applicant r e',i �+ \ OWNER OR S 1 EF e Orn 1 _ �•< FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' } + �;, IMAIL ii COMPENSATION INSURANCE Outlets: Rec Light Sw._ )ADDRESS 1-9 �� ' This section need not be completed if the work-involved b First 20 C ( P y Total No -Additional CITY the permit is for one hundred dollars ($100)or less.) PLAN CHECK I,certify that'in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to to t n L ws Lighting Fixtures First 20 ADDRESS - \ Total No. Additional Date +' — Appli CITY Tel. No. NOTICE TO-APPLICANT If, after ma i g is Certificote of Fixed Appliances Not Over 1 HP PERMIT ��.�-7�� Exemption, you should become- subject to the Workers' Range_ Heater_D.W _ APPLICANT E� �i�c_/ rc� C Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W.M.— ADDRESS 9 (� with comply with such provisions or this permit shall be Top _ FAU _WH. _ deemed revoked. Hood Fan _Other_ CITY 7�145tC_ (:�� Tel. No.gNd-7 gZ LICENSED CONTRACTORS DECLARATION LICENSE OR ��� /�© I hereby affirm that I�am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER Class. ,(commencing with Section 7000) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO P ED BY Dr' and Professions Code,and my ice is in full force and effect p� O �J/_Sr7^f %'1 �\ Size&Type HP, KW, KVA, or KVAR' (1 U License Number��((� [� 1 UUULic ClassC�1 �J Up to 1 Incl � FINAL. 'Contractor Date 2-4 Over 1 to 10 Incl. DATE VALIDATION U ❑ Over 10 to 50 Incl. FI W I am exempt under Sec Over 50 to 100 Inc CL B&P C for this reason Over 100 Z Date. Services, Swbd , MCC& Panelboards 0 - 200 Amp. Under 600 V ' Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V �3 5 a 9 A Exemption for Reg. Maint Eject. SINGLE FAMILY Tem Power Pole & Appurtenances 0 0 0 0 0 2 HOME OWNER-BUILDER DECLARATION p pp 10 Sign with One Branch Circuit o 0 0 4 Q 5 0'o 4 Q 5 0-_ I hereby affirm that I am exempt from the Contractor's License v Law for the following reason (Section 7031.5, Business and Additional Sign Branch Ciircuits I = Professions Code 2 Q 4 85 , ❑ I, as owner of the property, will do the work and the Misc. Conduits &Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 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) 156 (Sec 3097, Civ C ) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE D Lender's Address I certify that I 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 Lb authorize representatives of this County to enter upon the abo n rty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signa-ru—re—oT Permittee Date S WORKERS' COMPENSATION DECLARATION .20-0019 DPW APPLICATION FOR ELECTRICAL PERMIT I hereby affirm�jhat I have a certificate of consent to self CE"8 - 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 No. Company. FOR APPLICANT TO FILL IN SOBot' kfq os ❑Certified copy.is hereby furnished New Residential Bldgs. & Pools EACH NO FEE ADDRESS Gy ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY tion department Multi-family Sq. Ft. — NEAREST CROSS ST Date Applicant Residential Swimming Pools J OWNER OR MM �� //L� FIRM NAME (07r) P� CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecALight Sw._! MAIL in e� L ®� COMPENSATION INSURANCE First 20 lp� ADDRESS T (This section need not be completed If the work involved byCITY Tel No the permit is for one hundred dollars ($100)or less.) Total No. Additional C9C� PLAN CHECK CHECK �� C17� I certify that in the performance of the work for whi h this APPLICANT permit is issued, I shall not employ any personanner DO so as to become subject to the-Workers'Comp sat n Laws Lighting Fixtures First 20 U• ADDRESS Additional ` . ,,(�.4�t � Total No., CITY Tel. No. Date - Applicant Fixed Appliances,Not Over 1 HP NOTICE TO APPLICANT If, after making this Certificate of PERMIT �p Exemption, you should become subject to the .Workers' Range—' Heater—D.W. — APPLICATION �L C��"! Compensation provisions of the Labor Code,-you must forth- Oven Dryer —W.M — ADDRESS &04,o GF J>/Z with comply with such provisions or this permit shall be Top " FAU —W.H. — C\+ deemed revoked Hood Fan —Other— CITY ! el o. LICENSED CONTRACTORS DECLARATION — Disp Room Air Cond. _ LICENSE OR r I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER ,7 Class.C—to (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances. DISTRICT NO and Professions Code,and my license is in full force and effect. PR ESSED BY d ��y9 . Size&Type HP, KW, KVA, or.KVAR 40 Q License NumberSZ'7� ,k3 Lic Class e' © Up to 1 Incl FINAL U Contractor�K�� GT ( � •�� Over 1 to 10 Incl. DATE i�, j—g/ VALIDATION _ Over 10 to 50 Incl. FINAL ~ ❑, I am exem t under Sec _ } Over 100 Over 50 to 100 Inc BY _f� W B.&k f hi eason _ - _ N L ,D�' Services, Swbd., MCC & Panelboards ' ► Z Date: _0-200 Amp. Under 600 V — Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole &Appurtenances - HOME OWNER-BUILDER DECLARATION ,g I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit AC )° Law for the following'reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits'&Conductors 1 I I EN structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ TI'TIrIL 127 - 60 Business and Professions Code)` , _ CONSTRUCTION LENDING AGENCY CHECK 1=�''-'f l nR- I hereby affirm that there is a construction lending agency for �;�tts�r3E the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ C ). " PLAN CHECKING FEE Lender's Name i;l]I 1Il-l)l Sl1,i 1r`14/''1 Lender's Address PERMIT ISSUING FEE 3 its '4 1 AMI1° �,. l-''} ° I certify that I have read this application and state that the TOTAL FEE 'S above information is correct I agree to comply with all County ordinances and St to laws regulating Electrical wiring, and hereby outh ize presentatives of this County to enter upon the move- nti ned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Signature of Permittee Date WORKERS'COMPENSATION DECLARATION CE-806G-663' io/er ' APPLICATION FOR ELECTRICAL PERMIT ' CE - ,I hereby', ffirm that I have a,bertrficate of-consent to self Insure, or a�cerhficate of Workers' Coin pensatiori•1nsurance,,or a-certified-„' COUNTY OF•LOS-ANGELESr ' :s BU_ILDING ANDSAFETY copy,thereof( Lati C)_ Sec 3800, o' Policy No. +Company ; FOR APPLICANT TO FILL IN JOB Qt D i PY• Y, 3 New Residential.Bldgs 8-Pools EACH`„ NO,PFEE ' rADDRESS sCertfied co Is hereb' furnished;' .. R.r 1 8 2;Family,Sq.Ft ` $ — LOCA_L+ITWCertrfied copy' Is-,filed' with'•the county,.building .Inspection,department Multi-family Sq Ft• - NEARESCROSSRResidentialSwimming Pools: OWNER OR Applicant • ri •FIRM-NAME o. r••,.-'• ••,CERTIFICATE•OF,EXEMPTION,FROM•WORKERS'',;•' o ` MAIL„ -Outlets Rec— Light — Sw• - l=• >. COMPENSATION INSURANCE,, : _ .ADDRESS. ,(Thi's'section need,not.be completed If the work involved by'the '; First 20 permit is for one.hundred dollars ($100j.or-less.) Total No, ;,Adddional CITY- TAA el No I certrfy.that,-in,the:perfiormance,of the.work for which this.permit+ APPLICANT is'Sissued, I shall-not,employ,' any;person In,,any,manner so as to',,'_. become.subject to;the;Workers'-Compensation Law LightingFixFlrsf 20- ADDRESS_ _ ' Additional' Total,No. CITY± TeI;No Date Pllcants•, „ -•Fixed Appliances Not Over 1 HP 'PERMIT NOTICE,:;TO APPLICANT:, If,':after making•..this Certrficate sof,'z 'APPLICANT • ,�.V ..Exemption;you:sh`ould'become sub lect.to tlie'Workers'Compensation^ rRarge_ Heater =DW _; ^.l , provisions,:of the Labor Code„you must'forthwith•'comply with•such, .'Oven _.Dryer W.M _. t ADDRESS. ; provisions or_this,permit-shall.be"deemed revoked. 'To FAU^_-_•W H_ r11 ""' ' p� ' CITY Tel'•No �Z AIM •. - LICENSEDrCONTRACTORS.DECLARATION Hood + �Fan _, Other_ I;hereby affirm that 1'am�dicensed under provisions'of.,C'hapter,9 uCENSE OR Dlsp Room Air.Cond :— Class .-, _ ,REG.NUMBE 00) of Division.3 of the Business and ti•» (commencing with.Section 70 R'f Professions Code,and my license Is In full force,and;effect, _ Power Apparatus &Large Appliances t DISTRICT No SED BY, Size B Type.HP;KW, KVA,for KVAR License Number Lic Class � •* t •`i In = AL• __ U -ver 1,to 1 Incl. e DATE ' �� VALIDATION, 0 ❑ }. Over 10 to'50 Incl.• , FINAL U I am exempt-under,Sec i Over 50•to 100 Inc._ BY W B&PC for this;reasom � Over,100 N ' Services;Swbd,MCC'&Panelboards _Z_ Date; 0. .200 Amp Under✓600'V r Signature Amp-Under 600-V- %-201.-1000 - - - - �: • ,,Over 1000 Amp or Over 600 V - w Exemption for-Reg'�Mamt Elect SINGLE FAMILY, r- f q t Temp.Povier'Bole& Appurtenances HOMErOWNER,'BUILDER DECLARATION '"" _ Sign with One Branch Clrcwt' , +" o� I hereby,affirm that I'am'exempt from the Contractors License L'aw•' r _� , AdditionahSlgn Branch'Circuits ; for•the following reason (Section 7031 5;Business and Professions (l•� •• z .4 t Code) Misc Conduits& Conductors -- - - 0 I,as owner of the property,'wdl do'the work„and the structure � Is not Intended or offered'for sale (Section 7044, Busihess;`.y Other'(See Complete�Fee`,Schedule)•. + , t ,;. .� ' ”: T(ETwE ��{ -7- m". _s and Professions Code) i Y CONSTRUCTION LENDING AGENCY ti_' ' _ r r h0j „I hereby affirm that,there is.a construction,lending agency for,the' L .performance,ofthe work for,which this"perrriit is-issued'(Sec 3097,E " , PERMIT FEE. r�,. .(Sub-Total)., a �. 'CIV -y.•�. . _ _ ,� �. S.,`y, g �1.. .. •�{yi _•}. V'• n V . , 'c J i�(}'-�I�FIJ i!+7 i tel' } P,LAN,CHECKING FEE.,, a 'Lender's Name 1 •,PERMIT ISSUING�FEE':. •- -Lender's Address TOTAL FEE a I certify that I have.'read'this'application"and state that the above •� ,•.;� � � ' ^�'`_, .. '�• i'•, I � d information,is correct-'t agree.to complyYwith all County ordinances, r, and State laws.--regulating Electrical winng,'and hereby.authorize representaiives'of'-this County to"'enter upon the-above-mentioned property r'inspectl urposes „ SEE REVERSE F•,OR EXPLANATORY,}LANGUAGE .-Sig natur f ej Dat � + ;•6 ,. ` •r - '•, , '`' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0602210046 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 28317 LT: 5 9142 LA ROSA DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803016 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5388-009-012 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOP WOOD SHUTTER JX MOTORS, LT 3 HP 1.00 MOT 15.30 02/21/06 JK 08/20/06 TOTAL FEES 50.85 OWNER: TEL. NO: FINAL DATE LXFIIJKATI BY: CODE: TOP WOOD SHUTTER (626) 286-8817- 9145 LA ROSA DRIVE Cu TEMPLE CITY CA 91780 DESCRIPTION OF WORK ELECTRICAL FOR PRE-FAB SPAY BOOTH APPLICANT: TEL. NO: M.H. TECHNICAL SERVICES (562) 426-3453- P.O. BOX 9130 SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE 'INSPECTOR SIGNATURE BAR Z INDUSTRIAL (909) 481-3450- 8356 BELLA VISTA LIC. NO TEMPORARY POWER POLE ALTA LOMA, CA 91701 727856 B _ UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508