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HomeMy Public PortalAbout9231 LA ROSA DR_Electrical__ 76A663 DBS SA 11-45fl APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ' WILLIAM J. FOX, CHIEF ENGINEER i, FOR APPLICANT TO FILL IN DISTRI_C� NO. GROUP ZONE PERMIT NO. ELECTRICIAN R.F. Walton °�O�/" ,- ✓� REDY FOR ADDRESS 5134 N. Acacia St. RECEIVED BY FIRST INSPECTION //DATE ISSUED CITY San Gab. TEL NO. AT 68583 )i COUNTY LICENSE NO. 1104 EXPIRES ABUILDING DDRESS 9231 La Rosa Dr. PERMIT FEES NUMBER EACH FEE LOCALITY Temple City LIGHT OUTLETS U NEAREST CROSS ST. RECEPTACLES j WALL SWITCHES �f OWNER B. E. Turner I TOTAL OUTLETS Sc 111 L` MAIL' i ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I 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 LOB NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PR DESCRIBED ABOVE. %2 a LESS $ .25 SIGNATURE OF I ri %2 2 .50 PERMITTEEL 2 s 1.oG INSPECTION RECORD 5 1 s l.so 15 50 2.50 ;I 50 200 5.00 _ 200 500 10.00 Q 500 1000 15.430 Z I OVER 1000 20.00 (� M.G. SET/FRED. CHANGER-HP WELDERS,AC-KVA O GENERATORS - KW ti TRANSFORMERS - KVA .� TEMP. MOTORS (75% of ORICO MOVED MOTORS (75% of CRIB.) MISC. f SIGNS i NO. NO.TRANS. APPROVALS NO. NO. LAMPS I+ DATE INSPECTOR'S NAME FOR EACH PERMIT: /1 CONDUIT WIRING $1.00 / FIXTURES $1.00 �� WIRING SUPPLEMENTARY .50 FIXTURES �y POWER TOTAL FEE III !1 UTILITY CO.NOTIFIED FINAL Z��✓ r �f APPLICATION FOR ELECTRIC PERMIT COUNTY. OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS12 3 UGHN A. LAMBIE, COUNTY ENGINEER ASSATT D. GRIFFIN,SUP'T OF BUIL CDING LOCALITY FOR APPLICANT TO FILL IN CROSS ST.S pEFTMRWT Fc� A� OWNER � 1 T E M NUMBER I EACH FEE MAIL p� OUTLETS: $ $ ADDRESS LIGHTS RECEPT. SW. .10 y— / LIGHTING FIXTURES 10 CI Gt �� / TEL.NO 6 /go ELEC.RANGES CLO.DRYERS ELECTRI IAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY _ L. NO. GARBAGE DISPOSERS- AUTO.- - STATE WASHERS STA.COOKING UNITE 1 .25 LICENSE NO. MOTORS: OVER INC. H P. - DISTRIC NO. I GROUP ZONE ESSED BY 0— 1/2 .25 1/2— 2 .50 INSPECTION RECORD 2=--- 5 1.00 5— 15 1.50 1 Is— so 2.50 50-200 5.00 ,`u S�•-�G- T 1� ��� s NO.TRANS. SIGNS: NO.LAMPS SERVICE 0-600V 1.00 `y tS Lr p SERVICE OVER 600V 5.00 MISC. Ago ?J- WIRING PERMIT 1.00 `� �•� (/./ 2, FIXTURE PERMIT 1.00SUPPLEMENTARY PERMIT PERMIT .50 TOTAL FEE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPEC OR'S SIGNATURE 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 I AM PROPERLY R 17TERED AND/OR WIRING i LICENSED AS REQUIRED B ANGELES C NTY AND STATE OF FIXTURES CALIFORNIA OR THAT MHE LEGAL NER OF THE ABOVE DESCRIBED RESIDENT OPE POWER SIGNATURE. UTILITY CO.NOTIFIED OF PERMITTE FINAL ®F VALIDAT ARTHUR C.VETT, ' CK MO CASH SUPERVISING ELECTRICAL ENGINEER 7CA663'DSS SA 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND'SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN r ADDRESS 9�. RECEIVED BY READY FOR GATE ISSUED � FIRST INSPECTION CITY I-&IU-4 C A _ TEL. NO. Y{Id �.rd }i COUNTY LICENSE NO. EXPIRES ' BUILDING 3 AD DRE 89 / PERMIT FEES gyp+ NUMBER EACH FEE LOCALITYI - p-yllA-4JQ' LIGHT OUTLETS NEAREST RECEPTACLES ✓/ CROSS BT. ♦1,L.6�1(� !'YA rt -fEr WALL SWITCHES 1 OWNER _,¢R TOTAL OUTLETS C,-.. sc $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 �p �\ _ CITY ,U,s= t. ;ld _4o slL:vl. TEL. N0. C FIXTURES 5 C g 1 HEREBY ACKNOWLEDGE) THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITSAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS ' NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM i TME LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. V2 A LESS $ .25 • `J �" �� - SIGNATURE OF �a� diL 4t�t �'` -•fi. �--, %2 2 .50 PERMITTEE ttt_ z s 1.011 INSPECTION RECORD 5 15 l.so • 15 so 2.50 50 200 5.00 200 500 10.00 500 1000 15.00 Q Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF,�O RI B.) _ MISC. SIGNS ' N0. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: i WIRING $1.00 CONDUIT. FIXTURES $1.00 WIRING SUPPLEMENTARY ,50 FIXTURES POWER TOTAL FEE 2 x� UTILITY CO. NOTIFIED /✓�/� 2. �] FINAL WORKERS' COMPENSATION DECLARATION 76A66vD'rw3ie7 APPLICATION FOR -ELECTRICAL' PERMIT I hereby affirm that•I have a,�certificote of. consent.to self - :CEA sure, 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.A ( + Comiay qtr*1rc•L�(.Uqi FOR APPLICANT TO FILL IN + JOB 1 , ©'Certified-copy is hereby furnished New'Residential Bldgs. & Pools EACH _• NO FEE ADDRESS NO LOCALITY. ❑eCertified copy is filed with the county building mspec- 1 & 2-Family, Sq Ft $ - — '$ tion department. Multi-familyS Ff. NEAREST,CROSS i p b I' Residential Swimming Pools OWNER Dated C�ryGY7+' AppliMi�N-A J� F. = . h >f : FIRM NAMED t, G• CERTIFICATE•OF.,EXEMPTION.FROM WORKERS'c C;' ' � MAIL Outlets: RecLight- Sw ADDRESS T ^�� COMPENSATION INSURANCE j First f � � (This section need not be'completed if the'work involved•by ; Total No. 5 CITY' ^` Tel No�.1s� � l �- the permit is for one hundred-dollars,($100) or less.)' Additional PLAN CHECK I'cer(ify that in the performance of the work.for.which this APPLICANT 4 permit is issued, I shall,not employ-any person in any manner + so as to become sublect to the.Workers'Compensation Laws Lighting Fixtures - .First-20% ADDRESS ~ Additional TofaI.No. CITY .'-Tel. No.,• Apphca f "_'` Rxed Appliances Not Over 1'HP' PERMIT NOTICE'TO APPLICANT: If, after Vmaking t,is Certificate of APPLICATIONS Exemption, you'should become'subject to the Workers' Range— Heater D.W Compensation provisions of the Labor Code, you must'forth- Oven —.Dryer•—W.M ADDRESS �u� 1` �i�(iA f {M, tnnZ ev with comply with such-provisions or•this permit shall be, Top FAU —W'•H. . CITY Tel:No ���-L–IEct( i deemed revoked. • ,- Hood Fan —Other— LICENSED CONTRACTORS DECLARATION G^ ! LICENSE-OR 1 Disp. Room Air Cond' REG NUMBER- •C?Lt ��' Class, } 'I hereby affirm that 1 am licensed under provisions.of Chapter 9 a (commencing with Secfion 7000)of Division 3,of the Business Power Apparatus & Large Appliances DISTRICT NO. PROCESSED BY O and Professions Code;and my,license is in full force and-effect r' U { Size&Type HP, KW, KVA, or KVAR - ?� License Number t'L �` Lic. Class Up to 1 Incl. FINAL r ,� J 3� (f Over 1 to 10 Incl DATE VALIDATION LL. Contractor`'r 11 w''�!AI f% Date �!' it`�E�j• , —� Over 10 to 50 Incl > • _ FINAL •- � - - ❑- I am exempt under Sec:- - Over'50 to 100 Inc. BY B.&P.;C. for this reason Over 100 Services, Swbd., MCC.& Ponelboards ® O • _ Date: a .0-2 00 Amp. Under 600 V W : Signatur'e, zuh "A. l� . 201 - 1000 Amp. Under 600 V ., Over 1000 Amp. or Over•600'V " Exemption'for.Reg MV int -Elect Il SINGLE FAMILY -Temp Power Pole &Appurtenances' a HOMEOWNER-BUILDER DECLARATION I hereby affirm that I_omr exempt from the Contractor's License Sign with One Branch Circuit i` •Low.for the foliowmg reason (Section.7031 5, Busiriess'and - Additional Sign Bran_ch'Grcuits , Professions Code) ' 1 Misr Conduits &Conductors � to ' �' ❑ I, as owner of'th' property,'.will do the•work•and the ' f t* t7 fW1 structure is not intended or offered for sale Section 7044, Other (See Complete Fee Schedule)— • r :l Business and Professions-Code) ( ® ' „lel loital'°•{ .. a 11 ear i9t I�t CONSTRUCTION LENDING'AGENCY I herebyaffirm-that there is a construction lending a enc' for 9 9 Y d,.�..: the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) t ; t, (Sec.-3097, Civ C PLAN CHECKINGFEE,. I 'Lender's Name p - PERMIT ISSUING FEE t �} It t LendeF's Address- ' 1 I certify that I.have read this:application and state'that the .TOTAL FEE above information-is correct.,.l agree to comply with oll,County y ;1 ordinances and State laws regulating Electrical'wiring, and hereby authorize representatives of this County to enter upon the•above-mention p operty for inspection purposes SEE REVERSE FOR'EXPLANATORY LANGUAGE r� SignaturPermittee Date ; WORKERS"COMPENSATION.DECLARATION. CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800, Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS P New Residential Bldgs.&Pools EACH NO. FEE Certified copy is hereby furnished. 1 &2-Family,Sq.•S Ft. $ — $ LOCALITY - Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST F-11 Residential Swimming Pools r department. P N NAMER OR G Date - Applicant Outlets. Rec.—Light Sw MAIL /� First 20, ADDRESS Z G/� /SO A Z- CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.' Additional CITYTel No. } COMPENSATION INSURANCE PLAN CHECK '•, d APPLICANT 0 (This section.need not be completed if the work involved' Lighting Fixtures First 20 ADDRESS 0 by the permit is for one hundred dollars ($,100) or,less.) OC Additional ' Total No. O TY — No. I certify that'in the performance-of the work for which this U ermit is issued, I shall not em log an Fixed Appliances.Not Over 1 HP CI -TY p y yperson in any manner PERMIT = LU so as to become subject to the Workers' Compensation Laws. Range—' -Heater_D.W. APPLICANT A 461- tl Oven _ Dryer_ to W.M. ADDRESS Z Date Applicant Top _ FAU _XW.H. CITY Tel No Hood _ Fan _Other_ NOTICE TO APPLICANT: If, after making this Certificate of Disp. Room Air Cond.— LICENSE OR Exemption, you should become subject to the Workers' REG.NOMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROC=SSED BY with comply with such provisions or this. permit shall be deemed revoked., Size&Type HP, KW, KVA,or KVAR ( Up to 1 Incl. FINAL- Over 1 to 10 Incl. DATE � LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. a VALIDATION FINAL I hereby affirm-that-I am licensed under provisions of Chapter Over 50 to 100 Inc. BY 9 (commencing with Section_7000) of Division 3-of the Busi- Over 100 ness and Professions Code, and-my license is in full force and effect. Services 0-200 Amp. Under 600 V License Number Lic. Class 201-1000 Amp. Urider 600 V Contractor Date ,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 2 47&0 A License Law for the following reason (Section 7031.5, Busi- ness and,Professions Code): # o{o(0 0 0�2 - Misc.Conduits& Conductors - , -' I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)= 2 0 'o ,5 5 0 structure is 'not intended or offered' for sale (Section . 7044,'Business and Professions Code). " CONSTRUCTION LENDING AGENCY 1,5,5 O,F- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) x'71 0 2:=8.2 issued (Sec. 3097,Civ.C.) Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING,FEE 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 hereby au orize representatives of this County to enter upon the abov e r n pro erty for inspection purposes.. SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Permittee Date WORKERS t I hovt?15ATIONca73 of contra 76A663 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT- ,1-'hereby affirm that I have a certificaao of consent to self �E g�D� insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ' or a certified copy thnerf Sec 3800, Lab C.) C� Pohc No.w(b _1 �C�o�pannly © � "644 FOR APPLICANT TO FILL IN JOB ^1 /� 19ertified co is hereby furnished EACH NO FEE ADDRESS Z S!, PY Y New Residential Bldgs. & Pools ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft $ — $ LOCALITY tion department. Multi-family Sq. Ft. NEAREST ^ Residential Swimming Pools, CROSS ST t Date �`� Applica �� L Z r FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets. RechLight Sw� /� MAIL COMPENSATION INSURANCE, ADDRESS First 20 (This section need not be completed if the work involved by Total No. Additional CITY the permit is for one hundred dollars ($100)or less.) PLAN CHECK SQ 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 s so as to become subject to the Workers'Co sati Laws. Lighting Fixtures First 20 ADDRESS Additional � Total No. � CITY 'Tel. No. Date — Applican 4 Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT. If, after making t is Certificate of { APPLICATION OO Exemption, you should become subject to the Workers' Range— Heaterl_D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer' —W M.— ADDRESS SIlls z!f q 1 rn v,,.,-%N with comply with such provisions or this permit shall be Top FAU —W H. — deemed revoked Hood Fan —Other— CITY jG Tel. NojjAqL-'-1 LICENSED CONTRACTORS DECLARATION LICENSE OR �{ p� I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG NUMBER � `_lu T'A Class. , (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. P SSED BY D} and Professions Code,and my license is in full force and effect , , �([ � Size &Type HP, KW, KVA, or KVAR Q� O License Number ��1 'Ol• ` Lic Class 1 Up to 1 Incl. FINAL U C1-1_Z Over 1 to 10 Incl. DATE �� VALIDATION Cr Contractor Q� Date Over 10 to 50 Incl. U ❑ FINAL I am exempt under Sec Over 50 to 100 Inc BY LU B &P.C. for this reason i Over 100 CL ate: Services, Swbd., MCC& Ponelboards Z ® Z 0-200 Amp. Under 600 V Signatur 'Tt A 201 - 1000 Amp Under 600 V ❑ Exemption for Reg. Maint Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional S,ign Branch Circuits Professions Code) /~ , rt- ❑ 1, as owner of the property, will do the work and the Misc. Conduits&Conductors 4 &,7 A structure is not intended or offered for sale(Section 7044; o Other (See Complete Fee Schedule)_ } 0 0,• 0 2 Business and Professions Code). ;► CONSTRUCTION LENDING AGENCY • 3!1,2'5 1 hereby affirm that there is a construction lending agency for "o 0 - 3,12 5 3:the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.) 0 8 1 8 8 8 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE (6) 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 jaws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon e above-mention roperty for inspectio�p �, SEE REVERSE FOR EXPLANATORY LANGUAGE gnature o Permttee • T ®s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT 0'F PUBLIC WORKS 9701 LAS TUNAS EL 0508 0502100030 'BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FE�S PAID BUILDINGD S : TR: 16475 LT: 104 9231 LA ROSA DR FEE DESCRIPTION: - QUANTITY: UOM: AMOUNT: TEMP CA 917803732 ASSESSORN NEAREST CROSS STREET: FRATUS 8590-010-004 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY E1 TEMP SERV POWER.POLE.: 1.00_TMP- 43.65 T G1 OUTLETS-LGT,SW,RECP 78.00 OUT 117.30 ISSUED ON: PROCESSED BY: PLAN BY: __ EXPIRES-ON: G2 LIGHTING FIXTURES 26.00 LGT 47.10 02/10/05 JK 08/09/05 HA FAU LESS 3HP 1.00 FAU 10.95 OW R: TEL. NO: H2 RES GRBG•DISP LT 3HP 1.00 DIS 10.95 FINU DATE, FINAL CODE MAGALLANES,•ALBERT (626) 285-9345- H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 9231 LA ROSA DR H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 TEMP 917803732 JB AC UNITS +3-10HP 1.00 AC 19.65 UES-CUMON LB 200 AMP PANELS, MCC 1.00 PAN 38.85 ELECTRICAL FOR ADDITION, REMODEL 1 TEMPORARY POWER POLE AND TOTAL FEES 338.10 INSTALL 200 AMPS SERVICE - APPLICANT: 0: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT GROUNDARCHITECT OR ENGINEER: -TEL. NO: UFER BREIG ARCHITECT (626) 257-8537- 431 CHERRY DR. LIC. NO: ROUGH CONDUIT PASADENA CA 91105 NONE ROUGH - MAIN WATER LTNE PLASTIC Y/N METAL Y/N UTILITY REPORT ID: DPR265 ROUTE TO: BS0508