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HomeMy Public PortalAbout9406 LA ROSA DR_Electrical__ 76A663 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF. LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE, PERMIT NO. ELECTRICIAN a � RECEIVED BY READY FOR DATE ISSUED- ADDRESS fFIRST INSPECTION CITY TEL. NO. /per COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS � ®- NUMBER EA FEE LOCALITY � �<7t SGL�� LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES :A 0 -4 a B� � WALL SWITCHES "'i� �i OWNER Zo TOTAL OUTLETS 5c MAIL _ V ELEC. RANGES 25 ADDRESS E�� ,P fti C `1 Of ELEC. HEATERS 25 CITY .,,P - ,� Ze TEL. NO. ` FIXTURES ` 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 1 CERTIFY THAT 1 POSSESS THE. ABOVE VALID LOS ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NUMBER HORS iPOW ER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1/2 a LESS $ .25 SIGNATURE OF '/2 2 .5o PERMITTEE 2 5 1.00 INSPECTION RECORD S 75 1.50 16 5o 2.50 50 200 5.00 i 200 500 10.00 Soo 1000 15.00 Q Z OVER 1000 20.00 (� M. G. SET/FREQ. CHANGER-HP Q' WELDERS: AC-KVA GENERATORS-KW TRANSFORMERS-KVA �— TEMP. MOTORS (7S%OF ORIG.) MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.001 CONDUIT'� I � FIXTURES $1.00 �- WIRING !' '---- SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED ® FINAL JZ C 766A,66.33•SDA 225M�SETS 7-48 D MPUC�TON FOD P*tff�fR►n IJLIi"L'1il i ICO 1 OF D LOS AN •AT11 G}.1 ELECTRIC Ll�l�t��l�� d�l �L�.I�JYi c�ouNTY o�VJIr^.�.�SLl/�l.�nT L'ill�FcV �!!1 L' 1 IN J. F CHIEF ENGGIIN1.EaER+R _a NAME DISTRICjT,NO. GROUP ZONE PERMIT O. U ADDRESSREADY FOR n F yy0 CITY / 'T 1,// / 0 TEL.NO. �C�6Y' B FIRST INSPECTION DATE ISSUED ..1 COUNTY WW LICENSE NO. t/ EXPIRES APPLICANT FILL WAVILY AVILY OUTLINED PORTION ONLY JOB DFSCREEMON OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY !� fog LOCATION BY ROOMS 'NEAREST LIGHT OUTLETS SW. PLUGS FIXT CROSS.ST. CIRCUIT A B C I D I E F G H W NAME nIt Its Z MAIL a e I ADDRESS s® /) O U CITY&eve 6fAQTEL.NO­'�)O I AM THE LEGAL POSSESSOR OF- THE ABOVE LOS ANGg EG.COUNTY CERTIFICATE OF QUALIFICATION.. DQ ELECTRICIAN. I AM THE LXGe3 OWNER OF THE PROPERTY DESCRIBED ABOVE T c.+ OWNER. cormcnONS Bed 2L a Z . o FTF? l 1 1 TA 12- 6171 NO. OF OUTLETS ` $ > APPROVALS NO. OF FIXTURES ( ' ffi DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. ffi WIRING S�- 15 rpt NO. OF RANGES OR HEATERS $ FIXTURES L 9CEL ANEOU $ POWER RMIT FEE [ J UTILITY CO.NOTIFIED (�Lq o eTAL FEE FINAL _ it 76AG63 SA 25M SETS 7=48 - E*11G CATION FOR P ROff DEPARTMENT 'OF BUILDING AND sAFE'1'Y ELECTRIC - 1 • '- COUN`ff OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER _Q NAME DISTRICT GROUP ZONE PERMIT NO. U ADDRESS f' RECEIVED BY READY FOR DATE ISSUED WJ `CITY TEL.NO. FIRST INSPECTION COUNTY 2 - LICENSE NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORD ADDRESS Q -111 !&I -NUMBER OF OUTLETS ON CIRCUITS 'LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS lsw. PLUGS I FIXT .CROST. CIRCUIT A B C I D E F G H Ix NAME �� i III MAIL 3 ADDRESS O CITY/J— ,TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. 1 AM THE LEGAL OWNER OF THE PROPERTY DESC IBED ABOVE OWNER. C®IMCTIONS a z o 0 FPERMITFEE UTLETS ffi APPROVALS IXTURES ffi DATE INSPECTOR'S NAME OTORS H.P. ffi CONDUIT IGNS TRANS. $ WIRING ANGES OR HEATERS ffi FIXTURES - -NO. ffi POWER EE ffi UTILITY CO.NOTIFIED E FINAL "��— 76A r3 CE-806R9/76 APPLICAT10two LECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB FDRESS 9405 La Rosa. Drive BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN CALITY Temple City, California NewNew Residential Bldgs.&Pools EACH NO. =FEE AREST 1 &2 $ .025 — $ CROSS ST.Family,Sq. Ft. OWNER OR Multi-family Sq. Ft. 02 — FIRM NAME Mr. & Mrs. Larry Chacona.s Residential Swimming Pools 20.00 MAIL ' ADDRESS 945 La Rosa Drive Outlets: ec_�_Light_Sw. CITY Temple City Tel. No. 285-7857 First 20 .50 1 PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel. No. Total No. Additional 30 PERMIT APPLICANT AAA CONDITIONED AIR INC. Fixed Appliances Not Over 1 HP ADDRESS 10150 E. Valley Blvd. Range_Heater_D.W._ CITY El Monte Tel. No. 1800 Oven _Dryer—W.M. 579- LICENSE OR Top —FAU —W.H._ REG.NUMBER 293529 Class. C-20 Hood_Fan —Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. — Room Air Cond. 2'00 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 200 REQUIRED BY L. ELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM . Up to 1 Incl. THE LEGAL O NER OF E ABOVE DESCRIBED RESIDENTIAL PROPERTY. ,Over"I to 101nc1. 5.00 PERMITTEE Over10to50lncl. 10.00p�� ,�a—a 0 Over 50 to 100 Inc. 20.00 SIGNATURE Over 100 30.00 DISTRICT NO. _ 00 PRO!! EDB a Services � 0-200 Amp. Under 600 V 12-50 APPROVALS DATE INSPECSIGNATORS 201-1000 Amp.Under 600 V 25.00 Over 1000 Amp,or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole&Appurtenor.ces 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING ' ,/ Misc.Conduits&Conductors 15.00 FIXTURES Other(See Complete Fee ScheduleI POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL �^ PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE TOTAL FEE •�Y 'V PLAN CHECK VALIDATION_ CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 6 / 9 n E6 15' A+ Q 9.4 U Aw.> ©s hereby (firm that COMPENSATION DECLARATION CE-66 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G ..jns.ure,-ar a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lob. / Policy No.—Company �P FOR APPLICANT TO FILL IN JOB ff Certified co is hereby furnished. EACH NO. FEE ADDRESS PY Y New Residential Bldgs. 8 Pools 1 & 2-Family, S Ft. $ — $ LOCALITY'�� Certified cop is filed with the ou ty buildi `insp c- Y- q NEAREST ✓ 14 tion epart en . _ Multi-family Sq. Ft. CROSS ST. Dat,/. A lic t '' Residential Swimming Pools OWNER OR PP p FIRM NAM/ CERT KATE OF EXEPTfO FROM RK Outlets: Rec� Light.--.2 .� MAIL COMPENSA,ION/NSURANC �7J/ O0 ADDRESSFirst (This section need not be completed if the work involved by Total No. Additional CITY r Y T.I. NWKpl 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 s all not emplo any person in ny manner so as to be ome s ject to the W ers'Comp s Lighting Fixtures First 20 ADDRESS Total No. Additional Dat Appl' ant CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT NOTI TO PLICANT: I , er making tRis�the ' k of APPLICAN -+ �G✓�� Exemption, you should come subject to the Workers' Range_ Heaters D.W. — Compensation provision of the Labor Code, you must forth- Oven _ Dryer — W.M.— ADDRESa--3 45�W with comply with such provisions or this permit shall be Top _ FAU —W.H.' — _ _ deemed revoked. Hood _ Fan CIT /fR-/ - Tel. No / L Other_ _ LICENSED CONTRACTORS DECLARATION .!' �✓ B LICENSE OR �G -? Disp. _ Room Air Cond. � Classc � = I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBE •. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED Power Apparatus& Large Appliances and Professions Code,and my license is in full force and effect. � p O t;' j.�'� �rr Size 8 Type HP, KW, KVA, or KVAR' L / �/ FINAL License Numb�J `� Lic. CI/asS� /�� " ��� Up to 1 Incl. �✓ � O Contract L56� +z t "�✓ Over 1 to 10 Incl. DAT VALIDATION ❑ / Over 10 to 50 Incl. FIN�AL I am exempt and r Sec. Over 50 to 100 Inc. #44:9 �B.&P.C. for this reason Over 100I 2 3.5 5 Q z Services, Swbd., MCC & Panelboards ° ° Date: 0 -200-Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ° ° ° 2 3.5 0 c=i ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V 0627z-86 ' SINGLE FAMILY Temp. Power Pole & 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 Law for the following reason (Section 7031.5, Business and Professions Code): ❑ 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) Q (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 I TOTAL FEE 4th �,a e information is Corr ct. I agree to comply with all County ncesand St a laws gulating Electrical wiring, and y authori e tives. f this County to ent upon b v e ion r y for inspecti purpos s. SEE REVERSE FOR EXPLANATORY LANGUAGE ir ture of (� ate