HomeMy Public PortalAbout9423 LA ROSA DR_Electrical__ 76A663 Cf-806(11,/70§
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AN®.SAFETY
FOR APPLICANT TO FILL IN J B,, -
New Residential Bldgs.&Pools EACH NO, FEE ADDRESS II 4X3 - V_6SA fo" —
1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY •
Multi-family Sq. Ft. .02 — NEAREST
�
Residential SwJ25.00 CROSS ST. -e— 0
ing Pools OWNER OR y7
FIRM NAME
Outlets: Rec —Lighr�Sw. MAIL �,ry
First 20 .50 S ADDRESS �. 1--� 7r�SA, 31iiti�
Total No. ` Additional .30 CITY. \ 7eL'No ,g�L07
PLAN CHECK
APPLICANT -
Lighting Fixtures First 20 .50 �. 'ADDRESS'.
Z 'Additional .30
Total No. CITY Tel. No.
Fixed Appliances Not Over 1-HP PERMIT
APPLICANT A W*, 'E '
Ronge_Heater_ D.W.
Oven—Dryer_W.M.-
ADDRESS -'
Top _FAU — W.H._ CITY Tel..No.
Hood_Fan _Other_ LICENSE-OR
Disp.—Room Air Cond. 2'S0 REG.NUMBER Class.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES AND'STATE LAWS
Size&Type HP, KW, KVA,or KVAR 2 SO REGULATING ELECTRICAL WIRING.
Up to 1 10 Incl: 5.00
Over 1 to 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDYOR - �CJJ
o 1LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER,OF THE ABOVE ,
25.00 DESCRIBED RESIDENTIAL PROPERTY.
Over 50 to 100 Inc. _
PERMITEE-
40.00 buy_
Over 100 SIGNATURE t yil
Services DISTRICT NO.
0-200 Amp.Under 600 V 12.50
'201 1000 Amp: Under 600 V 25.00
Over 1000 Amp.or Over 600 V 50.00 Z
Temp. Power Pole&Appurtenances 10.00
Sign with One Branch Circuit .10.00
Additional Sign Branch Circuits 2'00 INSPECTION
INFORMATION
Misc.Conduits&Conductors 10.00 ON REVERSE'
g
Other(See Complete Fee Schedule) y SIDE u
J
PERMIT FEE (Sub-Total) 2 0 0 1 3.50
PLAN CHECKING FEE (One-Fourth Permit Feel O 0 0 0 1 a 5 0�
PERMIT ISSUING FEE $7.00 } D 0 Q 0.7-7 9
J
TOTAL FEE /�. >
r
INSPECTION FINALED W
d
date: �^� r•- �' _ BY
76A663-CE806 9-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY /
NEAREST
7RECEPT.
FOR APPLICANT TO FILL IN CROSS ST.
TOTAL FIRST 2O NO. EACH $ FEEOWNER /OUTLETS/ .20 MAIL��! ADD'L 10ADDRESS-]! _ OVER 20 /�
LIGHTING TOTAL I FIRST 20I .20 CITY O IrVf TEL. NO.
FIXTURESADD'L to ELECTRICIAN( �C FIs
OV R 20
RANGES CLO.DRYERS' WTR.HTRS. 1.00 ADDRESS / %d t
GARB.DISP. STA.COOK /'
CITY a l,..r TEL. NO.
DISHWASH. AUTO.-WASH. STATE J /�►
SPACE HTRS. STA.APP.(+/x H.P.MAX.) .50 LICENSE N .
MOTORS: OVER NOT OVER H.P. DIS/TRICTr>O. GRLCQU� CESSED Y
O 1 1.00 2/ �j l
1- 3 1.50 INSPECTION RECORD
3 B 2.00 O
B Is 2.50 V
15 50 3.00
O
50 100 5.00 U
NO.TRANS UJ
SIGNS: d.
NO.LAMPS In
Z
SERVICE 0.60OV-NOT OVER 200A 1.00 'IQ
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 11.001",
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 ►
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES 3
LICENSED A5 REQUIRED BY LOS ANGELES COU AND STATE OF -
CALIFORNIA OR TH T I AM THE LEGAL OWNER AND INTEND TO
RESIDE IN, THE ABO COZRE�ZTIAL L PERTY POWER -
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
FINAL 7/ a'�,F✓
C/i(PLIDATION JOSEPH C. ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER
A Lr1i�o 9 5 0 5 W,R 15 2 Dc")
5.80—
V�
t
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT '
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1008160015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 13620 LT: 4 1 9423 LA ROSA DR 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803840 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18590-011-004 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 ' GRID: J5 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 20.00 OUT 38.80 I 1
(TENANT: IG2 LIGHTING FIXTURES 10.00 LGT 19.40 (ISSUED ON: PROCESSED BY: PLAN BY: I
I ILB 200 AMP PANELS, MCC 1.00 PAN 38.80 108/16/10 SR I
TOTAL FEES 124.80 1 1
(OWNER: TEL. NO: I IFINAL DATE FIN BY: CODE: I
IYU, JING (626) 759-3857- 1 1 ^'p
19423 LA ROSA DR I 1
ITEMP 917803840 1 ID SCRIPTION OF WORK 1
I I (ELECTRICAL FOR NEW ADDITION, REMODEL AND UPGRADE SERVICE I
I IPANEL TO 200 AMP I
1APPLICANT: TEL. NO: 1 I
ILIU, TIENKUANG (626) 348-7137- I I
19698 TELSTAR AVE I ISPECIAL CONDITIONS: I
IEL MONTE, CA 91731 _ I 1
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
IYU, JING (626) 759-3857- I 1 I
1425 N. FIRST STREET D LIC. NO' I ITEMPORARY POWER POLE I I I
1ALHAMBRA, CA 91801 NONE 1 I I
I I (UNDERGROUND CONDUIT I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND
ILIU, TIENKUANG (626) 279-2865- 1 1
19698 TLESTAR AVE #308 LIC. NO: 1 IROUGH CONDUIT I 1
IEL MONTE, CA 91731 NONE * 1 I I 1 I
I I IROUGH WIRING I I
I IMAIN WATER LINE I I I
1 IPLASTIC Y/N METAL Y/N 1 I
1 1 - (UTILITY COMPANY NOTIFIEDI
I I I � � � 1
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1 I* ADDITIONAL DATA ON FILE I
I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1008180023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 13620 LT: 4 1 1 9423 LA ROSA DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803840 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18590-011-004 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
I IHA FAU LESS 3HP 1.00 FAU 10.90 I 1
(TENANT: JB AC UNITS +3-10HP 1.00 AC 19.70 (ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 58.40 108/18/10 SR I
(OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE: 1
IYU, JING (626) 759-3857- I I
19423 LA ROSA DR 1 I
ITEMP 917803840 1 ILInCRIPTION OF WORK I
I - (ELECTRICAL FOR HVAC SYSTEM I
(APPLICANT: TEL. NO: I I
ILIU, TIENKUANG (626) 348-7137- 1
19698 TELSTAR AVE 1 ISPECIAL CONDITIONS: 1
IEL MONTE, CA 91731 1 I I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
IYU, JING (626) 759-3857- 1 1
1425 N. FIRST STREET D LIC. NO 1 ITEMPORARY POWER POLE I
1ALHAMBRA, CA 91801 NONE 1 I I I
I I (UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER: TEL. NO: 11UFER GROUND I I
ILIU, TIENKUANG ' (626) 279-2865- I 1 I I I
19698 TLESTAR AVE #308 _ LIC. NO: I IROUGH CONDUIT I I I
IEL MONTE, CA 91731 NONE * I
I I IROUGH WIRING I I
I I IMAIN WATER LINE I I
I I IPLASTIC YIN METAL YIN I I
I I (UTILITY COMPANY NOTIFIEDI I
I I I I I I
I I I I I I
I I I I I I
1 1 I I I I
I I I I I I
I I I I I I
1* ADDITIONAL DATA ON FILE I I I
I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I
I I I I I I