HomeMy Public PortalAbout9435 LA ROSA DR_Electrical__ 76g6e3-CE846,10l72. APPLICATION FOR ELECTRICAL PERMIT ,�.•L�--
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
LOCALITY . fi I T F
_
NEAREST ' f-
FOR APPLICANT TO FILL IN CROSS ST. N ice- '-
OUTLETS. NO. EACH FEE OWNER OR y/ j,f Al
�.. $ $ FIRM NAME 1�1t ?� /L 10 `I"I
RECEPT,� MAIL u Y r
FIRST 20 ADDRESS- r -
L I GHT_ TOPIL 25 �'-: :., -•�
- ,j' r. CITY If- ,f`i1"7/rr i,,,;•{ i TEL. NO.,.�,�.,�;,
SWITCH ✓ OVER 20 10
PLAN CHECK . �� v ,.
FIRST 20 APPLICANT fiJc-4• 11 ..
LIGHTING - TOTAL .25 .%•�j- .- .
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE—DRYER WTR:'HTR. - --" APPLICANT ,n% 1,jJj C;-
STA. COOK - DISP,. IF.A.U. ADDRESS - - '�•1 _
SPACE HTR. f AIR COND.' CITY - TEL..NO.
CLOTHES-'WASH. ' DISHWASHl - LICENSE
E ENSE OR
R CLASS. -
FAN OTHER 100 - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE 'LAWS REGULATING
IND. HEATERS,'ETC. - HP.,KW. KVA. - -_y ELECTRICAL WIRING. _
SIZE B TYPE OVER TO -
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AHD/OR
10-- 1_ 100 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
- CALIFORNIA OR THAI I AM THE LEGAL OWNER OF TRF ABOVE O
1 — lO gpp _ OESCRII:ED RESIDEN AL PRO R T Y
G17
f�
10.— 50 5.00 . PERMITEp f;f t�+ �
r]GNATUX_
50 - 100 10.00 ICT NO. PROCESSED BY
190.— 500 15.00 ryr, O
::asLr�•- G..
SIGN',-GAS
SIGN AND•ONE.CIRCUIT _5.00 APPRovALS DATE IHSPECTOR'SSIGNATURE +1 1
TUBE;'OR, 1�
MARQUEE ADDITIONAL CIRCUITS1'00t _- .-POW ER'POLE ;' _ f ti 'ter
SERVI'CENOTOVER600VOLTS OR,200.AMP 1300 UNDERSLAB WORK'w-
SER'JICEOVE_R'600 VOLTS OR200AM-P - 10.00't n^ ;; ROUGH CONDUI-T
d TEMP SERVICE,POLE, &APPURTENANCES, _ '3 5:00 '^Y ";.;2 'cr WIRING
TEMP LIGHT-OR RECEPT, SYSTEM F-IXTURES:"' `.s;-o _ t•• ,_ ':.,.� .t!s• - ;;•
F 7 -POWER``AUTHORIZED
?;JSY`r $w.„,:.r,.-i UTILITY`CO:'NOTIFIED
. . a s.
FINAL �. r
PERMIT FEE- - (SUB-TOTAL)i *�V,i'I,' NOTES:
PLAN CHECK FEE •-. - .s�•k'syz.:''f :a+w'"- - - r. - - - - - --
PERMIT ISSUING FEE - - -�%�K3:00•E•"• •~• - - - - - - -
TOTAL FEE....
PLAN CHECK VALIDATION CASH PERMIT VALIDATION. CK. M.0. _ :CASH -
_ ri`yfcQia..'�8<<Frx��:&^''h+�l.n'i'.�s c_. � •' 1 - .- �o� •T T�� -
_
7�1=
m
SEE BACK OF APPLICATION FOR COMPLETE-SCH.EDULE"����*+}��:1,�`�?�. •b•'t'' ''r-1 �•f ��"�^ - r"'�r{�� '=J ,.`r: rytiTr-�
k
s; . fir s` 2- ? ' ``+=a _:;i•;";', s� '' _�, '.- :.P
76A663-CE806 9-67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDINGC►• P
BUILDING AND SAFETY DIVISION ADDRESS of G
JOHN A. LAMBIE, COUNTY ENGINEER J /�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
$ $ OWNER
RECEPT.� MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS _ OS2
SWITCH OVER 20 .10 CITY TEL. NO. 62
LIGHTING 1 TOTAL FIRST 20 20 ClCONTRACTOR
FIXTURES —, OVER 20 .10 ADDRESS .3
RANGE—DRYER—WTR.HTR.— CITY TEL. NO. •�
STA.COOK—DIS P F.A.U.— LICENSE NO.
SPACE HTR. AIR COND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISH WAS H,_ 'WITH ALL' COUNTY ORDINANCES AND STATE LAWS' REGULATING
-ELECTRICAL WIRING.
FAN-OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I M THE LEGAL OWNE F AND INTEND TO
IND HEATERS, ETC HP. KW KVA. RESIDE IN, THE O E C BED ES TI L PROPERTY
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1.00 OF PERMITTEE
CL
1 - 10 3 00 DISTRICT NO. GROUP I Z N PROCESSED BY UU
10 - 50 5.00 d'
O
50 - 100 10.00 NOTES:
W
100 - 500 15.00 �-
h
TUBE,A SIGN AND ONE CIRCUIT 3 00
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 (?(�
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, & APPURTENANCES 3 00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
ISSUING FEE 2.00 2 ao WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTIFIED1
PLAN CHECK FEE 150% PERMIT FEE) FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTJL ENGINEER
PLAN CHECK VALIDATION CK. M 0 CASH PERMIT VALIDATION cKM.O. CASH
LAGo 5' 6 5' 8`3 -JUL 2 9 2 D
IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0110240004
BUILDING-AND SAFETY / LAND DEVELOPMENT, TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID.-_ FEES PAI .
TR: 13620 LT:• 6 9435 LA ROSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: - TEMP CA 917803840
ASSESSOR M U NEAREST.CROSS STREET: ALESSANDRO
8590-011-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS.PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 31.00 OUT 53.85
G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED BY: PLAN EXPIRES ON:
LA 100 AMP PANELS, MCC 1.00 PAN 38.85 10/24/01 JK 04/22/02
TOTAL FEES 126.30
TEL. NAL DATE FINAL BY: CODE:
TUAN LANG (LINDA) (626) 390-2253-
9435 LA ROSA DR
TEMP 917803840 DESCRIPTION-6T-9-OFF
ELECTRICAL FOR ADDITION
APPLICANT: .
SAME AS OWNER SPECIAL-CONDITIONS:
E S C
CONTRACTOR: TEL. N0: /� .. APPROVALS DATE INSPECTOR SIGNATURE
�®Cj _
SAME AS OWNER -
LIC. NO TEMPORARY
O . UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: L. 0: N GROUND
LIC. N0: 1111111 GH CO DU IT
r f1 f7 C� WO"K "
. {7 n/7
MAIN WATER I
`LLLIII� U�ILLL���� \1VJ�\t1J1/ pUU�LL<ll�L�1(�� PLASTIC Y/N 'METAL Y/N
IT COMP AN0 (
service aha
REPORT. ID: DPR265 ROUTE TO: BS0508