HomeMy Public PortalAbout9436 LA ROSA DR_Electrical__ 768463-CE8� ,D�7z ,APPLICA_TION F ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERgDDRESS t �>
BUILDING AND SAFETY DIVISION C
LOCALITY-
NEAREST ol
FOR APPLICANT TO FILL IN- CROSS ST.,
OUTLETS NO. EACH I FEE OWNER OR RM NAME U
$ S
RECEPT._ MAIL
,
FIRST 20 ADDRES
LIGHT TOTAL25
CIT � TEL. NQ.�e _
SWITCH OVER 20 10 ,
PLAN CHECK.-'
FIRST 20 APPLICANT
LIGHTING TOTAL 25
FIXTURES f0 -
OVER.20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO.
PERM T'
,RANGE-DRYER-, WTR HTR APPI.IICANT (/
S
TSTA. COOK DISP. F.A.U. ~
ADDRESSZ��` It A
SPACE HTR. AIR COND. CITY �- �_ TEL:'NO.
CLOTHES WASH. DISH WAS H. RLICENSE EG. NUMOR BER 'CLASS.le C)
FAN OTHER 100 1 HEHEBY 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. ELECTRICAL WIRING.
SIZE & YPE VER TO
I HERE CERTIFY T I AM PROPERLY 'REGISTERED AND/OR
L O - 1 100 // LICENS AS REQUIRED BY OS ANGELES COUNTY AND STATE OF
v CALIF RNIA OR THAI I AM HE LEGAL OWNER OF THE ABOVE
DESC IPED RESIDENTIAL P PERTY
1 - 10 300 0
PER E U
10 - 50 500 •SIGNATUR
0
50 - 100• 1000 DISTRICT'N0. PRO ESSED BY LLI
W
100 - 500 1500 Z
SIGN, GAS SIGN AND ONE CIRCUIT500 APPROVALS DATE INSP CTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK I -
SERVI'CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMP SERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT, SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE ('SUB TOTAL) ' NOTES: ,
PLAN CHECK FEE ' - _
PERMIT ISSUING FEE 300 -300
TOTAL FEE
PLAN CHECK VALIDATION CK. M o CASH PERMIT VALIDATION cK. M o CASH
82 77rKPR 24 2 -0 , 4..0 0 A98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
1
76A663-CE806.7.56 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND-SAFETY DIVISION
Department of County Engineer qV
BUILDING
County of Los Angeles ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUP'T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERNIIT FEES
NUMBER OWNER .
LIGHT OUTLETS MAIL 9,v3 _ -
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY / TEED.. NO. /O
TOTAL OUTLETS @ 5¢ S ELECTRICIAN .X/Al A rX,a
Y 4a
ELEC. RANGES - 25 ADDRESS ` / E
ELEC. HEATERS 25 CITY /� B/1/ TL. NO. I
KW EA STATE
FIXTURES 5' - ,LICENSE NO&7'go 610.
MOTORS- DISTRICT NO. GR77OUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE I
NEW MVD HP OVER •INC EACH
1�-&LESS S .25 INSPECTION RECORD
1f1 2 .50
2 5 .1.00
_ 5 15 1.50 -
15 50 2.50
50 200 5.00 -
MISC.
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS'
FOR EACH PERMIT:
WIRING PERMIT $1.00
FIXTURE PERMIT $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE g DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION CONDUIT -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR '
LICENSED AS REQUIRED B LOS ANGELES OU TY A ST TE OF POWER
CALIFORNIA OR THAT I 1 THE LEG R T ABOVE
DESCRIBED RESID TIA OPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL
JOHN A. LAM LIDATION ARTHUR'C. VEIT,'
COUNTY ENGIN4MR K Mo cwsH SUPERVISING ELECTRICAL ENGINEER '
_ 1Ar0 2 5.9� situ 14. - ,2
2.4 5
76A683 CE:Y906'R 9„6 APPLICATION FR ELECTRItAL PERMIT
1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS r
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE CNEAREST
ROSS ST
1 &2-Family,Sq Ft. $ 025 — $
Multi-familyS Ft — OWNER OR
4•• ” 02 FIRM NAME
,.Residential Swimming Pools 05 '240_ 1 MAIL
ADDRESS
Outlets Rec _Light-4Sw. -- o CITY ^ fe Tel No .S _�6,�-
FiFsr 20 - • 50 PLAN C CK
Total No: / Additional 30 APPLICANT
ADDRESS '
Lighting Fixtures First 20 .50 CITY Tel No
Total No Additional 30 APPPERLICANT\
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater_D W CITY 4 Tel No
Oven_Dryer_W M_ LICENSE"OR
Top —FAU —W H — REG NUMBER P Class
.Z
Hood'—Fan _Other_ 'I� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp —-R6om Air Cond — &0- 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 KVAR2 l HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
•.5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up 1 ' THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
Overr 1-too 1 10 Incl -1 5 000
Over 10 to 50 Incl 12• 500 2. PERMITTEE I IL0
Over 50 to 100 Inc25 . 2,a.G0 SIGNATURE (�
06
Over 100 40'. 3A-QJ DISTRICT NO �j P ED BY Q
Services
0-200 Amp Under 600 V 12.50 �NSCTQR S
201-1000 Amp Under 600 V
25 00 APPROVALS DATE SIGNATURE Z
Over 1000 Amp or Over 600 V 5000 ]TEMP POWER POLE
10 00 UNDERSLAB WORK
Temp. Power Pole&•Appu'rtenonces ROUGH CONDUIT
Sign with One Branch Circuit 1000
Additional Sign Branch Circuits2.00 WIRING
Mlsc Conduits&Conductors $10 lam } FIXTURES
Other(See Complete Fee Schedulel POWER AUTHORIZED
UTILITY CO.NOTIFIED
]FINAL ,2
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE 36-9 J70
,
TOTAL FEE
'" D LI I /9C00 CASH PERMIT VALI DATION CK :M.O CASH
POLICY HOLDERo. �
��ii
0 7 6-r"-'APR 21 .2 v 1 2.5 0 qt's
R�1E/t 15FM UMSEW FO COMPLETE SCHEDULE '" _ ®S
WORKERS'COMPENSATION cafe off corse CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT'
I hereby affirm that'I have a certificate of consent-to self CE-806C'
insure, or a certificate ofWorkers' Compensation Insurance,' COUNTY OF LOS ANGELES BUILDING AND SAFETY i
or a certified copy thereof'(Sec 3800, Lab. C )
Policy No Company FOR APPLICANT TO FILL IN .' JOB
ADDRESS
Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ,
Certified copy is filed with the county building mspec_ y, q $ _ $ LOCALITY n C
1 & 2-Famil S Ft. M i LL's LT
tion department. Multi-family Sq Ft. NEAREST
Residential•Swimming Pools CROSS ST-
Date Applicant OWNER OR n» •/n�` , n
FIRM NAME L4I �--•
CERTIFICATE OF'EXEMPTION FROM WORKERS' � _ MAIL -
Outlets: Rec Light Sw., :+
COMPENSATION'INSURANCE ADDRESS
This section need not be completed if the work Involved b First 20 S 7S
( p by-
Total No Additional ' CITY Tel No
the permit is for one hundred dollars'($100)or less.) ,
PLAN CHECK
I certify that in the performance of the work for vihich this APPLICANT _ %imb1i
permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers';Compensation Laws., Lighting Fixtures First 20 ADDRESS
Total No Additional •roti
Date Applicant - w CITY �G Q�+ -r0 Tel No. �t'�1
NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption, you should become subject to the -Workers' Range_ He.ater_D W APPLICANT
Compensation provisions of the Labor Code, you must'forth- Oven _ Dryer — W.M — ADDRESS
with comply with such provisions or this permit shall be Top FAU —W.H —
deemed'revoked. CITY Tel No
LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_
Disp _.Room Air Cond. LICENSE 9
I hereby affirmm-that I am licensed under provisions of Chapter 9 REG. NUMBER -J� Y&C10 Class.
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED BY
Power Apparatus&.Large,Appliances
• and Professions Code, and my license is in full force and effect. - ��`
Size & Type HP, KW, KV A, or KVAR • � j� O
License,Number-'3940YO Lic. ClassC?�C,�ti Upto'1 Incl . FINAL - V_
�- _ {? j Z Z� Overt to 10 Incl DATE /�f� „.�� VALIDATION O
Contractor •c rC Date Over.10 to 50 Incl. r V
❑ FINAL
1 am exempt under Sec Over 50 to 100 Inc. BY w
B &P C. for this reason Over 100 t�if
Date
Services, Swbd., MCC & Panelboards ,
� ` -
0 -200 Amp Under 600 V
Signature 201 =1000 Amp. Under 600 V j
❑ Over 1000 Amp. or Over 600 V '
Exemption for Reg Maint Elect.
+.SINGLE FAMILY Temp Power Pole & Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ;2 8 6 l,8 A
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits -
Low for the following reason (Section 7031 5, Business and #,0 0,0.0- 2
1
Professions Code) ,• ,
❑ I, as owner of the property, will do the work and the Misc Conduits.&Conducto"rs 2;° o �,2'S
structure is not intended or offePed'for sale (Section Other (See Complete Fee Schedule)_ t
7044, Business and Professions Code). , ;°,°. ° 1 A2 55
CONSTRUCTION LENDING AGENCY 2,2 8. 82
I hereby affirm that there is a construction lending agency for
the perform once of the work,for which this permit is issued PERMIT FEE (Sub-Total)-
(Sec.
Sub-Total)(Sec. 3097, Civ. C )
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE_.
Lender's Address j
I certify that I have read this application and state that.the TOTAL FEE
above information is coriect I agree to comply with all County t
ordinances and State laws regulating Electrical wiring, and
hereby authorize representatives,of this County to enter upon
the above-rrhntioned rty for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
2-
Signature of Permittee W Date
-COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS - 9701 LAS TUNAS EL 0508 1210040042
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: '
(LEGAL ID: 1 FEES PAID I BUILDING ADDRESS: I
ITR: 13329 LT: -38 UN: .002 - 1 9436 LA ROSA DR
I IFEE DESCRIPTION: QUANTITY. UOM: AMOUNT:( TEMP CA 917803841
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS-STREET: HELEO -
18590-022-014 1A1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE- 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 1.00 OUT 2.00 1 I
(TENANT: 1G2 LIGHTING FIXTURES 1.00 LGT 2.00 (ISSUED ON: PROCESSED BY: PLAN BY- I
I TOTAL FEES 31.80 110/04/12 SR 1
10WNER: TEL. N05 'I 11 FINAL DATE FINAL BY: CODE: 1
ICHEN, WEI-HUNG (626) 287-1618- I I I
19436 LA ROSA DR -
(TEMP 917803841 I DOSCRIPTION OF WORK
1 1 (CHANGE LOCATION OF SWITCH AND LIGHT FIXTURE
(APPLICANT: TEL. NO: -
ISAME AS OWNER
I - (SPECIAL CONDITIONS:
I I I I
I I I I
ICONTRACTOR: TEL NO: I - 1APPROVALS DATE - INSPECTOR SIGNATURE 1
(SAME AS OWNER -
I - LIC. NO I ITEMPORARY POWER POLE I I
I I (UNDERGROUND CONDUIT I
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO. 1 IUFER GROUND I I
1 LIC. NO: I (ROUGH CONDUIT I I I
I I I 11 IL
I I (ROUGH WIRING 1
(MAIN WATER LINE 1 1
I I IPLASTIC Y/N METAL Y/N I I
I I I I I I
I 1UTILITY COMPANY NOTIFIED( 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 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 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
(REPORT ID: DPR265 ROUTE TO- BS0508 I I
.4
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0802040010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR. 13329 LT: 38 UN: 002 1 9436 LA ROSA DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803841 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HELEO I
18590-022-014 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70 I I
(TENANT. IG2 LIGHTING FIXTURES 1.00 LGT 1.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 102/04/08 SR 08/02/08
IH3 RES DISHWASHR LT 3HP 1 00 DIS 10.95 1 I
(OWNER: TEL. NO: 1H4- RES RANGE HDS LT 3HP 1.00HOO 10.95 IFINAL DATEa � Y: CODE:ICHANG, ANDY Y (626) 614-0638- TOTAL FEES - 74.25 I EAr
1
19436 LA ROSA DR I - I I
ITEMP 917803841 I IDESCRIPTION OF WORK I
16 OUTLETS, 1 LIGHT FIXTURE, GARBAGE DISPOSAL, DISHWASHER 1
I I I& RANGE HOOD
(APPLICANT- TEL. NO:
ISAME AS OWNER - I I I
ISPECIAL CONDITIONS:
I I I I
I I I I
ICONTRACTOR: TEL. NO. I (APPROVALS \DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I I
I LIC. NO I ITEMPORARY POWER POLE I I I
I I I 11 I
I I (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
LIC. NO. I IROUGH CONDUIT II
I I I I I I
IROUGH WIRING I I
I I I I I I
I I
IN WATER LINE
I I IPLASTIC YIN METAL YIN I I I
I (UTILITY COMPANY NOTIFIED(
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
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
I I I I I I
I I I I I I
I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
II I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1104040015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
+ PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 13329 LT: 38 UN: .002 1' I 9436 LA ROSA DR 1
I 17EE DESCRIPTION: QUANTITY: UOM: AMOUNT I TEMP CA 917803841 1
(ASSESSOR INFORMATION NUMBER: 1. NEAREST CROSS STREET. I
18590-022-014 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE- 596 GRID: J5 LOCALITY: TEMPLE CITY I
I ILB 200 AMP PANELS, MCC 1.00 PAN 38.80 I
(TENANT: I TOTAL FEES 66 60 (ISSUED ON: PROCESSED BY- PLAN BY: I
104/04/11 SR I
I I I I
1OWNER: TEL. NO. 1 IFINAL• 9,ATE FI AL BY: CODE: I
IYUK YING CHUNG
19436 LA ROSA DR 1 1 I I
1TEMP 917803841 1 1DE CRIPTION OF WORK 1
1 1REPLACED 200 AMP SERVICE PANEL 1
I I I I
1APPLICANT: TEL. NO: 1 1 1 -
IYUJIA, CHEN (626) 278-1846- I I 1
1424 S. GARFIELD AVE. I (SPECIAL CONDITIONS: 1
IMONTEREY PARK 91754 1 1 1
I I I
I I I
(CONTRACTOR. TEL NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IJ H ENGINEERING AND CONSTRUCTION (626) 205-8581- 1 1 1
1424 S. GARFIELD AVENUE #B LIC NO I ITEMPORARY POWER POLE I I
IMONTEREY PARK CA 91754 787046 C10 I I I I 1
I I 1UNDERGROUND CONDUIT I I 1
(ARCHITECT OR ENGINEER: TEL. NO: 11 1UFER GROUND 1 1 I
+
I LIC. NO- 1 IROUGH CONDUIT I I I
I I I I I I -
1 I' IROUGH WIRING I I I
1 I; IMAIN WATER LINE I I I
I I IPLASTIC YIN METAL YIN I I 1
I I I I I I
I 1UTILITY COMPANY NOTIFIED
4(�?l La
I 1 I
I I I I I I
I I I I I I
I I I I I I
I k I I
I I I I I
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1 jREPORT ID. DPR265 ROUTE TO: BS0508 I I 1 1