HomeMy Public PortalAbout9447 LA ROSA DR_Electrical__ OBSAPPLICATION FOR PERMIT
OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
CTRIC
M. J. FOX CHIEF ENGINEER
NAME r Da f , DISTRICT NO. GROUP ZONE �PERMIT NO.
�j- ADDRESS A (� _ I.✓ l _+ ,� PJ O t�
W CITYCOUNTY / /_ TEL.NO. O �� A EIVED BAY FIRST INSPECTION FOR DATE ISSUED
41
W CERT.NO. ` Gi U 4�, EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORD ADDRESS -
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS FIXi CROSS ST
CIRCUIT A B C D I E F G H a: NAME '
Z MAIL
+� ADDRESS
• O
CITY TEL.NO.
1 AM �rVe LEGAL PO T EA OVE
AN OUNTY CR OF IFI TION
E ..
ELECTRICIAN.
I AM THS LEGAL OWNER OF THE PROPERTY DESCRIBED '
ABOVE
OWNER.
CORRECTIONS
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a
— z
cl
0
NO. OF OUTLETS Q APPROVALSNO. OF FIXTURES ffi DATE Al INSPECTOR'S-NAME
NO. OF MOTOR¢ H.EEA
ffi CONDUIT DNO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
ISCELLANEOU $ POWER
PERMIT FEE $ ! UTILITY CO.NOTIFIED
TOTAL FE a �x FINAL Y G sz G.f�{
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0209130018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
L NG .
TR: 13620 LT: 8 9447 LA ROSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803840
TTMTOF INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY
8590-011-008. Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
TOTAL FEES 66.60 ISSUED 0 0 : PLAN EXPIRES .
09/13/02 JK 03/12/03
OWNER: TEL. N0: FIN ATE FINAL BY: COOL:
ERSTAD; JAMES L & HELINA (626) 285-7871- � /�
9447 LA ROSA DRIVE s
TEMPLE CITY 91780 DFSCRTP19ON OF WORK
UPGRADE SERVICE PANEL TO 100AMP
APPLICANT: .
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: �o) � � � �� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO ���� TEMP ORAFP6WER POLE
UNDERGROUND CONDUIT
ARCHITECT 0 n �- UFER GROUND
! .
LIC. NO` �, ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
17/
�,\ f
17 "i"� /,•
REPORT ID: DPR265 ROUTE T0: BS0508