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HomeMy Public PortalAbout9463 LA ROSA DR_Electrical__ 76A663-CE806 I-68 APPLICATION FOR ELECTRICAL ERMIT _ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION - ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER 143 1Q COLEMAN'W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY �r _N (�EAREST / Q ✓ FOR APPLICANT TO FILL IN- CROSS ST. �i NO. EACH FEE " $ $ OWNER RECEPT._� MAIL LIGHT_(1TOTAL FIRST 20 20 �© A,DDRESS H/ ' SWITCOVER 20 10 CITY _ TEL. NO. PLAN CHECK LIGHTING TOTAL FIRST 20 20 A,PPL'ICANT FI XT URE'S OVER 20 10 ADDRESS RANGE DRYERv_WTR HTR._ CjTY TEL NO. STA.COOK_DISP. F.A.U. CONTRACTOR SPACE HTR. AIR CONO. ADDRESS CLOTHES WASH._DISHWASH'.= CITY TEL. NO. FAN-OTHER 1 00 I LICENSE 1,10. CLASS. MOTORS,TRANSFORMERS RATING - IND HEATERS, ETC HP. KW KVA .I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE ,IS CORRECT AND AGREE TQCOMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 0 1 1 00 ELECTRICAL WIRING - � I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REOU IRED BY LOS\ANGELES COUNTY AND STATE-OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d 10 - 50 5 00 RESIDE IN, THE ABOVE 'DESCRIBED RESID TI P OPERTY. O V 50 - 100 10 00 SIGNATUREOF PERMITTEE CC 100 - 500 ' 15 00 1 C DISTRR1CQT NO G$QU ZONE P OCESSF�D B, TUBE, OR SIGN,GAS SIGN AND ONE CIRCUIT 3 00 ,„,�S yy a MARQUEE ADDITIONAL CIRCUITS 1 00 7 N /� NOT S:' 7 7�.(f Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 I h Q L� - SERVICE OVER 600 VOLTS OR 200 AMP . 5 00 ' TEMP SERVICE', POLE, & APPURTENANCES 3 00 APPROVALS - DATE INSPECTOR'S S IGNATURE. TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) - POWER AUTHORIZED _ • PERMIT ISSUING FEE 2 00 9 UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE" JOSEPH C. ROOHAN SUPERVISING ELE CAL ENGINEER ^^ PLAN CHECK VALIDATION • CK M 0 CASH PERMIT VALIDATION CK.' M.o CASH iEE•BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE oas s-A 2-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER Q NAME - _ DISTRICT NO. GROUP I ZONE PERMIT NO. ADDRESS 0- &t RECEIVED BY READY FOR DATE ISSUE CITY TEL.NO. ®COUNTYc//per `/ FIRST INSPECTION 2— $�� CERT.NO. O L/ EXPIRES �i1 �� t� d APPLICANT FILL A HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESSO 3 NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS. JSW. PLUGS FIxT CROSS ST. CIRCUIT A B C D I E F G H Ir NAME Z MAIL 3 ADDRESS O CITY TE O. 1 AM ' LEGAL OF E A VE ANG COUNTY CER C OF IFI ION.. ELECTRICIAN. 1 AM THE JXGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J Q Z E O TOTAL NO. OF OUTLETS $ 0 APPROVALS , 1 NO. OF FIXTURES V $ DATE"; INSPECTO ;8 NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING Q V NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ ^�- POWER PERMIT FEE ffi , d UTILITYCO.NOTIFIED TOTAL FIER FINAL WORKERS'COMPENSF)TION DECLARATION 76-663 10/81 CE-806G APPLICATION FOR ELECTRICAL PERMIT ' I hereby affirm that f have a certificate,Qf•consent,to self insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec 3800,Lab CCOUNTY OF LOS ANGELES BUILDING AND SAFETY ) " Policy NO .Company - FOR APPLICANT TO FILL IN JOB / p ❑ Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO FEE ADDRESS V 3 3A $❑ — $ LG Certified copy is filed with the county building inspection 1 & 2-Family,Sq Ft LOCALITY NEAREST department. Multi-family Sq Ft — CROSS ST Date Applicant Residential Swimming Pools OWNER OR n ^ CERTIFICATE OF EXEMPTION FROM WORKERS' / FIRM NAME 1, �J Outlets Rec_L Light Sw. MAIL /� Z COMPENSATION INSURANCE O ADDRESS /�7 (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars ($100) or less.) Total No � Additional CITY Tel No I certify that in the performance of the work for which this•permit PLAN CHECK is issued, I shall not employ any person in any manner so as to APPLICANT become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Additional Date Applicant CITY Tel No NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT I� Exemption,you should become subject to the Workers'Compensation Range_ Heater_ DW _ APPLICANT (� provisions of the Labor Code, you,must forthwith comply with such Oven _ Dryer _ W.M _ ADDRESS provisions or this permit shall be deemed revoked. Top .— FAU _ W.H. CITY Tel No LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9' Disp — Room Air Cond LICENSE OR (commencing with Section 7000) of Division 3 of the Business and REG NUMBER Class Professions Code,and my license is in full force and effect Power Apparatus& Large Appliances DISTRICT PRO SSED BY Size& Type HP,KW,KVA,or KVAR i License Number Lic.Class Up to 1 Incl FINAL U Over 1 to 10 Incl DATE Contractor Date VALIDATION O ❑ Over 10 to 50 Incl FINAL -lam exempt under Sec Over 50 to 100 Inc. BY W B&PC.for this reason Over 100 N Services,Swbd,MCC,& Panelboards ® Z Date 0- 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg.Maint Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION '7 Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law ait�T a for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits .T Code) 3307 16.601 ❑ I,as owner of the property,will do the work and the structure Misc Conduits& Conductors 1 ITEMS is not intended or offered for sale (Section 7044, Business Other (See Complete Fee Schedule) _ and Professions Code) ® T91TAL 16..60 CONSTRUCTION LENDING AGENCY CHECK 16.60 1 hereby affirm that there is a construction lending agency for the £ut�w���uu--�C performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) ld AW1 .C1 Civ.C) PLAN CHECKING FEE Lender's Name � -OQ01 7/24/90 PERMIT ISSUING FEE Lender's Address 1996 1 AM 7;16 I certify that I have read this application and state that the above TOTAL FEE information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for mspe tion urposes. SEE REVERSE FOR EXPLANATORY.LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0502230025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: BUILDINGLEGAL ID: ADDRESS: TR: 13620 LT: 11 9463 LA ROSA DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803840 ASS5SSOR-nTFMRATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 8590-011-011 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP_, 1.00 OUT.- TENANT: UT• 1.95 - G2 LIGHTING FIXTURES 1.00 LGT 1.95EXPIRES HA FAU LESS 3HP 1.00 FAU 10.95 02/23/05 JK 08/22/05 . JS AC UNITS +3-10HP 1.00 AC 19.65 OWNER: TEL. NO: TOTAL FEES 62.25 FINAL DATE FINAL BY: -'COD LIU ROBERT (310) 500-7771- l 946'S LA ROSA DR a,z r, TEMP 917803840 6•€SCRIPT'ION OF WORK ELECTRICAL FOR NEW AIR CONDITIONING AND HEATING SYSTEM APPLICANT: TEL. NO: ATLANTIC AIR INC. (626) 330-6676- � 289. TURNPOST LN SPFCIAL CONDITIONS: HACIENDA HTS 91745 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE ATLANTIC AIR CONDITIONING, INC. (626) 330-6676- 1780 TURNPOST LANE LIC. NO HACIENDA HEIGHTS, CA 91745 613226 HIC UNDERGROUND I ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH MAIN WATER LINE PLASTIC Y/N METAL Y/N NOTIFIEDUTILITY COMPANY * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508ELECTRICAL.PERM- I 7 DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS _ _ -EL 0508 9701090004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID B LDING_A S TR: 13620 LT: 11 [9463--LA_ROSA_D- S FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803840 ASSESSOR INFORMATION NEAREST CROSS STREET: 8590-011-011 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85 TEN H7 RES EXHAUST FANS 1.00 EX 10.80 ISS 0 PROCESSED EXPIRES TOTAL FEES 44.40 01/09/97 TC 01/09/98 OWNER: EL. NO: FINAL DATE FINALCO EDWARDS RICHARD L TR EDWARDS TRUST (818) 285-8455- -7_ 9463 LA ROSA DR TEMP 917803840 SC U�❑�� ELECTRICAL FOR BATH APPLICANT: TEL. 0: � � `a SAME AS OWNER —��` S SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: A � ;/.� {� �� r �� APP 0 ALS DAT INSPECTOR SIGNATURE SAME AS OWNER - � 'i'•' ,i�i;., LIC. NO ��/ �I \ _ '' -- .A�\ JEMPORARY POWER P OLE ;•4 UNDERGROUND CONDUIT ECT ENGINEER: _�'cJ' _ -J LUFER GROUND LIC. NO: ROUGH CONDUIT a 111-1 F ROUGH WIRING -: MAIN WATER LINE �Xy PLASTIC Y/N METAL Y/N UTILITY COMPARY REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0502230017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: S PAID BUILDINGR S : TR: 13620 LT: 11 9463 LA ROSA DR FEE DESCRIPTION:. QUANTITY: UOM: AMOUNT: TEMP CA 917803840 ASSESSOR NEAREST CROSS STREET: TEMPLE CITY 8590-011-011 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 40.00 OUT__... ..- .-66.00.• -••. ,- -• • kv-_ _ - G2 LIGHTING FIXTURES-77- 8:00 LGT— "'15:60" ISSUED 0 .--'" EXPIRES - TOTAL FEES 109.35 02/23/05 JK 08/22/05 OW TEL. N0: Ft INA a, C E;---- LU, ROBERT - �- 9463 LA ROSA DR TEMP 917803840 ORK REWIRING OF THE HOUSE APPLICANT: TEL. NO: GUZMAN (213) 392-3908- SPECIAL CONDITIONS: CONTRACTOR: APPROVALS DATE INSPECTOR SIGNATURE ELECTRICAL MASTER (213) 392-3908- 618 GILLETTE AVE. LIC. NO TEMPORARY POWER LOS ANGELES, CA 90033 738080 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: - - - GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING } FIAT' ATER LINE PLASTIC Y/N METAL Y/N UnTITY COMPANY i REPORT ID: DPR265 ROUTE TO: BS0508