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HomeMy Public PortalAbout9521 LA ROSA DR_Electrical__ 76AI563-CE8"6 468 APPLICATION FOR ,ELECTRI L PERMIT COUNTY OF LOS ANGELES ' DEPARTMIENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER- COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY - FOR APPLICANT TO FILL IN 1. NEAREST, CROSS ST. NO. EACH FEE 7 � RECEPT. -© S $ OWNER— MAIL LIGHT TOTAL FIRST,20 20 Q p ADDRESS " SWITCH OVER 20 10 CITY STEL. NO. - PLAN CHECK LIGHTING TOTAL FIRST 20 A. .20 APPLICANT FIXTURES OVER 20 10 ADDRESS RANGE_DRYER_WTR.HTR.— CITY T L. NO. ' ST.A.COOK_DISP._F.A.U._ �. 'CONTRACTOR SPACE'HTR. AIR COND. - ADDRESS CLOTHES WASH,_DISHWASH._ CITY t TEL. NO. ^� FAN—OTHER 1 .00 LICENSE IJ O. Egi CLASS'. MOTORS,TRANSFORMERS RATING IND HEATERS, ETC. HP. KW. KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION- AND & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL 'COUNTY ,ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. ' 0 - 1 1 00 - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - .1 - 10 3 00LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF* CALIFORNIA OR THAT I AM THE LEGAL'OWNER OF, AND INTEND TO 10 - SO S 00 RESIDE ,N, THE ABOVE ,OESCRIRED RESIDENTIAL PROPERTY. SIGNATURE d' 50 - 100 10 00 OF PERMITTEE ` U • 100 — soo 15.00 DISTRICTPP GR Zp E P E. � SIGN.GAS -TUBE, A , SIGN AND ONE CIRCUIT 3.00 U W MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES: d C) ' Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 O U' '- 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 WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT-FEE) POWER AUTHORIZED PERMIT-ISSUING FEE 2 00 0!� UTILITY CO.NOTIFIED oeG SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE JO EPH C. ROOHAN• SUPERVISING ELECT ICAL ENGINEER' PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION cK• M.0 CASH L Ain EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - 1 DBS S-A 12-44 DEPARTMENT OBUILDING AND SAFETY 1�PPLICATIOIV FOR PERNIITSAFETY COUNTY OF LOS ANGELES ELECTRIC M. J. FOXCHIEF ENGINEER ZDISTRICT NO. GRP % PERMIT NO. Q NAME 7` // U 61 ADDRESS U CITY ®I, y TEL.NO. O d�+ I CEIVED BY READY FOR DATE ISSUED W FIRST INSPECTION /�ae 6 v CERT.NO. /W EXPIRES APPLICANT FILL IN HEAVILY OU'T'LINED POR'T'ION ONLY DESCRIPTION OF WORK DDRESS J i NUMBER OF OUTLETS ON CIRCUITS LOCAL[ LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FI1fT CROSS ST CIRCUIT A B C D I E I F G JH : NAM p` "p ILI Z MAIL ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSE6 R �OF-THE ABOVE LOS ANG COUNTY CER IFICAfiF�iOF UALIFICATION.. Q/(/G/ ELECTRICIAN. THE LEGAL O OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS Q Z 1 t� O TOTAL NO: OF OUTLETS 3�6y $ 0 APPROVALS 1 NO. OF FIXTURES I,/ $ �o DATE INSPECTOR'S NAME NO. OF MOTORS H.P. ' E CONDUIT kNO. F SIGNS TRANS. WIRING F RANGES OR HEATERS $ FIXTURES LLANEOUS $ [ POWER T FEE $ J UTILITY CO.NOTIFIED TOTAL FEE t FINAL Y� COUNTY OF LOS'ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1308150026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 13620 LT. 16 I 9521 LA ROSA DR I IFEE DESCRIPTION: QUANTITY. UOM: AMOUNT: ( TEMP CA 917803827 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 18590-014-004 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY CAI I ILA 100 AMP PANELS, MCC 1.00 PAN 38.90 I I (TENANT: I TOTAL FEES 66.70 JISSUED ON. PROCESSED BY: PLAN BY: I I 108/15/13 SR I I I 10WNER: TEL. N0: I 1FINAL DATE FINAL BY: CODE: ILEE, YAO CHUN (626) 696-0648- I I / I 19521 LA ROSA DR I1 ITEMP 917803827 1 IDESCRIPT ON 0 WORK I I I IREPLACE NEW ELECTRICAL SERVIC PANEL 100 AMP I 1APPLICANT TEL. NO: I I I ISAME AS OWNER I ISPECIAL CONDITIONS. I I I I I ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I- I I LIC. NO I ITEMPORARY POWER POLE II I I I I I I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL NO. 1 IUFER GROUND I I I _ II I I I I LIC. NO: 1 IROUGH CONDUIT I I I I I I ROUGII WIRING I IMAIN WATER LINE (PLASTIC Y/N METAL Y/N I I I I I I I I (UTILITY COMPANY NOTIFIE 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 I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1307100003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ' PHONE: (626) 285-0488 EXT: LEGAL ID FEES PAID BUILDING ADDRESS. ITR: 13620 LT: 16 9521 LA ROSA DR I IFEE DESCRIPTION• QUANTITY: UOM: AMOUNT:( TEMP CA 917803827 1 ASSESSOR INFORMATION NUMBER. I I NEAREST CROSS STREET: 18590-014-004 IAI PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: 'J5 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 5.00 OUT 10.00 1 TENANT: IG2 LIGHTING FIXTURES 3.00 LGT 6.00 IISSUED ON. PROCESSED BY: PLAN BY: - I IH2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 107/10/13 SR IH3 RES DISHWASHR LT 3HP 1.00 DIS 11 00 I (OWNER- TEL. NO: IH4 RES RANGE HDS LT 3HP 1.00 HOO 11.00 IFINAL DATE FINAL BY: CODE: - 1 IYAO, CHUN LEE (626) 696-0648- IH5 RES WASH MACH LT 3HP 1.00 WAS 11.00 I 19521 LA ROSA DR IH7 RES EXHAUST FANS 2.00 EX 22 00 I ITEMP 917803827 IJB AC UNITS +3-10HP 1.00 AC 19.70 1D CPIFVIOR OF WORK 1 I I TOTAL FEES 129.50 15 OUTLETS, 3 LIGHT FIXTURES, A/C + FAU, GARBAGE DISPOSAL, 1 I I (DISHWASHER, RANGE HOOD, WASHING MACHINE AND EXHAUST FANS 1 (APPLICANT: TEL. NO: ISAME AS OWNER - I I ISPECIAL CONDITIONS: I I I I ICONTRACTOR TEL. N0- I JAPPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - -1 LIC NO I ITEMPORARY POWER POLE I I (UNDERGROUND CONDUIT 1 1 I I I I (ARCHITECT OR ENGINEER. TEL. NO. _ I IUFER GROUND I _ LIC. NO i TROUGH CONDUIT I IROUGH WIRING _ IMAIN WATER LINE 1 I I IPLASTIC Y/N METAL Y/N I I I (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I 1 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 1 I I I I I IREPORT ID: DPR265 ROUTE TO: BSO508 1 I I 11 11 I