HomeMy Public PortalAbout9527 LA ROSA DR_Electrical__ DBS SA 11-46 APPLICATION
PP IC e►9ION FOR 111L�'RMr
DEPARTMENT OF BUILDING .AND SAFETY'
gE"3l�lLl�t5►EliCl�Tl'V.YRrIi,iC31�11i
COUNTY OF LOS ANGELES
M. J. FOX. CHIEF ENGINEER
zz NAME DISTRICT NO. GROUP I ZONE /PEpRMIT NO.
U ADDRESS
RECEIVED BY READY FOR DATE ISSUED
CITY COUNTY TEL.NO. 9�° 'L/ FIRST INSPECTION �W/Z/
>7/
CERT.NO. EXPIRES
i
APPLICANT FILL IN HEAVILY OU'T'LINED PORTIO AA1ONL
JOB'DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS, LOCALITY ✓✓
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SWPLUGS FiRT CROSS Jr., .44
CIRCUIT A I B C I D I E F 1 G, ,H C' NAME B ®ocooa
MAIL' V
Z ADDRESS til
O
CITY �z� f _QmNO.
1 AM THE LVAAL POSSESSOR OF THE ABOVE LOS
ANGFK.ES COUNTY CERTIFICATE OF QUALIFICATION.
ECT
I AM THE LEGAL.OWNTH6 8CRIBE
ABOVE
OWNER. _
' CORRECTIONS
- Q
Z_
[7
O
TOTAL .Z
NO. OF OUTLETS $ 40 APPROVALS
NO. OF FIXTURES ffi DATE INSPECTOR'S NAME
NO.,OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS, TRANS. ffi WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE p . ffi y5 ' UTILITYCO.NOTIFIED +V i
TOTAL FEE 10 FINAL
DBS S-A 12-44•
DEPARTMENT' OF 'BUILDING AND SAFETS MgLYCATi®lit FOR PEOM
COUNTY OF LOS ANGELES ELECTRIC
M. J. FOX CHIEF ENGINEER
NAM ,per /`' DISTRICT NO. GROUP J�//ZJONE PERMIT NO.
1 ADDRESS �7 � � - / 3 41
,77
lFY
U CITY /� TEL.NO. 1� RECEIVED BY READY FOR DATE ISSUED
W '� / a-�Js � FIRST INSPECTION
J COUNTY 46' C' EXPIRES
W CERT.NO. vv
APPLICANT FILL N HEAVILY OUTLINED PORTION,ONLY
JOBDESCRIPTION OF WORD DDRESS01 ° / a-
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY,ROOMS NEAREST
LIGHT-OUTLET JSW. PLUGS lFlifr CROSS ST.
CIRCUIT A B C D E F G H 0! 1 NAME
Z MAIL
3 ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESS 0 THE ABOVE LOS
ANGELES COUNTY CERT IC f Fr UALIFICPITION..
ELECTRICIAN.
IA THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
- Q
z
It
0
TOTAL
NO. OF OUTLETS $ APPROVALS
1 NO. OF FIXTURES ffi DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. ( $ WIRING f
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITYCO.NOTIFIED
TOTAL FEE 1 2 FINAL Y& 6
B
DBS-593-'155'\1 APPLICATION LICATI®N FO \ ELECTRIC PERMIT 1
•5P:
P5VISION OF BUILDING AND SAFETY
Deportment of County Engineer /,�//�
u County Cf LOS Angeles ADDREISS �J •� ! v'r'_� 1trJ��
WM.J. FOX, COUNTY ENGINEER
I CASSATT D.GRIFFIN, SUPT OF BUILDING �
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER EACH FEE
OWNER
LIGHT OUTLETS
RECEPTACLES MAIL
ADDRESS
WALL SWITCHESC7 ar
`,q
TOTAL OUTLETS 5¢ $ CITY TEL. NO. LOS ()6
ELEC.RANGES 25' ELECTRICIAN
ELEC. HEATERS 25 ADDRESS
KW EA CITY TEL. NO.
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS
DISTRICT NO. OUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS'
MOTORS �Y
NUMBER HORSEPOWER.j FEE INSPECTION RECORD •
NEW MVD. HP OVER INC. EACH
1/2&LESS $ .25 -
1/2 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 $1.00
FIXTURES $1.00 �a
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE_• S DATE INSPECTORS SIGNATURE
1 HEREBY ACKNOWLEDGE-THAT 1 HAVE •READ THIS-APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY-LOS ANGELES COUNTY AND STATE OF _
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RES[DENTIA ROPERTY.
SIGNATURE UTILITY CO.NOTIFIED _
OF PERMITTEE AA) FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A. C.VEIT,CHIEF ELECT. INSP R `
f = . ,A;7 1. ?ZR -SEP 27 2 2.4 5 In
76AG63_CEBOB°e-157 APPLICATION FOR ELECTRICPERMIT ��•
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS J
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,$UP'T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES
OWNER C�
LIGHTS RECEPTACLES SWITCryE3
NUMBER • 1 T•E M EACH FEE MAIL
ADDRESS
TOTAL OUTLETS $ .10 E _-_.-
ELEC. RANGES, WATER HEATERS, CITY TEL.NO.
50 ELECTRICIAN
ELEC:'SPACE HEATERS, STAT-Y. COOK- _
ING UNITS, GARBAGE DISPOSERS, ADDRESS
AUTO WASHERS, DISHWASHER .25
LIGHTING FIXTURES •10 CITY TEL.NO.
MOTORS STATELICENSE NO.
HORSEPOWER
H.P.- OVER INC. 'DISTRICT NO. GRO P ON READY FOR INSPECTION
LESS ,25
1/2 2 .50 INSPECTION RECORD -
2 5 1.00
5 15 1.50
15 50 2.50
50 — 200 5.00
MISC.
SIGNS ,I NO.TRANS J
NO.LAMPS
SERVICE O-600V 1.00
SERVICE OVER 600V 5.00 -
WIRING PERMIT I loo
FIXTURE PERMIT 1 00 (J–v
SUPPLEMENTARY PERMIT ,50 APPROVAL_S -•
TOTAL FEE $ Q
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING _
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED -BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THEOVE POWER
DESCRIBED RES_IDENTI PROPERTY.
SIGNATURE G UTILITY CO.NOTIFIED C
OF PERMITTEE
FINAL (�
JOHN A.LAMBIE. ART UR C.VEIT,
,3L$LIDATION J . V
COUNTY ENGINEER ` s� .SUPERVISING ELECTRICAL ENGINEER
t` MO CASH
L
2-56- 9,rA SEP 23 2
6
OF
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PTUBLIC WORKS 9701 LAS TUNAS EL 0508 1207110045
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780-
PHONE:
1780'PHONE: (626) 285-0488 EXT: -
ILEGAL ID: I FEES PAID BUILDING ADDRESS:
ITR: 13620 LT: 17_ I I 9527 LA ROSA DR 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803627 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18590-014-005 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID- J5 LOCALITY: TEMPLE CITY CAI
I IH2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 I I
(TENANT: IH4 RES RANGE HDS LT 3HP 1.00 H00 11.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1
I I •TOTAL FEES 49.80 107/11/12 SR
(OWNER: TEL. N0: F3IAJ
Y: CODE:
19527 LA ROSA DR
IKIM, ANGIE (626) 589-7836- 1 1
ITEMP 917803827 IDESCRIPTION OF WORK I
IGARBAGE DISPOSAL AND RANGE HOOD CHANGEOUT
I
(APPLICANT: TEL. NO: I
(SAME AS OWNER
ISPECIAL CONDITIONS:
I
I I I I
(CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - -
I LIC. NOITEMPORARY POWER POLE
_ II' I
• z (UNDERGROUND CONDUIT I I
I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
_ I I I
1 LIC. NO I IROUGH CONDUIT I I I
I IROUGH WIRING I I
I I I
- IMAIN WATER LINE I I
• i - - iPLASTIC Y/N METAL Y/N I I I
I (UTILITY COMPANY NOTIFIED( II
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
. (REPORT ID: DPR265 ROUTE TO: BS0508 i I I