HomeMy Public PortalAbout9539 LA ROSA DR_Electrical__ 76A663 DBS SA 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
W{LLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLICANT TO FILL IN
ELECTRICIAN _
RECEIVED BY READY FOR DATE ISSUED
ADDRESS !> a � - FIR$ ' INSPECTI
CITY ---I rL. N O. J
COUNTY LICENSE NO. EXPIRES BUILDING .
PERMIT FEES ADDRESS
FEE
NUMBER EACH LOCALITY _
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS y< Sc $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%= a LESS $ .25 SIGNATURE OF
2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
_ 50 200 5.00
_ 200 500 10.00 J
500 1000 _ 15.00 Z
OVER 1000 20.00 (�
M.G. BET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG•)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 / CONDUIT
FIXTURES $1,00 fF WIRING
SUPPLEMENTARY ,50 FIXTURES _
POWER _
TOTAL FEE $ UTILITY CO. NOTIFIED
FINAL 1-G '�
Des S-A 2-46 MKICATION FOR Y:1GYi1M
DEPARTMENT� O�F: °BUILDING/ AND-
SAFETY-'
COUNTY OF LOS ANGELES ELECTRIC
J. FOX CHIEF ENGINEER
FJ
NAME r
DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESSRECEIVED BY READY-FOR DATE ISSUED
CITY / TEL.NO. FIRST INSPECTION
COUN Y / �d
qDI
CERT.NO. �j O lL.- EXPIRES _
APPLICANT FILL IN HEAVILY OUTLINEID°POR.TION ONLY
IDESCRWTION OF WORD AODRESS.�_)/3/ rt
NUMBER OF OUTLETS ON'CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS lsw,. PLUGS - MeT CROSS ST.
CIRCUIT A B -C D E F G H m NAME ! ��
-Z MAI
3, ADDRESS
O
CITY TEL.NO
1 AM H LEGAL POSS O ABOV LOS
ANG OUNTY CERTIF T FICA
'ELECTRICIAN.
I AM 'SHE-LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
COIWECTTIONS
Z -
,L7.
- - d
A ] Q
NO. CF OUTLETS �7 7 ffi `C APPROVALS
1 NO. OF FIXTURES ✓✓� DATE INSPECTOR'S NA
ME
NO. OF MOTORS H.P. $ CONDUIT -�
LNO. F SIGNS TRANS. $ WIRING
F RANGES OR HEATERS $ FIXTURES
LLANEOU $ POWER
T FEE ffi - UTILITY CO.NOTIFIEDFEE I
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0404210029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGA EES PAID BUILDINGADDRESS:
TR: 13620 LT: 19 9539 LA ROSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803827
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD.
8590-014-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 45.00 OUT 72.75
TENANT: G2 LIGHTING FIXTURES 12.00 LGT 23.40 ISSUED 0PROCESSED BY: PLAN B PIRES ON:
HA FAU LESS 3HP 1.00 FAU 10.95 04/21/04 VG 10/18/04
H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95
OWNER: TEL. NO: H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 FINAL D E FINAL BY: t CODE:
FONG, NGAN.CHAO (626) 285-9727- H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 /
9539 LA ROSA DR. H7 RES EXHAUST FANS 2.00 EX 21.90 C
TEMPLE CITY 91780 H9 RES APPL LT 3HP 1.00 RES 10.95 D ON OF WORK
JB AC UNITS +3-10HP 1.00 AC 19.65 ELECTRICAL FOR ADDITION
TOTAL FEES 220.20
APPLICANT: TEL. NO:
LAW (909) 869-0732-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
FONG, NGAN CHAO (626) 285-9727-
9539 LA.ROSA DR. LIC. NO TEMPORARY POWER POLE
TEMPLE CITY CA 91780 NONE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
ABLE DESIGN (909) 869-0732-
20160 PASEO DEL PRADO LIC. NO: ROUGH CONDUIT
#H NONE
WALNUT, CA 91789 ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY 0 FI
REPORT ID: DPR265 ROUTE TO: BS0508