HomeMy Public PortalAbout9651 LA ROSA DR_Electrical__ 76A663,,CE80611-71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES /
DEPARTMENT OF COUNTY ENGINEER BUILDING
9Cr�'F� � o�
BUILDING AND SAFETY DIVISION '19
LOCALITY ,/
FOR APPLICANT TO FILL IN NEAREST
CROSS ST,
OUTLETS N0. EACH FEE
OWNER FY 7VAI
RECEPT. �i�{ I $
$ p MAIL {
LIGHT f+ 1/l TOTAL FIRST 20 d� 25 0p ADDRESS /+ � JS
�'j CITY '4 [_L `' TEL. NO.�
SWITCH .lJ OVER 20 3 10 O PLAN CHECK
LIGHTING TOTAL FIRST 20 13 25 ?, ,Q APPLICANT
w
OVER 20 ADDRESS
FI%TURES .10
RESIDENTIAL APPLIANCES CITY TEL. No.
PERMIT �j
RANGE—DRYER WTR. HTR._ APPLICANT tj" L
STA. COOK_DISP._F.A.U._ ADDRESS A" -- 'UJB p
SPACE HTR. AIR GOND. I CITY Zjjf 1 TEL. NO JZ` SJ ]Q
CLOTHES WASH. DI SHWASH._ LICENSE NO. D ) CLASSC-/O
FAN a OTHER 1.00O 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF a
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AI1Vl INTEND TO
1 - 10 3.00 RE91 DE IN, TXE A Of SCRIBED RES ENTI ID PROPERTY. 0
10 - 50 6.00 SIGNATURE �, OC
OF PERMITTEE O
50 — 100 1000 ~
DISTRICT NO. Cl S ZONE PR CE39f0 BY W
00 — soo s,00 �� z / —/ �/4 Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE, OR CX/ST _S _n V/GE ",o
MARQUEE ADDITIONAL CIRCUITS 100 /) J�'• TD Pf5e',).Vd/6c-7-, Li'l. 9Yl 1
SERVI CENOTOVER 600 VOLTS OR 200 AMP , 3.00 3 Q
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAS WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT _ ..FQ Q%1
WIRING
\ \ FIXTURES .2 -il— '
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00 3 O
TOTAL FEE rj S
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION fCK. j M.O. CASH
1
i ar_ 4 1 4 r)73 DEC 18 2 D 1 8 .554 v
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76p563-CL806 I0S72 APPLICATIO Rt ELECTRICAL PERMIT �f
COUNTY OF LOS ANGELES
r DEPARTMENT OF COUNTY ENGINEER Jas
BUILDING AND SAFETY DIVISION ADDRESS ai G5i 4 /L05h
LOCALITYCl1 -7-72/ 790
FOR APPLICANT TO FILL IN NEAREST
DROSS 5T. -4 - AJ.
OUTLETS R 57 EACH FEE OWNS
NAME �J O T rz� Al
LIGHTRECEIP �
$
5 MAIL IIss
LIGHT TOTAL
FIRST 20 25 ADDREBB
6s-
SWITCH OVER 2010 CITY PLL`L/77TEL. N0. 7J6ff0
. PLAN CHECK
LIGHTING FIRST 20 ,25 APPLICANT
FXTURES TOTAL OVER 20 ADDRESS
.10
RESIDENTIAL APPLIANCES CITY TEL, NO
PERMRANGE_ORYER WTR. HTR._ APPL
II ANT. A 000b
STA. COOK_DISP. F.A.U.__ ADDRESS
SPACE HTR. AIR GOND. CITY TEL. NO.
LICENSE OR
CLOTHES WASH. DI SHWASH. HIS. NUMBER CLASS.
FAN—OTHER I00 / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
NO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KY A. ELECTRICAL WIRING.
SIZE B TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIO
0 - I 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFF
CALIFORNIA F THAI AM THE LEGAL OWNER OF THE ABOVE y
1 - 10 3.00 OEf.
SPIPEO RESIO IAL PROPERTY/PERMy
O
T
SIGNATURE
IGNA
10 - 50 5.00 SIGNATURR E
O
50 - 100 1000 H"
❑ISTRICTROCES ED BY W
100 - 500 1100
y Ll
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR' SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200AMP 3.00 UNDERSLAS WORK
SER'VICEOVER600VOLTSOR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO, NOTIFIED r
FINAL -77 /'YJIY
PERMIT FEE (SUB TOTAL) NOTESel
✓ U
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK.' M.O. usn
7 9 9�r.iAR 18 2 D 6.0 0 neo
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
7CA663-CEBOS I0-60 /
APPLICATION FOR ELECTRICAL�PERMIT
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING /� 1
BUILDING AND SAFETY DIVISION ADDR Ess % L /�- R OS/T'
JOHN A. LAMBIE. COUNTY ENGINEER _
PA
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY TE_//PL E L,
NEAREST .r
FOR APPLICANT TO FILL IN CR ST. �f'//�LE�/T�� ,v(,L' •/ 1
PERMIT FEES OWNER 'J S7/3 2T/N•
7
�]
I T E M NUMBER EACH FEE A [D
ADDRESS [- 7- •y Jp,,J�I
OUTLETS•-� 8 f CITY / �`/ L G !TEL./N O. J��N U!J
LIGHTS RECEPT. SW. .10 OL/( T T
LIGHTING FIXTURES ,10 �(J
ELEC. RANGES CLO. OR
ELECTRICIAN,
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS -p
CITY TEL NO. -L T' /1 ��/
GARBAGE DISPOSERS AUTO.- STATE /J
WASHERS STA.COOKING UNITS .25 LICENSE NO. I •' A I l..! 6
MOTORS: OVER INC. x.P. DISTRI 'Tl I��O OU ONE P ESS'EwD 13Y
v:— 2 so j- 1 .-I/�/NwS //TION RECORD x�
2— 5 1.00 '7.i 9/? /t f4,%- / //.•�-1` r (/�i%�f' d
5— 15 1.50 r r, i :� <�d �( .+� - / . O
15— 30 2.50 �•i��+ :bi./..ih•: `O
50— 200 5.00 !F W
NO TRANS.
SIGNS: NO.LAMPS I y
Z
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00. _
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR' 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 1 AM PROPERLY REGISTERED ANO/OR A ..
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATURE UTILITY CO.NOTIFIED I /
OF PERMITTE ✓✓✓lll"CCC--GG1G11"'
FINAL
VALID ARTHUR C. VETT
V m CAB SUPERVISING ELECTRICAL ENGINEER
CP.r 9 1 7 OLIL 1 2 2 D 4.3 0 �,
76.663 DBSSA 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC i
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
I� /' /-/'l I Ltq 5 7.s
ELECTRICIAN I \ 1� L c if"^' RECEIVED BY READY FOR DATE ISSUED
ADDRESS-9/1.4 �A /[. �- / FIRST INSPECTION / /
CITY d TEL NO. /{N�{
COUNTY LICENSE NO. /7 lr O U EXPIRES A "�Q�, I pDD DIN nL_.cS_, 1.\1
PERMIT FEES
NUMBER OUTLETS EACH FEE` LOCALITY
LIpHT Sc 5 Gs� CREAREEIT
OSS T.
-- �n RECEPTACLES 5 ]PCr
A !- FIXTURES 5 e� 4l OWNER
li WALL BWITCHE9 5 MAIL
j ADDRESS
ELEC. RANGES 25
IR ELEC. HEATERS 25 Q.,S CITY TEL. NO.
MIBC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
TOTAI 7 ( �. APPLICATION AND STATE THAT THE ABOVE IB CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBERHORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NEw MVO. HP OVER IHe. E4eH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
Vt A LESS B .25
I/p 2' .SO SIGNATURE OF
2 5 1.00 .- PERMITTEE
r rr
5 15 1.50 INSPECTION RECORD
I 15 so 2.50
.d 50 200 6.00
200 SOO 10.00
SOO loan 15.CO J
OVER 1000 20.00 - Z" '
M.G. SET/FRED. CHANGER-HP (J
WELDERS: AC-KVA R'
GENERATORS - KW D'
`
TRANSFORMERS - KVA „
TEMP. MOTORS (75% OF ORIRJ
MOVED MOTORS (75% vF ORIS.)
M 19C.
SIGNS
TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT: /IDATE INSPECTOR'S NAME
CONDUI
WIRING $1.00 '/ A� T -ri
FIXTURES
WIRING _
SUPPLEMENTARY .50 FIXTURES /
/y�J� POWER I .
TOTAL FEE 5 � V � UTILITY CO. NOTIFIED
FINAL
76A66
WORKERS'that'COMPENSATIONIhave DECLARATIONcorse CE-806 '°'e' APPLICATION FOR ELECTRICAL PERMIT
I �h erebyYdffirm that I have a certificate of consent to self CE-806G
'"insure,'6r a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec. 3800, Lab. C.)
Policy No'DDL� :025'$r1Company slitirn� FOR APPLICANT TO FILL IN LOB p
Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS 1�rJ L uc V"3-so,
Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. — $ LOCALITY TQYY\ \e C
tion department. Multi-family Sq. FL NEARESTCROSS ST. -P-", C\ �V
Date 4i'21_ U 1 Applicant VV y Residential Swimming Pools OWNER OR
FIRMNAME Q,
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec (2 Lights Sw.� MAR
COMPENSATION INSURANCE First 20 ADDRESS L.c, i�c>`>r,\
(This section need not be completed if the work involved by Total No.� Additional CITY Tel. No.Z$'�-6Z��
the permit is for one hundred dollars ($100)or less.) 3 2.Yr
CHECK
certify that in the performance of the work for which this PLAN
p y person in any manner
permit is issued, 6sholl not employ an APPLICANT
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. 5 Additional
CITY Tel. No.
Dote Applicant
Fixed Appliances Not Over 7 HP PERMIT ``&�
NOTICE APPLICANT: If, after making this Certificate of APPLICANTL4v\kvR Oh 4•
Exemption,
you should become subject to the Workers' Range_ Heater_D.W.
Compensation provisions of the Labor Code, you must forth- Oven _ Dryer W.M.— ADDRESS53 v \� V\_
with comply with such provisions or this permit shall be Top _ FAU W.H. — CITY C q� o\Tel.
deemed revoked. Hood _ Fan I Other lj�—
LICENSED CONTRACTORS DECLARATION D LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. 2 REG. NUMBER Class.
(commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO.�.` / PROCESSED BY >
and Professions Code,and my license is in full force and effect. CL
y OY 0
v p r� Size 8 Type HP, KW, KVA, or KVAR
License Number ��Ooo 1 Lic Class -> \ Up to I Incl. FINAL q^ V
a \ . Over 1 to 10 Incl. DATE c/L� O
Contractor A'� s"^As' O��'Date 0 /�J(J V DATION 0:
❑ Over 10 to 50 Incl. H
FINAL
I am exempt under Sec Over 50 to 100 Inc. BY w
B.BP.C. for this reason Over 100 y
Services, Swbd., MCC 8 Ponelboards - ?
Dole: 0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V ;2 7 7 9,4 A
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Mainz. Elect. '# • • • • • `z
SINGLE FAMILY Temp. Power Pole 8 Appurtenances ( •'• 5 2 7 5
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
1 hereby affirm that I am exempt from the Contractor's License x
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits • • • 5 2.7 5.0
Professions Code):
Elas owner of the property, will do the work and the Misc. Conduits 8 Conductors o a 3J l -87
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ '
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.),
PLAN CHECKING FEE
Lender's Name i
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and state that the TOTAL FEE
above 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
t above-mentioned pr erty for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
DMIP Sigo ui�,e of i il e Dote
C /
TOgBBS:CEBGB:,O.SB
APPLICATION ..FOR`ELECTR-I"C PER T g
BUILDING AND SAFETY DIVISION'
Department of County Engineer BUILDING-
County of Los Angeles ADDRESS _
JOHN A. LAMBIE.:COUNTY ENGINEER �l
CASSATT D. GRIFFIN:SUP'T OF BUILDING 'LOCALITY
- . .
NEAREST '
FOR APPLICANT TO FILL IN CROSS^ST
PERMIT FEES
• OWNER
I
LIGHTS RECEPTACLES BWITCXEB _
NlIMOER 1 EMM EACH FEE" x'MAIL L• �
!ADDRESS .J
TOTAL OUTLETS $ •10 S
I ELEC. RANGES, WATER HEATERS, 'CITY 1 TEL.NO.
.CLOTHES ppYE0.E .50 .d.-f-a
ELEC. SPACE HEATERS, STAT'Yl'COOK- r ELEC'TRIC''IAN Y
ING UNITS. GARBAGE DISPOSERS, L 'IADDR ES$
AUTO WASHERS, DISHWASHER .25
LIGHTING FIXTURES .10 •?CITY f , TEL. NO
F +STATEj 9
MOTORS - - ILICENSE NO /.// At
HORSEPOWER
H.P, OVER 'INC. ISDISTRI/C(�T-LIO -1 IGHouu, ' ZONE • 'R BABY:FOR INSPECTION' v
%x &.LE95 .25
Y — 'z
5 1.00 INSPECTION RECORD
2 _
5 . IS 1:50 '� - R •f�f G31C i¢" .
l
15 50 I , 2.50' I �1'1 .fin/ems [ /L1`L �1n '� • 1
5.00
SIGNS NO TRANS { -
.- I., NO:LAMPS
7 ..
SERVICE'O•600V LOOT
SERVICE'OVER'600V :5:00. •'
WIRING PERMIT
FIXTURE PERMIT
SU PPLEM ENTARY,PERM IT-` • .:50 - -
TOTAL FEE $ g s ( APPROVALS
1 HEREBY ACKNOWLEDGE THAT'IAV
+IHE.'READ THIS APPLICATION DATE INSPECTOR
AND STATE THAT THE,ABOVE. IS CORRECT AND .AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORD INANCES AND STATE 'LAWS 'REGULATING
ELECTRICAL WIRING. I i - 'WIRING
I HEREBY CERTIFY THAT FAM. PROPERLY REGISTERED AND/OR '..FIXTURES
LICENSED AS REQUIRED BY'LOS"ANGELES'COUNTY AND STATE:OF'
CALIFORNIA OR THAT'1'AM' THE LEGAL OWNERSOF THE A OVE POWER
DESCRIBED RESIDENTIAL PROPERTY. .. ,
SIGNATURE 1�2 �� (�, 'FUTILITY CO.._NOTIFIED'
OF PERMITTEE FINAL
JOHN A. LAMBIE gglpN: ..; ARTHUR C.VETT, -
COUNTY ENGINEER .ry SUPERVISING ELECTRICAL ENGINEEI
CK
I lYl, YL � •
L o 4t2 1 s'r.' 11.19 2' 2 2.5'0
COUNTY OF LOS ANGELES TEMPLE CITY b 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL OSOB 0505240004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 15683 LT: 44 9651 LA ROSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803861
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8589-011-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
G2 LIGHTING FIXTURES 1.00 LOT 1.95
TENANT: H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 05/24/05 JK 11/20/05
H4 RES RANGE BOB LT IMP 1.00 HOO 10.95
OWNER: TEL. NO: TOTAL FEES 62.55 FINAL AT FINAL BY: CODE:
KONG, MONICA/KEUNG (818) 209-3388- /J� t— 'n
9651 LA ROSA DR 2 'i 0
TEMP 917803861 DE CRI TION OF WORK
ELECTRICAL FOR KITCHEN AND BATHROOM REMODEL
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: OVER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508