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Home My Public Portal About9713 LA ROSA DR_Electrical__ 76A6 3 055 SA 25M SET, ll- -• ! APPLICATION FOR PERMIT ' DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FORAPPLICANTTO FILL IN S / YI/ Q/G? 6,y ELECTRICIIANy/,r"�✓'10'Z7..L�L. RECEIVED BY READY FOR !DATE ISSUED ADDRES�S/ 7 0� .'L./ '? • 1 0.5 CL FIRST INSPECTION CITY i/ C1v.n-'�.�I�l. P!w�E✓ TEL. NO.(� CP1�43'��I ( /LO BUILDING ��/l' LICENSE NO. r / EXPIRES ADDRESS ✓v'� DESCRIPTION 'OF WORK J/�ix/ NUMBER OUTLETS EACH FEES LOCALITY l'' L COSS 24 ] y'l LIGHTS Sc IS 45 8TREET 241, // RECEPTACLES 5 90 C FIXTURES s QST f2 I WALL SWITCHES 5 I �� =RES9 ELEC. RANGES 25 !CITY w,f.}'Y�bJ''�i�FC 11'?.�✓AT L NO.' /- (� ELEC. HEATERS 25 ZiS �g,"�••� MISC. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE. LIGHTS RECEPTACLES MOTORS y ELECTRICIAN. V NUMBEw HORSEPOWER FEE NEW MVO. HP OVER INF EACH ' IAM THE LEGAL OWNER OF THE RESIDENTIAL PROP- s L... $ .25 IR DESCRIBED ABOVE. I ' L2 .50 /f/�VO fT.✓vVl.�l Irf+��7 1 S 2 5 1.001 / OWNER. i5 1.5D INSPECTION RECORD U 15 So 2.50 200 5.00 L200 Boo 1o.aG 500 1000 1 S.00 J c OVER 1000 20.00 Z 3 S M.G. SET/FRED. CHANGER-HP b WELDERS: AC-KVA D GENERATORS - KW _ TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORI..) MOVED MOTORS (75% OF ORI..) MISC. SIGNS TYPE: NO.TRANS TYPE: NO. LAMPS APPROVALS PERMIT FEE DATE I INSPECTOR'S NAME FOR ISSUING PERMIT: CONDUIT WITHOUT FIXTURES 91 AO WIRING WITH FIXTURES 1.28 FIXTURES SUPPLEMENTARY .BO POWER TOTAL FEE �,. $ UTILITY CO. NOTIFIED FINAL J/ —y/ 76A663 Ce06R 1T] C� t' C� E APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS BUILDING AND SAFETY DIVISION rn 1 FOR APPLICANT TO FILL IN LOCALITY J New Residential Bldgs.&Pools EACH NO. FEE NEAREST Q�a� 1 &2-Family,Sq. Ft. $ .025 — $ CROSS ST. OWNER OR1 Multi-family Sq. Ft. .02 — FIRM NAME n L 1 nC Residential Swimming Pools 25.00 MAIL ADDRESS I O" Outlets:Rec LightSw. CITY f �� el. No. '�I' First 20 .50 PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting.Fixtures First 20 .50 CITY Tel. No. Additional .30 PERMIT Total No. APPLICANT Fixed Appliances Not Over 1 HE ADDRESS Ronge_Hecter—D.W.— CITY n �"� III I. No. &,9-7-1)q7 -Oven —Dryer—W.M— LICENSE OR aa Top —FAU —W.H. REG.NUMBER G.A 1. 1 D Class. Hood_Fan —Other_ Z.SO HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION AND STATE Disp. _ Room Air Goad. THAI THE ABOVE 6 CORRECT AND AGREE TOCOMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances - L Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Y - Up t0lnd. 2'50 THE LEGAL OWNEROF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. Over 1 to IO Incl. 5.00 v Over 10 to 50 Incl. 1.2.50 PERMITTEE Over 50 to 100 Inc. 25.00 SIGNATURE Over 100 40.00 DISTRICT NO. PRO ED 1 Services ok 0 200 Amp,Under 600 V 12.50 1Iall APPROVALS DATE INSPECTOORE 201 1000 Amp,Under 600V 25.00 Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole&Appurtenorces 7 0.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 1 IWIRING IVI_ Misc.Conduits&Conductors 10.00 FIXTURES j Other ISee Complete Fee Schedule) POWER AUTHORIZED �� F UTILITY CO.NOTIFIED FINAL PERMIT FEE ISub,Totoll NOTES ,PLAN CHECKING FEE (OneFourthPermit Feet PERMIT ISSUING FEE 0.00 TOTAL FEE PLAN CHECK VALIDATION CK, M . CASH PERMIT VALIDATION CK. M.O. CASH " o 21 2 u 2 J;.O ave, SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE j 76A66'J DSS SA 25M SETS 11-46 1 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER DISTRICT NO. GROUP ZONE p,ERMIT NO. FOR APPLICANT TO FILL IN 1SGLy�� ELECTRICIANRECEIVED BY READY FOR DATE ISSUED(/ FIRST INSPECTION / �1 ADDRESS sal' " �/ CITY TEL NO. LD NG LICENSE NR DD EXPIRES ARESS 12 DESCRIPTION OF WORK NUMBER OUTLETS EACH FEES LOCAL ITY//.JJ/7.-IiJ+t.>' ..� CROSS LIGHTS Sc $ STREET RECEPTACLES 5 FIXTURES 5 OWNER WALL SWITCHES 5 =RE99 ELEC. RANGES 25 CITY ]a,�� ^+..•STEL NO. ELEC. HEATERS 25 V MISC. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE. LIGHTS RECEPTACLES MOTORS ELECTRICIAN. NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH IAM THE LEGAL OWNER OF THE RESIDENTIAL PROP- I�z ¢ LE.R $ .25 ERTY DESCRIBED ABOVE. �y7 %z 2 .SOI /;(A75'�V�J f 2 5 I.DO --�OWHFR• s15 I.so INSPECTION RECORD 1s So 2.501 1 so 200 s.OD zoo I 500 1..0. 1 1 500 100. 16.00 J OVER 1000 I 20.00 Z M.G. SET/FREQ. CHANGER-HP 13 WELDERS: AC-KVA Q GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF SRI..) 1 M5VED_MDTOR9 (75q OF OR'O.) L MISC. / IGNS TYPE: NO.TRANS. TYPE: N.. LAMPS APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: Uv CONDUIT WITHOUT FIXTURES $1.00 1 1 WIRING WITH FIXTURES 1.25 FIXTURES SUPPLEMENTARY .So POWER TOTAL FEE $ / UTILITY CO. NOTIFIED FINAL 16AGS3 MS SA c-as ® APPLICATION;FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES R ` EC T R I.C';, " . :' WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. /J7S ELECTRICIAr N - RECEIVED7 BY READY FOR DATE. ISSUED ADDRESS �1 j�/ FIRST INSPECTION /� '5 CITY TEL. NO. TM / / /Fj Y COUNTY LICENSE NO. 402 EXPIRES G. BUILDING Q y PERMIT FEES ADDRESS FEE �T //•�,L NUMBER OUTLETS EACH LOCALITY 115 1 LIGHTS 5C $ NEAREST _ RECEPTACLES'. 5 GROSS ST. FIXTURES 5 DOWNER ,_.' ✓L-6'�. WALL SWITCHES 5 MAIL ELEC. RANGES 25 ADDRESS - - ELEC. HEATERS 25 ' CITY TEL. NO. MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: • APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NumeeR HORSEPOWER 1 CERTIFY THAT 1 POSSESSTHEABOVE .VALID LOS f FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVO. HPj0V�R ' NC. EACHOF THE RESIDENTIAPROPERTY DESCRIBED ABOVELESS $ .25 2 .50 91GNATU RE OF lPERMITTE.1.0015 1.50 - INSPECTION RECORDSO 2.50 00 5.0000 10.00 sooi000 Is. J oo _ � ... _ Q OVER 1000 r 20.00 - _Z M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA Q GENERATORS - KW - TRANSFORMERS - KVA TEMP. MOTORS (75% ov ORIGJ MOVED MOTORS (75% OF ORIG.) MISC, SIGNS TYPE: NO. TRANS. TYPE: NO. LAMPS - APPROVALS . FOR EACH PERMIT: DATE INSPECTOR'S NAME CONDUIT WIRING 51.00 7 ?n - , FIXTURES $1.0 (f" WIRING SUPPLEMENTARY5Q FIXTURES POWER TOTAL FEE § '/' ✓ UTILITYCO. NOTIFIED I IIII�� FINAL . WORKERS'COMPENSATION DECLARATION 76A663 APPLICATION FOR ELECTRICAL PERMIT I cES06G (2-801 /1rf M 1r r R /�L ELECTRICAL rGIC 'I hereby affirm that I have a certificate of consent to self COUNTY OF LOS AN �. 1... , BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800. Lab.C.) ' FOR APPLICANT TO FILL IN JOBQQ Ie C�- OS R Policy No. Company - New Residential Bldgs.&Pools EACH NO. FEE ADDRESS �.J Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY I E 0' - ❑ '- Multi-family Sq. Ft. — NEAREST t. Certified copy is filed with the county building inspection CROSS ST 1 1 LU E5T Residential Swimming Pools department. /� aO OWNER OR ry e(/ FIRM NAME C Date Applicant Outlets: e Light_ Sw._ MAILFl ESS First 20 17) CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITYtyf Tel No. COMPENSATION INSURANCE S PLAN CHECK 0 (This section need not be completed if the work involved APPLICANT U by the permit is for one hundred dollars (5100) or less.) Lighting Fixtures _ First 20 ADDRESS Additional ir Total No. 0 I certify that in the performance of the work for which this - CITY. Tel No. 0 Fixed Appliances Not Over 1 HP . permit is issued, I Shall not employ any person in any manner PERMIT W so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT 1C1 isj a Oven _ Dryer_W.M._ ADDRESSC in ISI . SA Z Date Applicant Top _ FAU _W.H. — Hood _ Fan _Other_ CITY' :C, Tel N0.2 NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond.— - LICENSE OR - Exemption, you should become subject to the Workers' REG. NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit shall be deemed revoked. Size& Type HP,KW, KVA,or,KVAR < �� Up to 1 Incl t.J FINAL Over 1 to 10 Ind. DATE �... VALIDATION LICENSED CONTRACTORS DECLARATION 3 �1�8j _ Over 10 to 50 Incl. I hereby affirm that 1 am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in full force and effect. Services - License.Number Lic.Class 0-200 Amp. Under 600 V 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V- HOME OWNER-BUILDER DECLARATION Temp. Power Pole& Appurtenances :23154A I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits # e'e e e o 2 ness and Professions Code): Misc.Conduits&Conductors - 2,e e 2&50 1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— o e e 2 rj Q structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 0304, 82 1 hereby affirm that there is a construction lending agency " for the performance of the work for which this permit is i PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). � � - 'Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) / ,niter's Address PERMIT ISSUING FEE _ 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 1 heruby authorize representatives of this County to enter upon the bdOe11r tioned properI pection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date. I J COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9'101 LAS TUNAS EL 0508 0609220004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 15683 LT: 15 9713 LA ROSA DR FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803951 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SSB9-010-015 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H2 RES GREG DISP LT 3HP 1.00 DIS 10.95 09/22/06 JK 03/21/07 TOTAL FEES 48.45 OWNER: TEL. NO: L-Z L ,RATE FINAL BY: CODE: ND DONATO LIA F (626) 237-0021- O/ / 9713 LA ROSA DR P /� TEMP 917803951 BION OP WORK ELECTRICAL FOR KITCHEN REMODEL APPLICANT: TEL. NO: NEWMAN (626) 285-2602- 9144 SOUTHVIEW SPECIAL CONDITIONS: SAN GABRIEL CA 91775 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ROBERT NEWMAN (626) 285-2602- 9144 SOUTHVIEW LIC. NO TEMPORARY POWER POLE SAN GABRIEL, CA 91795 432157 B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING ry� MAIN NATER LINE V/ PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0506