HomeMy Public PortalAbout9802 LA ROSA DR_Electrical__ 'G A GS B-`E BGS,IO"A APPLICATION LECRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST T 1
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE FFIRM
$
S NAME �/1 K
RECEPT,� MAILADDRESS a 0�
LIG HT�� TOTAL FIRST 20 .25 O OVER 20 CITY G/"�'QI c_ CSL TEL,NO.
SWITCH )`` .10
PLAN CHECK
LIGHTING FIRST 20 / ZS O APPLICANT
T TAL
FIXTURES Tr OVER 20 AD ADDRESS
RESIDENTIAL APPLIANCES CITY CC rE L. No, -
IT
RANGE_ORYER_WTR.'HTR._ APPL11 CANT__J I;L\11-1 O`_
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STA. COOK DISP._F.A.U.— � AOD0.E55 �lG `� . )'"\? l-v '
SPACE HTR. AIR COND. CITYj ` A TEL. No.
CLOTHES WASH. DISHWASH._ LICENSE OR
REG. NUMBER )`�-1 io CLAS
FAN_OTHER1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. NP. KW. KVA. ELECTRICAL WIRING.
SIZE 6 TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 LOO LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
q CALIFORNIA Ofl TM dM THE LEGAL OWNER OF THE ABOVE'
I - 1G 3.00 �'y OESCPIP.ED CIE ENiIA RT`T. U.
SIGMA EE 1 4-( /// 11
10 - 50 5.00 SIGNATURE /�k� l� O
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50 - 100 1000 DISTRICT NO. SED BY d
y.
100 — 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 8.00 APPROVALS !f DATE INSPECT 'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
- r
TEMPSERVICE,POLE, &APPURTENANCES 5.00 1 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 1 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES: 17-L7 I've. Qk A SC
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 _
TOTAL FEE 14
PLAN CHECK VALIDATION cX, - M.0. DASH PERMIT VALIDATION cK, M.O. CASH
3'6 30 2 4 1 0.6 0 A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ^
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'0'-5A 1264 APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUILDING AND SAFETY
Dopartment of County Engineer
County of Loa Angeles BUILDING
WM. J. FOX. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN. SUPT OF BUILDING
FORA PLICANTTO FILL IN LOCALITY
PERMIT FEES NEAREST
CROSS ST.
FEE
NUMBER EACH
LIGHT OUTLETS OWNER ��1
RECEPTACLES _ MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS S O 1 CITY TEL. NO.
ELEC. RANGES 25 ELECTRICIAN
ELEC. HEATERS 25 PDDR ESS / Sly O�I/r �[
KW EA ^ITV TEL NO42,1 -7`7d
FIXTURES 5 LICENSE NO. 3
NUMBER OF LIGHT CIRCUITS DISTRICT NO. GROUP ZO 1 READY EOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS �! I +f /J
MOTORS J
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
�ZB LE$9 S
2
2 5 1.00
1.50
50 2.50 _
50 200 5.00
MISC.
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING SLOO Q Q
FIXTURES $1.00
SUPPLEMENTARY ,50 __
3 APPROVALS
TOTAL FEE S , I O DATE INSPECTORIS SIGNATURE
I 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 L _
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA P OPERT
UTILITY CO. NOTIFIED
SIGNATURE
OF PERM ITTEE� C FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION O
}Cg v5 2 S OCT 19 2
.COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1103160014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 9481 IT: 9 BL: .001 9802 LA ROSA DR
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803920
(ASSESSOR INFORMATION NUMBER I INEAREST CROSS STREET: GOLDEN WEST
18589-022-003 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I IH4 RES RANGE RDS IT 3HP 1.00 HOO 10.90
TENANT: TOTAL FEES 38.70 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1103/16/11 SR I
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
ILI, TorvczHAo (626) 757-7630- II
15650 SULTANA AVE,
ITEMP 917803920 (DESCRIPTION OF WORK I
REPLACE KITCHEN RANGE HOOD
I I I I
1APPLICANT: TEL. NO:
SAME AS OWNER _
SPECIAL CONDITIONS:
I I I II
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO ITEMPORARY POWER POLE
11
(UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUNDI
I I I
LIC. NO: IROUGH CONDUIT I I I
I I I
IROUGH WIRING
I I I
MAIN WATER LINE
E\i4W7�����rnrnrn�� PLASTIC YIN METAL YIN
)UTILITY COMPANY NOTIFIEDI
I I I I
II II I II � II
I I I I
l
I I I f
(REPORT ID: DPR265 ROUTE TO: BS0508
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT
DF)PARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1103150004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980
PHONE: (626) 285-0468 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 9481 LT: 9 BL: .001 9802 LA ROSA DR
1FEP, DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917603920 ,
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST
18589-022-003 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 16.00 OUT 31.00 I I
TENANT: I TOTAL FEES 58.80 JISSUED ON: PROCESSED BY: PLAN BY:
103/15/11 SR
TOWNER: TEL. N0: iFINAL DATE FINAL BY: CODE:
LI, TONGZHAO (626) 757-7630-
15650 SULTANA AVE.
TEMP 917803920 IDESCRIPTION OF WORK
(ELECTRICAL FOR KITCHEN AND TWO BATHROOMS REMODEL
((APPLICANT: TEL. N0: I I I
(SAME AS OWNER -
1 ISPECIAL CONDITI S: I
I I
' CONTRACTOR: TEL. N0: APPROVAL DATE INSPECTOR SIGNATURE 'J \
SAME AS OWNER - - I I I
LIC. NO ITEMPORARY POWER POLE I I I
I
IUNDERGROUND CONDUIT
I
1ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I I I
I
LIC. NO: IROUGH CONDUIT
1 II IROUGH WIRING
I I
(MAIN WATER LINE
(PLASTIC Y/N METAL Y/N
I I
((UTILITY COMPANY NOTIFIED I I
I I
I I I
I I
I
EXPIRE
I I I I
II 3 i i i li
I I I I I I
i
(REPORT ID: DPR265 ROUTE TO: HSO508
I