HomeMy Public PortalAbout9805 LA ROSA DR_Electrical__ ]6A663-CE80611"]I APPLICATION FOR ELECTRICAL PERMIT C,lufl
., ,COUNTY OFrANGELES
NGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS
' ,BUILDING AND SAFETY DIVISION
T
FOR APPLICANT TO FILL IN
.
OUTLETS NO. EACH FEf
$ $
RECEPT.-Q 1 -
11\LIGHT� TOTAL FIRST 20 '25 A7 QCITY TEL. N0.
SWITCH OVER 20 AD PLAN CHECK
LIGHTING TOTAL FIRST 20 25 5 APPLICANT
FIXTURES .5 OVER 20 10 /
ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE_DRYER_WTR. HTR._ APPLICANT
STA. COOKDISP./F.A.U._ ADDRESS
EJ
SPACE HTR./AIR COND. CITY A TEL. N rs
CLOTHES WASH._DI SHWASH.-/— LICENSE NO. T %� CLASS.
FAN_OTHER /J IDDOO I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION
�J AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. XfATER9. ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED A9 REQUIRED ID BY LOS ANGELES COUNTY AND STATE OF Y
CAL ESIDE NIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND T . a
I - ID 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PgOPERT T. O
U
10 - 50 5.00 SIGNATURE w
OF PERMITTEE i O
50 _ 100 10.00 G
D19TRICT NO. CLASSZONE PROCE95 ED BY..
100 - 500 1500 �J.L,, W
iJ �f /O;% Y rn
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: j ?
TUBE. OR
MARQUEE ADDITIONAL CIRCUITS 100
S ERV I CE NOT OV ER 600 VOL TS O R 200 AM P 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI C E OVER 600 VOLTS O R 200 AM P 10.00
TEMP.POWER POLE
TEMP SERVICE, POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
DO FINAL
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.a. cA9n
Li
2 -3aN GNO 2 0 13.25,o
'SEE BACX OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1205030034
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID
BUILDING ADDRESS
ITR: 9481. LT: 12 BE: .001 : 1
9805 LA ROBA DR
I IEEE DESCRIPTION: QUANTITY: NOM: AMOUNT: ( TEMP CA 917803921
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
18589-008-011 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I01 OUTLETS-LGT,SW,RECP 40.00 OUT 65.90 II
(TENANT: IG2 LIGHTING FIXTURES 9.00 LOT 16.00 (ISSUED ON: PROCESSED BY: PLAN BY
ILK 200 AMP PANELS, MCC 1.00 PAN 38.90 105/03/12 SR
I TOTAL FEES 150.60
TOWNER: TEL. NO: I FINAL DATE FINAL BY: CODE:
TSNOW A G;SEAN M -
9805 LA ROSA DR
ITEMP 917803921 TDESCRIPTION OF WORK
(UPGRADE MAIN SERVICE TO 200 AMP REWIRE PART OF THE HOUSE
I
(APPLICANT: TEL. NO:
INESTERENKO, GERMAN - T
1SPECIAL CONDITIONS:
I
CONTRACTOR: TEL. NO: (APPROVALS DATE _INSPECTOR SIGNATURE
1
IMEGA POWER ELECTRIC INC. (818) 674-6400- I I 1 I
16959 VARNA AVE LIC. NO ITEMPORARY POWER POLE -
IVAN NUYS, CA 91405 876625-C10 '
UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER: TEL. NO: T TUFER'GROUND
LIC. NO: TROUGH CONDUIT
I I
1 (ROUGH WIRINGI
I I
IMAIN'WATER LINE
1.PLASTIC Y/N METAL Y/N
(UTILITY COMPANY NOTIFIED(
1 (III II I II I
TR UX3
J{ I I I
I �`� � II I I I
II I I I I I
11* ADDITIONAL DATA ON FILE
1REPORT ID: DPR265 ROUTE TO: B50508