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HomeMy Public PortalAbout9808 LA ROSA DR_Electrical__ 75^683-GEB06 10"2 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES /� DEPARTMENT OF COUNTY ENGINEER AooREss �� ALJ°! Dau- DP-' BUILDING AND SAFETY DIVISION LOCALITY�LsP��s Ct TUl FOR APPLICANT TO FILL IN CROSS NEARESTT. We-&= OUTLETS NO. EACH FEE OWN NAME_ S-r- - N RECEPT.� S S MAIL �T DO LIGHT A RESS TOTAL FIRST 20 25 CITY7eM C�'rU TEL. NOyZ 72 2(92 SWITCH -,,2-?- OVER 20 .10 PLAN CHECK GHTING TOTAL LFIRST 20 25 APPLICANT FIXTURES .10 I OVER 20 ADDRESS RESIDENTIAC APPLIANCES CITY TEL. NO. PERMIT RANGE—DRYER WTR. HTR._ APPLICANT /C A T 4)111 STA. COOK_DISP._F.A.U. ADDRESS i?VSV DA- SPACE HTR. AIR GOND. CITY /Q �� �� TEL. N0.018,7 1Z(,/p CLOTHES WASH.—01 SHWASH._ LICENSE OR J� REG. NUMBER CLASS. FAN OTHER / L00 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Y� P AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. S 12E 6 TYPE OVER TO 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR 0 - I 10° LICE NSEO AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALI FORNA OR THAI I AM THE LEGAL OWNER OF THE ABOVE a 1 - 10 300 OESCRIEEO BESIDE TIAL PROPERTY. 0 U PERMITEE 10 - 50 5.00 SIGNATUR p 50 - 100 .1000 DISTRICT 140. PR SSEO BY d 100 - 500 15.00 O SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE rINSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVI CENOTOVER 600 VOLTS OR 200 AMP / 3.00 ©Q UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 5.00 ff WIRING 25 TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED �J C FINAL PERMIT FEE (SUB TOTAL) NOTES: 0 (ilk y� c� Min PLAN CHECK FEE �L {� PERMIT ISSUING FEE 3.00 Oo I'LL GZ&LAp VM Pt TOTAL FEE PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION GK. CASH 2. 1 4�-OCT 3 2 0 1 5.6 5 •�:IG SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �l COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1002040040 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 9481 LT: 13 EL: .001 9808 LA ROSA OR IRIS DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803920 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GOLDEN WEST 18589-022-004 1A1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 1 1 TENANT: IG2 LIGHTING FIXTURES 2.00 LET 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 35.55 102/04/10 SR 02/04/11 OWNER: TEL. NO: (FINAL DATE FINAL aY CODE: IYU, HOCKEY (310) 217-1161- 19808 LA ROSA DR. ��o-( GARD 902494326 1 IDESCRIPTION OF WORK 1 12 SWITCHS AND 2 LIGHT FIXTURES 1APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: 1 I 1 II CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO (TEMPORARY POWER POLE 1 11 IUNDERGROUND CONDUIT 1ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND , I I I LIC. NO: 1 (ROUGH CONDUIT 1 I (ROUGH WIRING I I I 1-1- MAIN WATER LINE (PLASTIC YIN METAL YIN I I I I I (UTILITY COMPANY NOTI FI EDI I I I I I I I I I I 11 I I I I I I I I I I 11 11 I I I I I 1 II II I I I I 1 I1 I1 11 II1 REPORT ID: DPR265 ROUTE T0: B50508 I I I I I II