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HomeMy Public PortalAbout9814 LA ROSA DR_Electrical__ 215-59 8-4-59 Ck:' '7// 76gB63-DE806 IE-BB APPLICATION FOR ELECTRIC PERMIT I COUNTY OF LOS ANGELES :;j DEP COUNTY OF COUNTY ENGINEER BUILDINGBUILDING AND SAFETY DIVISION ADDRESS 9H14 I,aJOHN A.LAMBIE,COUNTY ENGINEERCASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY Temple CFOR APPLICANT TO FILL IN NEAREST CROSS ST. PERMIT FEES OWNER Tambie ITEM NUMBER EgCH FEEOUTLETSh �1S S MAIL LIGHTS I RECEPT. 21 SW. q ,f0 •lO ADDRESS LIGHTING FIXTURES 11 .10 LCITY ELEC.RANGES CLO.DRYERS ELECTRICIAN D-jax WATERHEATERS . ADDRESS ZOH1 WELEG SPACE HTRS. DISHWASHERSCITY GARBAGE DISPOSERS AUTO.- STATE ICENWASHERS STA.COOKING LNITS .25 LICENSE NO. 17 MOTORS: OVER INC. H.P. - DISTRICT NO. GROUP E PROCES BY 0— V. .25 / v,— 2 .50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 IS— 50 2.50 50-200 5.00 SIGNS: NO.TRANS, NO.LAMPS SERVICE O-600V 1.00- 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 1 00 FIXTURE PERMIT 1.00 1 00 SUPPLEMENTARY PERMIT .50 TOTAL FEE q 8.10 APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT !� ELECTRICAL WIRING. WIRING G-"�-'f•� / F �'Y^I 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR - I LICENSED AS REQUIRE. BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 q T LEG L OW THE ABOVE DESCRIBED RESIDENTIAL o iY. POWER G SIGNATURE UTILITY CO.NOTIFIED I OF PERMITTEE FINAL ®F IDATION ARTHUR C. VEIT. SUPERVISING ELECTRICAL ENGINEER _ MO CASH 1 '� h 2 8.10 . .. %JOF11(ERS'COMPENSATION DECLARATION 76.603 11131 CE-806G APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to 'self insure,' or'a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY cbpy thereof(Sec.3800,Lab. Of p Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS' �'1 p �� {$ 12tr-, A ❑ Certified copy is hereby furnished, New Residential Bldgs.&Pools EACH NO. FEE ❑ 1 & 2-Family,S Ft. $ — $ LOCALITY. Certified copy is filed with the county building inspection Y� q // /� department Multi-family Sq.FL NEARET . CROSS ST. VAC,(CY.+-•^ iL Residential Swimming Pools OWNER OR 1 ,( Date Applicant FIRM NAME �f1Y c1, U J'�"J CERTIFICATE OF EXEMPTION FROM WORKERS' ��LI 'MAIL COMPENSATION INSURANCE Outlets:Fee Light Sw. O 'ADDRESS (This section need not be completed if the work involved by the Additional 20 t� permit is for one hundred dollars ($100) or less.)- Total No. Additional I certify that in the performance of the work for which this permit PLAN CHECK APPLICANT is issued, I Shall not employ.any tarsal in any manner so as t0 become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional 0 Total No.� CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APP-LICANT: .IF.after making this Certificate of PERMIT Exemption,you should become subject.to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer W.M._ /Q ADDRESS provisions or this permit shall be deemed revoked. Top _ FAU W.H. LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Tel.No. - I.hereby affirm that I am licensed under provisions of Chapter 9UGENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. Room Air Cond. REG:NUMBER Cil Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO PROCESSED Size & Type HP, KW.KVA,or KNAR License Number Lia Class Up to 1 Incl. FINAL U _Over 1 to 10 Incl. DATE Contractor Date VALIDATION O ❑ Over 10 to 50 Incl U FINAL I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 N Services, Swbd., MCC&Panelboards Date: 0- 200 Amp. Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ ' ' Over 1000 Amp.or Over 600 V Exemption for Reg.Maim.Elect. SINGLE FAMILY - - Temp.Power Pole&Appurtenances ? HOME OWNER-BUILDER DECLARATION f Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law ACF.T.yAT for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits -5307 iiITEMS I,as owner of the property,will do the work and the ire Misc'Conduits & Conductors �- Busin is not intended or offered for sale (Section 7044, Business Other (See Complete Fee Schedule) and Professions Code). TOTAL 32 _ $ CONSTRUCTION LENDING AGENCY - - - O tHUX 52•80 1 hereby affirm that there is a construction lending agency for ther performance of the work for which this permit is issued ISec.3097, PERMIT FEE (Sub-Total) ��AWUE Civ.C.). PLAN CHECKING FEE Lender's Name 0011,13-00il 10/ 4/90 PERMIT ISSUING FEE Lender's Address .}J.S� 1 - A10�Qo 1 certify that I have read this application and state that the above. TOTAL FEE 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 the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE I4 07 Signature of Per tee i to COUNTY OF LOS ANGELES TEMPLE CITY k 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0]0815002] BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91"180 PHONE: (626( 205-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: JTR: 9481 LT: 14 BL: .001 ON .002 9814 LA ROSA DR I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:J TEMP•CA 917803920 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GOLDEN WEST 18589-022-031 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl LB 200 AMP PANELS, MCC 1.00 PAN 30.65 (TENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 108/15/07 SR 02/11/08 1 (OWNER: TEL N0: FI AL DATE BY: CODE: 1PENG, (626) 215-5075- �/_. `/Y/{r❑VIyJ 19814 LAS AS ROS ROSA DA. "]]��- W ITEMPLE CITY CA 91780 D SCRIPTION OF WORK UPGRADE ELECTRICAL METER TO 200 AMP 1 � 111 APPLICANT: TEL. NO: ICHO (626) 571-5870- 1 1 1 13857 RIO HONDO AVE SPECIAL CONDITIONS: ROSEMEAD CA 91]]0 (CONTRACTOR: TEL. N0: (APPROVALS DATE INSPECTOR SIGNATURE (KONG FU CHO (626) 571-5870- 13657 RIO HONDO AVENUE LIC. NO ITEMPORARY POWER POLE I I 1 ROSEMEAD, CA 91770 699788 C10 I 1 IUNDERGROUND CONDUIT I 1 (ARCHITECT OR ENGINEER: TEL. NO: IUFER'GROUND LIC. NO: IROU2H CONDUIT IROUGH WIRING � (MAIN WATER LIN I _ PLASTIC YIN TAI, /N �Il JUTILITY COMPANY NOTIFIED) I I I I I I I 11 11 11 I I I I 11 11 I I I I I I 11 11 I I I I I I 11 1 II I I I I 1111 I ,� 11 (III 111 �. (REPORT ID: DPR265 ROUTE TO: BSO508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9909220026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 9481 LT: 14 BL: .001 UN: .002 9814 LA ROSA DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803920 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST 8589-022-031 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 33.60 09/22/99 VG 03/20/00 OWNER: TEL. NO: FINAL DATE FINAL BY: E: TAKEHARA, PATRICIA (626) 286-7514- ,n 9814 LA ROSA DR. �;-�"-f�/� TEMPLE CITY 91780 DESCRIP ON OF WORK ELECTRICAL FOR CLOSET APPLICANT: TEL. 0: PRIMARY HOME IMPROVEMENT (310) 618-1881- SPECIAL CONDITIONS: PNGELES CO CONTRACTOR: TEL. NO: �O�j �/�/Ty APPROVALS DATE INSPECTOR SIGNATURE PRIMARY HOME IMPROVEMENT (310) 618-1881- 20802 S. NORMANDIE LIC. NO TEMPORARY POWER POLE TORRANCE, CA 90502 728195B / UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: / UFER GROUND LIC. NO//L 111X111 ROUGH CONDUIT ROUGH WIRING G�n r D ��//� WORKS MAIN WATER Low [NE Illv/II IIVv \1VII1\VIl lu�lll luK(\1 NS PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED d 8 F O 0 O 0 ' A 0 ® ®5 obi_ � mot �c Service That REPORT ID: DPR265 ROUTE TO: BS0508 I.