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Home My Public Portal About9838 LA ROSA DR_Electrical__ 76g663E-806R9" APPLICATION FOR ELECTRICAL PERMIT � t COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS 9838 E. IA ROSA DR: BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN LOCALITY' CITY New Residential Bldgs.&Pools EACH NO. FEE NEAREST 1 &2 Family;Sq. Ft. $ .025. — $ CROSS ST. Multifamily Sq. Ft. - .02' — OFIRM NAMEWNRUK E , PATRICIA Residential Swimming Pools r 20.00 MAIL -ADDRESS Outlets: Re< Light_Sw. CITY TE24U CITY Tel.No. 285-4485 First 20 .50. PLAN CHECK ' Total No. Additional .30 APPLICANT 1 ADDRESS Lighting Fixtures First 20 .50 1 1 CITY' Tel. No. Total No. Additional '30 PERMIT TRME HCC Fixed Appliances Not Over l HP- ADDRESS 20N.PECK RD. Range_Heater—D.W._ CITY S. EL MM Tel. No. 579-7982 Oven _DryerW.M._ LICENSE OR Top —FAU �W.H._ REG.NUMBER Z65O9 Class. C-IQ C1 Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE DIED. _ ROOni Air Cond. 2'00 THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN. ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.• Power Apparatus&Large Applibnces 1 . Size&Type HP, KW,KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 2.00 . C OUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM 3 Up t01DC. THE LEGAL OWNER OF THE ABOVE DESCRIBED R NTIAL PROPERTY, Over 1 to,10 Incl. 5.00 Over 10 to 50 Ind. 10.00 _ PERMITTEE Over 50 to 100 Inc. 20.00 SIGNATV RE y Over 100 30.00 DISTRICT NO. - CES D BY Services 4 50 ,�. 000 r 9 0 200 Amp.Under 600 V 12.50 IN$ TOR"S 201�1000 Amp.Under 600 V 25.00 APPROVALS DATE SI NATURE Z Over 1000 Amp.or Over 600 V 50.00- - TEMP. POWER POLE UNDERSLAB WORK Temp.Power Pole&A � � 10.00 , p. ppunenances Sign with One Branch Circuit t 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2'00 WIRINGR.t —a. w F FIXTURES Misc.Conduits&Conductors 15.00 - Other(See Complete Fee Schedules POWER AUTHORIZED p A UTILITY CO.NOTIFIED FINAL fr, PERMIT FEE ISub Total) 9 on NOTES PLAN CHECKING FEE (One Fourth Permit Feet PERMIT ISSUING FEE $6.00 - TOTAL FEE 13.50 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION; M.O. CASH AUG 11 2 a. 1 3.50's��LL, SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE . m ®e I DEC TION WORKERS'that I have a certificate cafe of corse so W19 DPW]/8) APPLICATION FOR ELECTRICAL PERMIT O " I hereby affirm that I have o certificate of consent Io self ,CEABO G - insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified co is hereby furnished. EACH NO. FEE ADDRESS PY Y New Residential Bldgs. 8 Pools n - Certified copy is filed with the county building inspec. 1 8 2-Family, Sq. Ft. $ — $ LOCALITY W tion department. Multi-family Sq. Ft. — NEAREST �C Residential Swimming Pools CROSS ST. -7 OWNER OR Date - Applicant T E I 1 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec--t--1-Light 1. Sw.4L, �Lp MAIL COMPENSATION INSURANCE AJ7 `Q 0 2,l� Total No.� Additional ze CITY Tel. No. ADDRESS ( P Y This section need not be completed if the work involved b First 20 ) the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 - ADDRESS Additional Total No._q CITY Tel. No. Date Applicant - NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over I HP PERMIT Exemption, you should become subject to the Workers' Range— Heater—D.W. APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with.comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked." Hood — Fan —Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION Disp. — Room Air Cond. — LICENSE OR Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus,8 Large Appliances DISTRICT NO. PRO S l• and Professions Code,and my license is in full force and effect. ��L) CL Size 8 Type HP, KW, KVA, or KVAR 8 Q License Number Lic. Class Up to 1 Incl. FINAL t Q Contractor Date Over 1 to 10 Incl. DATE 2- > VALIDATION 0 ❑ Over 10 to 50 Incl. FINAL j//77J !/ H- I am exempt under Sec. Over 50 to 100 Inc. BY W B.BP.C. for this reason Over 100 v 0- Date: Services, Swbd., MCC 8 Panelboards , Z 0-200 Amp. Under 600'V- Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Moint. Elect. Over 1000 Amp, or Over 600 V SINGLE FAMILY p. pp HOMEOWNER-BUILDER DECLARATION �-TemPower Pole 8 Appurtenances - I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ;;: i .i Law for the following reason Section 7031.5, Business and Additional Sign Branch Circuits -7 - i Professions Code): rMisc. Conduits 8 Conductors 1 I t EI I`' I, as owner of the property, will do the work and the structure is not intended or offered for sale(Section 7044, Other (See Complete Fee'Schedule)— pollI I I I AL 111 a 41 Business and Professions Code). _HECK.. !11..=`" CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for �� the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE - 0�7 Lender's Name PERMIT ISSUING FEE - /�, li?l i�, i �� t;2-_r Lender's Address I certify that I have read this application and state that the 11 TOTAL FEE above 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 abo e-mentioned p erty for inspe f n purposes. r n . "SEE REVERSE FOR EXPLANATORY LANGUAGE ��/A-A31/ Os '"Signature of Permitlee ' Date WORKERS'COMPENSATIONDECLARATION 76A66 CE-806G (280) APPLICATION FOR ELECTRICAL PERMIT ' I hpeby a??irm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation.lnsurance„or a certified copy thereof(Sec. 3800,Lab. C.) FOR APPLICANT TO FILL IN JOB U�j ,yn� �''+ P Policy No. ,Company _ EACH NO. FEE - ADDRESS I C� 5l./ f= /�O )? .New Residential Bldgs.,&Pools •Certified copy is hereby furnished. 1 &2-Family,Sq. Ft.• $ $ LOCALITY Tf L ❑ - Multi-family Sq. Ft. — NEAREST cc't�fibd copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR' /� FIRM NAME /F oir_i/} 1J�QE�L— Date Applicant Outlets Rec.—Light— Sw._ MAIL Fi,st 20 ADDRESS CERTIFICATE OF EXEMPTION..FROM WORKERS' Total NO. Additional CITY Tt Tel No.28 5�-q } COMPENSATION INSURANCE PLAN CHECK �' APPLICANT 0 (This section need not-be completed if the work involved Lighting Fixtures First 20 ADDRESS by the permit is for one hundred' dollus ($100) or less.) - - - ¢ - Additional Total No: - O I certify that in the performance of the work for which this - CITY Tel No. U Fixed Appliances Not 1 HP permit is issued, 1 shall not t e % y any person in manner PERMIT �^ (/� x.. so as to become subject to the \ orkers' C pe at on Laws. Range_ Heater_D.W. APPLICANT tld W?, OW. Oven ____ Diyer_W.M. ADDRESS D C Top — FAU _W.H. _ O PC?)( o Z ✓Date3 Applicant 1, Hood Fa '—Other— NOTICE CITY A,RC)(,j� Tel No. ,C7y7 �7 NOTICE TO APPLICANT: I , •fter making this Certificate of . Disp. _ Room Air Conn._ LICENSE OR Exemption, you stiould b ome subject toy the Workers' REG. NUMBER 7— class Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or W,this permit. shall be Size&Type HP,KKVA,or KVAR / deemed revoked. I / y �^ F— Up to1Incl. 3 ' FINAL LICENSED CONTRACTORS DECLARATION Over 1 to,10Incl. DATE ��¢�•�Z VALIDATION. . Over 10 to 50 Incl. ` I hereby affirm that I am licensed.under provisions of Chapter Over 50 to 100 Inc. FINAL BV 9 (commencing with Section 7000) of.Division 3 of the Busi- Over 100 mess and,Professions,Code, and my license is in full force and .effect. �••� / Z Services License Number 17G_r L Lia Class`-'_ 7�'y� 0-200 Amp. Under 600 V - 201-1000 Amp. Under 600,V Contractor' Date _,8—8 Z Over 1000 Amp,or Over 600 V - HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances. , -,1 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 License and Professions Code): Misc.Conduits& Conductors -I, as owner of the property, will do the work and the Other.(See Complete Fee Schedule)— structure is not intended or offered for sale (Section - 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency X3365/( for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 3 issued(Sec. 3097,Civ.C.). - , - �e'e e 2 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 2"e'e'1 t S O Lender's Address PERMIT ISSUING FEE .fG I certify that 1 have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County . - ..0-3,2 3-8 2 ordinances and State laws regulating Electrical wiring, and ' hereby authorize epresenrelives of this County to enter upon the a ve-men[ ed p erty for inspection purposes. SEE REVERSE FOR EXPLANATORY.LANGUAGE i afore of Permi Date - .. COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1110060042 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: 1 ITR: 9481 LT: 16 UN: .002 I 1 9838 LA ROSA DR 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917803920 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET- 16589-022-014 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 23.00 OUT 43.00 1 TENANT: IG2 LIGHTING FIXTURES 7.00 LOT 13.60 (ISSUED ON: PROCESSED BY: PLAN BY: 1 TOTAL FEES 84.40 110/06/11 SR I I OWNER: TEL. NO: I FINAL DATE FI/$IN/A�L' BY: CODE: WU, ZI SING (626) 487-2884- 1 I 9838 LA ROSA DR ITEMP 917803920 1 Ip SCRIPTION OF WORK 1 REPLACE 19 OUTLETS, 4 SWITCHS, AND 7 LIGHT FIXTURES APPLICANT: TEL. N0: I ISAME AS OWNER - SPECIAL CONDITIONS: I I I I CONTRACTOR: TEL. NO: AP PROVALE DATE INSPECTOR SIGNATURE (SAME AS OWNER - LIC NO ITEMPORARY POWER POLE I IUNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I I I I LIC. NO: - IROUGH CONDUIT I I I ROUGH WIRING (MAIN WATER LINE (PLASTIC Y/N METAL Y/N I (UTILITY COMPANY NOTIFIED I i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I II II I I I II I I I I I I I I I I I I I I I I I II I II II I II I I I I I I I I I I I I II I II I I I I I I i I I III III III III O ) -( - - £PORE' IO PR o265 ROUTE TO 850508 Tf4�> � t � � v ,js4 {S-+..'`'.•.kt 9._ n&fi §+ .t35F 4k '2ac `� lv,+."�w �`A''$}!'Aia`r �5"SE£ aSC� SSt n3- � 1.k3. it is'vtS f "..F*'. .?' s e - i y.,,. ,r '• ra^ sc .,.;nnr t - tom. f am .-a n- .. t. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0506 1210150033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) ,285-0488 EXT: (LEGAL ID: FEES PAID BUILDINGADDRESS: ' ITR: 9481 LT: 16 UN: .002 9836 LA ROSA DR IFEE DESCRIPTION: QUANTITY: GUM: AMOUNT: 1 TEMP CA 917803920 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: 18569-022-014 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 3.00 OUT 6.00 1 1 TENANT: IGS LIGHTING FIXTURES 1.00 LOT 2.00 JISSUED ON: PROCESSED BY: PLAN BY: I ILB 200 AMP PANELS, MCC. 1:00 PAN, 38.90 110/15/12 'SR I I TOTAL FEES 74.70 I 1OWNER: TEL. NO: I IFIN�,L QATfE F�I^AnL BY: CODE: - 1909 ZI JING (626) 487-2884- 19898 LA ROSA DR 1 (r I'/ '7 ITEMP 917803920 DES1CRIPTION OF WORK 12 OUTLETS, 1 SWITCH AND 1 LIGHT FIXTURE FOR REMODEL (E) . (BATHROOM AND UPGRADE SERVICE PANEL TO 200 AMP (APPLICANT: TEL. NO: SAME AS OWNER _ - ISPECIAL CONDITIONS: I I I I I I (CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - LIC. NO ITEMPORARY"POWER POLE I 1- 1-(UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I ITRINH, BEN (626) 864-2372- 11 z 1 1 1813 PONTENOVA AVENUE LIC. NO: IROUGH CONDUIT 1 1 IHACIENDA HIS, CA 91745 NONE 1 I I ' I IROUGH WIRING I (MAIN WATER LINE PLASTIC Y/N METAL Y/N (UTILITY COMPANY NOTIFIE51on I III II I II I 1 � III 1 III 1 I I I II I I I II II II I III I (III I (III I � I 111 I (III I I III . I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I COUNTY -OF LOS ANGELES TEMPLE CITY N 0506 s ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS. TUNAS EL 0508 1203280053 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA.91780 � PHONE: (626) 285-0488 EXT: . . LEGAL ID: FEES PAID BUILDING ADDRESS ITR: 9481 LT: 16 UN: ..002 1 9838 LA ROSA DR I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803920 1ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: 18589-022-014 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C1 1 101 OUTLETS-LGT,SW,RECP 82.00 OUT 122.30 TENANT: 102 LIGHTING FIXTURES 28.00 LIT 49.70 JISSUED ON:, PROCESSED BY: PLAN BY: I IHA FAU LESS 3HP 2.00 FAU 22.00 103/28/12 SR I JH4 RES RANGE HER LT 3HP 1.00 H00 11.00 I 1 IOWNER: TEL. NO: IJB AC UNITS +3-10HP 2.00 AC 39.40 (FINAL DATE FINAL Y: CODE: IWE, ZI GING (626) 487-2884- TOTAL FEES 292.20 19898 LA ROSA DR I ITEMP 917803920 ,IDLISCRIPTION OF WORK ELECTRICAL FOR ADDITION, RMODEL AND 2 HVAC SYSTEMS (APPLICANT: TEL. N0: ITRINH, BEN (626) 864-2372- 1813 PONTENOVA AVE ISPECIAL CONDITIONS: IHACIENDA HIS 91745 I CONTRACTOR: TEL, NO: 1APPROVALS DATE INSPECTOR SIGNATURE IWU, ZI JING (626) 487-2884- 1 1 1 19838 LA ROSA DRIVE LIC. NO 1 ITEMPORARY POWER-POLE 1 1 1 ITEMPLE CITY, CA 91780 NONE 1 I 1 1 1 IUNDERGROUND CONDUIT I ARCHITECT OR ENGINEER: TEL. N0: 1 IUFER GROUND 1 1 1 ITRINH, BEN (626) 864-2372- 1013 PONTENOVA AVENUE - LIC. NO: I1ROUGH CONDUIT 1 1 1 IHACIENDA HIS, CA 91745 NONE 11 I 1 1 1 I ROUGH WIRING MAIN WATER LINE (PLASTIC YIN METAL YIN 1UTILITY COMPANY NOTIFIED I I I I 1 I I 11 111 1111 1 11 111 I I I I I I I I REPORT ZD: DPR265 ROUTE TO: 850508 I 11 I I