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Home My Public Portal About9915 LA ROSA DR_Electrical__ ' 76^663 5A 25M SETS 7-48 APPLICATION FOR PERMIT `DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 • COUNTY OF LOS ANGELES M ..J11. FO CHIEF ENGINE ER NAME f9 IV . �� .� �1�. �j DISTRICT NO. GROUP ZONE PERMIT NO. U-a, ADDRESS2. /.J /JI"1-�tia— l `/ OBJ-�,�r�l�.e�j,,, RECEIVED BY READY FOR DATE I65UED� Id CITY L.NO. FIRST INSPECTION ICj J COUNTY ` , _ � , C Id LICENSE NO._ d /_ E%PI REB ,APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK JA°DORE66 NUMBER OF OUTLETS ON CIRCUITS LOCALITY 1 C. LOCATION BY ROOMS NEARE1 LIGHT OUTLETS SW. PLUGS FIRT CROSS ST. '�,' C t I y CIRCUIT A B C D E F G H rc NAIO Iwop i p ��/ n ' 2 MAIL J�✓ UY . I7L`I L!L li ; ADDRE66� C CITY 1 AM THfi LE L Po;SESS0 OF THE ABOVE LOB ANGELES COUNTY CERTIFICATE? QUALIFICATION.. ELECTRICIAN. 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS 6 z 0 O TOTAL ' '�- NO. OF OUTLETS $ 1 �' APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PER FEE $ � UTILITY CO.NOTIFIED � _a TOT FEE FINALJ�/f"� i r COUNTY OF LDS ANGELES APPLICATION FOR PERMIT Department of County Engineer ELECTRIC DIVISION OF BUILDING & SAFETY WILLIAM J. FDX, Caunly Enpinear FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE I PERMIT 9NO. ELECTRICIAN . � �'//\A.✓/�A ta. Q-� g9z 9d� d ADDRESS FG ^ �U �iA RECEIVED 8Y READY FOR DATE ISSUED /J/�]/,(�-./� n ,,�(�,� FIRST INSPECTION CITY --A 11 /i-Y�'"\/ TEL NO. 6 d-lvl`-^.-L Jam✓ �_`+� COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST J CROBB ST. RECEPTACLES n J WALL SWITCHES OWNER \) Imo/y,.. • TOTAL OUTLETS SC 5 MAIL ELEC. RANGES 26 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MIBC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP /aDuca INC. EACH OF THE RESIDENTI L PROPERTY DESCRIBED ABOVE. IV y/5A !/E A ccgg S .25 a( SIDNATURE OF : _ I/2 2 .50 PERMITTEE _ V—__2' g5p ° INSPECTION RECORD 1.50 2.5° 5.00 0.00 So J 15.00 Q Z _ ovea 1Goo z°.Do � M.G. SET/FRED. CHANGER-HP d' _WELDERS: AC-KVA O _ GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% GF GRIG.) MOVED MOTORS (75% OF CRIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME_ WIRING $1.00 ,90 CONDUIT FIXTURES yl,Oo WIRING SUPPLEMENTARY .50 FIXTURES (� POWER TOTAL FEE S / �() UTILITY CO.NOTIFIED FINAL 7GA663 DBS#5A 4-52 / v / COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DSof County Engineer � � � DIVISIONION OF OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. 7P ZONEPERMIT NO. z ELECTRICIAN A-/ o[�N iJ !/ A�L.A. RECEIVED BY READY FOR DATE ISSUED ADDRESS �L / `,[ `w�pc.�(�r.r«.ff+^0..� n� FIRST INSPECTION CITY - �... -�W TEL. NO. �`05/Vl•/ COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS j LL FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES ) WALL SWITCHESOWNER � TOTAL OUTLETS Sc IS MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 26 CITY TEL. NO. FIXTURES 0 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS- MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNEP New Mvp. HP DveRlf INc. ewcM OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. A /U v" %2 A LES. $ .25 BIONATURE OF %a 2 .50 PERMITTEE / �1 2 B 1.00 INSPECTION RECORD _ 5 is 1.50 _ _ 15 50 2.50 50 200 5.00 200 Soo 10.00 W f son 1000 15.00 U OVER 1000 20.00 J M.G. SET/FRED. CHANGER-HP 0 WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF OR.G.) _ MOVED MOTORS (75% pF ORIS.) MISC. SIGNS NO. NO,TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: ^ DATE INSPECTOR'S NAME WIRING $1.00 f%� CONDUIT FIXTURES $1,00 _WIRING SUPPLEMENTARY .50 FIXTURES ))) +�(� POWER TOTAL FEE $ / `.} UTI LITY CO.NOTIFIED / FINAL 76A663 DDS {'5A 4-52 WORKER'S COMPENSATION DECLARATION 26GD19 DPW 112-911 APPLICATION FOR ELECTRICAL PERMIT "01 I herby affirm that I have a-certificate of consent to self insure, or a certificate.of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. bFPUBEIC WORKS BUILDING AND SAFETY DIV. copy tlbl�eof(Sec.,3800 Lab. C.) \ .)�]• Policy NO Company FOR APPLICANT TO FILL IN JOB n ADDRESS GettS LQ rti Z- xfL Certified copy is hereby furnished. New Residential[SODS.&Pools NO. EACH FEE LOCALITY ❑ Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. — $ $ �Y"t1v1,ti G'1 Tx department. MultifamilySq. FL — CROSS ST. A�N� Date Applicant Residential Swimming Pools ASSESSOR MAP BOOR PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERSOutlets:Rec. Light Sw. O _ ♦- i C.Ft?-L C. -� '-S WNEROR COMPENSATION INSURANCE First 20 IRM NAME (This section need not be completed if the work involved by the MAIL bN6 permit is for one hundred dollars(5100)or less.) Total No. Additional 'ADDRESS qq L S k–P. QO$P QR I certify that in the performance of the work for which this permit CITY —SLC C V"11 T.I.No.asL-lko 1 is issued, I shall not employ any person in any manner So as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT:, If, after making this Certificate of CITY Tel.No. Exemption,you should became subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large AppliancesAPPLICANT O� LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 101ncl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Cade, and my license is in full force and effect. Over 10 to 50 Incl. LICENSE Class. Over 50 to 100 Incl. REG.NUMB ER d Over 100 DISTRICT NO. p PR C SED BY O License Number Lie.Class )wly/�H�V//� PO 0 /rvld 0-3999 Amp.Under 600 V s 0 Contractor Date DATE ❑ I am exempt under Sec. 00-l000 Amp. Under 600 V y-9"3 VALIDATION U Over 1000 CIRCUIT Amp,or Over 600 V FINAL / ® d B.BP:C.for this reason RANCH CIRCUIT FEES BY FI '�(Y/K'�/�.//C'� IL Date:— � 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circe IS ❑ _ 41 Or More Branch Circuits Exemption for Reg. Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits _ SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit it.'.I .'mss I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 7 Code): JJ •�.J�k'.J f-.r I.as owner of the property, will do the work and the structure Misc.Conduits 8 Conductors !. )i_f�Q is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)_ ;;1 f +L - a +�c and Professions Code). 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 (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) PLAN CHECKING FEE Lender's Name 1jEjy PERMIT ISSUING FEE Q 4,41 1 RCI Q I" Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I agree to comply with all County ordinances antl 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 �3- 1t2,9-b SIGNATURE OF PERMITTEE DATE COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0508 1303270010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 9481 IT: 6 BL: .001 9913 LA ROSA DR I IFEE DESCRIPTION: QUANTITY: COM: AMOUNT: ( TEMP CA 917803923 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 18589-007-010 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 15.00 OUT 30.00 (TENANT: IG2 LIGHTING FIXTURES 4.00 WT 8.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 IHA FAU LESS 3HP 1.00 FAN 11.00 103/27/13 SR IH2 RES GREG DISP LT 3HP 1.00 DIS 11.00 I OWNER: TEL. NO: IH7 RES EXHAUST FANS 1.00 EX 11.00 FINAL DATE FINAL BY: CODE: 1CHOW, A ROSAE - 1LA AC UNITS PANELS, M 1.00 AC 19.70 1 19915 LA ROSA DR LA 100 AMP PANELS, MCC 1.00 PAN 38.90 � ITEMP 917803923 1 TOTAL FEES 157.40 1DESCRIPTION OFWORK 1 115 OUTLETS, 4 LIGHT FIXTURES, A/C, FAN, GARBAGE DISPOSAL, EXHAUST FAN AND UPGRADE SERVICE PI3j� MP � (APPLICANT: TEL. N0: (�•TJA/ R CHAN, TERENCE (626) 379-4900- 1560 W MAIN ST C278 1 1SPECIAL CONDITIONS: 1 ALRAMERA CA 91801 CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE LANTRIK DEVELOPMENT LLC (626) 379-4900- 1 1 1560 W MAIN STREET C278 LIC. NO 1 ITEMPORARY POWER POLE 1 1 1 ISOUTH PASADENA CA 91030 668443 I 1 1UNDERGROUND CONDUIT I I 1 1 ARCHITECT OR ENGINEER: TEL. NO: i UFER GROUND LIC. NO: IROUGH CONDUIT I I IROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN 1UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I 1 I I I I I- ADDITIONAL DATA ON FILE I I I I REPORT ID: OPR265 ROUTE T0: HS0508 I