The URL can be used to link to this page

Home My Public Portal About9955 LA ROSA DR_Electrical__ TEMPLE "'°° °' APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS-ANGELES DEPARTMENT OF COUNTY':ENGINEER BUILDING - S BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE, COUNTY "G!.... - WILLIAM A. JENSEN..,SUP'TOF�BUILDING. LOCALITY ' t 7.EA..RS CANT TO FI LL IN CR Ss NEAREST NEAREST MIT FEES OWNER NUMBER EACH FEE MAIL OUTLETS $ S ADDRESS LIGHTS S AO LIGHTING IO -!� CITY TEL. O. ELEC. RANGS ELECTRICIAN�SS. WAT .50 ADDRESS -V ,ELEC.SPACE HTRS. DISHWASHERS CITY T .NO —40 /691- GARBAGE 691GARBAGE DISPOSERS AUTO.. STATE 'WASHERS STA. COOKING UNITS .25 LICENSE NO. ,MOTORS: OVER INC. - H.P. DISTRICT NO. GROUP ZONE I P SED. Y' 2 .50 INSPECTION RECORD 2 — 5 1,00 r D. 5 — 15 1.50 0 15 — 50 2.50 0 50 — 200 5.00 U w /SIGNS: NO TRANS. 0- NO. NO. LAMPS N _Z !SERVICE 0.600V 1.00 ,SERVICE OVER 600V 5.00 ! MISC. r WIRING PERMIT 1.00 00 FIXTURE PERMIT 1,00 SUPPLEMENTARY PERMIT .50 ^ / TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY . WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT �/1 ELECTRICAL WIRING. WIRING 4 --/to' p l ' 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED LICENSED AS REQUIRED BY LOS ANIGELES COUNTY AND STATE OF FIXTURES �� ♦ fit' CALIFORNIA OR THAT I AM THE JCEGAL NER OF THE ABOVE r r/ DESCRIBED RE 'PR ERT POWER SIGNATURE UTILITY CO. NOTIFIED 1 7 & r �� 1•Vi'� OF PERMITT FtNA I I I LNC ,*�LIDATION ARTHUR C.VEIT. ' OK MO CASH .. SUPERVISING ELECTRICAL ENGINEER • �r o� 5 9 8 JLr11 5 2 D 2/./60 �/ R`A"' aE B°`R 10"' APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES ' - DEPARTMENT OF COUNTY ENGINEER '00 �^ BUILDING AND SAFETY'DIVISION ADDRESS Iw , FORAPPLICANTTO FILLIN LOCALITY Q_A New Residential Bldgs.&Pools EACH NO: FEENEAREST 1 &2.Family,Sq. Ft. S .025 — $ CROSS ST. OWNEROR Multifamily Sq. Ft. .02 — FIRM NAME Residential Swimming Pools 25.00 MAIL ADDRESS Outlets:Rec Light—Sw. CITY ' First 20 .50 PLAN CHECK Total No. Additional _30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Additional .30 PERMIT Total No. APPLICANT Fixed Appliances Nor Over 1 HP ADDRESS I - - Range—Heater_D.W._ CITY - Oven —Dryer_W.M— LICENSE OR Tap —FAU —W.H._ REG.NUMBER Class. Hand—Fan _Other_ HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE Disp. — Roam Air Cone. — 2.50 THAI THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN. ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus 8 Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Y Up to I Incl. -2.50 THE LEGALOWNEROF THE ABOVEDESCRIBED RESIDENTIAL PROPERTY, 0 Over 1 to 10 Ind. 5.00 Over 10 to 50 Ind. 12.50 PERMITTEE _ o Over 50 to 100 Inc. 25.00 SIGNATURE - �a Over 100 40.00 - DISTRICT NO. PR SSE Y d �� a b v.�a-��-✓ Z Services 0 200 Amp.Under 600 V 12.50 INSPECTOR'S 25.00 APPROVALS DA SIGNATURE 201 1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE - UNDERSLAB WORK - Temp- Power Pole 8 Appurtenances 10.00 Sign with One Branch Circuli 10.00 ROUGH CONDUIT - ' Additional Sign.Branch Circuits 2.00IRING Misc.Conduits&Conductors 10.00 ],,,,UTILITY IXTURES Other ISee Complete Fee Schedule) OWER AUTHORIZED CO.NOTIFIED FINAL PERMIT FEE (Sub-Totall NOTES PLAN CHECKING FEE - (One Fourth Permit Feel - PERMIT ISSUING FEE $7.00 TOTAL FEE CA 574 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 8 9,-'4.t�ARR 13 2 n 1 9.5 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATIONDECLARATION 76A663 12-801 APPLICATION FOVELECTRICAL PERMIT 1 hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES '7— C BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800. Lab. C.). FOR APPLICANT TO FILL IN JOB Policy No. .Company ADDRESS New Residential Bldgs.&Pools EACH NO. 'FEE Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ .LOCALITY - ❑ {. Multi-family Sq. Ft. — NEAREST Certified copy is filed with the,county building inspection CROSS ST 'department. Residential Swimming Pools ? OWNER OR •T Date Applicant "Outlets: Red—Light Sw. J / FMAIL IRM NAME) /�.^ First 20 •,C� ADDRESS Zia Ww CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.� Additional CITY £ Tel No.� �• } COM PENSATIONI NS U RANCE ' PLAN C E d APPLICANT O ('This section need not be completed if the work involved Lighting Fixtures First 20 by the permit is for one hundred dollars ($100)or less.) Additional ADDRESS I certify that in [he performance of the work for which [his Total No. CITY Tal No. 0 Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner PERMIT -'1 r.1 so as to become subjejtWorkers' Campers Laws. Range_ Heater_D.W. APPLICANT /✓ T dOven Dryer_W.M. ADDRESS/J Data/—�� APDITop FAU _W.H.._ HoodT Fan _Other_ CITY00 It Tel No. NOTICE TO APPLICA . If, after making this Certificate of Disp. ! Room Air Cond.— Cert ond._ .S l.7 .Sd LICENSE OR Exemption,, you shou 'become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PRO C SED BY with comply with such provisions or this permit shall be revoked. Size&Type HP, KVA,or KVAR 'dC— .. -eemed � up-to 1 Incl. Over I.to 101nc1. FINAL DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. _ VALIDATION I hereby affirm that 1 am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9,(com mencing with Section 7000) of Division 3 of the Busi- Over 100 BY - ' ness and Professions.Code, and my license is in full force-and effect. - - Services 0-200 Amp.Under 600 V License Number Lie.Class , • 201-1000 Amp, Under 600 V I Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&.Appurtenances', I hereby affirm that 1 am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 70 31.5, Busi- Additional Sign Branch Circuits .. - ness a Professions Code): - 1 1 2 8 A ' Misc.Conduits&Conductors J 1, as owner of the property, will do the work and the Other ISee Complete Fee Schedulel— - # 0 0+• 0 z structure is not intended or offered for sale (Section `c 7044, Business.and Professions Code). - 2 3 Q O O CONSTRUCTION LENDING AGENCY' - , I hereby. affirm that there is a construction lending agency _ for the performance of the work for which this permit is PERMIT FEE (Sub-Total) . - `3, 4.007 issued (Sec. 3097,Civ.C.).- - - ' - O '�O 8.8 0 Lender's Name - PLAN CHECKING FEE (One-Fourth Permit Feel - Lender's Address - PERMIT ISSUING FEE - - I certify that'[ have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all.County ordinances and State laws regulating Electrical -wiring, and - hereb authorize representatives of this County to enter upon I ab0 e_mentioned property f _isrs ction purposes: SEE REVERSE FOR EXPLANATORY LANGUAGE gnat ore C/ IF Permittee Date