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Home My Public Portal About9967 LA ROSA DR_Electrical__ """' CE,806R APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER TOB L M BUILDING AND SAFETY DIVISION ADDRESS (3` ,�9n FOR APPLICANTTO FILL IN I LOCALITY f IL ! r L New Residential Bldgs.&Pools EACH NO: FEE NEAREST 1 &2,Family,Sq. Fir S .025 — $ CROSS ST. OWNER OR" r MUlri-iomily Sq. FI. .02 — FIRM NAME L'l Z �– ResidentialSwimmingPools 25.00 MAIL C' I°;' Outlets:Re_c Light_Sw. CITYTel. No. Q .First 20 .50 PLAN CHECK, '\ - ,Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tocol No. Additional '30 APPLICA TU,T / V Fixed Appliances Not Over HP ADD y t UX 2, Range—Heater_O.W._ CI1Y X4 RtqT), Tel No. f' Z Oven_Dryer_W.M.— LICENSE OR Top —FAU —W.H. REG.NUMBER n •? Class. C - Hood_Fan —Other_ THEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION AND STATE Disp- _ Room Air COnd, 2.50 THAT THE.ABOVE I5CORRECT AND AGREE T0COMPLY WITH ALL COUNTY ORDIN- ANCES ANDSTATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size$Type HP, KW, KVA,Or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS IJP tOIn<. 2.5D iHOYRED BY E LLEGALOW�EROF THANGELES CO E0 CRIDSigTE NCALP ERTOR iHAiIAM• 1 O -L Over 1 to YO Ind 5.00 Over 10 to 50 Incl. 12.50 PERMITTEE , CD Over Soto 100 Inc. 25.00 SIGNAi URE Over 100 40.00 DISTRICT NO. ,PR Services - ED BY y v C5 (= ,4zX z 0 .200 Amp.Under 600 V 12.50 PECTOR 201 1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Tem Power Pole 8 A 10:00 Temp. Appurtenances - Sign with One Branch Cu 10.00 ROUGH CONDUIT uit _ " Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 10.00 - FIXTURES Other bee Complete Fee Schedulei POWER AUTHORIZED UTILITY CO.NOTIFIED pp FINAL i_ 37,4 LGV � PERMIT FEE Sub Total l NOTES PLAN CHECKING FEE (OneFourthPermit Fee, PERMIT ISSUING FEE $7.00 - - TOTAL FEE Z — PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK: M.O. CASH 7<( 3rJJt 19 2 U Z 2 J C� esu SEE.BACK OF APPLICATION FOR COMPLETE SCHEDULE ^ "°" CE JOLOGER '°"' APPLICATION FOR ELECTRICAL PERMIT S COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGI NEER 108 �� OS JE BUILDING AND SAFETY DIVISION ADDRESS t. FY' FOR APPLICANT TO FILL IN LOCALITY '— C New Residential Bldgs.&Pools EACH NO. FEE NEAREST 1 8 2 Family,Sq. Ft. $ .025 — $ CROSS ST. W jv� OWNER OR Multi-family Sq- FL .02 — FIRM NAME Residential Swimming Pools _ 25.00 MAIL !7 , ADDRESS ✓Y/e. Outlets:Rec3Light SW. CITY C _ Tel. No. fL( First 20. .50 PLAN CHECK Total No. Additional .30 APPLICANT " ADDRESS Lighting Fixtures First 20 .50 CITY No. Additional .30 PERMIT Total No..�_ APPLICANT Fixed Appliances Not Over I HE ADDRESS r Range—Heoter_D.W._ CITY Z' �C Tel. No. ? Oven —Dryer_W.M._ �. LICENSE OR r'7 Top —FAU 2(r W.H._ REG.NUMBER class.G 'HOod_Fan _Other— IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disc. — Room Air Cond. 2'50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN. ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY l05 ANGFlES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM y Up to Incl.' 2'50 IHE LEGAL OWNER OF THE ESCREED REST IALP Over I to 101ncl. 5.00 r, Over 10 to 50 Ind. 12.50 PERMITTEE m Over SO to 100 Inc 25.00 SIGNATURE l o U Over 100 40.00 DISTRICT NO. PROCESS D BY ti Services O 9 Z 0 200 Amp.Under 600 V 1.2.50 I ECTOR'5 1 201000 Amp.Under 600 V 25.00 APPROVALS DATE GNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp.Power Pole 8 Appurtenances 10.00 00 ROUGH CONDUIT10. - Sign with One Branch Circuit . _ ' Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 10.00 FIXTURES Other)See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL ,` �/77 PERMIT FEE (Sub Total) NOTES , z7C4� PLAN CHECKING FEE IOne-Founh Permit Feel "' A" }/ / PERMIT ISSUING FEE $7.00 TOTAL FEE –=2L2j!1CLIKkFVAdD MPENS^aiNON CASH PERMIT VALIDATION M.O. CASH Spill HOLDER: `� 2 0 2. 2.0 G ��`� SFiA&eyFflV VPYIIICPC:FOR COMPLETE SCHEDULE SOy� CITY OF :TEMPLE CITY 1J6A663CE-Ba6R9.%J6 APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES 'D'EPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION FORAPPLICANTTO FILLIN LOCALITYTEMPLE CIT New Residential Bldgs.&Pools EACH NO. FEE . NEAREST 1 &2 Family,Sq. Ft. $ .025 — $ CROSSSP. Multi family'Sq. Ft. .02 OWNIP FIRM NAn�eEELIK (RAY) Residential Swimming Pools 20.00 MAIL SAME ADDRESS Outlets:Rec - Light_Sw.. _ CITYTEMPLE CITY Tel.N0448-7059 First 20 .50 PLAN CHECK - Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 I I CITY Tel, No. Total No. Additional '30 APPLICANT CAMPBELL ELECTRIC Fixed Appliances Not Over l HP ADDRESSP. O. BOX 912 714 Range—Heater—D.W.— Ci Tq A MiRADA 90637 Tel.No.521-1359 Oven _Dryer_W.M.— LICENSE OR Top —FAU —W.H._ REG.NUMBER 302863 Class, CIO Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. — Room Air Cand' 2'00 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW,KVA,Or KVAR HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 2 OO REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up tot incl. THE LEGALOWNEROF THE ABOVE DESCRIBED ESIDENTIAL P OPER Y. Over 1 to 101nc1. 5.00 a Over 10 to 50 Incl. 10.00 PERMITTEE 0 SIGNATURE 20.00 U Over 50 to 100 Inc. IX Over 100 30.00 DISTRICT NO. (/ PROCES D BY O Services 0 200 Amp.Under 600 V 12.50 1 12,50 1 ECTOR'S` vi 201-1000 Amp.Under 600 V 25.00 APPROVALS' DATE GNATURE Z Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE - --' UNDERSLAB WORK Temp. Power Pole 8 Appurtenances 10.00 , Sign with One 10.00 ROUGH CONDUIT Branch Circuit 2,00 Additional Sign Branch Circuits JUFI IRING 111 MSc.Conduits&Conductors t 15.00 XTURES - Other(See Complete FeeSchedule] OMR AUTHORIZED i TILITY CO.NOTIFlED ^ NAL gf�� -�� in /ar) z�wl�= PERMIT FEE SLID Total) 12.5 NOTESsr .fcr< 1 7— ?r75 124 2 PLAN CHECKING FEE (One-Fourth Permit FeelADY FOR I PERMIT ISSUING FEE $6.00 . 70O TOTAL FEE 1 PLAN CHECK VALIDATION CK, Mo. CASH PERMIT VALIDATION �CK, M.O. CASH 2 7 8 -JUN 29 2 1) 1 9.5 0 era SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE