HomeMy Public PortalAbout10124 DAINES DR_Electrical__ r
76A663-CE806.10.56 ' APPLICATION FOR ELECTRIC` PERMIT
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING n
County of Los Angeles ADDRESS D 1 It ,,(L 4,4 J Ir
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN Ross ST.
PERMIT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER I T E M EACH FEE - MAIL -
_ ADDRESS
TOTAL OUTLETS $ 10 $
ELEC RANGES, WATER HEATERS, CITY TEL. NO
CLOTHES DRYERS 50 D
ELEC SPACE HEATERS, STAT-Y COOK- ELECTRICIAN
ING UNITS, GARBAGE DISPOSERS, // ADDRESS
AUTO WASHERS, DISHWASHER .25 OV
LIGHTING FIXTURES ,10 O CITY TEL. N
STATE L
MOTORS LICENSE NO.
HORSEPOWER
H.P OVER INC. DISTR T O GROTUP T�N� READY FOR INSPECTION
I/2 &LESS .25
1h — 2 .50 INSPECTION tibrOIRD
2 — 5 1.00 `
5 15 1.50
+15 50 2.50
50 200 5.00
MISC.
SIGNS I NO.TRANS
NO.LAMPS
SERVICED-600V 1.00
SERVICE OVER BOOV 5.00
WIRING PERMIT 1.00 1 490
FIXTURE PERMIT 1.00 d o
SUPPLEMENTARY PERMIT -.50 APPROVALS
TOTAL FEE $ DATE- INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A I ATI0N
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I M HE LE AL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL O RTY.
SIGNATURE UTILITY CO.'NOTIFIED
OF PERMITTEE
JOHN A. LAMBIE, VALID TION ARTHUR C.VETT,
COUNTY ENGINEER Cr. GSH SUPERVISING ELECTRICAL ENGINEER
L:Law2 0-9 9 SE 10 2 12.10
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1302120040
BUILDING AND SAFETY / LAND DEVELOPMENT _TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT.
ILEGAL ID. FEES PAID I BUILDING ADDRESS
ITR 22438 1 10124 DAINES DR -
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802705 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET BA_LDWIN . I
18586-025-016 IA1 PERMIT ISSUANCE FEE - 27 80 1 THOMAS PAGE 597 GRID B3 LOCALITY- TEMPLE CITY CAI
IF1 120V, 15/20A BR CKTS 1 00 BR 17 30 1 "I
ITENANT IG1 OUTLETS-LGT,SW,RECP 12 00 OUT 24.00 (ISSUED ON PROCESSED BY- PLAN BY I
ILB 200 AMP PANELS, MCC 1.00 PAN 38 90 102/12/13 SR - I
TOTAL FEES 108 00 1 I
(OWNER - TEL NO I IFINAL DATE FINPL BY CODE I
ICHUNG, HOWARD (626) 409-8152- I I I
110124 DAINES DR i 1 /? 1 ,/
ITEMP 917802705 1 IDE CRIPTION OF WORK 1
I I IBRANCH CIRCUIT, 12 OUTLETS AND UPGRADE SERVICE PANEL TO 1
I I 1200 AMP 1
1APPLICANT TEL. NO I I I
ICHOU, DAVID (323) 839-9666- I I I
1825 BANK STREET 1 ISPECIAL CONDITIONS - 1
ISO PASADENA 91030
ICONTRACTOR TEL NO I -I APPROVALS DATE INSPECTOR SIGNATURE 1
ICHOU DESIGN & CONSTRUCTION CO (323) 839-9666- I 1
1825 BANK STREET LIC NO ITEMPORARY POWER POLE I I I
ISOUTH PASADENA CA 91030 524905 1
I (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER- TEL NO IUFER GROUND I I
I LIC NO IROUGH CONDUIT I I I
I I IROUGH WIRING I 11too
I IMAIN WATER LINE
I I IPLASTIC YIN METAL YIN
I I I I I I
1 I 1UTILITY 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
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I I* ADDITIONAL DATA ON FILE 1 I I I
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I IREPORT ID DPR265 ROUTE TO BS0508 I ( I I
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