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HomeMy Public PortalAbout10166 DAINES DR_Electrical__ DBS-5A 11.58 APPLICATION ION FOR ELECTRIC PERMIT � 4 DBS-5A DIVISION OF BUIMING AND SAFETY Department of County Engineer BUILDING County of Los Angeles ADDRESS JOHN A.'LA BIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING _LOCAL,TY 7'y FOR APPLICANT TO FILL IN NEAREST !� �• PERMIT FEES CROSS ST, j� NUMBER r D „ OWNER LIGHT OUTLETS ' n _ IL RECEPTACLES ADDRESS �/4 G7 ' S. EA R L A WALL SWITCHES FEE CITY S A /T 4 R 4TEC.NO. TOTAL OUTLETS @ 5¢ E $ y LECTRICIAN J h e 4 S ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 KEN EA CITY LEX TEL.NO. STATE FIXTURES g LICENSE NO. z 3 G 3 MOTORS DISTRICT NO. GROUP ZONE READY FOR INSPECT ICN NUMBER HORSEPOWER FEE � I �f NEW MVD. HP OVER INC. EACH >h&LESS $ 25 INSPECTION RECORD 14 2 .50 2 s 1.00 5 - Is 1.50 15 ISO 2.50 50 200 5.00 misc. I•cI E ,r NO.SIGNS NO.TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ D DATE INSPECTOR'S SIGNATURE I0ACKNOWLEDGE THAI 1 HAVE READ�THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT q/ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PRO ERTY. i -s� - SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL �� `d A 1-$ JOHN A.LAMBIE,COUNTY ENGINEER �iD�TION' ARTHUR C.V_ EIT,CHIEF ELECT.INSPECTOR CK MO 'CASH ' Lj ,3242 N 16 2 1 .10 0 c� 78A DSS-SA II-SDAPPLICATION FOR ELECTRIC PERMIT BA-DMSION OF BUILDING AND SAFETY t D6pm, ent Of County Engineer BUILDING CtI �p Of LOS Angeles ADDRESS JOHN A. LANIBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERIMIT FEES c OSS ST. , NUMBER OWNER LIGHT OUTLETS qq MAIL 1.[. RECEPTACLESADDRESS w. WALL SWITCHES FEE CITY TEL.NO." v TOTAL OUTLETS @ S¢ $ ELEC. RANGES 25 ELECTRICIAN EC. HEATERS 25 "b ADDRESS EA CITY TEL. NO.Id— KW STATE FIXTURES 5 LICENSE NO. I Vo MOTORS DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION NUMBER . HORSEPOWER FEE I NEW MVD. HP OVER INC. EACH ,,2&LESS $ '25 INSPECTION RECORD Y2 2 .50 2 s 1.00 5 is 1.50 15 ISO 2.50, s0 zoo s.00 MISC. NO. SIGNS NO.TRANS. NO. SIGNS NO-LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 S SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES i LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RES[DEN IAL PROPERT SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE '` JOHN A. LAMEV.. COUNTY ENGINEER' MATION ARTHUR C.VETT. HIEF ELECT. INSPECTOR C MO CASH L lCo 3465 N-C18 2 6.75 In r' =WORKERS'•COMPENSATION DECLARATION CE-806G (2-80) APPLICATION FOR ,ELECTRICAL PERMIT �• CE-806 U hereby laffirmeahat I have a certificate of conserit td self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) ?� o �ACMAW . FOR APPLICANT'TO FILL IN JOB �• Policy N Company�(�! \ EACH NO FEE ADDRESS New Residential Bldgs &Pools / 6 C7 i4/,*j Certified copy is hereby furnished. I & 2-Family,Sq Ft $ — $ LOCALITY Multi-family Sq Ft — NEAREST eCertified'copy is filed withthe county bbildmg inspection CROSS ST department Residential Swimming Pools ,OWNER OR {► t •, x - FIRM°NAME D C Date Applicants • Outlets Rec/•Light Sw �_ MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No• Additional CITY —� L,p G Tel-No COMPENSATION INSURANCE 0 ' - •. - _ PLAN C ECK • (This section need,not be completed if the work involved APPLICANT U, by the permit is for one hundred dollars Fixtures -First 20 ADDRESS s ($100)-or less.) p� ' Total No AddiUonal O .I certify-that rn the performance of the work for which this Fixed Appliances Not Over 1 HP= CITY Tel No U permit is issued, I shall not employ any person•rri any manner —C7—PERMITLU so-as to become subject',to the'Workers'�Compensation Laws Range_ Heater—' D.W APPLICANT W AJ?b Q a Oven Dryer_W M ADDRESS Top FAU _W.H t . S� Al_ �uC•!-1 f) Z Date Applicant CITY ��!<}��1 TeI No 6—%D? d Hood _ Fan _Other_ NOTICE TO APPLICANT'If,'after making this Certificate of Disp. Room Air Cond. LICENSE OR u Exemption, you should become- subject to the Workers' REG NUMBER� 7 75 Class ^— Compensation provisions of'the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NOB BY with comply with ,such provisions or this permit shall'be deemed revoked. Size&Type HP,KW, KVA,or KVAR / �� ` I Up to 1 Incl FINAL Over 1•to 10 Incl DATE LICENSED CONTRACTORS DECLARATION VALI TION Over 10 to 50 Incl 7 I hereby affirm that I am licensed under-provisions of Chapter Over 50 to 100 Inc - - F I N A 9« • ' 9 (commencing with Section 7000) of Division 3 of the Busi- B Y Over 100 ness and Professions Code, and my license is in full force and effect Services ` —7� '� 0-200 Amp Under 600 V License Number /�� Lic Class 2 2 �, A- - 201-1000 Amp Under 600 V ••. ContiactorD__9 EDbKd Date G�� . Over 1000 Amp-or Over,600 V i'�^,� ' ,, ; HOME OWNER-BUILDER DECLARATION o,• 2 Temp Power Pole&Appurtenances Sign with One Branch Circuit J •o,? 1 S,2 5 I hereby affirm that I am,exempt -from the Contractor's Additional Sign BranchCircuits License ,Law for the following reason (Section 7031 5, Busr- ; e o o•1 5t 2 5 v ness and Professions Code) Misc Conduits& Conductors t' 0 I, as owner of the property, will do the work,and the Other (See Complete Fee Schedule)— 606t8`5 structure is not intended ort offered for sale-(Section 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby.affirm that there is a construction lending agency for jthe performance of the work for which this permit- is PERMIT FEE • (Sub-Total) r; issued (Sec. 3097,Civ C) Lender's,Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING'FEE I certify that I have read this application and state that the TOTAL FEE s above information is correct I agree,to comply with all County = ordinances and State laws regulating Electrical wiring, and hereby au honze representatives of this County•to enter upon he above entioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE' l Signature of Permittee Date COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS ' 9701 LAS TUNAS EL 0508 1112190002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE -(626) 285-0488 EXT: ILEGAL ID - "FEES PAID _ BUILDING ADDRESS - ' ON FILE I a' - - 10166 DAINES DR IFEE DESCRIPTION- QUANTITY• UOM AMOUNT TEMP CA 917802706 I ASSESSOR INFORMATION NUMBER I NEAREST CROSS-STREET BALDWIN _ 18586-027-024 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B3 LOCALITY. TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 2 00 OUT 3 90 I TENANT -, IG2 LIGHTING FIXTURES 10 00 LGT 19. 40 JISSUED ON PROCESSED BY PLAN BY • IH2 RES GREG DISP LT 3HP 1 00 DIS 10 90 112/19/11 SR IH3 RES DISHWASHR LT 3HP 1 00 DIS 10 90 1 OWNER. TEL NO IH7 RES EXHAUST FANS 1 00 EX 10 90FINAL DATE FINAL BY CODE ILEE, ANN W _ - (626) 203-2330- 1 _ _ TOTAL FEES 83 80 J 1 - 110166 DAINES DR - I �'1 TEMP 917802706_ JDESCRTPTION OF'WORK ' - (ELECTRICAL FOR KITCHEN AND TWO BATHROOMS REMODEL I (APPLICANT - TEL NO ILEE, ANN W (626) 203-2330- - 1 110166 DAINES DR - (SPECIAL CONDITIONS.TEMPLE CITY CA 91780 I ICONTRACTOR TEL NO` (APPROVALS DATE INSPECTOR SIGNATURE IZ S CONSTRUCTION INC (626) 203-2330- I I 1608 E VALLEY BLVD. #D-274 _ LIC', NO ITEMPORARY POWER POLE ISAN GABRIEL, CA, 91776 - - 912278-B _ (UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER- TEL NOIUFER GROUND I _ I I I 11 LIC. NO - IROUGH CONDUIT _ I I I " I - IROUGH WIRING I ' - IMAIN WATER LINE PLASTIC YIN METAL YIN 1UTILITY COMPANY NOTIFIED(- �T REPORT,.ID DPR265 ROUTE TO BS0509 I I I I I I . • r h J r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304290002 BUILDING AN-6 SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 10166 DAINES DR FEE DESCRIPTION , QUANTITY UOM. AMOUNT TEMP CA 917802706 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET- BALDWIN 8586-027-024 JAI PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B3 LOCALITY• TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 40.00 OUT 65 90 1 TENANT IG2 LIGHTING FIXTURES 9 00 LGT 18 00 JISSUED ON PROCESSED BY PLAN BY IRA FAU LESS 3HP 1.00 FAU 11 00 04/29/13 SR JH1 RES ELEC OVEN LT 3HP 1 00 OVE_ 11.00 1 1 OWNER- TEL. NO- JH2 RES GRBG DISP LT 3HP 1.00 DIS 1100 IFINAL DATE FINAL BY CODE- ILEE, ANN W (626) 203-2330- IH3 RES DISHWASHR LT 3HP 1 00 DIS 11.00 10166 DAINES DR IH4 RES RANGE HDS LT 3HP 1 00 HOO 11 00 1'(��/U TEMP 917802706 IHS RES WASH MACH LT 3HP 1 00 WAS 11 00 ID SCR PTION OF WORK JH7 RES EXHAUST FANS 1 00 EX 11 00 IRE-WIRE EXISTING HOUSE AND NEW ADDITION, HVAC SYSTEMS, ILB 200 AMP PANELS, MCC 1 00 PAN 38.90 JUPGRADE SERVICE PANEL TO 200 AMP AND SUB-PANEL 100 AMP APPLICANT TEL NO ILN OTHER PNL 0-399 AMPS 1 00 PAN 38.90 ILIANG, YANGS HUANG (626) 757-2132- TOTAL FEES 266.50 11323 W DURNESS ST' I (SPECIAL CONDITIONS I IWEST COVINA CA 91790 CONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE IY S L CONSTRUCTION INC (626) 320-7602- 1 11323 W DURNESS STREET LIC NO (TEMPORARY POWER POLE I I I IWEST COVINA CA 91790 982850 (UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO I 1UFER GROUND ILAM, GARY (626) 588-8615- 12550 W MAIN STREET LIC NO. IROUGH CONDUIT 1ALHAMBRA CA 91801 982850 1 �-/--� ROUGH WIRING MAIN WATER LINE (PLASTIC Y/N METAL Y/N I 1UTILITY COMPANY NOTIFIE51 / I I_ 11 1 I* ADDITIONAL DATA ON FILE REPORT ID DPR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1306050036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 , PHONE (626) 285-0488 EXT LEGAL ID FEES PAID 'BUILDING ADDRESS ON FILE - I 10166 DAINES DR IFEE DESCRIPTION: QUANTITY UOM AMOUNT 1 TEMP CA 917802706 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BALDWIN 18586-027-024 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl E1 TEMP SERV POWER POLE 1 00 TMP 43 70 1 ITENANT ITOTAL FEES 71 50 1ISSUED ON PROCESSED BY PLAN BY 1 1 1 106/05/13 SR I J I I 1OWNER TEL NO IFINAL DATE FINAL BY- CODE 1 ILEE, ANN W (626) 203-2330- 1 _ 110166 DAINES DR 1 I I ITEMP 917802706 I (DESCRIPTION OF WORK 1 I ITEMPORARY POWER POLE I 1APPLICANT• TEL NO 1 ILIANG, YANGS HUANG (626) 757-2132- 1 1 1 11323 W DURNESS ST 1 (SPECIAL CONDITIONS IWEST COVINA CA 91790 1 I I I I I I I I ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1 IY S L CONSTRUCTION, INC (626) 320-7602- 1 1 11323 W DURNESS STREET LIC NO ITEMPORARY POWER POLE (WEST COVINA CA 91790 982850 I 1 1 1 1 1 1 (UNDERGROUND CONDUIT I 1 I 1 I 1 1ARCHITECT OR ENGINEER TEL, NO- I IUFER GROUND I _ (LAM, GARY (626) 588-8615- 1 1-1 1 12550 W MAIN STREET LIC NO 1 (ROUGH CONDUIT I 1 1ALHAMBRA CA 91801 982850 1 I (ROUGH WIRING 1 1 I I I I I I 1 IMAIN WATER LINE 1 1 1 (PLASTIC YIN METAL YIN I 1 1 1 I I IF1 I (UTILITY COMPANY NOTIFIED1i ` 1 I I I I I I 1 I I 1 I 1 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 1 I 1 1 I I I I I I I I I I I I I I 1 1 1 I I 1 1* ADDITIONAL DATA ON FILE 1 1 1 1 I I I I I I I I I I I I I 1REPORT ID DPR265 ROUTE TO BS0508 I 1 1 1 I 1 1 1 I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1307250060 BUILDING AN'J SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID I FEES PAID I BUILDING ADDRESS I ON FILE 1 1 10166 DAINES DR I (FEE DESCRIPTION QUANTITY UOM AMOUNT- 1 TEMP CA 917802706 ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET BALDWIN 18586-027-024 _ IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID B3 LOCALITY. TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 40 00 OUT 65 90 1 1 TENANT 1G2 LIGHTING FIXTURES 30 00 LGT 52 40 JISSUED ON PROCESSED BY PLAN BY. I I I TOTAL FEES 146 10 107/25/13 SR I (OWNER TEL NO I IFINAL DATE FINAINBY CODE- I ILEE, ANN W (626) 203-2330- 110166 DAINES DR ITEMP 917802706 ID SCRRIPTION OF WORK I I 140 OUTLETS AND 30 LIGHT FIXTURES I (APPLICANT TEL NO I I IYONG, SHUANG LIANG (626) 320-7602- I 1 1 11323 W DURNESS ST I ISPECIAL CONDITIONS I IWEST COVINA CA 91790 1 1 I I I I I (CONTRACTOR. TEL NO (APPROVALS DATE INSPECTOR SIGNATURE I 1 IY S L CONSTRUCTION, INC (626) 320-7602- 1 1 1 11323 W DURNESS STREET LIC NO 1 ITEMPORARY POWER POLE I I I IWEST COVINA CA 91790 982850 I 1 1 1 1 I 1 1UNDERGROUND CONDUIT I 1ARCHITECT OR ENGINEER TEL. NO I IUFER GROUND LIC NO i TROUGH CONDUIT 11 1 I IROUGH WIRING I 1I I I 11 (MAIN WATER LINE 1 I IPLASTIC YIN METAL YIN I I I 1 1 1UTILITY COMPANY NOTIFIEDI I 1 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 1 I I I I I 1 IREPORT ID DPR265 ROUTE TO BS0508 I 1 1 1 1 I I I I I