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HomeMy Public PortalAbout10240 DAINES DR_Electrical__ t 76A663 CE-806(11 /78) P®LICATI11 FOR ELE� C PEWIT COUNTY OF LOS ANGELES BUILDING AND SAFETY _ FOR APPLICANT TO FILL IN JOB New"Residential Bldgs.&Pools EACH NO. FEE ADDRESS -/jOC;2 / - 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY. Multi-family Sq. Ft. .02 — NEAREST 25.00CROSS ST. Residential Swimming Pools OWNER OR FIRM NAME Outlets: Rec ®Light�Sw. MAIL First 20 .50 ADDRESS Total No. .30 CITY; Tel. �F: Additional 7 PLAN CHECK ' APPLICANT' Lighting Fixtures First 20 S0 ADDRESS Additional .30 Total No. CITY T Tel. No. Fixed Appliances Not Over 1 HP PERMIT Range_Heater_ D.W. _ APPLICANT �— Oven-- Dryer VV.M. ADDRESS AZ Top _FAU W.H. — CITY Tel. Hood_FanOther_ J� LICENSE OR q LI Disp._Room'Air Cond. 2'50 v7 �! REG.NUMBER cX Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA:. Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH'ALL COUNTY'ORDINANCES AND STATE -LAWS'- Size LAWS "Size&Type HP, KW, KVA,or KVAR 2 50 ' REGULATING ELECTRICAL WIRING. Up to-1 Incl. 1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED ANDTOR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 7250. CALIFORNIA OR THAT�PROPERT I AM THE_LEGAL OWNER OF,THE ABOVE_' Over 50 to 100 Inc. 25.00 DESCRIBED RESIDENTI '. 40.00 PERMIT Over 100 SIGNATURE Services. DISTRI P ED BY 0-200 Amp.Under 600 V 12.50 201-1000 Amp. Under 600 V 25.00 - Over 1000 Amp.or Over 600 V 50.00 Z O " Temp. Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2.00 li\ISPECTIOPI INFORMATION v Misc.Conduits&Conductors 10.00 ON REVERSE z :'_ �,b AOther(See Complete Fee Schedule) SI®E z r o a 0 o".c J .. d ?'o u 4.` 3,0 L (Sub-Torah ' 'o ") c !I. ?.J (�" , z EE One-Fourth Permit Feel _ O21 'C5 rD ET $7.00 c J 3,3a' INSPECTION FINALED i W n o . date:-.� R �y BY Os� �-__ _="��-ar �c� �% r 76A663 CE-806(11 /78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB - New Residential Bldgs.&Pools EACH NO. FEE ADDRESS �.�2 - ` 1 &2-Family,Sq. Ft. $ .025 - $ LOCALITY .Multi-family Sq. Ft. .02 - NEAREST / Resident ial'Swimming Pools 25.00 CROSS ST. OWNER OR FIRM NAME Outlets: Rec Light Sw. MAIL _. First 20 .50 ADDRESS .Total No. Additional .30 CITY Tet. No. -Gd PLAN CHECK APPLICANT. Lighting Fixtures First 20 .50 ADDRESS Additional .30 Total No. CITY Tel No. Fixed Appliances Not Over 1.HP PERMIT APPLICA Range_Heater_ D.W. Oven—Dryer W.M. ADDRESS Top _FAU W.H. CITY __',r/ Tel. -C6r Hood_Fan —Other LICENSE OR Disp._Room Air Cond. 2'50 V REG.NUMBER Class.e �<� I HEREBY ACKNOWLEDGE/HAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&T COMPLY -WITH ALL'COUNTY ORDINANCES AND STATE LAWS Type HP, KW, KVA,or KVAR 2 50 REGULATING ELECTRICAL WIRING. Up to 1 Incl. I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR "tLJj Over 1 To 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 7777 Over-]0 to 50 Incl. 1 250 CALIFORNIA OR THAT_1 AM THE LEGAL OWNER OF THE ABOVE 25.00 DESCRIBED RESIDENTIAL PROPE Over 5010 100 Inc. F Over 100 40.00 PERMQ. SIGNATURE rpm Services— DISTRICT NO., IS ED BY 0- 200 Amp.Under 600 V. 12.500 6 '0' 201-1000 Amp. Under 600 V' 25.00 (J y� Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2.00 INSPECTION > Misc.Conduits&Conductors '10.00 INFORMATION®N REVERSE a �8 3 r 9 A Other(See Complete Fee Schedule) SIDE Q y . . '9-.o o a (o o '2 1 4150 PERMIT,FEE ISub-Total) b 0 0 9 a 5 0 6 PLAN CHECKING FEE (One-Fourth Permit Fee) Z 01,23-8o PERMIT ISSUING FEE $7.00 G TOTAL FEE /34.Ja > INSPECTION FINALED W date: -, 2.�'.j , By 76A663 DBS'SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY --JELECTRIC i COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIVED B READY FOR DATE ISSUED ADDRESS / FIRST INSPECTION CITY TEL. NO. / Z� u COUNTY LICENSE NO. .EXPIRES BUILDING PERMIT FEES ADDRESS /y 2.Id c7 I—N:' NUMBER EACH FEE LOCALITY LIGHT OUTLETS �� NEAREST RECEPTACLES ` CROSS ST. k, !.-.2"o .� WALL SWITCHESL I I .OWNER M, TOTAL OUTLETS 4-11 Sc $ 6` MAIL Sp ELEC. RANGES 25 ADDRESS J ELEC. HEATERS L 25 e• CITY TEL. NO. - FIXTURES /? 5 p 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS 'Q- �'t0 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 I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH ,OF THE RESIDE IAL PROPERTY DESCRIBED.ABOVE. %p 6 LESS .25 SIGNATURE OF %z 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 200 500 10.00 J 500 1000 I5.00 Z OVER 1000 20.00 2 M.G. SET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF GRID-) MOVED MOTORS (75% OF GRID.) - MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS Lj� _ FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 e CONDUIT _ v FIXTURES $1.00 / WIRING SUPPLEMENTARY ,5p FIXTURES POWER TOTAL FEE 9 UTILITY CO.NOTIFIED FINAL ✓� • RKCOMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT CE-8 6G I herer:j a�firm that at I have a certificate of consent to self insure, �S C:a certificate of Workers' Compensation Insurance, or a certifiedfp t`a) G COUNTY OF LOS ANGELES BUILDING AND SAFETY copy t`nereof(Sec.3800,Lab.C.) _ l� V O 9 POlicy.NO..; - Company��� FOR APPLICANT TO FILL IN JOB �1 ❑ Certified co is hereby furnished. EACH NO. FEE ADDRESS PY Y New Residential Bldgs.& Pools Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. — $ LOCALITY dep rt m nt. Multi-family Sq.Ft. NEAREST J CROSS ST. Residential Swimming Pools Date ApplicantS�!/ A/. Q OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' � / ] MAIL r� A/ COMPENSATION INSURANCE Outlets:Rec- Light_ Sw. /!, ADDRESS V L 7Y f (This section need not be completed if the work involved by the First 20 Ittt.��� permit is for one hundred dollars($100)or less.) Total No. Additional CITY Cr�' el.No �f I certify that in the performance of the work for which this permit PLAN CHECK j APPLICANT L t; is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional & Total No CITY Y Tel.No. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT provisions.of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS L•' provisions or this permit shall be deemed revoked. Top — FAU W.H. LICENSED CONTRACTORS DECLARATIONCITYI.No.s Z Hood — Fan Other_ 1 hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER Class. Professions Code,and my license is in full force and effect. DISTRICTSS B Power Apparatus& Large Appliances ..>O' PROCE �= Size& Type HP,KW,KVA,or KVAR U License Number S�3 / g 0(i Lic.Class 8 Up to 1 Incl FINAL Contractor( '/I' -L_C49W- �i*L- & Over 1 to 10 Incl. DATEV-11-190 �1/90 VALIDATION 0 Over 10 to 50 Incl. F ElFINAL I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C.for this reason Over 100 N Services,Swbd.,MCC & Panelboards Z Date: 0- 200 Amp.Under 600 V ® �s Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances F2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law r �� for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 21-00 ❑ 1,as owner of the property,will do the work and the structure Misc. Conduits& Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ► and Professions Code). //ssyy 2 1 a 00 CONSTRUCTION LENDING AGENCY icaTl . 21*00 1 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) Q owe M Civ.C.). PLAN CHECKING FEE 0000-0001 Lender's Name PERMIT ISSUING FEE •_ i. d Q �r��� y Lender's Address_ 3W 1 M Otttt 1 certify that I have read this application and state that the above TOTAL FEE information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purpose . SEE REVERSE FOR EXPLANATORY LANGUAGE C-/?/ Signature ee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1211260002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1 ITR: 15862 LT: 8 I 1 10238 DAINES DR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802707 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ARDEN 1 18586-027-008 1A1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY 1 I IF1 120V, 15/20A BR CKTS 4.00 BR 69.20 11 (TENANT: IG1 OUTLETS-LGT,SW,RECP 8.00 OUT 16.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 IG2 LIGHTING FIXTURES 36.00 LGT 60.50 111/26/12 SR I ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 1 1 (OWNER: TEL. NO: I TOTAL FEES 212.4011FINAL ATE FIN B - CODE: 1 ILI, WILLIAM (626) 458-0041- 1 - 110238 DAINES DR I 1�pd I I (TEMP 917802707 1D RI T N OF WORK I I 14 BRANCH CIRCUITS, 8 OUTLETS, 36 LIGHT FIXTURES AND UPGRADE 1 1 1 (SERVICE PANEL TO 200 AMP 1 (APPLICANT: TEL. NO: I 1 (LEVY, ADAM (818) 339-8985- I 1 I 113519 HART ST 1 ISPECIAL CONDITIONS: I VALLEY GLEN CA 91405 I II I I 1 (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 IA LIGHTING (818) 339-8985- 1 113519 HART STREET LIC. NO 1 (TEMPORARY POWER POLE I I I (VALLEY GLEN CA 91405 936468 1 1 1 1 I I 1 1UNDERGROUND CONDUIT I I )/ 1 ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND LIC. NO: i TROUGH COND T 1 1 I (ROUGH WIRING 1 I ! I - IMAIN WATER LINE I I (PLASTIC YIN METAL YIN I I 1UTII,ITY COMPANY NOTIFIED( 1 1 1 I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I 1 1 I I I I I 1 REPORT ID: DPR265 ROUTE TO: BS0508 I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS _ 9701 LAS TUNAS EL 0508 1211050036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 15862 LT: 8 I I 10238 DAINES DR I IFEE DESCRIPTION.: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802707 (ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: ARDEN I 18586-027-008 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY 1 IG1 OUTLETS-LGT,SW,RECP 3.00 OUT 6.00 I I ITENANT: IG2 LIGHTING FIXTURES 3.00 LGT 6.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 I TOTAL FEES 39.80 111/05/12 SR I OWNER: TEL. N0: I (FINAL AT F BY: CODE: I ILI, WILLIAM (626) 458-0041- 1 I I 110238 DAINES DR I I 1 ITEMP 917802707 I ID CRI TION OF WORK I I I 13 OUTLETS, 3 LIGHT FIXTURES FOR BATHROOM REMODEL 1 (APPLICANT: TEL. NO: I IVERED, NISSAN (818) 220-9452- 1 16241 GLADE AVE I 1SPECIAL CONDITIONS: IWOODLAND HILLS 91367 I I ICONTRACTOR: TEL. NO: 1 - 1APPROVALS DATE INSPECTOR SIGNATURE I IS O D BUILDERS INC (818) 343-3520- I 1 118344 OXNARD ST #209 LIC. NO I ITEMPORARY POWER POLE I I I ITARZANA CA 91356 942085 I 1 1 I I (UNDERGROUND CONDUIT I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I 1 I LIC. NO: 1 IROUGH CONDUIT I 1 I ROUGH WIRING )"1 IMAIN WATER LINE I1 IPLASTIC Y/N METAL Y/N I I 1 I (UTILITY COMPANY NOTIFIEDI 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 I 1REPORT ID: DPR265 ROUTE TO: BS0508 1 I I I I I I I I I