HomeMy Public PortalAbout10246 DAINES DR_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
_ - DEPARTMEAT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9608140008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGALID: FEES PAID BUILDING ADDRESS:
TR: 15862 LT: 9 10246 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802707
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8586-027-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 20.00 OUT ' 39.00
TE G2 LIGHTING FIXTURES 3.00 LGT 5.85 •I Mff ON: PROCESSED BY: PLAN XPIRES ON:
IA N-RES EX FANS LT 3HP 1.00 EX 15.45 08/14/96 TC 08/14/97
TOTAL FEES 88.05
OWNER: TEL. NO: FINAL DATE FINAL BY- CODE:
NIP KA KIN;LAP LAN
10246 DAINES DR eZ
TEMP-917802707 ESCRIPTI N OF WO
ELECTRICAL FOR NEW BATH
APPLICANT: TEL. NO:
SAME AS OWNER -
• SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - /J
LIC. NO �('^ TEMPORARY POLE
O (j
UNDERGROUND CONDUIT
ARCHITECTOR ENGINEER: GROUND
LIC. NO: Mill ROUGH CONDUIT
ROUGH WIRING
[rUEDUC VVOIRKS
MAIN WATER LINE
PLASTIC Y/N METAL Y/N -
D 0 ""� UTILITY COMPANY NOTIFIED
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REPORT ID: DPR265 ROUTE TO: BS0508
1
76A663 Des SA 11-50 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY"OF LOS ANGELES E M E CT R I C 1
a' WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL'IN DISTR NO. GROUP ZONE- PERMIT NO:
ELECTRICIAN .?'./P:P-Q,raG�1a ����•�_+ro—('��?--�'"'
f RECEIVED BY READY FOR DATE ISSUED
`
,ADDRESS `�`�TI..'K�Cr�wy'✓ /S�P�:�C3S.�- FIRST INSPECTION' / —/(1—�-
CITY 1 TEL. NO /
COUNTY LICENSE NO ✓ ZV EXPIR - Ytt5 �j BUILDING
SS
PERMIT FEES. . I
FEE .�'I�/� .
- NUMBER EACH LOCALITY L,(( -.✓ jl'
LIGHT OUTLETS 2 NEAREST
CROSS ST.
RECEPTACLES 0241
WALL SWITCHES ,� OWNER _
TOTAL OUTLETS 7 Sc $ 3 MAIL t—�^� pJ ry' 2
ELEC. RANGES 25 ADDRESS . w�3/•ro.� 9�
ELEC. HEATERS 25- CITY O" �4h�t`�'/v TEL. NOl� P1'/7 V�S
FIXTURES 7 - 5 1 HEREBY /ACKNOWLEDGE THAT I HAVE READ THIS
MISC. - APPLICATION AND STATE THAT THfi ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS 31 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE 'ABOVE VALID LOS
NUMBHORSEPOWER` ANGELES COUNTY LICENSE;, OR 1 AM THE LEGAL OWNER
ER -
NEW MVD. HP OVER INC. 4 EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1/2 &LESS $ .251 SIGNATURE OF
1/z 2 .50 PERMITTEE
ri
2 5 1 0o INSPECTION RECORD
5 . 15 1.50
15 50 2.50 /Q
5o 200 5 00 q�, T 1 'T" ?t9 P
200 BOO - 10.00 Al Q 7-
500 1000 15.00 Z
OVER 1000 20 00 (9
M G. SET/FREQ. CHANGER-HP It
WELDERS AC-KVA - X T T
GENERATORS-KW
TRANSFORMERS-KVA ,
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIG )
MISC
SIGNS
NO. NO. TRANS. APPROVALS
NO NO LAMPS
DATE INSPECTOR'S NAME
FOR EACH'.PERMIT- -
WIRING• $1 00 IO CONDUIT
WIRING
FIXTURES $1.00 V _
SUPPLEMENTARY 50 FIXTURES �Y '
POWER I'/
TOTAL FEE I $� UTILITYCO NOTIFIED GG—(��
® FINAL IA 70--"/
0 ipe t.^ Q c f w e e vt X t-/i • /r/-,/--
WORKERS'
`WORKERS'COMPENSATION DECLARATION; 76A663 10/8,1
CE,-e06G APPLICATION FOR ELECTRICAL PERMIT {�
I hereby-4,Xm that 1 have a certificate of consent to self insure, L1
?,a`�certificate of Workers' Compensation Insurance, ora certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec'3800,Lab C)
Policy NO Company FOR APPLICANT TO-FILL IN - JOB -
- EACH , •NO _:FEE+ ADDRESS /p aZ y ,Air Certified copy is hereby furnished New Residential Bldgs & Pools
❑ 1 & 2-Family, Sq Ft $ _ $ LOCALITY `
.Certified copy is' filed with the county budding inspection
„ - deparlment Multi-family Sq Ft NEAREST -e +
r Residential Swimming Pools OWNER OR
Date �--Z— Applicant Q
4 id. FIRM NAME (' �p..0('O'^- i ,
CERTIFI,ATE:OFEXEMPTION FR WORKERS'_ MAIL
Outlets Rec Light — S, I b � f C)
COMPENSATION INSURANCE . ADDRESS L °
:• (This,section+need not be completed if the work involved by the First 20.
Total No" Additional CITY �� 1e ` Tel No /d
permit Is for one.hundred;dollars ($100) or less) � � "' - « .
L
I certify that in the performance of the work for which this permit - � PAN CHECK
is,issued, I shall not emp ytor an APPLICANT
y person m any,manner so as to
- _ •+ `
become subject to thie Wo'rker's'Comperisation Laws Lighting Fixtures First 20 :' ADDRESS S 4 f+'^ 6 + 1+S pa✓2 '
' 4 Additional
Date�/1 Q Total No CITY Tel No
v Applicant �+^"�
NOTICE TO APPLICANT If, after. maki this Certificate of Fixed Appliances Not Over,tl HP PERMIT
Exemption,you should become subject to the Workers'Compensation Range_ Heater_ DW APPLICANT
provisioris of the Labor Code, you must forthwith comply with such Oven Dryer _'W M ADDRESS
provisions or this'Permit be deemed revoked Top. FAU. WH N
CITY - Tel No
LICENSED}CONTRACTORS DECLARATION' Hood Fan' Other_
I hereby affirm that I am licensed under'provisions of,'Chapter 9 Disp — Room Air Cond LICENSE OR
(commencing with Section 7000) of Division 3 of the Business and REG NUMBER Class
Professions Code,and`mydicense i3 in full force and effect' - DISTRICT NO .,r•. P CE ED BY
IV
Power Apparatus& Large Appliances ,. -
a 0
Size&Type HP,KW,KVA,or KVAR
,License Number Lic Class Up to 1 Incl FINAL
Over 1 to 10 Incl• DAT v /�J Over VALIDATION
Contractor Date 10 to 50 Incl - 00
FIN
E] I am exempt under Sec Over 50 to 100 Inc ' g W
r, a
B&I?C for this reason Z Over 100
Services,Swbd,MCC & PanelboardsZ
Date 0- 200 Amp Under 600 V IS-1 50
Signature 261 - 1000 Amp Under 600 V
Over 1000 Amp or Over 600 V
Exemption for Reg,Maint Elect
SINGLE FAMILY Temp Power Pole& Appurtenances ' _ „
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit �/+/+�• a
I hereby affirm that lam exempt from the-Contractor's License Law __ „ __ _.., ►ICC .T _
for.the following reason (Section 7031 5, Business and Professions, Additional-Sign Branch_Circutts r •��y
Code) - _ _ _ - 3307 _ 25.!�
171 Mlsc Conduits& Conductors
Lbl I,as owner of the property,will,do the work and the structure -
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) n
i and,Professions Code) ® TOTS. " 25.-50
Ct�CK ''25 0 5O
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the .00
performance of the work for which this permit;is Issued(Sec•3097, -PERMIT FEE (Sub-Total).
Civ C) '` .
PLAN'CHECKING FEE . 1 4/ 2/89
Lender's Name �-��
PERMIT ISSUING FEE' .7l�TT I A'I Ee27
Lender's Address
,I certify that I have read this application and state that the above TOTAL FEE - S'
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
proper y for inspection purposes
t SEE REVERSE FOR EXPLANATORY LANGUAGE
Sign of Perm tee. Date
COUNTY OF -LOT ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9609250009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA DUPLICATE
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDINGADDRESS:
TR: 15862 LT: 9 10246 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802707
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8586-027-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 • GRID: 83 LOCALITY: TEMPLE CITY
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES
09/25/96 TC 09/25/97
OWNER: TEL. NO: FINAL DATE FINAL BY: CO
NIP KA KIN;LAP LAN
10246 DAINES DR i0
TEMP 917802707 DESCRIPTION Or WORK
RELOCATION L00 AMP SERVICE PANEL FOR RLM ADDITION
APPLICANT: . NO:
EAST WEST ELECTRICAL CONT. (818) 572-3776-
506 N. YNEZ AVE. SPECIAL CONDITIONS:
MONTEREY PARK, CA -
CONTRACTOR: TEL. NO: ��J - APPROVALS DATE INSPECTOR SIGNATURE
EAST WEST ELECTRICAL CONT. (818) 572-3776-
506 N. YNEZ AVE. LIC. NO �'^ TEMPORARY POWERPOLE
MONTEREY PARK, CA 91754 AND C-10
UNDFRGROUND CONDUIT
ARCHITECT OR NGI UFEK GROUND
LIC. NO: ������ ROUGH,CONDUIT
ROUGH G
p o ��� �n90�f � �o-z-9�
MAIN WATER LINE
� PLASTIC Y/N METAL Y/N
O UTILITY COMPANY NOTIFIED o
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508