HomeMy Public PortalAbout10424 DAINES DR_Electrical__ 76A663-CE806 9-64� APPLICATION FO ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER rAODDRESS
ILDING c'
BUILDING AND SAFETY DIVISION �U *;z G I Amw
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPT OF BUILDING CALITYef��
NEAREST
FOR APPLICANT TO FILL IN CROSS ST a!I
RECEP TOTAL , NO EACH FEE
OUTLETS FIRST 20 $111-d20 $ pp OWNER
LIGHw /,J, `�
ADD ADDRESS
SWITCH 17 J OVER 20 33 10 .� .30
L CITY TEL NO ✓7`✓ gatlZ
LIGHTING TOTA
� I FIRST 20I 20
FIXTURES // _ ADD'LtO ELECTRICIAN Q,L�,;
OV R 20
RANGES CLO DRYERS WTR HTRS 100 ADDRESS,,J/I*1O b7'' Q7 /}
GARS IS^ STA COOK CITY /C;��"'^'�`' TEL NO 7 f "f- D 3
DISHWASH AUTO-W STATE
S ASTA.-APP CERS yp H P ax ) 50 01 E(f LICENSE NO i8 3 99
MOTORS OVER NOT OVER HP DISTRICT NO. G OUP ZONE 1 P ESSED B
o t 1 00L7
1 3 150 INSPECTION RECORD
3 a 200
O
& 15 250 Ijj�� • V
15 50 300
50 100 500
1U'
SIGNS NO TRANS U
NO LAMPS aa.
N
Z
SERVICE 0.600V-NOT OVER 200A 100 DO
SERVICE 0.60OV-OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1 00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING It vT 0 4 L� 30 ��
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO .4%
RESIDE IN, THE ABOVE DESCRIBED RESIDE/jJ�D'TIIAAL_PROOP,ERTY POWER A 17
SIGNATURE UTILITY CO NOTIFIED
Vw
OF PERMITTEE
FINAL 194a
VALIDA JOSE H C ROOHAN
CK M CASH SUPERVISING ELECTRICAL ENGINEER
LALo 4 1 0 6- Al 2 9 2 D 1 5-00—
DBS 5-A 12-44
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM J. FOX CHIEF ENGINEER
_a NAME r DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESS q / ��` (' ✓ /`
U �-
(� �( , RECEIVED BY READY FOR DATE ISSUED
W CITY j`t� v v TEL NO / FIRST INSPECTION ;2 —/9-4
/9—`/t/�.
,/
�
J COUNTY
CERT NO. EXPIRES
W
1-1
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK nooRESS ..�jedl
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLET ISW PLUGS FIXT CROSS ST.
CIRCUIT A B C D I E F G H R NAME // �O a a c�✓�9�i'JI t,� + '
C� f �f 3 ADDRESS
9,4 L`A, / / I I O CITY i,,/J (_,.,R� TEL NO. � �7f",� AM THE LEGAL POSSESSOR OF THE ABOVE LOS
/� pp ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
.� ,Z—A 14 ` I ELECTRICIAN.
f'� �g THE"GAL OWNER OF THE PROPF,ftTY DESCRIBED
OWNER.
COIi.I€ECTIONS
J
Q
Z_
L7
lY
O
TOTAL /
NO. OF OUTLETS I Sc APPROVALS
I NO. OF FIXTURES ffi J DATE INSPECTOR'S NAME
NO OF MOTORS H.P. ffi CONDUIT r�i /� j✓//
NO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS ffi POWER
PERMIT FEE • _ ffi � UTILITY CO.NOTIFIED
TOTAL FEE ., Gs FINAL ✓ , `,
E3S S-A 12-44
DDEPARTMENT OF BUILDING AND S 'TY "PLICATION I�®R PE
`
COUNTY OF LOS ANGELES ELECTRIC
IC
WM. J. FOX CHIEF ENGINEER
NAME 5-, C3 .. WOO 4 k J%V „ DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS S /� J da 1.'.1, '{0)1 `� _ I � /
,UU CITY \Ah h )414 IQ�I TEL.NO.,I7^^1 q'1�3 76' RECEIVED - FIRST INSPECTIONUNTY
READY FOR DATEISSUED
�1 CERT NO. (/ EXPIRES +d
(;k7 p �.a
DESCRIPTION
FILDLIN y� I$EAVILY OUTLINED PP1O/IlI'II�'IOI�T01NLfY ('
�J�'E.��.Y9.11C YI®N ®T W®a01<i
FARESS O ,l'�� aC Gi�d i7 f���f'•i+d`, 4✓
NUMBER OF OUTLETS ON CIRCUITS \rALITY /s A. 10 e:.. b ` y
LOCATION BY ROOMS ,e
RESTLIGHT OUTLETS SW. PLUGS F1XTSS ST.
CIRCUIT A B C D I E F G H !ti NAME G�},Clihr�q //)vRsJ1114t"I'l
z MAIL Y7 j/v 0 Or .6. AL1 3�
a= ADDRESS
O
CITY /,',dpi �( !> TEL NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
ELECTRICIAN
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
COR.MenoNS
l -
J
— Q
Z_
l7
O
TOTAL
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES $ DATE_ ��INNSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT yj I f�,Hl fI
NO. OF SIGNS TRANS. $ WIRING
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS V!� $ POWER /
PERMIT FEE ffi ►OO UTILITYCO NOTIFIED
TOTAL FEE JQ 10 1 FINA
j1 WORKERS'that
COMPENSATION DECLARATION 720 6A663 DPW 3/87 APPLICATION, FOR- ELECTRICAL PERMIT O
I hereby affirm that I h ve a certificate of consent to self •ceeo�63G -
insuy:, or a certificate r ' Compensation Insur nce, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or-a'acs;ti th 00, La C )
t
olic No Company FOR APPLICANT TO FILL IN JOB /t 'L
Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS 140 A142 7 A:�7 1 110'6'
❑Certified copy is filed with th 'c OO�KERS'
inspec- 1 & 2-Family, Sci Ft $ — $ LOCALITY
do de artme t Multi-family Sci Ft — NEAREST
CROSS ST
Residential Swimming PoolsOWN /�/ d Date Applicant ' / FIRM NAME k /–/al" vCERTIFICATE OF EXEMPTION FRO Outlets Rec Light�Sw1�' MAIL
COMPENSATION INSURA ADDRESS
(This section need not be completed if the work involved by Total No _LCL Addi�onal CITY Tel No
the permit is for one hundred dollars ($100)or less.)
PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit 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
�
Total No
Date Applicant Additional CITY Tel No
Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT If„after making this Certificate of APPLICATION
Exemption, you should become subject to the Workers' Range— Heater—D W
Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS -Z q 1_y_
with comply with such provisions or this permit shall be Top — FAU W H —
deemed revoked CITY Tel No
Hood — Fan ,Other— 7 �7
LICENSED CONTRACTORS DECLARATION00 LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER 1p Class 1
(commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PROC SSED BY ,,3
and Professions Co my licen a is in full force a ffect
Size &Type HP, KW, KVA, or KVAR 0
License N Lic Class Up to 1 Incl FINAL �q
Over 1 to 10 Incl DATE 3 "L <� y -VALIDATION O
Contractor to Over 10 to 50 Incl FINAL ";' H
❑ I am exem t under Sec Over 50 to 100 Inc _ LL
BY � ; z
B&P C for this reason Over 100 --I f �_ :=�I-1
Services, Swbd , MCC& Panelboards ,
Date ll
0- 200 Amp Under 600 V J t_+)ti+_ 53;
Signature 201 - 1000 Amp Under 600 V i� F.�. o:I;-1
❑ Exemption for Reg Mamt ElectOver 1000 Amp or Over 600 V - --
=mH��t7E 4,_t-
HOME OWNERR-BU-BU ILDER DECLARATION
SIFAMILY Temp Power-Pole &Appurtenances
I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit
Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits
Professions Code) -21” i= iso
❑ I, as owner of the property, will do the work and the Misc Conduits&Conductors
structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ ,
Business and Professions Code)
CONSTRUCTION LENDING,AGENCY
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec 3097, Civ C )
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and state that the TOTAL FEE
above information is correct I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
here authorizer pr entatives of,this County to enter upon S r
t e ve-menti a roperty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
n '
r =
Si ture of"Permit ee ^Date I Os
WORKERS'COMPENSATION DECLARATION , CE 8066 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec 3800, Lab C )
Policy No 1 Company FOR APPLICANT TO FILL IN JOB' /y, ,^' ,�L p C�
Certified co is hereb furnished EACH NO FEE ADDRESS (��/ /`f 'LI�J
PY Y New Residential Bldgs & Pools p%
❑ $ = $ LOCALITY h ��
Certified copy is filed with the county building inspec- 1 8 2-Family, Sq Ft --&2
tion department Multi-family Sq Ft NEARESTCROSS ST
/=f
Residential Swimming Pools _ OWNER OR
Date Applicant FIRM NAME n '
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec__ZX_Light Sw_ MAIL
COMPENSATION INSURANCE ADDRESS � W
First 20
(This section need not be completed if the work involved by Total No Additional CITY_&+1, G Tel No7f� ��
the permit is for one hundred dollars ($100)or less ) PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit is issued, I shall not employ any person in any manner
so s to become subject to th orkers'Compensation Laws Lighting Fixtures First 20 ADDRESS
Q j ^^�� Additional
�I p Total No CITY Tel No
Date / Applic 8 ` Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT If a r making this Certificate of APPLICANT
Exemption, you should ome subject to the Workers' Range_
Heater—D W
Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M — ADDRESS/62
with comply with such provisions or this permit shall be Top — FAU —W H —
deemed revoked CI Tel Nq/ t��2`Z
i
Hood Fan _ Other_
LICENSED CONTRACTORS DECLARATION LICEMC OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER S - Class
(commencing with Section 7000) of Division 3 of the Business _Power Apparatus 8 Large Appliances DISTRICT NO PROCES ED BY >,
and Professions Code,and my license is in full force and effect �� CL
Size & Type HP, KW, KVA, or KVAR O
License Number Lic Class Up to 1 Incl FINAL
Contractor Dat - Over 1 to 10 Incl DATE �-/�,� VALIDATION 0
❑ Over 10 to 50 Incl FINAL
�`j- �r,,.�1 � W
I am exempt under Sec Over 50 to 100 Inc BY .s IL
Over 100 N
B &P C for this reason Z
Date Services, Swbd , MCC 8 Panelboards ,
0 -200 Amp Under 600 V
Signature 201 - 1000 Amp Under 600 V
Over 1000 Amp or Over 600 V
❑ Exemption for Reg Maint Eject
SINGLE FAMILY Temp Power Pole& Appurtenances 3 4 63 A
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits # oro 0 o t o 2
Law for the following reason (Section 7031 5, Business and
Professions Code) 2.o,o 1 350
❑ 1, as owner of the property, will do the work and the Mise Conduits pConductors 1 3.5 0 _
0 0 o u
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_
7044, Business and Professions Code) , 0 1 5—8 4
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE ' (Sub-Total)
(Sec 3097, Civ C )
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and state that the TOTAL FEE u i
above 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
e above mentioroperty for inspec on purposes
� SEE REVERSE FOR EXPLANATORY LANGUAGE
.. 7
L Signaturr f Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0210180023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES P .
ON FILE 10424 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802811
INFORMATIONASSESSOR NEAREST CROSS STREET: HALIFAX
8586-028-014 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP 1.00 FAU 10.95
TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 58.35 10/18/02 JK 04/16/03
OWNER: TEL. NO: FINAL A FINAL BY: CODE:
HYOSOOK;KIM (626) 401-1751-
10424 DA I NES DR
TEMP 917802811 4ESCRIPTION
/O FURNACE & A/C
APPLICANT: TEL. 0:
GLOVER (909) 279-0604-
5030 VICEROY AVENUE SPECIAL CONDITIONS:
NORCO 92860
CONTRACTOR: L. NO: / �, i� � ti,,�� APPROVALS DAT SPECTOR SIGNATURE
GENERAL HEATING AND A, C (626) 358-0022-
1310 S. MYRTLE AVE. LIC. NO / ��� v y RA POWER
MONROVIA, CA. 91016 469166 C20 y i
UNDERGROUND COND I T
ARCHITECT OR E . N0: r'-�'1�� �� r� UF51Z GROUND
LIC. NO �i r 1_ '���111111 � ' ROUGH CONDUIT
ROUGH WIRING
r 't �1(�;�I�I �� MAIN WATER LINE
PLASTIC Y/N METAL Y/N
- - - -- --- - -- --
71LITY COMPANY NOTIFIED
\� ZA
REPORT ID: DPR265 ROUTE TO: BS0508