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Home My Public Portal About10533 DAINES DR_Electrical__ 76A869-C�`,o_so - APPLICATION OR EL TRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7ADDRESS BUILDING AND SAFETY DIVISION 10533 E. Daines JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A JENSEN SUPT OF BUILDING Temple City FOR APPLICANT TO FILL IN E. Daines & N. Malifax PERMT FEES 1 T E M NUMBER I EACH FEE OWNER Sam G. Dra e OUTLETS• s $ MAIL LIGHTS RECEPT SW 10 ADDRESS LIGHTING FIXTURES 10 CITY TEL NO ELEC RANGES / CLO DRYERS ELECTRICIAN WaltonElectric Corp. WATER HEATERS J 50 SO ADDRESS 2610 So. Peck ad ELEC SPACE HTRS DISHWASHERS CITY Monrovia TEL NO Hl 6-21 1 GARBAGE DISPOSERS AUTO- STATE 151169 WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC HP DISTRIC NO. I GROUP I ZONE I PR ESS D BY O— '1/2 25 1/2— 2 50 INSPECTION RECORD 2— 5 too 5— 1s 150 15— 50 250 - 50-200 500 lr A/ - v NO TRANS c--m'.N A"6 43 SIGNS NO LAMPS SERVICE 0-600V 100 SERVICE OVER 600V 500 MISC t .rte WIRING PERMIT 100 00 FIXTURE PERMIT too SUPPLEMENTARY PERMIT 50 TOTAL FEE $ 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS �' DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING 1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRE BY LOS ANGELES COUNTY A STATE OF FIXTURES CALIFORNIA OR THAT AM THE LEGAL OW THE ABOVE DESCRIBED RESIDENT PROPERTY. POWER SIGNATURE UTILITYCO NOTIFIED OF PERM ITT FINAL OF �.I O CASHION SU HUR C VETT. - CK MO CASH SUPERVISING ELECTRICAL ENGINEER r --�,� 1 � WpRKER'S COMPENS!iTION DECLARATION 20.0019 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT I hensby-afflrrrt thai'N have a ce trflbate oy1 consent to self insure, ,76A663 or a certificate of Worker's Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) TZ /�A�(� Policy No I �� i Company ��` v T-V l�" . FOR APPLICANT TO FILL IN JOB O I ❑ ADDRESS :T QN05 Certified copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY ❑ 1 &2-Family,Sq Ft — $ $ n Certified copy Is filed with the county building Inspection NEAREST department t Multi-family Sq Ft CROSS ST „c^ r L 4. o Residential Swimming Pools ASSESSOR Date Applicants MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' >,(�/—Light OWNER OR COMPENSATION INSURANCE Outlets Rec i 9Sw d p FIRM NAME First 20 MAIL (This section need not be completed if the work Involved by the Total No Additional � � ADDRESS ' 91 permit is for one hundred dollars($100)or less) I certify that In the performance of the work for which this permit CITY Tel No - Is Issued, I shall not employ any person In any manner so as to become Laws Compensation subject to the Workers'Com Lighting Fixture First 20 PLAN CHECK 1 P g gre � APPLICANT Total No �_ Additional 9 ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If, after making this Certificate of CITY Tel No Exemption, you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Cade, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT \ U OL( LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl , (commencing with Section 7000) of Division 3 of the Business and CITY WIFL � el Nogr�_Z�f Z Professions Code,and my license is In full force and effect Over 10 to 50 Incl LICENSE OR `A. / Over 50 t0 100 Incl REG NUMBER Q/ Class /'�l0 d. LICerISe Number `7 70/ 9� LIC Class C�t O Over 100 DISTRICT NO PROCESSED BY ` I Q U Services,S/wb & a Iboards T_ S��.� (� ��LA 0 mW V FINAL O Contractor ate DATE I_ ❑ 400-1000 Amp Under 600 V I am exempt under Sec –2 041, VALIDATION U Over 1000 Amp or Over 600 V FINAL W B&P C for this reason BRANCH CIRCUIT FEES BY U) Date 15A,or 20A, 120V,Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circwts Exemption for Reg Mamt Elect 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances 6 1 HOME OWNER-BUILDER DECLARATIONJL Slgn with One Branch Circuit ACCT.1117 I hereby affirm that I am exempt from the Contractor's License Law r�t1 for the following reason (Section 7031 5, Business ano Professions Additional Sign Branch Circuits 3303 184°45 Code) 1 ITEMS ❑ I, as owner of the property,will do the work and the structure Mlsc Conduits&Conductors t Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , TOTAL 1874 m 45 and Professions Code) C HECK 184.45 CONSTRUCTION LENDING AGENCY A1�l7C e I hereby affirm that there Is a construction lending agency for the CHAME VQS performance of the work for which this permit is Issued (Sec 3097, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE �000'ODS1 7/15/96 Lender's Name h 7455 1 P PERMIT ISSUING FEE o,� t M I 5;16 Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the 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 pon the above-mentioned property for Ins ec oses SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNA URE OF PERMITTEE DATE WORKERS' COMPENSATION DECLAhATION^ 76A663. 10/81 - .`APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lob C ) Policy No Company FOR APPLICANT TO FILL IN lOBTJC Certified copy is hereby furnishedNew Residential Bldgs 8 Pools EACH NO FEE ADDRESS ��5�3 44a.,, �"' 1 8 2-Family, S Ft $ = S LOCALITY y Certified copy is filed with the county building inspec- - q 'NEAREST tion deportment Multi-family Sq Ft j' Residential Swimming Pools T Date A WNER Applicant �/ PP FIRM NAME /� /1 S �I�d 11 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec�Light�Sw -1 MAIL ,r COMPENSATION INSURANCE ADDRESS IOJ 0L,'.We,% fl. This section need not be completed if the work involved b 2 First 20 � ( p Y i Total No 4-2 Additional CITY � Tel No �4cg—fP3a- the permit is for one hundred dollars (:100)or less ) that in the performance of the work for which this PLAN CHECK I certify P 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 Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of APPLICANT 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 with comply with such provisions or this permit shall be Top _ FAU —W H — deemed revoked Hood Fan _Other— CITY Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby off ir,m that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER Class (commencing with Section 7000) of Divisiori 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PROCESS E >_ and Professions Code,and my license is in full force and effect 0. Size &Type HP, KW, KVA, or KVAR 0 License Number Lic Class Up to 1 Incl FINAL V Over 1 to 10 Incl DATE // VALIDATION 0 Contractor Date ❑ Over 10 to 50 Incl FINAL / (o ~ U I am exempt under'Sec Over 50 to 100 Inc BY UJ B&P C for this reason Over 100 ; Date Services, Swbd , MCC& 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 Elect SINGLE FAMILY Temp Power Pole &Appurtenances 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 Law for the following reason (Section 7031 5, Business and Professions Code) z 2 7 6 3 A I, as owner of the property, will-do the work and the Misc Conduits&Conductors # 0 'O'o o'o 2 structure is not intended or offered for sale (Section O (See omplet F e Schedule)_ , 7044, Business and Professions Code) 2 0 0 3 6 7 5 CONSTRUCTION LENDING AGENCY o o'0 3�'�5 s I hereby affirm that there is a construction lending agency for 0 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) -0'6 1 4—83 .(Sec 3097, Civ C ) i 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 hereby authorize representatives of this County to enter upon the ob -ment ned property for inspection purposes L, SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee f`Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9612120022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGALD: FEES PAID BUILDING ADDRESS: TR: 8822 LT: 1 10533 DAINES DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802813 ASSESS R: NEAREST CROSS STREET: 8586-011-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 NLOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 TENANT: HA FAU LESS 3HP 1.00 FAU 10.80 ISSUED ROC BY: EXPIRES ON: JB AC UNITS +3-10HP 1.00 AC 19.65 12/12/96 TC 12/12/97 TOTAL FEES 62.10 OWNER: TEL. NO: FINAL DATE FINAL BY- CODE: KAO DAVID -^f Z 6832 MUSCATEL AV ` SGAB 917751226 DESCRI ON 0 ELECTRICAL FOR NEW HEATING AND A/C SYSTEM APPLIC �� - �'✓�I ATLANTIC AIR (818) 330-6676- C�+S SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATUR ATLANTIC AIRE (818) 330 6676 / a 15865-B GALE AVENUE #808 LIC. NO ( ��Ly T` o O TEMPORARY POWER INDUSTRY, CA 91745 613226 C20 UNDERGROUND CONDUIT ARCHITECT s�7" (o(�111 �� a n TEL. 0: ��Jll p p(i UFER D LIC. N0: I ROUGH CONDUIT MilL J ROUGH-WIRING L MAIN WA E INE BLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED L t REPORT ID: DPR265 ROUTE TO: BS0508 J\