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Home My Public Portal About10558 DAINES DR_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMT DEPARTMENT OF COUNTY ENGINEER DIVISION OF WELDING IS SAFETY WILLIAM I. FOR COUNTY ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GR OUP /Z//ON/E PERMIT NO. ELECTRICIAN '�fiLflJ /� `' '''• 10 F* �r / �� ADDRESS �� RECEIVED BY READY FOR DATE ISSUED �1 N�i7- ! FIRST INSPECTION CITY A TEG. NO? �J�l LICENSE 0 4f>v04 EXPIRES BUILDING _ PMOM I119 ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSSST. WALL SWITCHES OWNER TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 28 FIXTURES 5 CITY TEL. NO. MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT 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 Nurne¢5 HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER New MYO. HP oven INC. —c11 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/z a Ixes $ .25 I SIGNATURE OF PERM V. 2 .50 PERM BE f 2 5 1.00 INSPECTION/RECORD 5 15 LSD 15 SO 2.50 SO . 200 5.00 200 500 10.00 J SOO 1000 15.00 Z OVER 1000 20.00 � � M.G. SET FREQ. CHANGER-HP WELDERS: AC-KVA 0 GENERATORS -KW TRANSFORMERS-KVA TEMP. MOTORS (75% of ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS FOR BACK PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING /+ SUPPLEMENTARY 50 .FIXTURES D` pl./A •Y_ G� POWER TOTAL FEE $ r/ 7" UTILITY CO. NOTIFIED - �/ �i oma• FINAL �� a/ .l.�iels'v ...... 70AG93 GBS# 9A. 4-62 ORS SA 25M SETS 1-48 APPLICATION PP ICAC ION FORPER511T , DEPARTWNT OF BUILDING AND SAFETY 21E CY YI Iflllll� LYll�lli COUNTY OF LOS ANGELES ELECTRIC M. J. FOX. CHIEF EN I ER. D1STRJCJ:NO. GROUPI ZONE PERMIT NO. q NAME , aA ADDRESSZL oA .'I�l F / 1ef-! g'u R El I3Y READY FOR DATE ISSUED CITY THL.NO. 0 6 P FIR SPECTION J COUNTY ^ , le �. W CERT.NO. Q y� EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION O JOB DESCRIPTION OF WORK ADDRESS Cl QA.wNn I NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. LUGS PFfC CROSS ST. CIRCUIT A B C D E P 6 IH z NAME 'IH I- / Z ADDDRAILESS 2 b 3 O CITY. TEL.NO. 1 AM THE LEGAL, POSSESSOR OF THE ABOVE LOS ANG9LEBCSO\U\�/// FI Aa' F QUALIFICATION.. V 1� ELECTRICIAN. waAM o UM LEGAL OWNER OF THE PROPERTY DESCRIBED OWNER. CORa3ECTIONS J Q Z_ L7 d' O No. of ouTLeT9 s APPROVALS NO. OF FIXTURES S DATE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. B ( WIRING NO. OF RANGES OR HEATERS / S 2S FIXTURES 1 CELLAN US $ n POWER c PERMIT PEE S D UTILITYCO.NOTIFIED :'ry/- VT A�UJ TOTAL FEE `� LJZ�SFINAL WORKERS'°GMPE"SAT'°a DECLARATION 76"663 Dra, APPLICATION FOR ELECTRICAL PERMIT ''I hereby affirm that 1 have a certificate of consent to self insure, CE-8066 or e.celicaie of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY 'r copy hereof (Sec.3800,Lab.C.) ' Policy N097962 99 8&mpanYS.TATE. FIND '.COR . FOR APPLICANT TO FILL IN JOB 10558 DAINES AVE ❑ Certified copy is,hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE ADDRESS' X- LJ Certified copy is filed with the county building inspection 1-&.2-Family,Sq.Ft. $ — S LOCALITY TEMPLE CITY department. - Multi-family Sq�Ft. — NEAREST S 2./19/89 BROWN 'ELECTRIC Residential Swimming Pools EL MONTE- AVE OWNEROR OR Date Applicant 1 CERV ANTES r FIRM NAME -. CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Redl0Light7 gw.11 ' 7 5 0 $15 0 0, MAIL COMPENSATION INSURANCE . t ry ,ADDRES31Z6 -E. WISTARIA AVE (This section need not be completed if:the work involved by the First 20 ARCAD IA Tel.NA 46 9 3 9 0 . permit is for one hundred dollars($100) or less.) Total No. Atltlihonal _ CITY 1 certify that in the performance of the work for which this permit PLAN APPLICANT CHECK 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 75 7 $—5 - 25 ADDRESS Total No. 7 Additional CITY Tel,No. Date Applicant Fixed Appliances Not.Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of ,3. 5 $ 3. 50 PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater 1 D.W. _ APPLICANT BROWN ELECTRIC provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS.13880 SMOKE TREE ROAD provisions or this permit shall be deemed=revoked. Top — FAU _ W.H. LICENSED CONTRACTORS DECLARATION Hood — Fan — Other_ CITY VICTORV�ILLE Tel.No619 245 905 I hereby affirm that I'am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR 230263 Cli .10 (commencing with Section 7000) of Division 8'of the Business andREG.NUMBER Professiona'Code,and my license is in full Power Apparatus 8 Large Appliances force and effect. DISTRICT NO. P OCESSE V } 230263 ' C10 Size& Type.HP,KW,KVA,or KVARi� V License Number Lic.Class ' 'Up to 1 Incl. FINAL �/� BROWN .ELECTRO 3%30..- Over 1 to 10 Incl. DATE G'sJ} � Contractor a V�L..� VALIDATION ❑ Over 10 to 50 Inc. FIN — V am exempt under Sec. _ Over 50 to 100 Inc. gY / ILILI 4. B.8 P.C.for this reason Over 100 Services, Swbd.,MCC& Panelboarg00 $15'.- P$ 1 00 Z Date: - 0- 200 Amp,Under 600 V -- Signature 201.- 1000 Amp.Under 600 V ❑ - - _Over 1000 Amp. or Over'600 V 9 9 5.5 3'A Exemption for Reg. Mainl. Elect. _# .*e e e • 'L SINGLE FAMILY' Temp..Power Pole & Appurtenances _ HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 5 3 2 5 1 hereby affirm that I am exempt from the Contractors License Law Atltlitional-Sign Branch Circuits.- for the following reason(Section 7031.5, Business and Professions Q. .• 5 3 2 5,= Code): Misc.Conduits & Conductors ❑ 1, is owner of the property,will do the work and the structure Q'S Q.9 8 8 is not intended or offered for sale (Section 7044, Business Oiher(See Complete Fee Schedule) D . 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(Sec.3097, PERMIT FEE - (Sub-Total) ' $42 7 5 . Civ.C.). PLAN CHECKING FEE Lender's Name , PERMIT ISSUING FEE $5 3 2 S - Lender's Address .SS3 I certify that I have read this application and state that the above TOTAL FEE r a information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize Aepreseves ty to enter upon the above-mentionetlr insp cti roJ�/ JSEE REVERSE FOR EXPLANATORY LANGUAGE iii/ �MnR�3 s{H 23 -11gA8 Signature o ermittee Date COUNTY OF LOS ANGELES TEMPLE. CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 'EL 0508 040617D024 - BUILDING AND SAFETY ! LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0-8 EXT: LEGAL ID: _ _. FEES PAID BUILDING ADDR S: TR: 7690 LT: 16 UN: .002 10558 DAINES DR FEE DESCRIPTION: QUANTITY: LON: AMOUNT: TEMP CA 917802812 ASSESSOC INFORMATION_ NUMBER: NEAREST CROSS STREET: PAL MAL 8586-029-024 Al PERMIT ISSUANCE FEE - - 27.75 THOMAS-PAGE: 597 - GRID: C3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP - 91.00 OUT 134.85 TENANT: G2 LIGHTING FIXTURES 18.00 LGT 35.10 i5SJE0 ON: PROCESSED BY: PLAN BY: EXPIRES ON: HA FAU LESS 3HP 1.00 FAU 10.95 06/17/04 JK 12/14/04, H2 RES GRAB DISP LT 3HP 11.00 DIS 10.95 OWNER: TEL. NO: H3 RES DISHWASHR LT 3HP L OC DIS 10.95 F?rlAL DATE f: CODE:. SHELBURNE CHARLES F;BROWN GEORGIA' E (626) 448-8545- H4 RES RANGE HDS LT 3HP 1.00 H00 10.95 1.-.XPI 10558 DAINES DR H5 RES WASH MACH LT 3HP 1.00 WAS :10.95 „ I 1 TEMP 917802812 H7 RES EXHAUST FANS 2.00 EX 21.90 9ESCRIPTi0N OF WORK H9 RES APPL LT 3HP 1.00 RES 10.95 ELECTRICAL FOR ADDITION JB PC UNITS +3-10HP 1.00 AC 19.65 - APPLICANT: TEL. NO: LB 200 ANP PANELS, MCC 1.00 PAN 38.85 SAME AS OWNER - TOTAL FEES 343.80 SPECIAL CONDITIONS: CONI.RAC?OR: TEL. N0: it { APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - - _ LIC. NO - TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCH''?tCi LR €NGINEER: TEL. NO: UFER GROUND -I LIC. NO: ` ROUGH CONDUIT I -1 "OIIGH WIRING IIA IN WATER LINE -- - --'- PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: OPR265 ROUTE. TO: BS0508 �- -- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0212050011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING DDR TR: 7690 LT: 16 UN: .002 10558 DAINES DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802812 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PAL MAL 8586-029-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 8.00 BR 138.00 TENANT: F2 208, 277V LGT BR CKT 2.00 BR 54.60 ISSUED 0PROCESSED BY: PLAN BY: EXPIRES ON: GI OUTLETS-LGT,SW,RECP 44.00 OUT 71.40 12/05/02 JK 06/03/03 G2 LIGHTING FIXTURES 18.00 LGT 35.10 OWNER: TEL. NO: H7 RES EXHAUST FANS 1.00 EX 10.95 FINAL DATE FINAL BY: CODE: SHELBURNE CHARLES F;BROWN GEORGIA E (626) 448-8545- JA HEAT PUMPS +3-10HP 2.00 HT 39.30 c, 30-01 /lam 10558 DAINES DR LB 200 AMP PANELS, MCC 1.00 PAN 38.85 "I _ TEMP 917802812 TOTAL FEES 415.95 DESCRIPTION OF WOR ELECTRICAL FOR GUEST HOUSE APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0404080025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: _ FEES PAID BUILDING A ESS: TR: 7690 LT: 16 UN: .002 10558 DAINES DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802812 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PAL MAL 8586-029-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY E1 TEMP SERV POWER POLE 1.00 TMP 43.65 TENANT: TOTAL FEES 71.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: - 04/08/04 VG 10/05/04 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: SHELBURNE CHARLES F;BROWN GEORGIA E (626) 448-8545- 10558 DAINES DR TEMP 917802812 DESCRIPTION OF WORK TEMPORARY POWER POLE APPLICANT: TEL. NO: SANTILLAN (818) 822-3258- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE NATIONAL CONSTRUCTION RENTALS (818) 822-3258- 10403 GLENOAKS BLVD LIC- NO TEMPORARY POWER POLE PACOIMA CA 91331 D31 - UNDERGROUND CONDUIT i ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC- NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED / �� * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508