HomeMy Public PortalAbout10603 DAINES DR_Electrical__ 7BAB63-CEBOS1APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
IGS D J7 Z
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER �F n
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
1 T E M NUMBERI EACH FEE OWNER P s / / N
OUTLETS: $ $ MAIL
LIGHTS gECEPT. W. .10 ADDRESS
LIGHTING FIXTURES .10 CITY TEL. NO.G 3 J
ELED. RANGECLO. DRYER. ELECTRICIAN
WATER HEATERS .5O �O ADDRESS
�i-
ELEC.BPACEHTRB. DISHWASHERS ////
CITY LICENSE
�3J
GARBAGE DISPOSERS AUTO.-
TEL. NO.LS
STATE
WASHERS BTA. COOKING UNITS .2$ LICENSE NO.
MOTORS: OVER INC. H.P.
DISTRICT�{p. GR�j1P ZONE P Y
0— Yx .25 L ,�
Vi 2 .50 `.d INSPECITON RECORD
2- 5 1.00
J1._1J-
5— f5 I-
15—
.15— 50 2.50
50-200 5.00
'= SIGNS: NO. TRANS.
NO. LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
T
WIRING PERMIT '1.00 po
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .30
TOTAL FEE 1 $ 4 o APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 c'2
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND,
LICENSED AS REDUIR Y LOS ANGELES CO NO STATE OF FIXTURES
CALIFORNIA OR TH AM THE LEGAL NER O THE ABOVE
DESCRIBED RESIDE IA PROPERTY. , POWER
SIGNATURE (SI, UTILITY CO.NOTIFIED _ 4,
OF PERMITT FINAL
VALMAnQN-
ARTHUR C. VETT,
CK mo CwsH SUPERVISING ELECTRICAL
li(048439� APRZO 2 A 2,50
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Deof County Engineer
DIVISIONION OF OF BUILDING & SAFETY u
WILLIAM J. FOX, County Enpinear
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPI ZONE PERMIT NO.
�' $ 31
ELECTRICIAN
RECEIVED BY READY FOR DAT ISSUED
ADDRESS n ^ FIRST INSPECTION
CITY JU), Iv TEL. NO. P eq a y� �yJ J� 1 ��
COUNTY LICENSE NO. EXPIRES BWLDING �p/ //1 aF ,F / �I� �y
PERMIT FEES ADOREBB A/ n�(09 J///!/l/I�'��Apl/.1'�A
FEE T z'.�iJi C.J:...
TNUMBER LOCALITY LIGHT OUTLETS NEAREST
CROSS ST.RECEPTACLES , , 'WALL SWITCHESOWNER L//Y��U�K///�}�}L//�//(({����✓��v��jy/c��^�� . //yy......f�TOTAL OUTLETS 9 AMAIL
DDREBB /.4 ,� 912z'�!/'6/tA-.�ELEC. RANGES ELEC. HEATERS CITY f tf ✓1��I TEL NO.7Gi'IJ //
FIXTURES
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
M(SC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING,
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUHCeR HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MVD. HP DVeR we. .ADH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
6Legs $ .25 C7 SIGNATURE OF
r I/z 2 .5❑ PERMITTE
2 s 1.00 INSPECTION RECORD
s Is 7.50
is 50 2.50 _
s0 200 5.00
_ 200_ 500 10.00__ J
_ soo 1000 15.00 Q
Z
OVER 1000 20.00 6
M.G. SET/FRED. CHANGER-HP Q
WELDERS: AC-KVA
O
GENERATORS - KW _
TRANSFORMERS • KVA
TEMP. MOTORS (95% DF DRID.) _
MOVED MOTORS (95% OF CRID.)
MISC.
SIGNS
NO. NO.TRAN9. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR•B NAME
WIRING $1,00 CONDUIT
FIXTUREB _ $1.00 WIRING
SUPPLEMENTARY .s0 FIXTURES
6 POWER
TOTAL FEE s / UTILITY CO. NOTIFIED A!i
FINAL
96A663 DSS#SA 2-53 {• '
- COUNTY OF LDS ANGELES APPLICATION FOR PERMIT
Department F Of County EngineerSAFETY ��
DIVISION OF BUILDING & SAFETY
WILLIAM J. FDX, County En0lneet ELM A
FOR APPLICANT TO FILL IN DISTRICT yD,-' GROUP ZONE PERMIT NO.
�/
ELECTRICIAN -
�!^1 f• - RECEIVED BY READY FOR DATE ISSUED
ADDRESS ! Imo( / FIRSTINSPECTION
CITV TEL NO./Inj q/ g/ 'ten •�._1// tttnnn 3
COUNTY LICENSE NO. EXPIRES BUILDING �D
PERMIT FEES ADDRESS
FEE
N�U M�Bj�ER EACH LOCALITY
LIGHT OUTLETS / (// NEAREST �I
RECEPTACLES 3
CROSS ST..
WALL SWITCHES OWNER
TOTAL OUTLETS SC �.� MAIL /* 71
ELEC. RANGES 25 ADDRE69
ELEC. HEATERS 25 O CITY �iVf'l TELA N0.
FIXTURES 5
-- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. JJ APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS 17 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESti THE ABOVE VALID LOS
NUMBeR HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MVO. HPI OVER INC. I
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
A LESS SIGNATURE OF
I/3 2 PERMITTE /
_ 2 5
INSPECTION RECORD
1s sDs0 2002DG sac J
_
Soo loco 15.00 R
-- Z
OVER TODD 20.00
M.G. BET/FREQ. CHANGER-HP
WELDER9:AC-KVA D
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF CRIG.)
MOVED MOTORS (75% Gr DRIG.) _
MISC.
SIGNS
NO. NO.TRAN9.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTORIB NAME
WIRING $1.00 00 CONDUIT ,
FIXTURES $1.00 1 WIRING
SUPPLEMENTARY .50 _-- FIXTURES
POWER �_
TOTAL FEE $ UTILITY CO.NOTIFIED
FINAL
76A663 DBS#5A 4-52
WORKER'ShaveCOMPENSATION DECLARATION 7600019 A663 DPW R2 91) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self insure,
or a certificate of Worker'a"Compensation Insurance. or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copythereof(Sec. 3800 Lab. C.)�
POI fCU)" (L�tu`C�Ortlpany ��' �' �L (,t FOR APPLICANT TO FILL IN JOB.No
/ New Residential Bldgs.&Pools LADDRESSALIT
Certified copy is hereby furnished. NO. $ EACH $ FEE LOCALITY-I-�pL.,� 4�
❑ Certified co is filed with the count building inspection 1&2-Family,Sq. Ft.
PY y 9 P •1
department. c Multi-family Sq.Ft. NEAREST CROSS STNT3}
Date�_Applicant Residential Swimming Pools MAP BOOK MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR /"9.�_�
COMPENSATION INSURANCE Outlets:Rea Light Sw. FIRM NAMETLJ
First 20 MAIL e�
(This section need not be completed if the work Involved by the ADDRESS �/ 3 �f
permit is for one hundred dollars($100)or less.) Total No. Additional b0 N� /
I certify that in the performance of the work for which this permit CIT to G T 0' J 3 3
i5 issued, I Shall not employ'any person In any manner s0 as to PLAN CHEC � p
become subject to the Workers' Com ensation L ws. Lighting Fixtures First 20 APPLICANT , Rp'J ��� �CC c
_ Total No. Additional ADDRESS ( 5', '�
Date ` Applicant f Q
NOTICE TO APPLICANT: If, aftYr making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP. CITY � � ( Tel.N, 2_
Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP.
1_ C/
provisions of the Labor Cade, you must forthwith comply with such PERMIT
Power Apparatus&Large Appliances APPLICANT CAMPb� C� L
provisions or this permit shall be deemed revoked.
LICENSED
CSED rCONTTdprovisions of Chapter g
CONTRACTORS DECLARATION
Size&Type HP,KWL
,KVA,or KVAR ADDRESS ' '
I hereby affirm r f
(commencing with Section 7000) of Division 3 of the Business and Over 3 to 10 Incl. CITY TeL No. Gt�Z—J3�
Professions Code, and my license is in full force and effect. Over 10 to 50 Ind. LICENSE ON }
Over 50 to 100 Ind. REG.NUMBER ...9da 8'6 3 Class lQ OL
Over 100 DISTRICT NO. PRCC ED By
O
License Number Li c.Class C.)
y/ )x,+�^ ., Services,Sw/p &Pa (boards Q
////ww'' (,.�1�{�l"IIc b 0' mp.Ur er 600 V
COntract04, -Dalet � �� O DIATE / /� 0
❑ I am exempt under Sec. 400-1000 Amp. Under 600 V J�—J _`�J I VALIDATION W
Over 1000 Amp.or Over 600 V FINAL d
B.&P.C.for this reason BRANCH CIRCUIT FEES BY
Date: 15A,or 20A;1201 Lighting or Recept. ,
Z
1 To 10 Branch Circuits '
Signature - 11 To 40 Branch Circuits Al
❑ 41 Or More Branch Circuits �� �8
Exemption for Reg.Maint. Elect. 15A,20A,208V To 277V Lighting Br.Circuits _ 2
SINGLE FAMILY Temp. Power Pole&Appurtenances y
HOME OWNER-BUILDER DECLARATION � ' ACCT,
Sign with One Branch Circuit
I hereby affirm that am exempt from the Contractor's License Law n 65.60
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits '�` _q 'tAl/�.n/ ��I3
Code):
El 1,
1 ITEI,as owner of the property, will do the work and the structure Misc.Conduits&Conductors �-p
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL
ITEMS
6c m 0.
and Professions Code). D CHECK 65,60
CONSTRUCTION LENDING AGENCY CHANGE =00
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued e. 3097, PERMIT FEE (Sub-Total)
Civ. C.) PLAN CHECKING FEE oI000—000i 5/ 6/96
Lender's Name // - 6231 1 A1110:`0
PERMIT ISSUING FEE CK a
Lander's Address
I certify that e read this application and under penalty of perjury state TOTAL FEE G Q
that the above information is correct. I agree to comply with all County ,
ordinances and State laws regulating Electrical wiring,and hereby authorize
r resentatives of this County to enter upon the above-mentioned property
o 'nspectio purposes. py SEE REVERSE FOR EXPLANATORY LANGUAGE
ATURE OF PERMITTEE D OTE(
WORKER'S COMPENSATION a certificate
of consent to 76A66sDP""'2-9" APPLICATION FOR ELECTRICAL PERMIT
0 D019
I hereby affirm that I have a certificate of consent to self insure,
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.) - -
����yi. �? a7--coo
P O Company G
FOR APPLICANT TO FILL IN OR R
ApOE55
Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY
❑ Certified copy is filed with the y4nity building pection 1 &2-Family,Sq.FL $ $ NEAREST <
de art nt. Multi-family Sq. Ft, CROSS ST.
Date e� Applicant ' Residential Swimming Pools MAP BOOR
PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR
COMPENSATION.INSURANCE Outlets:Rea Light Sw� e-o / FIRM NAME 4w
First 20 (�> MAIL
(This section need not be completed(S1 O the work involved by the ADDRESS
permit is for one hundred dollars(5100)or less.) Total No. Additional
I certify that in the performance of the work for which this permit CITYTel.No.3S
- -�
is issued. I shall not employ any person in any manner so as to PLAN CHECK L"
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT L
Total No.— Additional ADDRESS lV
Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT:.II, after making this Certificate of CITY T.I.No. -7
Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code, you must forthwith comply with such PERMIT
Appliances APPLICANT A
s&Large ge pp
provisions or this permit shall be deemed revoked. Power App �R.
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,o1 JSV ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 1 d /
(commencing with Section 7000) of Division 3 of the Business and CITY TO.No,
Professions Code,and my license is in full force and effect. Over 10 to 50 Ind. LICE �-
Over 50 to 100 Incl. BE. NIJ OR / _�/ Class.
rr Q (� (/ .� REG.SE RER to y ^ a
License Number(l 7 `&2_ LIC.Class v � Over 100 DISTRICT NO. y P SED BY O
Q Services,Swbd.,MCC&Panelboards
0-399 AmUnder 600 V FINAL 0
Contrac[o \ Date p. DATErrr. i—
❑ 1 am exempt under Sec. 400-1000 Amp. Under 600 V �`J -G�� VALIDATION W
Over 1000 Amp.Or Over 600 V FINAL Il
B.&P.C.for this reasonRY
BRANCH CIRCUIT FEES ? z'
Date: 15A,or 20A, 120V,Lighting or Recept.
Signature 1 To 10 Branch Circuits ACCT `
11 To 40 Branch Circuits ,1303 s
F141 Or More Branch Circuits 3 �I _ 50.70
Exemption for Reg.Mains. Elect. 15A,207,208V To 277VLighting Br.Circuits 1 ITEMS
SINGLE FAMILY Temp.Power Pole&Appurtenances �u
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit TOTAL 50 _ 70
I hereby affirm that I am exempt from the Contractor's License Law
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits CHECK 50.70
Code):
❑ Misc.Conduits&Conductors CHANGE .00
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) D .
and Professions Code). 0000;-0001 2/12/96
CONSTRUCTION LENDING AGENCY
v1h 1 F,h11�:5Q
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) � A
Civ, C.)
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE i!u
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
or ' ances and State laws regulating Electrical wiring,and hereby authorize
pr sentatives of this County to enter upon the above mentioned property
ar e tp 'poses. /� SEE REVERSE FOR EXPLANATORY LANGUAGE
l G1- l'
s AruaE OF PE IITEE DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0905290004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 10603 DAINES DR
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917602815
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: PAL MAL
18586-010-028 IA1 PERMIT ISSUANCE FEE .27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95 1
(TENANT: I TOTAL FEES 29.70 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
105/27/09 SR 11/23/09 1
I
OWNER: TEL. N0: FI L AT 1FINAL BY: CODE:
CHENG, VINCENT (626) 585-9366- � 'J(�
110603 DAINES DR 1 LVY
(TEMP 917802815 1 1D SCRITI N OF WORK 1
11 OUTLET FOR BATHROOM REMODEL
1APPLICANT: TEL. NO: I 1 I
1SHIH (626) 451-0763-
19147 OLEMA STREET 1 1SPECIAL CONDITIONS: 1
1TEMPLE CITY CA 91780
1CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
SHIN MANAGEMENT, INC. (626) 451-0763-
19147 OLEMA STREET LIC. NO ITEMPORARY POWER POLE I I I
ITEMPLE CITY, CA 9178D 864481 B I I I I
(UNDERGROUND CONDUIT
I I I
ARCHITECT OR ENGINEER: TEL. N0: JUPER GROUND
I I I I I I
LIC. NO: J (ROUGH CONDUIT I
I (ROUGH WIRING /
I I I I I
I I (MAIN WATER LINE I I I
PLASTIC YIN METAL YIN
I 1 I I
I I IDTILITY COMPANY NOTIFIED( I I
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(REPORT ID: DPR265 ROUTE TO: BS0508
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