HomeMy Public PortalAbout10614 DAINES DR_Electrical__ THAHflS-CESOH-II-�', APPLICATION FOR•: ELECTRIC PERMIT
COUNTY-OF LOS ANGELES
DEPARTMENT.OF COUNTY ENGINE® ....DING �1
BUILDING AND SAFETY DIVISION ADDREss /¢ I 'TG Y
IIOHN A. LAMBIE, Cog: En ear
CASSATP D. GIiD"FDi,Sup l of Hulld3ay LOCALITY E O
NEAREST
FOR APPLICAN' T FI LL IN CROSS ST. McL
PERMIT FEES
ITEM NUM55RI EACH FEE OWNER J, I Irl.✓
OUTLET j 5 ' S MAIL (ly
LIGXTS R...PT. 8W. .10 �� ADDRESS O �/1 �I,I .1, ( '
LIGHTING FIXTURES .f0 CITY yN: C f TEL.NO. 61- O ,
t' ELEC. RANGES CLO. DRYERS ELECTRICIAN
WATER HEATERS .50 -
ADDRESS
ELEC.SPACE HYPE. DISHWASHERS -
GARBAGE DISPOSERS AUTO. CITY TEL.NO.
WASHERS STA.COOKING UNITS ,-j fj STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
0 — 'h 29 DISTLLRICT N GRO P ZON xewor Fox Irvsrecnox
1h — 2 .50 V I i
2 — 5 Loo `.* /9',;,�FINSPECTION RECORD
5 — Is 1.50
15 — 50 2.50
50— 200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT
FIXTURE PERMIT 1,00.
i SUPPLEMENTARY PERM IT ',50
TOTAL FEE5 I APPROVALS
I HEREBY ACKNOWLEDGE THAT 9 HAVE READ THIS AP LIGATION DATE INSPECTOR'S SIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING 9
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES i 'A May
CALIFORNIA OR TH T TH LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDE PROPER
-
SIGNATUREUTILITY CO. NOTIFIED
OF PERMITT , FINAL
VALIDATJAN� ARTHUR C.VEIT.
CK Mo GBH i SUPERVISING ELECTRICAL ENGINEER
Y*•l( .Ex.,a,. 'raw"
LACGA-9 8'8 SEP 19 2 A 3 .4 0
_ j
7BA653-CEB08-5-57 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER SULDINGSb _
BUILDING AND SAFETY DIVISION ADDRES
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSSST.
PERMIT FEES
LIGHTS RECEPTACLES SWITCHES OWNER
NUMBEfl 1 T EM EACH FEE MAIL
ADDRESS
TOTAL OUTLETS $ .f0 5 D
ELEC. RANGES, WATER HEATERS, CITY TEL.NO.
CLOTHES DRYERS .50 ELECTRICIAN
ELEC. SPACE HEATERS, STAT'Y. COOK-
ING UHI TS. GARBAGE DISPOSERS. ADDRESS GY
AUTO WASHERS. DISHWASHER .2$ D
LIGHTING FIXTURES .10 B CITY TEL.N
f
MOTORS STATE s IL
LICENSE NO. T
HORSEPOWER
OVER INC. DISTRICT NO. GROUP ON READY FOR INSPECTION
%&LESS .2$
I B - 2 .50 INSPECTION RECORD
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC.
SIGNSI NO.TRANS
NO.LAMPS
c SERVICE 0-600V 1.00
SERVICE OVER OOOV 5.001 1
WIRING PERMIT 1.00 —
FIXTURE PERM IT LOO
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE S
1 HEREBY ACKNOWLEOGE THAT I HAVE READ THIS PA 1 N DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE 0 COMPLY CONDUITWITH ALL COUNTY
Y ELECTRICAL WIRING,ORDINANCES AND STATE LAWS REGULATING I WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I T E LEG L 0 x OF THE ABOVE POWER
DESCRIBED RESIDENTIAL P TY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL
JOHN A.LAMBIE. VALIDAT�j ARTHUR C.VEIT.
COUNTY ENGINEER CK /vi SUPERVISING ELECTRICAL ENGINEER
MO CASH
3951S:; NOV 1 2 9.3 5 9
WORKERS' COMPENSATION DECLARATION CE 863 to/et APPLICATION
PP IC p TION FOR ELECTRICAL
ECTRIC A A ImERD IT
I hereby affirm.that I hose a certificate of consent to self CE806GYYI�I�IL r4a P90 II CI Ir Ifl IG IL 011' �sP`i IL IVIG Y'19V9 II '
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 Nd.-fi/ 96T9—ill Company (9-1410 08 ist, _i( - FOR APPLICANT'TO FILL IN JOB '
Certified copy is hereby furnished. ( New Residential Bldgs. & Pools EACH NO. FEE ADDRESS
O
Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. f/9Ch7. $ — $ LOCALITY
tion department. Multi-family Sq. FL — 'NEAREST
Residential Swimming Pools CROSS ST. L (�
Date Applicant - OWNER OR
yy��.,.. FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Lighi�Sw.yti MAs
COMPENSATION INSURANCE First 20 ,G ADDRESS'Lill�4 l ,,o
(This section need not be completed if the work involved by Total NO-46-- Additional CITY• rjtpL_r O LZ Tel. No. _61
the permit is for one hundred dollars ($100)or less.)
y7� PIAN CHEC R.
I certify that in the performance of the work for which this "' PLANCHET L hI-1
Sq W
permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Lows. Lighting Fixtures First 20 ADDRESS 33 T
Total No.�� A`dditional
z CITY D fA,4 T.I. No.
Date Applicant Fixed Appliances Not Over I HP PERMIT -
NOTICE TO APPLICANT: If, after making this Certificate of
Exemption, you should become subject to the Workers' Range Heai D.W. _ APPLICANT L E-( j(-
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 Al we_ H —
deemed revoked. CITY Ll Tel. No. &/-�4
LICENSED CONTRACTORS DECLARATION Hood an _Other—
_ REG.LICEUM 433474
I hereby affirm that I am licensed under provisions of Chapter 9 Dis Room Air Cond. REG. NUMBER Class.
(commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCE ED BY
and Professions Code,and my license is in full force and effect. d
��jj Si A or KVAR' .//LZ-F�'� 00
-
License Number 423-4 74 Lic. Class 1; % Up to I Incl FINAL V
)�f t Incl. DATE VALIDATION Q
Contractor 7�AL�PM7 U V Si-1 Dote_..5�� Over I0}0 50 Incl. E"
F-1FINAL V
am exempt under.Sec. Over 50 to 100 Inc. BY y d
B.&P.C. for this reason Over 100 Z
Services, Swlid., MCC& oords /
Date: _ 0o Am . Under 600 V D
Signature 20 - 1000 Amp. Under 600 V
F-1 Exemption
1000 Amp. or Over 600 V
Exemption for Reg. Mainz 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): - 9 rO B.Q A
I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors o o ... o 7
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_
7044, Business and Professions Code). D 2 e to 8600
CONSTRUCTION LENDING AGENCY •oe 'o ;0•tj Go=
I hereby affirm that there is a construction lending agency for-
the
orthe performance of the work for which this permit is issued PERMIT FEE (Sub-Total) a O 9•_8�4
(Sec 3097, Civ. C.).
PLAN CHECKING FEE
Lender's Name
Lender's Address
PERMIT ISSUING FEE
}�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
4hereby authoPaillpre
iesenmtijoft County to ewer upon
Wii auto tection purpos
�p7 SEE REVERSE FOR EXPLANATORY LANGUAGE
T G
g - D to
DEC
TION
WORKERS COMPENSATION of corse CE-806 IB/B, APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm Chap I, have b 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, Lab. C.)
Policy No.2LZ 04apar, A75 FOR APPLICANT TO FILL IN JOB
ElCertified copy is hereby furnished. Tp4y'0rT— New Residential Bldgs. 8 Pools EACH NO, FEE ADDRESS
'Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. - $ — $ LOCALITY. _
hon department. Multi-family Sq. Ft. — 'NEAREST n�
CROSS ST. ("
� � � ��pp yy ••� Residential Swimming Pools OWNER OR
DateS�!�ZLApplicant 61. s - 1i' S )S v
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' - Outlets: Rec�Light_Sv IL c
COMPENSATION INSURANCE First 20 ADDRESS S
(This section need not be completed if the work involved by Total No. CITY Tel. No tt
the permit is for one hundred dollars ($100)or less.) Additional J*
certify that in the performance of the work for which this PLAN CHECKAPPLICANT
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 _ 4-� _
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 r C I
with comply with such provisions or this permit shall be Top _ FAU —W.H. —
deemed revoked. Hood — Fan _Olher_
p' CITY04k Tel. No.
LICENSED CONTRACTORS DECLARATION LICENSE OR
Dis _ Room Air Cand. — Class '1
I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER
(commencing with Section 7000) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO. PRMBY
BY }
and Professions Code,and my license is in full force and effect) - G
✓ 7�SS� Lic Size 8 Type HP, KW, KVA, or KVAR' FINAL O
License Number Up to 1 Incl. -/ rJ
Conirodor GrEs. Date Over 1 to TO Incl. ATE - 076 �� VALIDATION Q
❑ Over 10 to 50 Ind. FINAL c. t {~,)
I am exempt under Sec. _ Over 50 to 100 Inc. BY
B.BP.C. for this reason Over 100 I J Z
Date: Services, SWbd., MCC 8 Ponetboards D /�(�,(Y -
0 -200 Amp. Under 600 V V
Signature 201 - 1000 Amp. Under 600 V
❑ _ Over 1000 Amp. or Over 600 V
Exemption for Reg. Mainz. Elect. � 1 8'2 I A
SINGLE FAMILY Temp. Power Pole 8 Appurtenances e e o�o
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 14 I •. 2
I hereby affirm that I am exempt from the Contractor's License 2
Additional Sin Branch Circuits
Law for the fallowing reason (Section 7031.5, Business and • •e o 2 2.5
Sign
Professions Code):
❑ 2 2.2 Sx t
I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)- 106,0 T-8G
7044, 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
hereby author' esentatives of this County to enter upon
the above- entione roperty 4or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
bicirt,ture of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0203040027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE: (626) 285-0488 EXT: -
LEGAL ID: BUILDING
TR: 7690 LT: 17 10614 DAINES DR ADDRESS:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802814
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PAL MAL
8586-030-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597GRID: C3 LOCALITY: TEMPLE CITY
JI GENERATORS +3-10HP 1.00 GEN 19.65
TENANT: TOTAL FEES 47.40 ISSUED ON: OC BY: EXPIRES
03/04/02 JK 08/31/02
OWNER: TEL- NO: FINAL DTE FINAL Y: CODE:
WALLER JOHN E;MARLENE R - �-/ �
10614 DAINES DR
TEMP 917802814 ION
INSTALL SOLAR PHOTOVOLTAIC SYSTEM ON SOUTH FACING ROOF
APPLICANT: TEL.
GREG STAYTON (909) 549-6705-
1480 DOMINGUEZ RANCH SPECIAL CONDITIONS:
CORONA
P�IGELES CO
CONTRACTOR: TEL. NO: �5 U/I/,. APPROVALS DATE INSPECTOR SIGNATURE
STAYTON, GREG (909) 549-6715- -
1480 DOMINGUEZ RANCH LIC. NO TEMPORARY POWER POLE
CORONA, CA 92882 601514
UNDERGROUND CONDUIT
ARCHITECT ENGINEER: TEL. NO: U R GROUND
LIC. NO: 1111111 ROUGH CONDUIT
ROU WIRING
G
MAIN
P p L�C ��VI0Fola K 3 PLASTICTER Y/NLINE METAL Y/N
8UTI= COMPANY
I�I.
�GJ
ob,� mot
o Service 7III
I
REPORT ID: DPR265 ROUTE TO: BS0508 -