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Home My Public Portal About10617 DAINES DR_Electrical__ TEMPLE C;RTY 76A663TCE806'8.62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 6uILo1NG L BUILDING AND SAFETY DIVISION ADDRESS / JOHN A. LAMBIE, COUNTY ENGINEER / WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN I CROSS sT: fl EC EPT.2 TOTAL NO. EACH FEE OUTLETS FIRST 201 6206 - OWNER LIGHT �J yT-�� I4 ( MAIL SWITCH. OVER 20WIL J� .10 (}(� ADDRESS TY TEL. . .LIGHTING TOTAL! 3 F1Rsr 20 /j .20 ' �j Q, Cl NO yN - FIXTURES ! J AGD'L ,1p ELECTRICIAN OV R ;p // J RANGES CLO.DRYERS WYR.HTR9. 1.00 ADDRESS GARB.DISP STA.COOK j LITY �••y O�•�/ i I .tL 'J 'J ��(/,J �� •�/ I 1 E'LI EL. NO.J DISHW,,SH. ,L AUTO�-WASH.+\} STATE., , V SPACE HTRS. BI A.APP.(1h H.P.MAX.) .,50 LICENSE NO. MOTORS: OVER NOT OVER H.P. •, DIST NO.N`O GROUP NE PR' CE S D BY O 1 1.00 `/; D" I 1 3 1.50 INSPECTION RECORD. 3 a 2.001 L a 15 2.50 ilJi� 15 So 3.00 } d 50 10000 •Q-DlO-fPS- Q K O SIGNS; NO.TRANS /1 NO. LAMPS I J`V•YA•sUW�/.�l�J Qr SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2:00 N SERVICE OVER 600V 5.00 ? MISQ. . PERMIT ISSUING FEE 2.00 - SUPPLEMENTABY PERMIT ISSUING FEE 1.00 - TOTAL FEE 6 7 O G 1 HEREBY.ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL -COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 'l 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR n LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES �� - [///''pp 6,kp"A '�J CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE - DESCRIBED RESIDENTIAL PROPERTY. POWER /� u n n!. y,J SIGNATURE UTILITY CO.NOTIFIED. /��/�/�/�VA �V/`�Ah-t"� OF PERMITTE FINAL '.�� .� A&VAA"1N+-'`'Q I nCKLIDATION ARTHUR C.VEIT V MO CASH SUPERVISING ELECTRICAL ENGINEER __- Lr%o87 6 4 ND- FEB 19 2 0 13.60- V, 3.60- Q iW that I haveCOMPENSATION DECLARATION 76A663 DPW(1291) APPLICATION ,FOR ELECTRICAL PERMIT 11 6A663 1 hereby affirm that I have a'certificate of consent to self insure, ora certificate of Workers Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT:OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(See.3800 Latif C.), Policy No. Company FOR APPLICANT TO FILL!IN _ ADDRESS " ..�0 E7/ ] - ` t S del td Certified copyMis hereby4dmished New Residential Bitlgs.&Pools NO. .EACH FEE LOCALITY vi $ $ ^ ❑1. Certified copyns filed with the count buildingins inspection 1&2-Family,Sq.Ft. ' Y P department. Multi-family Sq. FL NEAREST t — CROSS ST. < ^ Data Applicant^` '+ 5 Residential Swimming Pools - - ASSESSOR PAGE PARCEL CERTIFICATE OF EXEMPTION.F,ROM WORKERS'. OWNER OR ,/ - - " COMPENSATION INSURANCE " Outlets:Rec.—Light Sw. A/_ FIRM NAME 472✓ (This section need not be completed if the work involved.by the first 20 - ADORFSS.-` permit is for one hundred dollars($100)or.less.)' Total No. Additional O 6( 7 /} Nr Al I certify that in.(ne performance of the woik for which this permit _ CITY E mON7- Tel.No. is issued, I shall not.erilploy any person'm>any manner",so'as to - become:sub)ecl toahe Workers' Compensation Laws. Lighting Fixtures .First 20 - PILAN CHECK P APPLICANT L). �'a ,� Total No. Additional ADDRESS ,✓/ Date rtT ��- s� i1PPlicant ��1NrR'].• L✓ ' .J.e NOTICE TOAPPLICANT:LIf, atter making this Certili to o RESIDENTIAL APPLIANCES NOT OVER CITY. � - Tel.No. 7,�,�' / Exemption you should become subject to the Workers Comp nsation OTHER APPLIANCES NOT OVERS HP. . IT provisions of the Labor Code,you must forthwith comply with such - _ APPLICANT provisions or,til permit shall be deemed revoked, - Power Apparatus&-Large.Appliances APPLICANT LidENSED CONTRACTORS DECLARATION ASiFe&Type HP,KW,kVA,or KVAR ADDRESS y ( hereby aff lrm that'd am hcen ied'under l iovisions of;Chapter 9 (d 'Over 3 to 101nc1. _5' .vie �/6 �' commencingwith Section 7000 ,of.Dlvision•3 of the Business and CITY , 'TeI.No Professions Code, andimy license is in full force.and effect. Over 10 to 50 Ind. , } LICENSE B Class. �.0 d r �T75- - ,Over 50 t0100Incl. REG.NUMBER q7-7 Lie Se Number,`7 os �7 7 LIC.-Class e a o Over 100 DISTRICT NO. PROCESSED BY 0 Services Swbd.,MC6&Panelboards U ` 0 399 Amp.Under 600V -� ✓J� FINAL Qa Contractor Date - DATE - U -.❑ I.am exempt under Sec. 400,1000 Amp:Under 600 V 3—(�—ry 4 ~ 'VALIDATION U '. _ Over 1000 Amp.or Over 600 V FINAL - - - a B.&P.CG'for this reason' - - - BY BRANCH CIRCUIT FEES fn Date: 15A,or 20A„120V,.Lighting or Recast. - - - _, Z 1 To 10 Branch'Circuits Signature 'I I To 40 Pam!,Circuits' '• - ._ - ,, _ _ - '41 Or More Branch Circuits - - Exemption for Reg.Mainl.Elect ;'1EA.20A,208V To 277V Lighting,6r.Circuits SINGLE FAMILY - Temp: Power Pole.&Appurtenances HOME_ OWNERBUILDERDECLARATION Sign with One Branch Circuit - I hereby affirm that f.am exempt from the'Contractor's License.Law h - ('T --- for the following reason (Section 7031.5, Business and Professions'' Additional Sign Branch Circuits Or— Code): J`J� ❑ 1, as owner ofthe property, wili'do the Workandthe.structure - . Misc:Conduits,&Conductors. is not.intended or offered for sale (Section 7044,;Business 'Other(See Complete Fee Schedule). - TOTAL 11 and Professions Cotle). _ ® -- a -, CONSTRUCTION:LENDING AGENCY I hereby affirm that there is a.construction lend!ng agency,fo/The - Jt t. performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (SubTotal) �L'' t'�IHt?2I-C _ PLAN CHECKINGFEE Lender's Name PERMIT ISSUING FEE G(Q Lender's'Address - _ --• F - _ p� - - _r _]s . K Hill j7 !Ifi I certify that I have read this application and untler penalty of purjury state -TOTAL FEE . ' V 2,2 - that the above information is correct: I ag'ree.lo'comply with aff County ordinancesand Statelaws regulating ectrical wiring.and here by authorize - - representatives o1 this County to an, upon the above_ property forrinspe purposes. - SEE REVERSE FOR EXPLANATORY LANGUAGE a OASIGNATURE OF PERMI E - - - �' COUNTY OF LOS ANGELES TEMPLE CITY k 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306200010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: F G SS: ON FILE 10617 DAINES DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802815 ASSESSOR INFORMATION NU NEAREST CROSS STREET: PAL MAL 8586-010-054 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 4.00 BR 69.00 TENANT: G1 OUTLETS-LGT,SW,RECP 18.00 OUT 35.10 ISSUED ON: PROCESSED BY: PLAN BY: RE ON: G2 LIGHTING FIXTURES 6.00 LGT 11.70 06/20/03 JK 12/17/03 H2 RES GREG DISP LT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 FINAL DATE FINAL Y: CODE: DELA FUENTE HECTOR T;DORETTA M (626) 443-1021• H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 10617 DAINES OR H7 RES EXHAUST FANS 2.00 EX 21.90 —' TEMP 917802815 TOTAL FEES 198.30 UtbUKAFIIU OA�dk- REMODEL 2 BATHROOMS & KITCHEN APPLICANT: . NO: SPEEDY STONES PLUMBING (626) 282-5117- 307 N SAN MARINO SPECIAL CONDITIONS: SAN GABRIEL .- CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SPEEDY STONE PLUMBING INC. (626) 282-5117- 307 N. SAN MARINO AVE LIC. NO TEMPORARY POWER POLE SAB GABRIEL CA 91775 285376BC36 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT UGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED '7 REPORT ID: DPR265 ROUTE TO: SS0508