HomeMy Public PortalAbout10623 DAINES DR_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
-DEPARTMENT�OF PUBLIC WORKS 9071 LAS TUNAS .__EL 0508 9808260009_
BUILDING •AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 10623 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802815
ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET:
8586-010-033 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 35.00 OUT 59.25
TENANT: G2 LIGHTING FIXTURES 7.00 LGT 13.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
HA FAU LESS 3HP 1.00 FAU 10.80 08/26/98 UT 08/26/99
H2 RES GREG DISP LT 3HP 1.00 DIS 10.80
OWNER: TEL. W. H4 RES RANGE HDS LT 3HP 1.00 HOO 10.80 .FINAL DATE FINAL BY: DE:
TARBELL ROLLAND M;CAROLE D - H5 RES WASH MACH LT 3HP 1.00 WAS 10.80
10623 DAINES OR JB AC UNITS +3-10HP 1.00 AC 19.80
TEMP 917802815 LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85DESCRIPTIO. OF WORK
TOTAL FEES 202.50 ELECTRICAL - FIRE DAMAGE
APPLICANT: TEL. NO:
TOM O'LEARY CONS. (626) 287-0927-
'!<. SPECIAL CONDITIONS:
`s
CONTRACTOR: TEL. NO: �� `` UAB APPROVALS DATE INSPECTOR SIGNATURE
TOM O'LEARY CONSTRUCTION (818) 287-0927- V ✓
4856 ARDSLEY DRIVE LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 489354 B-1
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: (� \� UFER GROUND
LIC. NO. __ 'I I ! ;11111] ROUGH CONDUIT /
ROUGH WIR NGEb
MAIN WATER LINE
Iii PLASTIC Y/N METAL Y/N
\, -�- -- ---.- O - -T_- ---- UTILITY COMPANY NOT IF[ED �l�i_ 7� K
� h
i
it F
48��Q
s�rvice
REPORT ID: DPR265 ROUTE TO: BS0508
........... APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES - v. ---- - - -.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION _ BuILDING
ADDRESS
UGHN A. LAMBIE, COUNTY ENGINEER v
CASSATT D, GRIFFIN,SUF'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
LQ
ITEM NUMBER OWNER
EACH FEE
OUTLET $ S MAIL
ADDRESS
LIGHTS � RECEPT. 9W. �� � .f0
^ LIGHTING FIXTURES f 10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN "G N
5 WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO 7
GARBAGE DISPOSERS AUTO.- STATE
° WASHERS STA.COOKING UNITS .25 LICENSE NO.
All, 11
MOTORS: OVER .INC. H.P. DISTR.I(-vT NO. I GROUP ZONE PR -SED BY }
O— /A 2s j
v:- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
19— 50 2.50
50-200 5.00
SIGNS: NO.TRANS,
NO.LAMPS
SERVICE 0-600V 1.00 ( Qp
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 QQ
FIXTURE PERMIT 1.00 OQ
SUPPLEMENTARY PERMIT .50
TOTAL FEE 8 �O
1 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.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF i ABOVE
DESCRIBED RESIDENTIAL P EffY• POWER
SIGNATURE o UTILITY CO.NOTIFIED
OF PERMITTE
®e V DATION ARTHUR C.VEIT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LA:CD� 3 1 2 2 MAY 2 5 2 A 8 3 0
WORKER S'COMPENSATION'DECLARATION 63
CE806G (2-80) APPLICATION FOR. ELECTRICAL PERMIT
I hereby affi4,that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY s
i, insure, or a.certificate of Workers' pensatioo Insurance,or `
a certified-copy
/thereof
(Sec.3800 La .C.)
tt c�—l� S C �� FOR APPLICANT TO FILL IN up
NFoli YN om Pant
New Residential Bldgs. &Pools EACH NO. FEE ARESS (N Es
Q Certified copy is h reby turn ed. 1 &2-Family,Sq. Ft. $ — $ LOCALITY - PLS- G1
Certified copy is ffled.,xith the runty ildin Multi-family Sq. Ft. — NEAREST L—J , 1Q���, LI I C) r
p g inspection Residential Swimming Pools CROSS ST
'dep rtm nt. OWNER OR
FIRM NAME I_•�c.._L.QwD
Date to 31 Applicant Outlets: Recd Light_Svv _20 .S� ! AMAILDDRESS 1 (o L3
CERTIFICATE OF EXEMPTION FROM WORKERS' First io
COMPENSATION INSURANCE Total No. Additional - CITY Tel No.
PLAN CHECK tL
APPLICANT - 1
(This section need not be completed if the work involved Lighting Fixtures First 20 - U
,by the permit is ;for one hundred dollars ($100) or less.) ADDRESS
(Date
Total No. AdditionalI certify that in the performance of t o k forwhich this CITV Ten No. O
ermit is'issued, I shall not em to any Fixed Appliances Not Over 1 HPp p y pe on in any manner PERMIT /+so-as to become subject to the Work ompensation Laws. Range_ Heater_D.W. _ APPLICANT ur A-.O UJOven Dryer_N.M. ADDRESS'.''15 "uW lAJ N Applicant a Top FAU _W.H. Z
Hood _ Fan _Other_
CITY ` Tel No. SS 9
NOTIC TO APPPLICANT:1If, a -'making this Certificate of Disp. Room Air Cond.'. LICENSE OR 1 q '�
Exemption, you should become"subject to the Workers' PEG..NUMBER l C,4L1 Class `—
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE SED BY
with comply with such provisions or this permit shall be
deemed revoked. Size&Type HP, KW, KVA,or KVAR
Up to 1 Incl.
FINAL
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE VALIDATION.
Over 10 to 50 [net.
I hereby affirm that I-am licensed under provisions of Chapter Over 50 to I00 Inc. FINAL
9 (commencing with Section 7000) of Division 3 of the Busi- Over100 BY
ness and Professions Code, and my license is in full force and
effect. ^ (,'1 1 Services ��JJ
License Number 9 "{ Lic. Class 0-200 Amp. Under 600 V /[�'LC,'1•�-G(J�
n^ 201-1000 Amp. Under 600 V
COntractnfa Vt Date ,O ) Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp. Power.Pole& Appurtenances I.
'
I hereby a Sign with One Branch Circuit
for .
that I am exempt from the Contractor's Additional SignBranch Circuits '
License Law for the following reason (Section 7031.5; Busi- -- - '
ness and Professions Code): _
Misc.Conduits& Conductors :2 9 6,6 A
offer
1, as owner'of the property, fo the work.and the Other (See Complete Fee Schedule)—
structure is not intended or offered' for sale (Section '# o o 'e o e2 ,
_7044, Business and Professions Code). -
CONSTRUCTION LENDING AGENCY 2 • • • a50,
_
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is PERMIT FEE .(Sub-Total) eioa,e $,50m._
issued (Sec. 3097,Civ. C.). - -- -
Lender's Name PLAN CHECKING FEE -
(One-Fourth Permit Fee) 1 1.0 6=80
r ,
Lende ' s PERMIT ISSUING FEE
I certify this ve ead this application and state that the TOTAL FEE'
above mfor ati is c rrect. 1 agree to comply with all County _ -
ordinance a Sta laws regulating Electrical wiring, and _
hereby a rize re resentatives of this County to enter upon '
the abuv ention d'property for inspection purposes. T SEE'REVERSE FOR EXPLANATORY.LANGUAGE
-5L V.
%ignaturc of PeNdittie D A e - '