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Home My Public Portal About10633 DAINES DR_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY R 0503 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0508 0907140017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 'EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 10633 DAINES DR IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917802815 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1 18586-010-061 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 9.00 OUT 15.60 ITENANT: IG2 LIGHTING FIXTURES 2.00 LOT 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 47.25 107/14/09 SR 07/14/10 TOWNER: TEL. N0: F A1L DAT F BY: CODE: HUNG, TSUI F (626) 443-1818- 110633 DAINES DR 1TEMP 917802815 InSCRIPTION OF WORK 1 18 OUTLETS AND 2 LIGNT FIXTURES FOR WORKSHOP/STORAGE ROOM APPLICANT: TEL. NO: LOERA (310) 306-1728- 112900 GREEN AVENUE ISPECIAL CONDITIONS: ]LOS ANGELES CA 90066 I I I I 1CONTRACTOR: TEL. N0: 1 1APPROVALS DATE INSPECTOR SIGNATURE I JOHN, LOERA (310) 306-1728- 12900 GREENE AVENUE LIC. NO TEMPORARY POWER POLE 1LOS ANGELES, CA 90066 749799 B I (UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND (ELITE DESIGN DEVELOPMENT INC. (626) 288-2651- ] 18746 E. VALLEY BLVD. SUITE K LIC. NO: IROUGH CONDUIT ROSEMEAD, CA 91770 NONE (ROUGH WIRING - 1MAIN WATER LINE (PLASTIC Y/N METAL Y/N (UTILITY COMPANY NOTIFIEDI I I I I ]I 11 I 111 I 11 I I I I I I I I I I I I I II 11 I I 11 11 I I I I I I I REPORT ID: DPA265 ROUTE TO: BG 0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0008010005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 10633 DAINES DR 9178 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802815 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8586-010-061 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 1.00 BR 17.25 TENANT: G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: G2 LIGHTING FIXTURES 2.00 LGT 3.90 08/01/00 UT 01/29/01 TOTAL FEES 60.60 OWNER: TEL. N0: FINAL DATE FINALgy CODE: FIELDING ERNE ST;FRANCES TRS (626) 443-5495- /i 10633 DAINES DR O L l�,.t„ TEMP 917802815 DESCRIPTION OF WORK CIRCUIT FOR WASHER/DRYER AND MISC. ELECTRICAL APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: S PNGE LE S Co APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - �O NT` LIC. NO TEMPORARY POWER POLE I ARCHITECT OR ENGINEER: TEL. NO: UNDERGROUND CONDUITUFER GROUND LIC. NO: 11� �117 ROUGH CONDUIT ROUGH WIRING G�I1 nn (1 �(C n (1 (D 7/J /rte MAIN WATER LINE U II`Ur-,GI ILIA \1V//1\VI/ �11K(% \J PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED G6//Q Serviicce -ft) 't t REPORT ID: DPR265 ROUTE T0: SS0508 } t ) Wfirm the: COMPENSATION DECLARATION C76A4,63E-806 IO/BI APPLICATION .E®R ELECTRICAL PERMIT ' I hereby affirm Ihot I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY .//[ �-s D� or a certified copy thereof (Sec. 3800, Lab. C.) a , Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereb rn fished- New Residential Bldgs. 8 Pools EACH NO. FEE ❑ 18 2-Family, LOCALITY Certified cop filed with the county building inspec- y, Sq. Ft. $ — $ � tionde mens. Multi-{amity Sq. FI. NEAREST CROSS ST. Da Applicant Residential Swimming Pools - OWNER OR FIRM NAME X. CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec tight_5w._ MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by First 20 G the permit is for one hundred dollars ($100)or less.) Total No. Additional CITY � Tel. No. PLAN CHECK I certify that in the performance of the work for which this APPLICANT 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 �� J ��, CITY Tel. No. Dat Appliconl GS�7�0�7�/' Fixed Appliances Not Over I HP PERMIT NOTICE TO PPLICANT: If, after making this Certificate of APPLICANT 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 with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. CITY - Tel. No. - LICENSED CONTRACTORS DECLARATION Head _ Fan _Other_ p LICENSE M I hereby affirm that I am licensed under provisions of Chapter 9 Dis _ Room Air Cond. REG. NUMBER Clas V r, (commencing with Section 7000) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO. ^ r/ PROCES D BY O and Professions Code, and my license is in full force and effect. .Gh (!/IIJA i p[� C^� Size 8 Type HP, KW, KVA, or KVAR' U License Numha�C�.J d Lic Class Up to 1 Incl. J FINAL � fid Over 1 to 10 Incl. DATE ,i/ VALI ION 0 Contrac Dotda/ Over 10 to 50 Incl. F1 `•> W ❑ am exempt under Sec. Over 50 to 100 Inc. B2811 2,1 A d p ' B.BP.C. for this reason Over 100 / #"r�•3f2,5 Z Date: Services, Swbd., MCC 8 Ponelboards 0 - 200 Amp. Under 600 V S e;" 3250 Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Mainz, Elect. Over 1000 Amp. or Over 600 V �( SINGLE FAMILY Temp. Power Pole 8 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 - Low for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors D structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 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 �J S LeedeAddress ^ S I certify that I have read this application and stole that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and - hereby authorize representatives of this County to enter upon the a ove-mentio d property for inspection purposes. ` r 4SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee -Datir