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Home My Public Portal About10637 DAINES DR_Electrical__ SCBE SLE C97V 76A663-CE606 6.62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN. SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. IEACH FEE REC EPT� OUTOLETS FIRST 20 $2O $ /l OWNER LIGHT MAIL gD0'L v V ADDRESS SWITCH. ,3'3 OVER 20 I/•� .10 TO AL CITY TEL. NO. LIGHTING 1 FIRST 20JA' .20 ZJ I( J FIXTURES gDD'L 1p ELECTRICIAN; OV R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS ARB.OISP. BTA.COOK -70L h l 2 CITY TEL. NO AT fO DISH WASH. AUTO..WABX. _ STATE •L 1 IJ SPACE HTRS. BTA.APP.('/.H.P.MAX.) .5j0 LICENSE NO. Y� (. J MOTORS: OVER NOT OVER H.P. DISTRICT NO., I GROUP ZONE I PR E ED Y O 1 1.00 1 3 i.50 INSPECTION RECORD 3 S 2.00 S 15 2.50 15 50 13.00 50 100 15.00 $IGN$: NO.TRANS NO.LAMPS -/n ,T r A> O SERVICE O.600V.NOT OVER 200A 1.00 LSU �� •cM �QG(L( CA _ W SERV ICE 0.60OV.OVER 200 A. 2.00 V y SERVICE OVER 600V 5.00 ? MISC. PERMIT ISSUING FEE 2.o0 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH18 A L1 wT1ON APPROVALS 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ,1 CALIFORNIA OR THAT I AM THE LEGAL OW ER OF THE ABOVE DESCRIBED RESIDENTI L PROPERTY. :1 POWER SIGNATURE / !! f UTILITY CO.NOTIFIED OF PERM I FINAL /VtLIDATION ARTHUR C. VEITELECTRICAL LECELECT CK MO CASH SUPERVISING TRICAL ENGINEER j t(aII 0 5:6 JAN 29 2 D 14.10- Z ,yam WORKERS-CI FcISJ ATION cafeDECLARATION corse CE 863 ID/e,_ APPLICATION FOR ELECTRICAL PERMIT �/!/�5� I �e'reby atfirfn that I haF�ra certificate of consent to self CE806G inYu V,'or a [erhficaje'of4.orkers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certifiedm y thereof (Sec: 3800, Lob. /C/p) Policy No�T�Company SZ 11 �L�"t'C� FOR APPLICANT TO FILL IN - JOB Certified copy is hereby furnished. New Residential Bldgs. B Pools EACH NO. FEE ADDRESS A3637 637 4 c &0 S ®' - 1 8 2-Famil q. 8 = $ LOCALITY Certified copy is filed with the county � Iding inspec- y, S FL � Q L- /tion derpartment / Multi-family Sq. Ft. 'NEAREST b J `/FLIAXI Residential Swimming Pools CROSS ST. - Date Applicant OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' FIRM NAME J 0,W o C`W Outlets: Rec�Light�Swl MAIL ho.$ COMPENSATION INSURANCE First 20 — ADDRESS �O 7 '(This section need not be completed if the work involved by Total No._1_ Additional CITY Ly.. /p �f Tel No. the permit is for one hundred dollars ($100)or less.) I certify that in the performance of the work for which this PLAN CHECK P i` permit is issued, APPLICANT shall not employ any person in any manner - / so as to become subject to the Workers'Compensation Laws. . Lighting Fixtures First 20 ADDRESS DateApplicant Fined Appliances Not Over 1 HP PERMIT Total Na. Additional CITY ep r Tel. No. - - l t NOTICE APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' Range_ Heater—D.W. APPLICANT Compensation provisions of the Labor Code, you must forth- Oven — Dryer _ W.M.— ADDRESS 9s7/ 7 C,Le/JNI with comply with such provisions,or this permit shall be _ deemed revoked. H od _ Fan —Other_ CITY X, O DC7.pis( Tel. No,6� LICENSED CONTRACTORS DECLARATION LICENSE OR hereby affirm that am licensed under provisions of Chapter 9 Disp. --Room Air Cond.. REG. NUMBER 5'34 r 7 Ciass.. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROC ED B and Professions Code,and my license is in full force,and effect. Power Apparatus 8 Large Appliances //`�(/ y Size 8 Type HP, KW, KVA, or KVAR' �• v/ p CL License Num r. 7 Lia Class Up to I Incl. FINAL �y V /i�5'�� Over 1 to 10 Incl. DATE / j V DATION 0 Contractor Date (J Over 10 to 50 Incl. FIN (J V ❑ am exempt under Sec. Over 50 to 100 Inc. B.BP.C. for this reason - Over 100 d N Date: Services, Swbd., MCC 8 Poneboards 7 2 7.O-A Z 0 -200 Amp. Under 600v Signature 201 - 1000 Amp: Under 600 V #{ • a o e 'Z ❑ Exemption for Reg. Mainz. Elect. Over 1000 Amp. or Over 600 V I •o 91 7 25 SINGLE FAMILY Temp. Power Pole 8 Appurtenances -e,e e 1 Z 2 rj 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 o 6-1 7-87 Law for the fallowing reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and the Misc.'Conduits 8 Conductors structure is not intended or offered for sole (Section Other (See Complete Fee Schedule)__ D 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 PFRMiT FEE (Sub-Total) (Sec. 3097, Civ. C.). - PLAN CHECKING FEE Lender's Name _ z� 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 a laws regulating Electrical wiring, and ' hereby ou oriz re es ntatives of this County to enter upon - ih bov -me lonep pybiperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE .Signature of Permittee Date COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1212180027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE I 10637 DAISES DR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: j TEMP CA 917802815 1 IASSESSOR INFORMATION NUMBER: I - I NEAREST CROSS STREET: 18586-010-049 JAI PERMIT ISSUANCE FEE 29.80 THOMAS PAGE: 599 GRID: C3 LOCALITY: TEMPLE CITY CAI HA FAD LESS 3HP 1.00 FAU 11.00 I (TENANT: IJB AT UNITS r3-10HP 1.00 AC 19.70 IISSJED ON: PROCESSED BY: PLAN BY: 1 TOTAL FEES 5a.50 112/18/12 SR OWNER: TEL. N0: IFI AL DATE FI BY: CODE: YANG JDAINESAMONA (626) 443-2175- L/ //�� 110637 AMINES DA 1171 (� ITEMP 917802815 ES^RIPTION OF WORK 1 IFAU AND A/C UNIT 1 (APPLICANT: TEL. NO: ICONTRERAS, CARRA (6261 286=3157- I I 1 14931 N ENCINITA AVE ISPECIAL CONDITIONS: 1TEMPLE CITY CA 91780 l(�'`/�^1� I ��(/�1��lyt ��L (CONTRACTOR: TEL. NO: l `-^�+ _ ` 1—�-U�� 'TT Q AFF PF. A.S DATTTE INSPECTOR SIGNATURE CONNOR AIR CONDITIONING AND (626) 286-3157- [REFRIGETATOR INC LIC. NO IT£MP]RARY POWER POLE 14931 N ENCINITA AVENUE 403735 1_1 1 (TEMPLE CITY CA 91780 1 (UNDERGROUND CONDUIT I I I II 1ARCHIT^c CT OR ENGINEER: TEL. N0: 1 UFER GROUND II LIC. NO: ROUG4 CONDUIT I I I ROUGH WIRING I - I IMAIN WATER LINE 1PLASTIC YIN METAL YIN (UTILITY COMPANY NOTIFIEDI 1 1 1 1 11 I I I I 1 I I I I I I I I I I II 11 I II I I 1 I I I I I I I I I I I 1 I 1 I 11 11 I I I I I I lI I I 1 II IREPORT ID: DPR265 ROUTE TO: BS0508 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - EL 0508 0509190011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 PHONE: (626) 265-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 10637 DAINES DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802815 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EL MONTE 8586-010-047 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 09/19/05 JK 03/18/06 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: YANG JDAINESAMONA (626) 443-2175- I -7 10637 DAINEDR �J TIME 917802815 DESCRIPTION OF WORK REPLACE SERVICE PANEL 200 AMP APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPIRARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED `mss I - I (REPORT ID: DPR265 ROUTE TO: DS0508 L