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Home My Public Portal About10851,10850 DAINES DR_Electrical__ COUNTY OF LOS ANGELES _ APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER E E M C Ailt IU� 0 C ..� DIVISION OF BUILDING IS SAFETY l (N) WILLIAM 1. FOM COUNTY ENGINEER FOR AP LICANT TO FIILL.IN. DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIA W / .`% ,p yGy[[�,..� ��U A 9�. ADDRESS�� 7 /-j/,.y _O�j,�L RECEIVED BY READY FOR DATE ISSUED . ry I FIRST INSPECTION CITY ^/ L"4i4. TEL/NO. DCry��e>�"/A•� COUNTY LICENSE NO. II �H I- EXPIRES :�D :J UILDING ('7 ADDRESS /Q d NUMBER EACH FEED LOCALITY (_I L. / � r LIGHT OUTLETS � J� NEAREST I RECEPTACLES Ar rROSS 2T, t WALL.SWITCHES /1 OWNER J idt1`—•E l/i� A TOTAL OUT -1. Sc S MAIL ELEC.. RANGES ✓ 25ADDRE69 ELEC. HEATERS26 .,7 7 FIXTURES 5 CITY TEL. NO. MISC. - i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS. APPLICATION AND STATE THAT THE ABOVE IS CORRECT 3 AND. AGREE TO COMPLY WITH ALL COUNTY'ORDINANCES NUMBER OF RECEPTACLE CIRCUIT AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS - 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NumeeR HORSEPOWER FEE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER New MJO: HP OVER INC, EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/x 8 LE88 $ .25 .SIGNATURE OF ' '/z _2 .50 PERMITTE 2 "s' 1:00 'INSPECTION RECORD - -5 15 1.50 15 .50 200 5.00 ' 200 Soo 10.00 Soo 1000 1s.00 - Q Z OVER 1000 20.00 M.G. SET/FRED. CHANGER-HP WELDERS: AC-KVA /' 0. GENERATORS -.KW - TRANSFORMERS-KVA - TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (]5% OF ORIG.) - MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: _ DATE INSPECTOR'S NAME WIRING $1.000 CONDUIT FIXTURES - $1.00 O WIRING /.(T I v . SUPPLEMENTARY - - .50 - FIXTURES n' POWER � I - TOTAL FEE - - -S - 1UTILITY.CO.'NOTIFIED 9,7//�� I INAL 98A 883 DOS# 9A. LBP � I W that I haveCOMPENSATION DECLARATION 766663 DPW 9189 APPLICATION FOR ELECTRICAL PERMIT 6-001 I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. ` copy thereof(Sec.3,890 Lab.C.) Policy NO Company � FOR APPLICANT TO FILL IN Y' -- JOB ❑ ADDRESS Ifqq Certified copy is hereby furnished. New Residential Bldgs.&Pools - $EACH NO. $ FEE.. - LOCALITY JC1� 'Certified co is filed with the count ildin action . 1&2-Family,Sq.Ft. _ PY y g NEAREST departme _ Multi-family Sq.F1. CROSS ST. Date Applicant 7 Rasltlen110 Swimming Poole ` �1 -.� ASSESSOR PAGE �� _ "• 'MAP BOOK PARCEL RTIFICATE OF EXEM ION FROM WORKERS' Q O OWNER OR Outlets RBC.—Light Sw. p FIRM NAME--.. ., .. COMPENS ON INSURANCE ee - - - > - - - 7o T V - - First 20 O MAIL C~ (This,section.need not be completed.if the work involved by the Total No. Additional -- - -3 ADDRESS permit'is for one hundred dollars($100)or less.) certify that in the performance of the work for which this permit - -- - - CITY Tel.No. is issued, I shall not employ any person in an' manner so as to PtAN'CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 - `AppLICANT'- � ,, I Total No.__� Additional ADDRESS Date ` Applicant - ' ' ' 150R20A;120V BRANCH CIRCUITS NOTICE TO APPLICANT: If, after making this.Certificate of � CITY TeL No. Exemption,-you should become subject to the Workers%Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must.forthwith comply.with such - '11 TO 40 INCLUSIVE EACH _ _ PERMIT- P APPLICANT provisions or this permit shall be CONTRACTORS revoked. at OR MORE BRANCH CIRCUITS EACH y LICENSED CONTRACTORS DECLARATION _ _ _ _." _ ADDRESS � 0. heretiy affirm that I am licensed under provisions of Cfiapter 9 150R 206,208V TO 277V LIGHTING EACH (commencing with Section 7000) of Division 3 of the Business'antl -. CITY Tel.No. )�(' q� 0 Professions Code,and my license is in full force and effect iG6-�% Cl i 7 RESIDENTIAL APPLIANCES ce TO 3HP LICENSE B Z- 'Class. Cr Power Apparatus 8 Large Appliances REG.NUMBER �� 7 License Numbert1C_,04E:'_ ? �7Lic.Class 1�_ Size 8 Type HP KW,KVA,or KVAR DISTRICT NO.• o PROCE D BY h Up to 3 Incl. . '. -.' - - !/O �a -�,�� W Over 3 to 10 Incl. FINAL U)Contractor --Date Over 10 to 50 Incl. DATE _ l /. Z El - V VALIDATION tam exempt under Sec. Over SO l0 100 Incl. -- _ Over 100 --- FINAL 8.8P.C.for this reason BY _Services,Swbd..MCC&Panelboards Date: 0-200 Amp,Under 600 V L - Signature 201.-1000 Amp.Under-600 V ❑ t .. Over 1000 Amp.or Over 600 V Exemption for Reg.Mains. Elect •,( _ - 3307 SINGLE FAMILY Temp.Power Pole&Appurtenancesy�± HOME OWNER-BUILDER DECLARATION - - - - - - - j - - 1.'ITEt 1S I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit y _- n� ,¢Oe� for the following reason (Section 7031.5, Business and Professions Additional Sign,Branch Circuits _ ° - TOTAL - +-+�` - ' E Code): .`7 _ I, as owner of the property,will do the work and the structure -Mises Conduits&Conductors CHECK is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) h CHANGE- ` .00 V and Professions Code). - - -- - - CONSTRUCTION LENDING AGENCY ` 9e� gyf�1� I hereby affirm that there is a construction lending agency for the 0000-owl_ J i (y/ 9/92 performance of the work for which this permit is issued fSec. 3097, PERMIT.FEE_ _. _ 1"(Sub-Total) G - 5402 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 above I TOTAL FEE information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby'authorize representatives of this Count to enter upon the above-mentioned property for ins n pu se� /jJSEE REVERSE FOR EXPLANATORY LANGUAGE ATURE OF LI O / , NTE COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0208010012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUTLIDING ADD TR: 10260 LT: 19 BL: .001 10850 DAINES DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802918 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WELLAND 8573-016-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1,00 PAN 38.85 TEN TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN Y: EXPIRE ON: 08/01/02 JK 01/28/03 OWNER: TEL. N0: FIN DATE FINAL BY: CODE: TOMPKINS CLINTON M;ANN H (310) 710-0923- _ 1850 GAINES DR DDD v[� TEMPLE CITY 91780 DESCRIPTION OF WORK UPGRADE ELECTRICAL PANEL APPLICANT: L. N0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTORSIGNATURE SAME AS OWNER - L[C, NO TEMP(1RAR POWER POLE UNDERGROUND CONDUIT ARCHITECT ORENGINEER: TEL. NU: UFER GROUND LIC. NO: ROUG{i CONDUIT ROUGH. WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508