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Home My Public Portal About10933 DAINES DR_Electrical__ DEC TION WORKERS't I have a certificate cafe of corse '76Ama avw3,e7 APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to self 'cEp�aG insure, or cr certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. C.) - Policy No. Company FOR APPLICANT TO FILL IN JOB _ ❑Certified co ADDRESS 1,4T-3-3 cf..�. copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ❑Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. Date Applicant OWNER , FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_Light_Sw. MAIL ((�� COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved byTotal No. Additional First 20 CITY Tel. No. o ,1 the permit is for one hundred dollars ($I00)or less.) - PLAN CHECK I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner APPLICANT so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Date Applicant Additional CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over I HP PERMIT Exemption, you should become subject to the Workers' Range= Heater—D.W. APPLICATION 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. - Hood Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that am licensed under provisions of Chapter 9 Disp. _ Room Air Card. — - REG. NUMBER - Cla . - (commencing with Section 7000)of Division 3 of the Business 'Power Apparatus 8 Large Appliances DISTRICT NO. �/ PR SSED B >_and Professions Code,and my license is in full force and effect. X d Size 8 Type HP, KW, KVA, or KVAR (((JJJ O License Number Lic. Class Up to I Incl. FINAL U Over 1 to 10 Incl DATE t VALIDATION � Contractor - Date O ❑ Over 10 to 50 Incl. FINALx I,/ U I am exempt under Sec Over 50 to 100 Inc. BY (�,-/ LU B.BP.C. for this reason Over 100 d /J fn Services, Swbd., MCC 8 Panelboares D' l Z Date: 0- 200 Amp. Under 600 V Signature 201 - 1000 Amp, Under 600 V `J� -- ❑ Exemption for Reg. MaiOver 1000 Amp. or Over 61X7 V _Maim, Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code): - SSI}i -21,1!CI ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors -.Z..j jEMS:r structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ TLI}AL 31- 00 Business and Professions Code). CONSTRUCTION LENDING AGENCY 31.L 1-1 I hereby affirm that there is a construction lending agency for - CAP I'AN{7E the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE 1I,r_IUj�!0001 1/26/9'1' Lender's Name t PERMIT ISSUING FEE ' Lender's Address 35113 1 AM '^!tel' I certify that I have read this application and state that the I 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 t above-mentioned p�pe y for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ��JJ r 1 -'Sign6ti.irelJ`of Permittee Date O°' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0903170002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 10898 LT: 19 EL: A 1 10933 DAINES DR IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802921 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: 18573-020-017 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl I ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 1 I (TENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 103/17/09 SR 09/13/09 I I I II TOWNER: TEL. NO: IFTNAL DAT FINAL BY: CODE: ASSAD FARID;DARLENE (626) 230-0966- 1 110933 DAINES DR (TEMP 917802921 1IDES RI PTIO OF WORK I I UPGRADE SERVICE PANEL TO 200 AMP I I I (APPLICANT: TEL. NO: (SAME AS OWNER - (SPECIAL CONDITIONS: I I I I I I II III CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO (TEMPORARY POWER POLE I (I (UNDERGROUND CONDUIT D (III ARCHITECT OR ENGINEER: TEL. NO: II 1UFER GROUND l 1 6 LIC. NO: TROUGH CONDUIT I I (ROUGH WIRING (MAIN WATER LINE (PLASTIC Y/N METAL Y/N I I (UTILITY COMPANY NOTIFIED( II II I ' I I I I I I I I II II I I I I I II I I I I I I I I I I I I I I II I I I I I II I I I I I I I I I I I I I I I I I I I I I I I I I I I I1 VIII 1 I I I II I I II (REPORT ID: DPR265 ROUTE TO: BS0506 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT.. DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL�0508 9811250013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING-ADDRESS: TR: 10898 LT: 19 BL: A 10933-DAINES-DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802921 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SANTA ANITA 8573-020-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 43.35 11/25/98 UT 11/25/9 OWNER: TEL. NO: FINAL DATE FINAL BY- ASSAD FARID;DARLENE - '9 10933 DAINES DR 7, 1, n TEMP 917802921 DESCCPPT70N OF WORK ELECTRICAL FOR ENCLOSED PATIO APPLICANT: TEL. NO: GOLDEN STAMP CONST. CO. (213) 587-6414- 3312 GRAND AVE. SPECIAL CONDITIONS: HUNTINGTON PARK, CA NGE S co CONTRACTOR: TEL. NO: _ OS R. LEA APPROVALS DATE INSPECTOR SIGNATURE GOLDEN STAMP CONSTRUCTION CO. (213) 587-6414- 3312 GRAND AVE LIC. NO TEMPORARY POWER POLE HUNTINGTON PARK, CA 90255 672969 8 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: O: ,. F USGROUND LIC. N0: j-- I— 111171 1- ROUGH CONDUIT ',- - ROUGH WIRING ( (I MAIN WATER LINE Q ,� PLASTIC Y/N METAL Y/N --' - -- --- '- - - --— UTILITY COMPANY NOTIFIED CJ /J ] v'T♦ 46,0 Servos Thae�0 REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY p 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0902020011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 265-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 10898 LT: 19 BL: A 10933 DAINES DR I IEEE DESCRIPTION: QUANTITY: COM: AMOUNT: ( TEMP CA 917802921 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: 18593-020-017 JAI PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 14.00 OUT 27.30 1 (TENANT: G2 LIGHTING FIXTURES 13.00 LGT 25.35 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: HA FAU LESS 3HP 1.00 FAU 10.95 102/02/09 SR 08/01/09 1 SB AT UNITS +3-10HP 1.00 AC 19.65 1 OWNER: TEL. NO: TOTAL FEES 111.00 IFIFINAL BY111![[[�'''))) CODE: ASSAD FARID;DARLENE (626) 230-0966- 110933 DAINES DR (TEMP 917802921 JDE8CRIPTI N OF WORK JELECTRICAL FOR NEW ADDITION 11 APPLICANT: TEL. NO: I I I (SAME AS OWNER - J ISPECIAL CONDITIONS: I I I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I (SAME AS OWNER - LIC. NO (TEMPORARY POWER POLE I I 1UNDERGROUND CONDUIT I I I I I (ARCHITECT OR ENGINEER: TEL. NO JUPER GROUND LIC. NO: JROUGH CONDUITf v I IRGUGH WIRING (MAIN WATER LINE ISI PLASTIC YIN METAL YIN JUTILITY COMPANY NOTIFIED( ��-( �Y ( J I I I I • I I I I I I I I I I I I I I I I I J I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 11 I I I I I I I I I I I I I I I 11 I I I I I I I I I I I J I I I I I I I I 11 I I I 11 IREPORT ID: DPR265 ROUTE TO: BS0508