HomeMy Public PortalAbout10940 DAINES DR_Electrical__ S-SA
DB5.9A APPLICATION FOR ELECTRIC PERMIT �.
9-55
DIVISION OF BUILDING AND SAFETY
Department of County Engineer _ I-
I Caanty of Los Angeles BUILDING O D
} WM.J. FOX. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN. SUPT OF BUILDINe
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
n_
PERMIT FEES CROSS ST. d�L
NUIBER EACH FEE
LIGHT OUTLETS OWNER
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS . _ 5¢ 5 CITY n 7EL. N0.
ELEC.RANGES 25 ELECTRICIAN C �4
ELEC.
_ HEATERS 25 ADDRESSUIA n� T/
KW EA CITY W// rye L TEL.NOt-/ '�u
FIXTURES 5 LICENSE NO. '✓ /7..G
NUMBER OF LIGHT CIRCUITS
NUMBER OF RECEPTACLE CIRCUITS
DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
MOTORS I �Y T
NUMBERHORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
1/y a LEBB S .25
Y2 2 50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT'
WIRING 51.00
FIXTURES SI.00 41.
SUPPLEMENTARY .50 APPROVALS
_ TOTALFEE. $ i DATE INSPECTORS SIGNATURE
I•HEREBT ACKNOWLEDGE THAT '1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING /
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROP LY E IST ED AND/OR FIXTURES
LICENSED AS REQUIRED LOS ANGE 5 U Y D ATE OF
CALIFORNIA OR THAT M THE L AL W R ABOVE POWER
DESCRIBED RESIDENT[A OPERTY -f
O
SOP
NATURE
UTILITY C . NOTIFIED
OF PERMITTE FINAL 2
WILLIAM J. COUNTY ENG NEER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR -
4 8 7 3 FEB 6 2 4.4 Q to
o
COUNTY OF LOS ANGELES TEMPLE CITY A 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1308220060
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS:
ITR: 10898 LT: 1 BL: .001 UN: .002 1 10940 DAINES DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802920
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: SANTA ANITA
18573-018-031 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: 03 LOCALITY: TEMPLE CITY, Cl
G1 OUTLETS-LGT,SW,RECP 12.00 OUT 24.00
I TENANT: JG2 LIGHTING FIXTURES 6.00 LOT 12.00 (ISSUED ON: PROCESSED BY: PLAN BY:
ILA 100 AMP PANELS, MCC 1.00 PAN 38.90 108/22/13 SR
I TOTAL FEES 102.70 1
1OWNER: TEL. NO: IFINAL;;;TE FIPA�L BY: CODE:
WE, LE KU (626) 636-0390-
G / 1 J/• /
11525 OAK GROVE AVE -_/Cl�- I n
SAN MARINO, CA 91108 DnSCRI TION OF WORK
(REPLACE OUTLETS, SWITCHS, LIGHT FIXTURE AND REPLACE SERVICE
(PANEL TO 100 AMP
(APPLICANT: TEL. NO:
ISHIH, HSAO I (626) 377-1033-
11439 EASTLEIGH ST. 1 (SPECIAL CONDITIONS: 1
RACIENDA HEIGHTS
I I 11 I
(CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE
(GRAND PALACE CONSTRUCTION INC (626) 377-1033-
11439 EASTLEIGH AVENUE LIC. NO ITEMPORARY POWER POLE
IHACTENDA HEIGHTS CA 91745 678049 1 1--1-1
I
(UNDERGROUND CONDUIT
I I
ARCHITECT OR ENGINEER: TEL. NO: IUFEP GROUND
I
LIC. NO: (ROUGH CONDUIT
I
(ROUGH WIRING
WAIN WATER LINE
(PLASTIC Y/N METAL Y/N
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I 1UTILITY COMPANY NOTIFIED
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' REPORT ID: DPR265 ROUTE TO: BS0508
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