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Home My Public Portal About9328 DAINES DR_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1105160011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID I BUILDING ADDRESS: ON FILE 9328 DAINES DR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803110 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18588-029-015 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 15.00 OUT 29.10 TENANT: IG2 LIGHTING FIXTURES 4.00 LGT 7.80 JISSUED ON: PROCESSED BY: PLAN BY: I IH2 RES GRBG DISP IT 3HP 1.00 DIS 10.90 105/16/11 SR I I IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.90 1 1 OWNER: TEL. NO: 1H4 RES RANGE HDS LT 3HP 1.00 HOO 10.90 IFINAL ATEN BY: CODE: I (ABI RACHED SAMIR;YOLLA (626) 794-5220- 1 TOTAL FEES 97.40 1 1 19328 DAINES DR I I I ITEMP 917803110 I IDt'SCRIPTION OF WORK u I I I I ELECTRICAL FOR KITCHEN, AND BATHROOMS REMODELING I (APPLICANT: TEL. NO: I IU ll I IGUIRGUIS, SAMIR (626) 449-6461- I 'II 1281 N. ALTADENA AVE ISPECIAL CONDITIONS: IPASEDENA, CA II I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I (ABI-RACHED, SAMIR & YOLLA (626) 794-5220- I 1 I 19328 DAINES DRIVE LIC. NO ITEMPORARY POWER POLE I I ITEMPLE CITY, CA 91780 NONE I I I I I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I _ I I 1 I LIC. NO: I IROUGH CONDUIT I I I I I I I IROUGH WIRING y_1 JI I MAIN WATER LINE I IPLASTIC Y/N METAL Y/N 1 I (UTILITY COMPANY NOTIFIEDI 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 I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I I WORKER'S COMPENSATION DECLARATION, 20-0019 DPW(12-91)-663 �I udu. II �®IIV'APPUCA FOR CL ECTMICAL PERI T _ 20 hereby'affirm that I have a certificate of consent to.self insure, or a certat�CTte of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.. re ' copy theof(Sec.3800 Lab. C.) JOB Policy No. « .Company •. FOR APPLICANT TO FILL IN ADDRESS - Certified copy is hereby furnished ' New Residential Bldgs.&Pools NO. EACH. FEE (yj ❑. Certified co Is filed with the count building inspection 1 &2-Family,Sq.Ft. copy-is Y 9 P -NEAREST department. Multi-family Sq.Ft. CROSS ST. ` Residential Swimming Pools ASSESSOR Date Applicant - PAGE /i PA EL O/ MAP BOOK CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Lighi SW. N OWNER OR �^ M-\ t , COMPENSATION INSURANCE FIRM NAME ts�11„\ ,., .-4. First 20 (This section ned not be completed if the work involved lved by the MAIL permit-is'for.one hundred'dollars($100)'or less.) Total No: Additional ADDRESS I certify that in't a`perfor'mance of`the.work for which this'permit' CITY Tel.No. Is issued, I'shall not employ any person in'any manner so'as toPLAN CHECK become subject to the Workers'Compensation Laws.. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS' Date _' - Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE,TO APPLICANT: If, afte'r making this Certificate of CITY - Tel.No. Exemption,,you should become subject to the>Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.. provisions,of the Labor Code•, you must forthwith comply..with such PERMIT P Y, - - - � �APPLICANT provisions^or this permit shall be deemed revoked. Power Apparatus&Large Appliances 'LICENSED CONTRACTORS DECLARATIONSize&Type HP,KW,KVA,.or KVAR ADDRESS I'h•eretiy'aff r4j'tkaP1 am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing,with Section 7000)of Division 3-of the-Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. ' - LICENSE OR. Class: } - - Over 50 t0 100 Incl. REG:NUMBER (Z Over 10.0 DISTRICT NO. p SSED BY 0 License Number Lic Class { 0 " Services,Swbd:,MCC&Panelboards !/ cc Contractor Date 0-399 Amp Under 600 V _ - FINAL DATE �. ' ��_-. - ---• _ 0 O 400-1000 Amp.Under 600 V � ' I am exempt under Sec. VALIDATION. LJ Over 1000 Amp.or Over 600 V L FIN- � .� -. .. . .. -.. - B.&P:C.-for this reason BRANCH CIRCUIT FEES• BY CL ` Date: 15A,or 20A,'120V,Lighting or Recept. Z_ - 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits - ❑ Exemption for Reg.Mairii.Elect. 15A,20A,.208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION s I hereby affirm that I am exempt from the Contractor' Sign s License Law with One Branch Circuit` , -for the following reason (Section 7031.5, Business and Professions_ Additional Sign Branch Circuits :r:,- Code): r;Code): I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors C is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D •( a i. .and Professions Code). CONSTRUCTION LENDING AGENCY w I hereby affirm that there is a construction lending agency.for the'. 43 as '# 3 = _` performance of the work for which this permit is-issued (Sec. 3097, PERMIT FEE -Total) Q CIV. C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the 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 above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE sl URE OF PER TT E DATE` - WORKERS'COMPENSATION DECLARATION 76A663 10/81 APP CAMON FOR ELECT CAL PERNT I t eret;y affirm that I have a certificate of consent to self insure, CE-806G U'IT I� B�1 �s l�.n or a'certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY co�)IhereOJSec.3800,Lab.C.) Policy No._Company FOR APPLICANT-TO-FILL IN JOB ` , C• ❑ Certified copy is hereby furnished. EACH NO. FEE -ADDRESS �. Y New Residential Bldgs.&Pools 1 � ❑ 1 & 2-Family,Sq.Ft $ — $ LOCALIT�� lZ CL i o Certified copy is filed with the county building inspection NEAREST department. Multi-family Sq.Ft. .CROSS ST. Residential Swimming Pools OWNER Date Applicant OR CERTIFICATE OF EXEMPTION FROM WORKERS', Outlets:Rec� Light'–f– Sw. /ry J/ SAM NAMESQ� 1:C„`L `tJl�� COMPENSATION INSURANCE . First 201 11 .1 /Q ADDRESS –t �{t� 6- (This section need not be completed if the work involved by the Total No. 7.J Additional '�� co CIT �j _' Tel.No. permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT 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 CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven — Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ Oa LICENSED CONTRACTORS DECLARATION Hood � Fan _ Other_ CITY Tel.No. I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR Disp. �_ Room Air Cond. REG.NUMBER Class. (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. POC SED BY Size&Type HP,KW,KVA,or KVAR0 License Number Lic.Class 1-40 A Up to 1 Incl. Od FINAL V Over 1 to 10 Incl. DATE VALIDATION 00 Contractor Date Over 10 to 50❑ Incl. V FINAL I am exempt under Sec. Over 50 to 100 Inc.. BY ''f W Over 100 [L BAP.C.for this reason C/) Services,Swbd.,MCC& Panelboards Date: 0- 200 Amp.Under 600 V Signature 201 --1000 Amp.Under 600.V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit a S"'S ti•F_•T o S I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits for the following reason(Section 7031.5, Business and Professions LLI't 411 Code): r--i Misc.Conduits& Conductors TTP-T. {fid' i,as owner of the property;will do the work and the structure Other(See Complete Fee Schedule) is not intended or offered for,sale (Section 7044, Business I{_ITAL 1 - 20, and Professions Code). CASH 4 0i CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the G•Ht.NGE performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE {�({t{ 13`d;IjI i ii '� 0 Lender's Name PERMIT ISSUING FEE vb 4M, I AM 11 V5-• Lender's Address n �G I certify that I have read this application and state that the above TOTAL FEE L° 7 information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives f this County to enter upon t above-mentioned property action p es. /^ SEE REVERSE FOR EXPLANATORY LANGUAGE Ignature of Permi tee Date COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN SMITH ELcCfI�iG r y 13230 RAVEN DALE DR. RECEIVED BY READY FOR DATE IBSUED ADDRESS /f� / FIRST INSPECTION ` CITY AT.6-1304.- TELBPNQL.C/ALI�- Vc� Vf/(rn-�Ifl� 1. COUNTY LICENSE�NgyO..�. IL fFI EXPIRES d- 3dfdBUILDING +� �e �^� PERMIT FEES ADDRESS �J � �/'/C ,.� told�di��S � FEE NUMBER EACH LOCALITY (i r LIGHT OUTLETS / y NEAREST C CROSS HT. RECEPTACLES 6 - WALL SWITCHES Igo OWNER TOTAL OUTLETS 'S� 5c S D MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 oZ CITY TEL. NO. FIXTURES B 9�O 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER New MVD. HP OVER INC. EACH OF THE RESIDENTIAL ROPERTY OES RIBED ABOVE. t - = /'✓ I/2 6 LESS $ .25 SI®NATURE OF � rt:LH I/ 2 .50 PERMITTEE _ xJ/s/ sd 2 S 1.00 INSPECTION RECORD C9e .d 5 is 1.50 15 50 2.50 _ s0 200 5.00 200 500 10.00 __ J 1000 15.00 a Z OVER 1000 20.00 [� _ M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% OF ORIG•) _ MOVED MOTORS (75% OF BRIO.) MISC. SIGNS NO. N D.TRANS. APPROVALS NO, NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 60 CONDUIT FIXTURES 51.00 Bp WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE B �� g UTILITY CO.NOTIFIED //"2 FINAL -,s' -• 76A663 DBS$#5A 4-52