HomeMy Public PortalAbout9336 DAINES DR_Electrical__ 7tiA663 CE-806(1)"/'78)
APPLICATION:F ELECTRIC IT
5 ,
COUNTY OF LOS,ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools-
EACH NO. FEE ADDRESS
$ LOCALITY.
.
.025 G
7&2-Family,Sq. Ft. $ •
Multi-family Sq. Ft. .02 — - NEAREST.
25.00 CROSS ST.
Residential Swimming Pools OWNER OR ����yy
FIRM NAME � Imo`/
Outlets: Rec Light Sw. 3046
S0 n ' MAIL -
First 20 ADDRESS
Total No. Additional
30 CITY Tel. No. ggea-
PLAN CHECK
APPLICANT _
Lighting Fixtures First 20' 5 ADDRESS
Additional` .30 -•
Total No. CITY Tel. No.
Fixed Appliances Not Over 1 HP PERMIT
APPLICANT
Range—Heater—D.W. _
Oven_'Pryer_W.M. -ADDRESS
'Top _FAU W.H:_ CITY. �' .......-. Tel, No.
Hood_Fan —Other_ LICENSE v
2.50' Class
Disp._Room•Air Cond-. , _,• REG. BE:R ..-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THISaAPPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Y
COMPLY'WITHk,ALL"COUNTY 'ORDINANCES"AND STATE LAWS �
Si"&Type HP, KW, KVA,or KVAR 2 S0, .. REGULATING ELECTRICAL WIRING." ® .
Up to 1 Incl. 2.50
HEREBY CERTIFY THAT-I AM PROPERLY REGISTERED AND/OR y
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN STATE OF iu
Over,10 to 50 Incl. 12.50 CALIFORNIA OR,THAT I, AM THE LEGAL�QWNESE.
Over 50 to l00 Inc.
25.00 DESCRIBED RESIDENTIALPROPERTY.,
Over 100 . 40.00 PERMITEE.
SIGNATURE-' .tA
Services DISTRICT NO PR BY e
0-'200 Amp.Under 600 V 12-.50
201-1000 Amp. Under 600-V 25.00
Over 1000 Amp.or Over 600 V, 50.00 Z
O
-Temp, Power Pole&Appurtenances 10.00 Q
Sign with One Branch Circuit 10.00
Additionol Sign Branch Circuits 2'00
INSPECTION >
Misc.Conduits&Conductors INFORMATION v
10.00.. ON REVERSE i
Other(See Complete Fee Schedule) SIDE Z c 9 v 9. 1 A
Q
J
d o O o p b2
PERMIT FEE (Sub'-Totall 2 ° °11,2 0 0
Z
PLAN CHECKING FEE (One-Fourth Permit Feel O 0 0 0 1 ,2 Q Q•+r�
PERMIT ISSUING FEE $7.00 J 0 3'17 s 0
Q
TOTAL FEE c >
r_
INSPECTION FI.ALD I b cc
�
0) W
date: U By� u r a. ps
P
'f6A663C-'CLM0613 12/75 APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN
FResidential Bldgs.& Pools EACH NO. FEE ADDRESS 36 E. DAMS DRIVE
Sq. Ft. 1„(lrl $ — $ LOCALITY x{11-dI'E CITY, CSX. 91780
q. Ft. — NEAREST
CROSSST. Hilton
wimming Pools OWNER OR
FIRM NAME
Outlets: Light, Switch& Receptacle MAIL
First 20 ADDRESS 9307 E. Daines Dr
Additibnal CITY Tem le City Ca Tel. No. 285 648
PLAN CHECK
Lighting Fixtures APPLICANT wa l i n cz 1+',l i
First 20 ADDRESS> 62 O 9— Jose RP
Additional A0 CITYCOVlna, Ca, 9172Irel. No-332 5767
PERMIT
Fixed Appliances Not Over 1 HPAPPLICANT 1J p T,', Ct-
Range Heater D.W.
ADDRESS 206020 Rancho San Jose Dr
Oven Dryer W.M.
Top FAU W.H. CITY Covina Ca Tel. No. 332 5 767
Hood Fan LICENSE OR _ j
(/ Class. !
Disp. A.C. C'
REG. NUMBER j
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I
Size&Type HP, KW, KVA,Or KVAR ELECTRICAL WIRING. WLLJ
Up to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR N
Over 1 to 10 Incl. LICENSED AS REOUIR ED BY LOS ANGELES COUNTY AND STATE OF
Z
CALIFORNIA OR
T I AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESID N IAL PE Y.
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE
DISTRICT NO. P OCE 8ED BY
Services _
00
0-200 Amp. Under 600 V "O'er
INSPECTOR'S
201 -1000 Amp. Under 600 V APPROVALS D E SIGNATURE
Over 1000 Amp.or Over 600 V
I TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
ROUGH CONDUIT
Additional Sign Branch Circuits
(Other) WIRING T—/-77 -
FIXTURES
POWER AUTHORIZED
rPERMIT (Sub-Total) UTILITY CO.NOTIFIEDKING FEE (One-Fourth Permit Fee) yFINAL
UING FEE
NOTES
rs
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ck,f M.O. CASH
9 $ 1. MAR 2 rt 5.� 0 8 s6
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D E P A R T M E N T O F C O U N T Y E N G I N E E R B U I L D I N G
B U I L D I N G A N D S A F E T Y D I V I S I O N A D D R E S S
J O H N A . L A M B I E , C O U N T Y E N G I N E E R
W I L L I A M A . J E N S E N , S U P '