HomeMy Public PortalAbout9445 DAINES DR_Electrical__ 76A663 -
DBS-5A 121.54 APPLICATION FOR ELECTRIC PE. 9MIY
DBS-5A
I DIVISION OF BUILDING AND SAFETY
Department of County Engineer
`
County of Angeles
n
Los AnUE BUILDING '
4 WM. J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN LOCALITY co
PERMIT FEES
CROSS ST. �
• NUMBER EACH FEE /,',p
LIGHT OUTLETS _ OWNER Lr eni ate"�.4 hF z.
RECEPTACLES -r - MAIL '
y ADDRESS
WALL SWITCHES '
TOTAL OUTLETS CeL a`i7 5¢ $ 4- CITY -TEL. NO.
ELEC. RANGES 25 ELECTRICIANe OJL cc
ELEC. HEATERS K 25 r/ ADDRESS tom. _ y- 46s- _7 11-r �1
KW EA CITYP-2
FIXTURES d N 5b. LICENSE NO. /,� �'" •
NUMBER OF LIGHT CIRCUITS
DISTRICT NO. GROUP I ZO I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS �I I
MOTORS - Q)
NUMBER
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
'�2&LESS $ .25
'2 2 .50 T Icer AIf: �varS - x�rfc� c�vvF ��,�c x�
2 5 1.00 �,Tf✓ C��/ i.f=. ,T.- c�.�.lK
-
5 15 1.50
15 50 2.50 -_ Q0V
50 - 200 5.00 '
MISC. n
NO. SIGNS NO. TRANS. -
NO. SIGNS NO. LAMPS
FOR EACH PERMIT., - •
WIRING 51.00 , .
FIXTURES - $1.00 /y -
SUPPLEMENTARY . ,50 �- _
r APPROVALS
fff
TOTAL FEE 71Ile DATE INpSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT 'I ,HAVE READ THIS-APPLICATIION CONDUIT I II
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES'COUNTY AND STATE OF POWER
CALIFORNIA OR THAT 1 AM 7.}1E LEGAL OWNER OF THE.ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE J4�" e_=2!2o_�
OF PERMITTEE FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
7 .60
In
DEPUTY
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1007060007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 9445 DAINES DR
1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803113
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CLOVERLY
18588-027-010 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
1G1 OUTLETS-LGT,SW,RECP 4.00 OUT - 7.80
(TENANT: 1G2 LIGHTING FIXTURES 3.00 LGT 5.80 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1 TOTAL FEES 41.40 107/06/10 SR 1
(OWNER: TEL. NO: 1 1F A��lLDATE FINAL BY: CODE: 1
1SCHWEHR JOHN;CHRISTINE TRS (626) 287-2156-
19445 DAINES DR
1TEMP 917803113 1 IDE CRIPTION OF WORK - 1
I 1 INEW LIGHTS AND OUTLETS 1
1APPLICANT: TEL. NO: 1
1SAME AS OWNER
I I ISPECIAL CONDITIONS:
I I I I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER I
I LIC. NO 1 ITEMPORARY POWER POLE 1 I 1
I 1 1UNDERGROUND CONDUIT I I I
1ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I
I II
1 LIC. NO: IROUGH CONDUIT 1 I
(ROUGH WIRING �I I
I (MAIN WATER LINE I II
I 1 1PLASTIC YIN METAL YIN 1 1 1
I 1 1UTILITY 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
1 1REPORT ID: DPR265 ROUTE TO: BS0508 1 1 1 1
I I I I I I