HomeMy Public PortalAbout9446 DAINES DR_Electrical__ � APPLICATION
®gp gip_ ryp�,R�. {pyo Ip}� gyp+._ PERMIT DBS.SA„ A tl L KATION 11 ®R ELEC 11 RIC ft 9oRMIT
DBS•SA 3.55
DI`IISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING / ' j��
WM.J. FOX, COUNTY ENGINEER ADDRESS t
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CASSATT D. GRIFFIN, SUPT OF BUILDING -
LOCALITY f —01
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. L vgr/z L
NUMBER EACH ( FEEA�`� � +�
OWNER rL57� 1G G
LIGHT OUTLETS
RECEPTACLES .ADDRESS G
WALL SW ITCHES lam_ 1 tee'
TOTAL OUTLETS _ 5¢ $
CITY - / ..C` ��� TEL. NO. Z / V
ELEC. RANGES 25 ELECTRIC-IAN
_ELEC. HEATERS 25 ADDRESS
KW EA CITY TEL.NO.
FIXTURES 5 0' LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP Z READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS J./
-MOTORS
INSPECTION RECORD
NUMBER HORSEPOWER -
FEE
NEW MVD. THP OVER INC. EACH
J� 1�2&LESS $ .25 j
1/2 2 .50
2 5 1.00
5 15 1.50
is .50 2.50
50 I 200 5.00
MISC.
NO.SIGNS NO.TRANS. '
NO. SIGNS -NO—LAMPS
FOR EACH PERMIT:
WIRING $1.00 1 DID
FIXTURES $1.00 .oa
SUPPLEMENTARY* .50 APPROVALS
TOTAL FEE g D DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT I1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - WIRING R SZ LA_
ELECTRICAL WIRING.
1HEREBY CERTIFY T 1 AM PROPERLY GISTERED AND/OR FIXTURES
LICENSED AS RE OU
D Y LOS ANGELES UNTY ND STATE OF "
CALIFORNIA OR T T AM THE LEGA 0 T ABOVE POWER
DESCRIBED OR lA PROPERTY
UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE J FINAL
WILLIAM FOX. COUNTY ENGINEERATION A. c VEIT.CHIEF ELECT. INSPECTOR
9 3 5 6 n 0UT 2 5 2 3.05 �'
7.
76A663-CEBO6 10-60 APPUCA790M FOP, ELECTUCAL-PERNT �
COUNTY OF.LOS ANGELES pff,k
DEPARMENT OF COUNTY ENGINEER BUILDING (7SS 7 7 ��,�` S ��
BUILDING AND SAFETY DIVISION �, ADDRE (�
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF.-BUILDING _LOCALITY ��wl P/.,IT. �� -f,
'
•. r;. c •�,- NEAREST /
FOR APPLICANT TO FILL-IN cRoss ST. C p,(y1F/� L
a PERMIT'FEES I OWNER ' c 14 Za,/U C,0,/LG Ir-
l"-1 T E M NUMBER EACH FEE MAIL
ADDRESS
OUTLETS: $ $ .
LIGHTS I RECEPT. SW. z, .10 2 7ACITY TEL. NO.
r, LIGHTING FIXTURES •L .10 _
ELEC. RANGES CLO.DRYERS ELECTRICjIArNZ RA .p (I - '
WATER HEATERS .50 ADDRESS I J) L• g/(� p(J p r
ELEC.SPACE HTRS. DISHWASHERS
CITYTEL N614 51
GARBAGE DISPOSERS AUTO.- _ - STATE / 7
rt. WASHERS STA:COOKING UNITS ;2$ LICENSE NO.
MOTORS: OVER INC. H.P. - _ DISTR CT ,OUP N ESSED Y
0— 1/2 .25 O
}`
1/2— 250 INSPECTION RECORD
2-7 5 1.00
a:
Is— 50 2'.50
44 50— 200 5.00 ) a, O
SIGNS: NO TRANS. 11 � •�
NO.LAMPS - �I n�'t�in�..� �7iA��•�r.t1 �•� ��Y �� bi
CL
CL
Z
SERVICE 0-600V ., Y
1.00 D Q �, -
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00 v
FIXTURE PERMIT 1.00 0 U
SUPPLEMENTARY PERMIT :50 -
TOTAL FEE $ 6 1 Q
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS''APPLICATION APPROVALS DATE' INSPECjOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY `
WITH ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING, -
1 HEREBY CERT 1 THAT 1 AM PROPPSOU�N�AND
REGISTERED AND/OR WIRING
L LICENSED AS QUIRED BY LOS ANGESTATE OF FIXTURESCALIFORNIA OR Tf'IAT I AM TH L ,/T! F 'SHE ABOVE
DESCRIBED RESI TIAL PROPER POWER -
SIGNATURE 1 i IMA I A04 11 - UTILITY CO.NOTIFIED
OF PERMITTE
FINAL
(DATION ARTHUR C.-VEIT
' ' SUPERVISING ELECTRICAL ENGINEER
CK AM— CASH
21%b :pEC1 82 D 6:9
mss- "- WdRKERS' COMPENSATION DECLARATION 10/81
CE-806G APPUC ATdO�1 FOR ELEC UMC AL PERN'T
I hereby affirm that I have a certificate of consent to self CE-806
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDINGARID SAFETY
or a certified coppy thereoff (Sec. 380 ,, Lob.rC.)
v0
Policy No. C ` Company r`P/�� I c- ?N Loop;IV FOR APPLICANT TO FILL IN JOB
Certified co is hereby furnished. EACH NO. FEE ADDRESS
copy Y New Residential Bldgs. 8 Pools
❑ 1 & 2-Family, S, Ft. $ _ $ LOCALITY
Certified copy is filed with the county building inspec- Y- q•
tion department. Multi-family Sq. Ft. CROSS ST. co0 U P
14-zZ- Residential Swimming Pools OWNER OR (
Date O Applicant / FIRM NAME A 62 /,C Pe-)4r2-
CERTIFICATE OF EXEMPTION'FROM WORKERS' Outlets: Rec LightSw.✓ MAIL
COMPENSATION INSURANCEa ADDRESS ! y�/ro ��/Nc-S
(This section need not be completed if the work involved by First 20
Total No. y-
the permit is for one hundred dollars ($100)or less.)
Additional CITY /-e /e Y Tel. No.
PLAN CHECK i
I certify that in the performance of the work for which this APPLICANT
permit 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
Additional
Total No. CITY Tel. No.
Date Applicant Fixed Appliances Not Over.1 HP PERMIT j '
NOTICE TO APPLICANT.: If, after-making this Certificate of APPLICANT '�n NNur2 Ale 9 .2�/v G
Exemption, you should become subject to the Workers' Range_ Heater_D.W. —
Compensation provisions of the Labor Code, you must.forth- Oven — Dryer W.M.— ADDRESS Y Cl , Al FNe'r,N 7,.
with comply with such provisions or this permit shall be Top _ FAU ✓W.H. —
deemed revoked. . Hood Fan ✓Other_ ; CITY 7 �� Tel. No. Vy�,?,1 v
LICENSED CONTRACTORS'DECLARATION �' �ULICENSE OR L,U J?3 Class.
I hereby affirm that I'am licensed under provisions of Chapter 9 - Disp. — Room Air Cond. REG. NUMBER 7 �g
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROC SED BY
and Professions Code,and my license is in full force and effect. Power Apparatus & Large Appliances ,s,, IL
Size &Typee, KW, KVA, or KVAR' . '�)t (/ O
License Number L�V 3 '� Lic. Class C s a Up.to 1 Incl. FINAL U-7
[/ t Over 1 to 10 Incl. DATE C'
Contractor d Dote /- Z- `z — U VAL ATIOid O
❑ Over 10 to 50 Incl. FINAL
V
I am exempt under Sec. Over 50 to 100 Inc. BY d,
B.&P.C. for this reason Over 100
Date: Services, Swbd.; MCC& Panelboards
0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V 19 1.2 A
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect. # o o o 0.0 2
SINGLE FAMILY Temp:Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One.Branch Circuit1 .- - 2675
1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits
Law for the following reason (Section 7031.5, Business and
Professions Code): o o o 2&7 5 chi
Misc. Conduits&.Conductors
.1, as owner of the property, will do the work and the () 2 3-$5
structure is not intended or offered for sale (Section Other,(See Complete Fee Schedule)_ D
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
t the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097,.Civ. C.):
PLAN CHECKING FEE
Lender's Name �1
PERMIT ISSUING FEE (/
Lender's Address
I certify that I have read this application and state that the 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
the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1107280027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 '
PHONE: (626) 285-0488 EXT:
ILEGAL ID: - FEES PAID I BUILDING ADDRESS: ,
ON FILE _ 1 9446 DAINES DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: l TEMP CA 917803112 1
(ASSESSOR INFORMATION NUMBER: J NEAREST CROSS STREET: CLOVERLY
18588-028-009 IA1 PERMIT ISSUANCE FEE "' 27.80 1 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
I F1 120V, 15/20A BR CKTS - _ 6.00 BE 103.90
(TENANT: 1G2 LIGHTING FI%TURES"".� - 6.00 LGT ' 11:60 .11SSUED ON: PROCESSED BY: PLAN BY: J
1 JHA PAU LESS 3HP 1.00 FAU 10.90 107/28/11 SR 1
I IJB AC UNITS +3-10HP 1.00 AC 19.70 1 I
JOWNER: TEL. NO: ILB 200 AMP PANELS, MCC 1.00 PAN 38.80 IFI 'DAT Y: CODE: I
ILICHTENBERGER JOSEPH;LYDIA R (626) 286-2571- I TOTAL FEES 212.70 1 FI B1
19446 DAINES DR I I
JTEMP 917803112 I IDA-5-CRIPTION OF WORK
1ELECTRICAL FOR NEW ADDITION, HVAC SYSTEM AND UPGRADE SERVICEI
- IPANEL TO 200 AMP I
(APPLICANT: - TEL. NO: I 1 I
JPETTIT, RICHARD (760) 559-0205-
ISPECIAL CONDITIONS: 1
I I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
(OAK HILLS CONTRACTORS INC. (760) 559-0205- 1 - -
19722 FARMINGTON ST. LIC. NO (TEMPORARY_ POWER POLE - J
JOAK HILLS, CA 92344 928789 B
1UNDERGROUND CONDUIT
I I I
JARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I
_ I I J
1 LIC. NO: 1 IROUGH CONDUIT 1 I 1
1 I I
1 IROUGH WIRING I I'
I I I
" I IMAIN WATER LINE I - I
I PLASTIC YIN METAL YIN
I I
I I JUTILITY COMPANY NOTIFI
I I,
I I I I J I
I I I I 1 1
I I I I I I
II I I I I I
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11 I I I I I
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IREPORT ID: DPR265 ROUTE TO: BS0508 J 1 J 1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1107280026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
1 ON FILE 9446 DAINES DR
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803112 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CLOVERLY I
18588-028-009 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY 1
I IG1 OUTLETS-LGT,,SW,RECP_ 8.00 OUT 15.50 1 1
(TENANT: IG2 LIGHTING'FIXTURES' •�, 4.00 LGT 7.-80 (ISSUED ON: PROCESSED BY: PLAN BY: 1
TOTAL FEES 51.10 107/28/11 SR
I I I I
10WNER: TEL. NO: 1 IFI L DATE F NAL BY: CODE: 1
ILICHTENBERGER JOSEPH;LYDIA R (626) 286-2571- I I
19446 DAINES DR 1
ITEMP 917803112 IDMCRIPTIbl4 OF WORK I
I (ELECTRICAL FOR DETACHED 3 AR GARAGE
IAPPLICANT:r TEL. NO:
IPETTIT, RICHARD (760) 559-0205-
i I ISPECIAL CONDITIONS:
I l I I
ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE I'
(OAK HILLS CONTRACTORS INC. (760) 559-0205- 1 1
19722 FARMINGTON ST. LIC. NO ITEMPORARY POWER POLE I I
(OAK HILLS, CA 92344 928789 B I 1 I I
I (UNDERGROUND CONDUIT I I
I I I I I I
(ARCHITECT OR ENGINEER: _ TEL. NO: I IUFER GROUND I I
I - I 1 11
I LIC. NO: I IROUGH CONDUIT I. I
IROUGH WIRING I 1 I
I I I
IMAIN WATER LINE I I. I
1 1 IPLASTIC YIN METAL YIN I 1
I I l I I I
(UTILITY COMPANY NOTIFIED( I I
I i I I I I
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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 I I I I
I I I I I I
I I I I I i
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1 IREPORT ID: DPR265 ROUTE TO: BS0508 1 i
I I I I I I