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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 Ax 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 I I I I I I 11 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 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 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 I I I I I i I I I I I I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 1 i I I I I I I