HomeMy Public PortalAbout9902 DAINES DR_Electrical__ 76A6�3-CE806 11_71 APPLICATION FOR ELECTRICAL PEI IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER NGq
• BUILDING AND SAFETY DIVISION ADDRESS p �t h�►�� L
LOCALITY'NEARE
FOR APPLICANT TO FILL IN CROSS ST.
OU LETS NO EACH FEE
OWNER
4
RECEPT. $ $ MAIL
LIGHT TOTAL
FIRST 20 25 3 } ADDRESS ,LYtiQ
CITY TEL. NO
SWITCH 3 OVER 20 Ip
PLAN CHECK
GHTING TOTAL
LFIRST 20 25 /
45 APPLICANT
FIXTURES 3I !
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER WTR. HTR. APPLICANT
STA. COOK DISP F.A.U. 1 r5r
SPACE HTR.VZADDRESS,
COND. CITY .l� TEL NO
CLOTHES WASH DISHWASH. / LICENSE NO Z CLASS. -j
FAN OTHER / 100 f� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA. ELECTRICAL WIRING '
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1 G LICENSED AS REQUIRED Y LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I A THE LEGAL 0 NER OF, AND INTEND TO 0
1 - 10 300 RESIDE IN, THE A V DESCRIBED RJ<SIDENTI AL PROPERTY
U V
10 - 50 500 SIGNATURE w
OF PERMITTEE O
50 — 100 1000
DISTRICT NO CLASS P OCESS B 0-
W
100 - 500 1500 CL
SIGN, GAS =AND ONE CIRCUIT 500 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOT OVER 600 VOLTS OR 200AMP 300 Q -:>
APPROVALS DATE INSPECTOR'S SIGNATURE
-
SERVICEOVER600VOLTS OR200AMP 1000
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) �
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL C�
PERMIT ISSUING FEE 300 o
TOTAL FEE }
PLAN CHECK VALIDATION CK M D CASH PERMIT VA ATION cK� M 0 CASH
iCo 7 7 4'5'� `AUG'252
. � _. .. 1 1.O�Ow Q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -
76A663-CJ=80611-7I APPLICATION FOR ELECTRICAL PERMIT
CQ6NTY OF LOS ANGELES
.DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALI T
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. T
OUTLETS NO EACH FEE OWNER
RECEPT. $ $
MAIL
LIGHT � TOTAL
FIRST 20 (.l 25 0 ADDRESS ifs
CITY TEL NO
SWITCH OVER 20
10 PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 D APPLICANT
FIXTURES /
�►/ 10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. No,
RANGE DRYER ✓ PERMITWTR. HTR APPLICANT
STA. COOK DISP F.A.U. ADDRESS,
SPACE HTR. AIR COND. _ CITY TEL. NO.
CLOTHES WASH DISHWASH LICENSE NO. CLASS.
FAN OTHER 100 V O 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
.0 -'1 100 LICENSED AS REQUIRED BY L S ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM T LEGAL
E A VE DESOWNER OF, AND INTEND TO 0
1 - 10 300 RESIDE IN, THCRIBED RESIDE AL PROPERTY
V
10 - 50 500 SIGNATURE
OF PERMITTE 0
50 - 100 1000G
DISTRICTN CLASS ZONE PROC SE BY LlJ
100 - 500 1500 �
l
� h
SIGN, GAS =SIGN ONE CIRCUIT 500 NOTES: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOT OVER 600 VOLTS OR 200AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 1000
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT, SYSTEM 300
ROUGH CONDIUT
WIRING L
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) /
UTILITY CO. NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 300 FINAL
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALID Jt4 (CK M o CASH
.D0-E ,2 C 3- JUL 31 ? D, 9.00-
EE
E BACK OF APPLICATION FOR COMPLETE SCHEDULE
a Q
76AG63 DBS SA 7-51 � APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
G /
DISTRICT
FOR APPLICANT TO FILL IN NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED
�,} d ADDRESS �ry(A//] ,�J}�/�L OL1�(_ q�4 U C FIRST INSPECTION
2 Z CITY a� I�I� {� 1 TEL.
COUNTY LICENSE NO. i3► EXPIRES I V <X-- UILDING
ADDRESS 'For
PERMIT FEES
SCJ FEE
NUMBER EACH LOCALITY r ,�✓fL�L ��
LIGHT OUTLETS -' NEAREST �N �
(o� RECEPTACLES CROSS ST /V
WALL SWITCHES OWNER
TOTAL OUTLETS ��� Sc $ " Pe 7� MAIL
ELEC. RANGES .oma v 25 ADDRESS
ELEC. HEATERS 25 ' CITY TEL. NO.
FIXTURES ,I d 5 1 HEREBY- ACKNOWLEDGE THAT I HAVE READ THIS
MIBC. 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPER DESCRIBED ABOVE.
i/2 6 LESB $ .25 .�� SIGNATURE OF
I/2 2 .50 PERMITTEE
2 B ''°° INSPECTION"'RECORD
5 15 1.50
15 50 2.50 /SZ
50 200 5.00 ("•/Oso ,Pgp ��y.Ls L�.� Cbz✓ O�j
200 Soo 10.00 J
SOD 1000 15.00 / Q
OVER 1°O❑ 20.00 I7
M G. SET/FREQ. CHANGER-HP L, T�
WELDERS: AC-KVA _ ( �O�d/1��e�TB .�JfJ.ln'/iG/�✓G C
GENERATORS - KW U/(/��i r.S.0 r� (�..�•tiJ-b
TRANSFORMERS - KVA
TEMP. MOTORS t75% OF ORIG•)
MOVED MOTORB (75% DF ORIG.)
MISC.
SIGNS
NO. N O.T RA N S. APPROVALS
NO. NO LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 ! Q a CONDUIT
FIXTURES $1.00 / (J 0 WIRING
SUPPLEMENTARY .50 FIXTURES
_POWER
TOTAL FEE $ 'n 0 UTILITY CO.NOTIFIED ✓ C=7G�"W
�+ FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0403030029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL EES BUILDING-ADDRESS:
TR: 13805 LT: 82 9902 DAINES DR
FEE DESCRIPTION:=- - QUANTITY: UOM: AMOUNT: TEMP CA 917802638
ASSESSOR INFORMATION-NUMBER: NEAREST CROSS STREET: BALDWIN
8588-017-019 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE:__597 _GRID: A3 LOCALITY:_TEMPLE CITY, C
HA FAU LESS 3HP 1.00 FAU-_- 10.95
TENANT: JB AC UNITS +3-10HP = 1.00'AC 19.65 ISSUED ON: PROCESSED BY: PLAN .
LB 200 AMP PANELS, MCC 1.00 PAN 38.85 03/10/04 VG 09/06/04
TOTAL FEES 97.20 _
OWNER: TEL. FINAL DATE FINAL BY: COD
CRUMP HARRY W JR CO TR CRUMP TRUST (818) 287-1244-
9902 DAINES DR 1
TEMP 917802638 IYESCRIPTIONK
ELECTRICAL FOR HVAC AND UPGRADE SERVICE TO 200 AMP
APPLICANT: L. N0:
R M S ELECTRIC (626) 358-1934-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
R M S ELECTRIC (626) 358-1934-
800 SOUTH PRIMROSE LIC. NO TEMPORARY POWER POLE
MONROVIA CA 91016 472514 C10
UNDERGROUND CONDUIT .
ARCHITECT OR TEL. N0: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPA97WUMIEEW
REPORT ID: DPR265 ROUTE TO: BS0508