HomeMy Public PortalAbout9927 DAINES DR_Electrical__ +,(,DBS SA 25M SETS 2-47 OBy�R TA"�A►E'�3®10.T �d3D ��1flF11R1r
DEPARIMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF.ENGINEER
a NAME DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESSZZ Ll 3READY FOR
C
CITY TEL.NO !-�3! RECEIVED BY FIRST INSPECTION DATE 155UE�Dyy
j
COUNTY-
CERT.
OUNTY CERT.NO. EXPIRES
APPLICANT FILL IN IIEAV.Y Oi LINEID POR'T'ION ONLY
JOB
(DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST
CIRCUIT A B C D E F G H � NAME
` Z MAIL
I� r;J 3 ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL SESSOR F THE ABOVE LOS
ANGELES COUNTY�TE QUALIFICATION..
r
ELECTRICIAN.
I ANI THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
' CORItEMONS
J
- Q
Z_
L7
R
O
TOTAL
NO. OF OUTLETS $ APPRO"LS
NO. OFF DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING J ����L4 ►f ��S
k. OF4&UIG&G6&R HEATERS $ FIXTURES
POWERRMIT FEE $ ! UTILITVCO.NOTIFIEDTAL FEE __ _ FINAL.
WORKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR 'ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-8066
insure, oc.v certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec 3800, Lab C ) cJ
PolicyNo—Company FOR APPLICANT TO FILL IN JOB ��jj 1•/� c
Certified copy is herebyfurnished NeResidential-Bldgs & Pools EACH NO FEE ADDRESS L j)P4=Z
— $ LOCALI Y (e
1.
C /?
Certified copy is filed with the county building inspec- 1 8 2-Family, Sq Ft } � 1 1 $ ' — ✓~
tion de artment Multi-familyS Ft L ! ', NEAREST ^
P Residential Swimming Pools • 44" �1 CROSS ST I'vo W Ifs 1��
,Date Applicant t r ' OWNER OR / C—
.b 1• FIRM NAME �� O r
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ �1 1 MAIL
COMPENSATION INSURANCE First ADDRESS
(This section need not be completed If the work involved by Total No Additional ,7 CITY Tel N ��3
the permit is for one hundred dollars ($100)or I
I certifythat in the performance of the work f whi h this PLAN CHECK
P APPLICANT
permit is issued, I shall not e�m I erson i n an er
so as to become sub dTFe W kers'Compe on La s Lighting Fixtures First 20 ADDRESS
Total No Additional
CITY I o
Date Applica Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT If, ter making of APPLICANT
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
with comply with such provisions or this'permit shall be Top — FAU —W H —
deemed-revoked Hood Fan _Other_ CITY Tel No
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER Class }
(commencing with Section 7000) of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO PROCMEBY n-
and Professions Code, and my license is in full force and effect /�x U
Size&Type.HP, KW, KVA, or KVAR l./ (l I!
License Number Lic Class Up to 1 Incl FINAL cr_
Over 1 to 10 Incl
DAT;/—1 �
Contractor Date VALI TION 0
❑ Over 10 to 50 Incl FI A /
I am exempt under Sec Over 50 to 100 Inc B ELN
B&P C for this reason Over 100 Z
Date Services, Swl d , MCC& Panelboards /s
0 -200 Amp Under 600 V J
Signature 201 - 1000 Amp Under 600 V
❑ Over 1000 Amp or Over 600 V
Exemption for Reg Maint Elect
SINGLE FAMILY Temp Power Pole &Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with,One Branch Circuit 3 3 67 A
I 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 # o o,o o o'2
Pro essions Code)
1, as owner of the property, will do the work and the Misc Conduits&Conductors ! o,o 2 5 5 0
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 2 5 0=
5
7044, Business and Professions Code) ► o io o
CONSTRUCTION LENDING AGENCY 1.01 M g 5
1 hereby affirm that there is aconst lending agency for
the performance of the work f which t s permit is issued PERMIT FEE (Sub Total)
(Sec.3097, Civ C
• S� �£�+�L�-_ PLAN CHECKING FEE
Lender's Name I
n W"'I fj 1 PERMIT ISSUING FEE U
Lender's Address 1
I certify that I have read this application and state At the TOTAL FEE
above information is correct I agree to comply with all County
ordinances and State laws regu ting Electrical wiring, and
hereb uthorize representatty s f this County to enter upon
t ve-mentione roperty f r inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Per Fn tee Date
COUNTY OF LOS ANGELES TEMPLE CITY °# 0508 ELECTRICAL PERMIT
_ DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0010200022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL FEES PAID BUILDING SS:
TR: 13805 LT: 54 9927 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802639
ASSESSOR INFORM TIO NEAREST CROSS STREET:'BALDWIN
8588-016-029 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80
G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H7 RES EXHAUST FANS 1.00 EX 10.95 10/20/00 UT 04/19/01
TOTAL FEES 48.45
OWNER: TEL. NO: FINAL TE FINAL Y CODE:
ROACHE THERESA (626) 285-4917- I ��
1107 BALDWIN AV
ARCD 910077509 DESCRIPTION OF WORK I
INSTALL 3 NEW GFIC'S, SHOWER LIGHT AND EXHAUST FAN FOR BATH
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
R,�,GELES Co
CONTRACTOR:
TEL. NO: bOEJ ��/�,� APPROVALS DATE INSPECTOR SIGNATURE
SAME AOWNER
LIC. NO TEMPORARY POWER E
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. N0� 1111111 ROUGH CONDUIT
ROUGH WIRING
U
Q n C WGPRE
3 MAINATER LINE
ILIA PLASTIC I C Y/N METAL Y/N
UrrErTY—COMPANY NOTIFIED
10 0
0 1.
4�Z* ElServicelb
REPORT ID: DPR265 ROUTE TO: BSO5O8
� I
,I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0011290021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA'91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13805 LT: 54 9927 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802639
ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: BALDWIN
8588-016-029 ; Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 7.00 OUT 13.65
TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED : PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 45.30 11/29{00 UT 05/29/01
OWNER: TEL. NO: FINAL,DATE FINA Y: CODE:
ROACHE THERESA
1107 BALDWIN AV L CL
ARCD 910077509 DESCRIPTION OF WORK
REWIRE GARAGE
APPLICANT: TEL. NO:
G G HESTER & SON (909) 392-4949-
588 LANTANA ST SPECIAL CONDITIONS:
LA VERNE, CA
��r,GELEs o0
CONTRACTOR AND SON ELECTRIC TEL. N392-4949- ®� ��Ay APPROVALS DATE INSPECTOR SIGNATURE
588 LANTANA ST LIC. NO TEMPORARY POWER POLE
LA VERNE CA CA 91750 474648 C10
UNDERGROUND CONDUIT
ARCHITECT OR ER: TEL. NO: UFER GROUND
LIC. N0: / 1111111 ROUGH CONDUIT
L ,
ROUGH WIRING
UER)
(� C �/1�]0 �K
3 MAIN WATER LINE
ILIA \w/\w�/ t���5u PLASTIC Y/N METAL Y/N
U -COMPANY D
O (�
O 0
0
REPORT ID: DPR265 ROUTE TO: BS0508