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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