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Home My Public Portal About9945 DAINES DR_Electrical__ 76A663 bhS SA 3-5I3 1 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIANA�U � ?A(; ADDRESS �� /� �/ / L�!✓ RECEIVED BY FIRST INSPECTION DATEDY FOR ISSUED CITY �� °,, /CC. TEL NO� B?6Od/ COUNTY LICENSE NO. EXPIRES ADDRESS eJ Lp C 79 PERMIT FEES - � - �- I NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST 9�I�/� CROSS ST. RECEPTACLES / WALL SWITCHES / h OWNER z 10 _ �U1161/VO/ TOTAL OUTLETS �, 5C $ .3 D MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS e 25 -� CITY TEL. NO. FIXTURES 41 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. 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 I 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 PROPERTY DE C IB 0 ABOVE. I/ 3 LESS .25 SIGNATURE I/2 2 .50 PERMITTE'gZ-60 - Q 2 5 1.00 INSPECTION RECORD 5 is 1.so 15 5o 2.50 50 - 200 5.00 200 500 10.00 J 500 1000 15.00 Z OVER 1000 20.00 (g M.G. BET/FREQ. CHANGER-HP WELDERS:AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG-) MOVED MOTORS (75% OF DRIB.) MISC. SIGNS NO. NO.TRANS. NO. NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 ' Q 0 CONDUIT i FIXTURES $1.00 6 WIRING / L&' /j SUPPLEMENTARY _ .50 FIXTURES POW ER TOTAL TOTAL FEE $ �/ TILITY CO.NOTIFIED 76A663 DBS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN � g(r// ADDRESS 3 s �`� A �� RECEIVED BY READY FOR DATE ISSUED �J FIRST INSPECTION _ CITY /{ /q-� ��{, TEL NO. O PJ COUNTY LICENSE NO. �// EXPIRES 6- 31 7 BUILDING ADDRE ( / /d��..i2jL. J✓ J PERMIT FEES NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER TOTAL ❑UTLETS - 5c m O MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES B 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. OU'r�-xI2 C_LY APPLICATION AND STATE THAT THE ABOVE IB 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 I POSSESS THE ABOVE VALID LOS NUM®ER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL/PROPERTY DESCRIBED ABOVE. I/ & LESS $ .25 SIGNATURE OF / � A> I/2 2 .50 PERMITTEr —L-le 1 O 2 s 1.00 INSPECTION RECORD S- 15 1.50 is 50 2.50 >t� SO 200 5.00 200 BOO 1 O.00 J BOO 1000 15.00 Z OVER 1000 20.00 E3 M.G. SET/FREQ. CHANGER-HP m WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Or ORIO-) MOVED MOTORS (75% or aRloa MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMITS WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE 0 UTILITY CO. NOTIFIED FINAL WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT � I hen'oby affirm that I have:a certificate icate of consent to self insure,or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV copy ther f iSec�00,(�b C). • - POIICy o Q tZL �s Company �-/ FOR APPLICANT TO FILL IN SOB Q� _ /� ADDRESS / fit/ ❑ Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOC I ALITY $ $ Certified copy is fl1 &2-Family,Sq Ft ud ed with the county bdin inspection _ NEAREST de artm nt - Multi-family Sq Ft CROSS ST A64 04LIlAl Date Applicant Residential Swimming Pools ASSESSOR 'MAP BOOK PAGE PARCEL „ ;CERTIFICATE OF EXEMPTION FROM WORKERS' OR Outlets Rec Light Sw FFIIRM NAME r/ COMPENSATION INSURANCE First 20 (This section need not be'completed if the work Involved by the ADDRESS MAIL permit is for one hundred dollars(5100)or less.) Total No Additional n I certify that in the performance of the work for which this permit CITY � Tel No �� is issued, I shall not employ any person in any manner so as to , PLAN CHECK become subject to the Workers' Compensation Laws Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date- Applicant ' RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If, after making this Certificate of CITY Tel No Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code, you must forthwith comply with such PERMIT p p y Power Apparatus&Large Appliances APPLICANT (��/ �J provisions or this permit shall be deemed revoked ls� LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am-licensed under provisions of,Chapter 9 Over 3 to 10 Incl / CITY Tel N (commencing with Section 7000) of Division 3 of the Business and �� b Professions Code,and my license is in full force and effect Over 10 to 50 Incl - // /a LICENSE a Over 50 t0 100 Incl REG NUMBER Class uT Over 100 DISTRICT NO SSED BY O License Number Lic Class Services,Swbd,MCC&PanelboardsFINAL �D O Contractor �"//" Date%' -399 Amp Under 600 V DATE F— ❑ I am exempt under Sec 400-1000 Amp Under 600 V —/r� W VALIDATION Over 1000 Amp or Over 600 V FINAL d B&P C for this reason BRANCH CIRCUIT FEES BY C/) Date 15A,or 20A, 120V,Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits it, r "Exemption for-Reg Mamt Elect 15A,20A,208V To 277V Lighting Br Circuits _ SINGLE FAMILY ,r•_*_ _ •• Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION `- I hereby affirm that I am exempt from.the Contractor's License Law Sign with One Branch Circuit a _ for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits I�`I''. I s Code) ❑ '.•,_. I, as owner of the property, will do the work and the structure Misc.Conduits&Conductors _ is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) t Ura and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097; PERMIT FEE (Sub-Total) AIN y' Civ C PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address14 I certify that I ha read this application d under penalty of purjury state TOTAL FEE t4inspi ormation is correct agree to comply with all County WW ate laws r ng ctrical wiring,and here authorize this Co t e upon the above-menUo ed p perty fposes /� � SEE REVERSE FOR EXPLANATORY LANGUAGE SIG T F PERMITTEE J/ DCIyE ' WORKERS'I have MPENSATate of c nsentON 76-663 10/81 APPLICATION TION FOR Ef1vECTRICA PERMIT I herby afifirm'that I have a certificate of consent to self insure, CE-806G /�lff L �sPa ff9 idly ��/Y or a certificate"of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec. 3800,Lab.C.) Policy No. PC991357company Republic Ind FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs.&Pools EE EACH NO. FADDRESS 9945 Daines Drive El ® 1 & 2-Family,Sq.Ft. $ _ $ LOCALITY Ternple City Certified cop is filed w'h he c ty ding inspection NEAREST p en Multi-family Sq.Ft. CROSS ST. Baldwin Date Applic Residential Swimming Pools OWNER OR FIRM NAME .lames Belknap CERTIFICATE OF EXE N FROM WOR , Outlets:Rec 1 Light 1 Sw. — ADDRESS 99 MAIL COMPENSAT INSURANCE completed if the work involved by the First 20 45 Da*nes Drive (This section need not be com p Total No.� Additional 1 $Q CITY Temple Cit Tel.No.287-3671 , permit,is for one hundred dollars ($100)or less.) I certifythat in the performance of the work for which this permit PLAN CHECK H O p p APPLICANT Bryant I �tg CX AIC 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 1350 E. Las Tunas Drive Total No. Additional CITY San Gabriel Tel.No. 286-1141 Date Applicant Fixed Appliances Not Over 1 HP PERMIT . NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT ,provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER 221751 Class. C_20 Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. CESS BY Size& Type HP,KW,KVA, or KVAR U License m 221N1 Lic, Class C-20 Up to 1 Incl. FINAL DATE 1 Over 1 to 101ncl. VALIDATION Contractor Date Over 10 to 50 Incl. FINAL 0 ❑ I xempt under Sq( Over 50 to 100 Inc.. BY W InJAP BAP.C.for this reason Over 100 tl Date: Services,Swbd.,MCC& Panelboards , Z 0- 200 Amp.Under 600 V 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 y I hereby affirm that I am exempt from the Contractor's License Law `,��os for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 3307 ya 23u8Q 1t ❑ s��•�+ Misc.Conduits& Conductors ITEMS I,as owner of the property,will do the work and the structure I is,not intended or offered for sale (Section 7044, Business _ Other(See Complete Fee Schedule) _ ® TOTAL 23 �0 and Professions Code). m CONSTRUCTION LENDING AGENCY CHECK *.23°80 I hereby affirm that there is a construction lending agency for the CHANGE .00 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE - (Sub-Total) lo Civ. C.). PLAN CHECKING FEE O-ODO-0001 5/ 2/90 Lender's Name +"` PERMIT ISSUING FEE 13 QlQ 0455 1 AM 9:43 Lender's Address I certify that I have read this application and state that the above TOTAL FEE 23. 80 information is correct. I agree to comply with all County ordinances Aof ng Electrical wiring, and hereby authorize County to enter upon the above-mentioned urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Date b Wfirm tS' CI have SATION DECLARATION 76A663CE-806 10,81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm.tho) I have"a certificate of,consent to self CE-8066 rnsure, or'a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS ❑ Certified copy is filed with the county building inspec- 1 8 2-Family, Sq Ft $ — $ LOCALITY tion department Multi-family Sq Ft — NEAREST K� Residential Swimming Pools CROSS ST OWNER-OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw— MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by First 20 Total No Additional CITY Tel No the permit is for one-hundred dollars ($100)or less.) PLAN CHECK 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 Wpenscition Laws Lighting Fixtures First 20 ADDRESS Total No Additional ' CITY Tel No Dat Applicant Fixed Appliances Not Over 1 HP PERMIT NOT CE TO APPLICANT If, after making this Certificate of APPLICANT �e 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 CITY !!�J Tel No. LICENSED CONTRACTORS DECLARATION Hood Fan _Other_ LICENSE OR I hereby dffirm 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 DISTRICT NO PROC D BY Power'Apporatus& Large Appliances and Professions Code,and y Icense I�full forc�nd�ff�ct �Q U (/ ,f—S� `' (,J`l Size 8 Type HP, KW, KVA, or KVAR L��:/L/� License Number Lic Class Up to 1 Incl �/ FINAL Contractor� �/n�✓'� Date `T`�'��Q Over 1 to 10 Incl DATE �� VALIDATION L) ❑ Over 10 to 50 Incl FINAL c�� C/ a 1 am exempt under Sec Over 50 to 100 Inc BY N B 8P C for this reason Over 100 Z Date Services, Swbd , MCC 8 Panelboards ► 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V "+ Exemption for Reg Mamt Eject SINGLE FAMILY Temp Power Pole &Appurtenances 2 51 Q A HOME OWNER-BUILDER DECLARATION Sign with One Branck Circuit # 0 0 0 0 0 2 I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Low for the following reason (Section 7031 5, Business and ;( 6- 2625 Professions Code) ' Misc Conduits &Conductors ❑ 1, as owner of the property, wjll do the work and the •° °•O 2 IS 2 5 55 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7,2 2 .pool ,y $b 7044, Business and Prof essions,Code) 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 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 ; PERMIT ISSUING FEE Lender's Address' I certify that I have read this application and state that the TOTAL FEE iw on is correct I agree to comply with all County a la regulating Electrical wiring, and ep a tatives of this County to enter upon ione perty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE i tee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0611020023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT LEGAL ID. ._ FEES PAID BUILDING ADDRESS. TR: 13805 LT: 51 9945 DAINES DR FEE DESCRIPTION. QUANTITY UOM. AMOUNT TEMP CA 917802639 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BALDWIN 8588-016-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID A3 LOCALITY TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 13.00 OUT 25.35 TENANT: G2 LIGHTING FIXTURES 9.00 LGT 17.55 ISSUED ON: PROCESSED BY. PLAN BY EXPIRES ON- HS RES WASH MACH LT 3HP 1.00 WAS 10.95 11/02/06 JK 05/01/07 LB 200 AMP PANELS, MCC 1.00 PAN 38.85 ,m� - OWNER TEL NO: TOTAL FEES 120 45 FINAL D TE Y: CODE• BELKNAP JAMES G,ELIZABETH L (626) 287-3671- 9945 DAINES DR TEMP 917802639 DESCRIPTION OF WORK ELECTRICAL FOR ADDITTOJ AND UPGRADE SERVICE PANEL TO 200 AMP APPLICANT• TEL NO: PENDLEBURY (626) 355-7797- 370 W SIERRA MADRE SPECIAL CONDITIONS. SIERRA MADRE 91024 CONTRACTOR: TEL NO APPROVALS DATE INSPECTOR SIGNATURE JORDAN, PAUL (626) 285-7609- 9945 DAINES DRIVE LIC NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 NONE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL NO UFER GROUND PENDLEBURY, THOMAS (626) 355-7797- 370 W SIERRA MADRE BLVD LIC NO ROUGH CONDUIT SUITE D C11097 SIERRA MADRE CA 91024 ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFI j' REPORT ID: DPR265 ROUTE TO BS0508