HomeMy Public PortalAbout9407 DAINES DR_ELECTRICAL_1/10/2018_E18-35501 service panel upgradeTEMPLE CITY PERMIT NO. EIS -35501
Contacts
Owner Benjamin
City of Temple City 1 9701 las Tunas Drive I Temple City, California 91780 1 (626) 285-2171
1 www.templecity.us
Address:
9407 Dairies Dr, Temple City, Parcel: 8588-027-024
California 91780
California 91780
Applicant Oscar
Permit No:
EIB -35501 Type: Electrical Subtype:
Subtype: Residential
Description:
PANEL UPGRADE TO 200 AMP Special
91767
Conditions:
Sun Bees Group DBA True 201 Clark Avenue, Pomona, California
Issue Date:
01-10-2018 Expire Date: 07-09-2018 Extension:
Extension:
91767
Permit expires on date shown if: 1) work does not commence, or 2) work is suspended or abandoned, or 3) applicant fails to
Electrical Details
obtain code required Inspection.
Contacts
Owner Benjamin
9407 Dairies Dr, Temple City,
(
Wang
California 91780
Applicant Oscar
201 Clark Avenue, Pomona, California
(818) 617-3298
Villamar
91767
Contractor
Sun Bees Group DBA True 201 Clark Avenue, Pomona, California
(818) 617-3298 970591
Power Solar
91767
Electrical Details
New Multifamily 0
New Single- 0
New Swimming 0 Spa, Hot Tub, 0
Carnival Ride: 0
Family/Duplex
Pool Alteration
Electric
Carnival Ride: 0
Carnival Lighting 0
Temporary 0 Temporary 0
Branch Circuit: 0
Mechanical
System
Power Pole Power System
outlets
Branch Circuit: 0
Receptacle,
Light Fixture 0 Light Fixture: 0
Light Fixture: 0
Lights
Switch, Lighting
Pole Mount
Theatrical
Outlets
Residential 0
Non -Residential 0
Power 0 Power 0
Power 0
Appliance: 3 HP
Appliance: 3 HP or
Apparatus: 3-10 Apparatus: 10-
Apparatus: SO -
or less
less
HP SO HP
300 HP
Power 0
Busway 0
Sign 0 Service: Under 1
Service: 400- 0
Apparatus: Over
400 Amps
1000 Amps
100 HP
Service: Over 0
Miscellaneous 0
1000 Amps
Fees Total
Plan Check Fees $113.60
Permit Fees $50.51
Electrical Inspections
Approval Date
Inspector
Approval Date Inspector Approval
Ins o
Temp Pole
Conduit Utility
Underground
Wiring Release
Ufer er Gr Ground !/Z
Writer � FINAL
Ground
I
I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from
the Contractors' State License Law for the reason(s) Indicated
below by the checkmark(s) I have placed next to the applicable
item(s) (Section 7031.5, Business and Professions Code): Any
city or county that requires a permit to construct, alter, improve,
demolish, or repair any structure, prior to its issuance, also
requires the applicant for the permit to file a signed statement
that he or she is licensed pursuant to the provisions of the
Contractors' State License Law (Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions
Code) or that he or she is exempt from licensure and the basis
for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars ($500).):
U I, as owner of the property, or my employees with wages as
their sole compensation, will do (✓) all of or i_) portions of the
work, and the structure is not intended or offered for sale
(Section 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of
property who, through employees' or personal effort, builds or
improves the property, provided that the improvements are not
intended or offered for sale. If, however, the building or
improvement is sold within one year of completion, the Owner -
Builder will have the burden of proving that it was not built or
improved for the purpose of sale.).
U I, as owner of the property, am exclusively contracting with
licensed Contractors to construct the project (Section 7044,
Business and Professions Code: The Contractors' State License
Law does not apply to an owner of property who builds or
improves thereon, and who contracts for the projects with a
licensed Contractor pursuant to the Contractors' State License
Law).
U: I am exempt from licensure under the Contractors' State
License Law for the following reason:
By my signature below I acknowledge that, except for my
personal residence in which I must have resided for at least
one year priorlto completion of the improvements covered by
this permit, I cannot legally sell a structure that I have built as an
owner -builder If it has not been constructed in its entirety by
licensed contractors. I understand that a copy of the applicable
law, Section 7044 of the Business and Professions Code, is
available upon request when this application is submitted or at
the following Web site: htto:/Avww.leginfo.ca.gov/calaw.htm].
Date:
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, and my
license is in full force
and effect. � �(
Licena Class r// 1 License No. " I
Date Contractor Signature
WORKERS' COM PEN SATI
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION
COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN
EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION
TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED
FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following
declarations:
I have and will maintain a certificate of consent to self -
insure for workers' compensation, issued by the Director of
Industrial Relations as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued. -
Pol' y No.
I have and will maintain workers' compensation
insurance, as required by Section 3700 of the Labor Code, for
the performance of the work for which this permit is issued. My
work ration in ran rtjgrO Polic / b�e re;,?
C .e 11r.1>frf�l ii�N�uOm6be�rP�� �ioa�Tw?
Name of Agent Phon�ber
I certify that, in the performance of the work for which this
permit is issued, I shall not employ any person in any manner
so as to become subject to the workers' compensation laws of
California, and area that, if I should become subject to the
workers' ccon provisions of Section 3700 of the Labor
Code, I sha4 ' h mply with those provisions
(fof�
Signature of.. ate
LOBBYIST ORDINANCE CERTIFICATION
Complete this section for permits in
Unincorporated Los Angeles Countyly
This is to certify that I, as permit applicant, am liar with the
requirements of Los Angeles County Code ChaptFd
160 et seq.,
(relating to the Los Angeles County Lobbyist Or, e) and that
all persons actin on behalf of myself compiled ill continue
,tgcemply thereygth ft¢ough the application pro ,
JOB ADDRESS
LOCALITY
HAZARDOUS MATERIAL DECLARATION
Will the applicant or future building occupant handle a hazardous
material or a mixture containing a hazardous material equal to or
greater than the amount specified on the hazardous materials
information guide? �(
Yes ❑ No 11rL
Will the intended use of the building by the applicant or future
building occupant require a permit for construction or
modification from the South Coast Air Quality Management
District (SCAQMD)? See permitting chgplklist for guidelines.
Yes ❑ N.o
i
I have read the hazardous materials information guide and the
SCAQMD permitting checklist, I understand my requirements
under the Los Angeles County Code Title 2, Chapter 220'
Sections 220.100 through 220.140 concerning hazardous
material reporting and for obtaining a permit from the SCAQMD.
ASBESTOS NOTIFICATION
❑ Notification letter sent to AQMD and/or EPA
❑ I declare that notification of asbestos removal is not
applicable to addressed project.
DECLARATION REGARDING CONSTRUCTION LENDING
AGENCY
I hereby affirm under penalty of perjury that there is a
Construction lending agency for the performance of the work for
which this permit is issued (Section 3097, Civil Code).
Lender's Name
Lenders Address
By my signature below, I certify to',each of the following:
f am the property owner or authorized to act on the
property owners behalf.
I have read this application and the information I have
provided is correct.
I agree to comply with all applicable city and county
ordinances and state laws relating to building
construction.
I authorize represe of this county to enter the
above -identified pr pe inspection purposes.
Signature of Prope4 o+* pr odzed Agent
Date