HomeMy Public PortalAbout9809 DAINES DR_Electrical__ TEMPLE CITY
7enae3-ceeoe to-aa
APPLICATION FOR ELECTRIC PERMIT
1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FN
ILDING ��^^Q /� ,`�+� /�
BUILDING AND SAFETY DIVISION DRESS qC�_/ J'''4IN,Ca-� PC.
JOHN A. LAMBIE. COUNTY ENGINEER -}
WILLIAM A JENSEN,SUPT OF BUILDING CALITY
FOR APPLICANT TO FILL IN AREST
PERNIIT FEES OSS ST1/�lFLS
ITEM NUMBER EACH FEE MAIL
OWNER
OUTLETS: $ $ ADDRESS 0 /4ZyAs
LIGHTS RECEPT. SW IO
LIGHTING FIXTURES 10 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN '
WATER HEATERS .50 ADDRESS
ELEC SPACE HTRS DISHWASHERS CITY TEL NO
GARBAGE DISPOSERS AUTO- STATE
WASHERS' STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P DISTRICT NO. GROUP ZONE PROCESSED BY
0— 1/2 25
1/2— 2 50 INSPECTION RLICORI
2— 5 too
5— 15 150
18— 50 250
50=200 500 ��/q•/ `J /� 1AY ,9Z,_4 7a/
SIGNS
NO TRANS
NO LAMPS ��X/'�A/L r"'�t'•7 ���_
SERVICE 0-600V 100 WL 719
SERVICE OVER 600V 500
MISC !V
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY, ORDINANCES AND STATE LAWS REGULATING CONDUIT 10 4;-w
ELECTRICAL WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ,
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE TIAL PROPERTY \ POWER
a
SIGNATURE UTILITYCO NOTIFIED
OF PERMITTEE ! �r•y Iy,,.yGl
FINAL
OF _ ATjON� ARTHUR C VETT,
CK M
CK Mo �C�ASH� SUPERVISING ELECTRICAL ENGINEER
SEP 2 D e' .0
TEMPLE CBTIY
75A858-CE80610-59 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSSST E►f_i�' w "
ITEM NUMBER I EACH FEE -OWNER
MAIL
OUTLETSi S f ADDRESS
LIGHTS i-y RECEPT SW 10
LIGHTING FIXTURES 10 ��� CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN//�' 4.•a; ��°f�C��° �. �. Gi_
WATER HEATERS 50 ADDRESS/_ :
ELEC SPACE HTRS DISHWASHERS CITY �;/X �- +" f ",i1 _) 1 7�
TEL NOL
GARBAGE DISPOSERS AUTO- j
STATE
WASHERS STA COOKING UNITS J 25 LICENSE NO
mynv�
MOTORS OVER INC H P DISTRICT NO GROUPP OCESSEEDY
0— 1/2 25 ,? lJ�, I U Z/'Q
1/2— 2 .50 INSPECTION RECORD
2— 5 too
5— 15 ISO
15— 50 250
50-200 Soo
SIGNS NO TRANS , _/y /q,�/ _
NO LAMPS S–r ;W 0A �-5�_
SERVICED-600V 100 N' !�A-,rl��a�-Al /"
SERVICE OVER 600V 500
MISC
WIRING PERMIT 100 /
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT 50 �I
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT 1 HAV READ THIS APPLICATION APPROVALS DATE INSPECTORS SIGNATURE
AD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
W17iH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT �1
ELEZTRICAL WIRING WIRING
1 Ij EREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR y �}
LICE SED AS RELIRED Y LOS ANGEL COUNTY AND STATE OF FIXTURESCALIFbRNIA OR AM THE LEO O NER OF 7HE ABOVEDESCRIk3ED RESI ROPERTY.1 POWER
SIGNATURE \ /� / 9' UTILITY CO NOTIFIED
OF PE MITTE �� � � `- �`-'
li
FINAL
OF /�-"IJDATION
CASH ARTHUR C VETT,
cK Mo cnsH SUPERVISING ELECTRICAL ENGINEER
WOR 7 la '723 JOV 3 2 D 4 .8 0
DAPPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES 'ELECTRIC
� I�
WM. J. FOX CHI F'ENGINEE
Z DISTRICT NO. GROUP ZONE PERMIT NO.
Q NAME �
ADDRESS Z-Z C 3
CITY TEL NO t^C��Z- RECEIVED BY READY FOR DATE ISSUED
/j FIRST INSPECTION a
J COUNTY / 5��� a.. — ,7�2 y��I,
W CERT NO. Z.O EXPIRES /✓
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS D AlQ,Li+�I.lA
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS IFIXT CROSS ST
CIRCUIT A B C D I E F G IH It NAMEVtZ;tp
l
W MAIL
-41 th r ` 3 ADDRESS
3 0
CITY TEL NO.
k4nt / 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CER 1FlCATE„ OF�TION. I
ELECTRICIAN.
/ / / 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
/3 d-b4ABOVE
OWNER.
CORRECTIONS
z I l
r
J
Q
_Z
2
O
TOTAL D l
NO. OF OUTLETS 3 $ ,2-1 tS' APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO OF MOTORS H P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING / J�'�V 7
NO OR-RA"G681180-HEATERS $ 2 FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ / UTILITYCO NOTIFIED
TOTAL FEE FINAL
76A663-CE90612/75
APPLICATION RELECTRICAL PERMIT �I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERtFE
JOB
BUILDING AND SAFETY,DIVISIONADDRESS
F Pp LOCALITY TEMPLE CTTY
New Residential Bldgs & Pools EACH NO. NEAREST
1 & 2-Family, Sq Ft S 025 — gCROSS ST.
OWNER OR
Multi-family Sq Ft 02 — FIRM NAME ALBERT MILLHAM
Residential Swimming Pools 2000 MAIL
ADDRESS 7 9809 DAINES DRIVE
Outlets Light, Switch & ReZZ5
CITY TEMPLE CITY Tel No. 287-1231
First 20 PLAN CHECK
Additional 30 APPLICANT
ADDRESS
Lighting Fixtures
First 20 &? ) CITY Tel.No.
Additional 30 PERMIT
APPLICANTPOOLS
Fixed Appliances Not Over 1 HP ADDRESS 101 E. HMINGTON DRIVE
Range_Heater_D W CITY ARCADIA" Tel.N0446-466
Oven_Dryer_W M LICENSE OR_
Top _ FAU _W H _ REG.NUMBER .315620 Class. C- 3
Hood ° Fan __
I HEHEBN ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
Dlsp_AC ___ 200 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL C OUNTY,ORDINANCES AND STATE LAWS REGULATING
Apparatus& Large Appliances
Power A ELECTRICAL WIRING
Size &Type HP, KW, KVA, or KVAR 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
YP LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF '..
Up to 1 Incl 200 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF HE ABOVE �.
5 00 I DESI'RIrED RESIDENTIA QPERTY G
Over 1 to 10 Incl U
SIGNATU
Over 10 t0 50 Inc) 1000 EE
20 00 SIGNATRE CA
9
Over 50 to 100 Incl �
Over 100 30.00 DISTRICT P SED BY Q
Services
_ g
W
,0- 200 Amp Under 600 V 1250 INS CTOR'S a
201-1000 Amp Under 600 V 2500 APPROVALS DATE SIGNATURE In
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLABWORK
Temp Power Pole& Appurtenances 1000
Sign with One Branch Circuit 1000 ROUGH CONDUIT r/I 2
Additional Sign Branch Circuits 200 WIRING
(Other) FIXTURES \
POWER AUTHORIZED
UTILITY CO NOTIFIED �a
FINAL
PERMIT FEE (Sub-Total)
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE e$6.99—
TOTALFEE
ij
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK MO. CASH
5 3.6'r MT 6 2 Q. 1 2.2 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE806M1. ' APPLICATION FOR ELECTRICAL PERMIT U
�` COUNTY_OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ,0 c
BUILDING AND SAFETY DIVISION ADDRESS
` LOCALITY
NEAREST /GH
FOR APPLICANT TO FILL IN CROSS ST Gre7
OUTLETS NO EACH FEE
OWNER V/t
RECEPT 5 $ $ MAIL
P
LIGHT ADDRESS pV ly
TOTAL FIRST 20 25 `
Cl TY � TEL NO .�
SWITCH L OVER 20 1p
PLAN CHECK
r
LIGHTING TOTAL FIRST 20 25 r APPLICANT
FIXTURES ��j OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT �j�� '
STA COOK DISP �F A U ADDRESS,67150 4�4 �..
SPACE HTR AIR COND Cl TY -raipLTEL NO2—61-12 3)_
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN OTHER 100 I 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 REOU EATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING '
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — I 1pp LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO O
1 — 10 300 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
10 — 50 500 SIGNATURE �& v 0:
OF PERMITT
50 — 100 1000 b
DISTRICT NO CL A95 ZZ 1 ONE PROCESSED BY W
100 — 500 1500 i 1 0_
_ r N
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES / L ` ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOTOVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600 VOLTS OR200AMP 1000
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDI UT
WIRING
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 D CASH PERMIT VALIDAT cK M 0 CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
WORKERS'COMPENSATION DECLARATION 76-806 10/81 APPLICATION FOR IELECTFtIC �L PERMIT } i
I hereby affirm that I have a certificate of consent to self insure,
CE-806G ��I lfll 11 fl
-or a certificate of+Worke`rs' Compensation Insurance, or a certified COUNTY OF.LOS ANGELES BUILDING AND SAFETY
copy tthp re.8U1/� 3800,Lab C) _• , .
Policy N { Company-I UI-A FOR APPLICANT`TO FILL IN ° JOB if�o
❑, Certified Co -Is hereby furnished a ,t_ - =EACH}, NO uFEE
ADDRESS 7, Cs'
„ „1, PY Y. n, New Residential,Bldgs,& Pools
•s � 1 & 2-Famdy,'Sq Ft $ $ LOCALITY
Certified copy is filed with the county budding inspection ;
' department Multi-family Sq Ft N NEAREST
u � a » �� r � -CROSS-ST
Date Applicant Residential Swimming Pools' OWNER OR I r,
� z• ,si,. ,�, _ , . FIRM NAME, I 1
CERTIFICATE OF EXEMPTION F O WORKERS h Sw MAIL,
x, Outlets•Rec 'Light -
n° COMPENSATION INSU CEg.,,rr P.
F,w � �`- ADDRESS- /f ''•j' w
t •_ First 201
(This section need not be completed if the work involved by the ;CITY Tel fNo
permit isffor.,one hundred dollars($100) or less)
TO No Additional„
t"' • • ` .• '- , PLAN-CHECK*'
;I certify•that in the performance of thework,for which thistpermi APPLICANT'
,is issued,Atshall'not'employ'any person in any manner sc as to r " -
eco
�brne subject to the,Work 'CompensatLa '• Lighting Fixtures « ,First 20 ADDRESS,
y ., ersion ws �
Total No r CITY - Tel No YS
Date Pp
NOTICE ',TC, APPLICANT If; after making this Certificate.of^ Fixed Appliances Not Over 1'HPf r s� a , gERMIT ry
f Exemption,,you should become sublect,,to the,Workers''Compensation Range Heater_ D W r ' 1
proSisions=of the Labor Code, you must forthwdh comply with,suchl, i lOven Dryer _ W M,_ ADDRESS U
provisions or this permit shall'be deemed revoked '• °•Top" '°:FA10 � WH 1_ e o ( r2M ,
LICENSED CONTRACTORS DECLARATION„ CITY' T `N "I �' C"�Jl(J '
,9 _,.�,. � Hood —,.Fan Other_
I hereby affirm that';I am,,licensed u der provisions of Chapter,9' ! + LICENSE OR 1
`^} r C , Dlsp ROOm Air Cond _ REG NUMBER' - ' Class -
", (commencing with,Section 7000) of Division 3 of the Business and r, +,
°ProfessionssCode,and my,'license ism full force and°effect" 4 1STRII 016 PROCES D,BY
� rt 1 Power Apparatus& Large Appliances _
(� Size &'Type HP,KW,KVA,or KVAR0
License Number Lic Class v` Up to 1 I'n'c[ FINAL �v U'
�ll ILL ��� (ten✓� (� (Y� �, Over 1,to,10 Incl DATE < - fY
Conrac
ttor 111fU1 Y _lam l Q VALIDATION'' " 0
❑ Over 10 to 50.Incl FINAL ~
am exempt under Sec Over 50 to
Over 100.
100 Inc
B&PC 'for this reason
BY
r - Services,Swbd^MCC&Panelboards �, Z-
Y - -Date l', 0-200 Amp Under 600 V '
Signbt&e 201 - 1000 Amp'Under 6100 V v
Over 1000 Amp or Over 600, V t L
Exemption for Reg Maint Elect
" -SINGLE FAMILY, Temp Power Pole& Appurtenances .� !1 2
HOME OWNER-BUILDER'DECLARATION
• Sign Willi One Branc'h,CircudA� wt+1+
I,hereby affirm that I am exempt from,the Contractor's License Law ;}„ ACCT.4
Additional Sign Branch Circuits! a _ r`'
,'for the
Code) following reason (Section 7031 5, Business and Professions ) � '.y�.ti1J ,
ti v M1 p' i tJV
". Misc Conduits & Conductors•
I;as,owner of the property,'will do the work and the structure
is not intendede.or offered'for sal (Section 7044;Business " Other(See Complete Fee Schedule) w1 r '
'sand'Professions Code) F ,� a� , .,TOTAL;
Tt7�.; ::ii .bo
`CONSTRUCTION LENDING`AGENCY ' • = s•. �� 4s� ,CHECK- 1'v01,
I,-Fiereby affirm that there`,is.a construction lendmg agency for the i
performance of the work for which this permit is issued'(Sec 3097, PERMIT FEE e" '(Sub-Total
Civ'C) n n �S r • "� t ; �'�y
''PLAN,CHECKINGFEE ;'r,' �n • ` iry.�y_'n`.n'�1' n o'`1,i[ ��'vp•',1
ender's NameN.
" f ' �" ,twL+V-V�rill 7I 1T�ii7
PERMIT ISSUING FEE t • �,�_ 1 '
.Len er's•Address t' ,
I,certify that 1 have read this application_and state'that the above TOTAL FEE•,°
a _
information is'correct I agree to comply with all-County,ordinances
and,,State'laws regulating Electrical wiring, and hereby authorize
representatives of this County to enter•upon the above-mentioned
property for i pection pur oses t'
SEE REVERSE,FOR EXPLANATORY LANGUAGE
Signature ermitee (/� Date t � P
TION
WORKERS't I have
a certificate
of corse 200019 DPW 3/87 - APPLICATION FOR.ELECTRICAL PERMIT Q
I hereoy affirm that I have a certificate of consent to self cEsoaG
insure, or a certificate of Workers' Comp sat n Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORK$
o'r a certii r of 3800 a
Policy No pony FOR APPLICANT TO FILL IN JOB
❑Certifiedtopy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS
edified copy is filed with theZoy dmg m pec- 1 &2-Family, Sq Ft $ — $ LOCALITYdep rtm Multi-family Sq Ft — NEAREST
CROSS ST
� Residential Swimming Pools OWNER OR
Date Applicant FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ MAIL
COMPENSATION INSURANCE First 20 ADDRESS
(This section need not be completed if the work involved by CITY
the permit is for one hundred dollars ($100)or less.) Total No Additional I
PLAN CHECK
I certify That in the performance of the work for which this PLANCHET
permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS
so as to become subject to the Workers' Compensation Laws 1
Additional
Total No CITY _ Tel No
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT If, offer making this Certificate of APPLICATION
Exemption, you should become subject to the Workers' Range-- Heater—D W
Aj
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 —WH — bgV �
deemed revoked Hood — Fan —Other— CITY - Tel N
LICENSED CONTRACTORS DECLARATION Disp — Room Air Cond LICENSE OR 1AMMLClass
I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER
(commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRIX NoO P ESSED Y >_
and Professions Code,and my license is in full force and effect L a-
Size &Type HP, KW, KVA, or KVAR `J/ O
License Numbpr Asi LicCf�s Up to 1 Incl FINAL U
1Over 1 to 10 Incl DATE/219
ATE /� _1wir� VALIDATION X
Contract Date ✓ vvv
❑ Over 10 to 50 Incl FINAL ~
I am exempt under S c Over 50 to 100 Inc
BY W
100 t1
w
B&P C for this reason Over U)S�ices,_Swbd,,-MCC_&mace-1 oards Z
Date 0-200 Amp Under 600 V —
Signature _101.=1000 mp er
OOver 1000 Amp or Over 600 V
Exemption for Reg Maint Elect
SINGLE FAMILY Temp Power Pole &Appurtenances 1
HOME OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit
Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits rid''_-i.v
Professions Code)
❑ j, as owner of the property, will do the work and the Misc Conduits & Conductors
structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ 1 NEM
Business and Professions Code) , i ITAL -25- 50
_ I I r
CONSTRUCTION LENDING AGENCY I =� ��
I hereby affirm that there is a construction lending agency for CHECK :"t'"1'
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) ( [10
PLAN
(Sec 3097, Civ C ) CHANGE -
PLAN CHECKING FEE - -
Lender's Name PERMIT ISSUING FEE Li 51), 1x000-00111, 10`10A.q
Lender's Address TOTAL FEE 5 ` 1'
I certify that I have read this application and state that the
above information is correct I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
herety)v
uthorize repFesentatives of this County to enter upon
the rd
operty for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
&_&iq
Signature of Permitte Date �'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1112280021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT - -
ILEGAL ID 1 FEES PAID BUILDING ADDRESS - I
ITR 13805 LT 66 1 9809 DAINES DR 1
I _IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802637 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18588-016-041IAlPERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY-CAI
ILB 200 AMP PANELS, MCC 1 00 PAN 38 80
ITENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY 1
I I 112/28/11 SR, I
(OWNER TEL NO I IFINAL DATE FINAL BY CODE I
IMILLHAM, JACKIE (626) 287-1231- 1 1
19809 DAINES DR I (-3_I-)-
ITEMP 917802637 1 IDESCRIPTION OF WORK _ 1
(UPGRADE TO A 200 AMP PANEL
(APPLICANT TEL NO 1
ICA PREFERRED BUILDER (800) 418-7055- I_
120335 VENTURA BLVD 4 I ISPECIAL CONDITIONS - I
122 WOODLAND HILLS 1
I I I I
ICONTRACTOR• TEL NO I JAPP90VALS DATE INSPECTOR SIGNATURE
ICA PREFERRED BUILDERS INC (800) 418-7055- I I -
120335 VENTURA BLVD LIC NO 1 ITEMPORARY POWER POLE
IWOODLAND'HILLS CA 91364 NONE I
(UNDERGROUND CONDUIT 1 I
(ARCHITECT OR ENGINEER TEL NO IUFER GROUND
I I I
LIC NO 1116UG11I CONDUIT I I
IROUC,4 WIRING
IMAIN WATER LINE
PLASCIC YIN METAL YIN
{ 1 (UTILITY COMPANY NOTIFIEDI/) 1
i
I I I I I I
I I I
I I
I I •I - I I - I
I I I I I I
I I I I I I
IREPORT ID DPR265 ROUTE TO BS0508 _ I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 _ ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1112120030
BUILDING AND_SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE' (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 13805 LT 66 - I 9809 DAINES DR 1
I IFEE DESCRIPTION QUANTITY UOM _ AMOUNT TEMP CA 917802637
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
8588-016-041 JAI PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 35 00 OUT 59 10
ITENANT IG2 LIGHTING FIXTURES 20 00 LGT 38 80 JISSUED ON PROCESSED BY PLAN BY -
TOTAL FEES 125 70 12/12/11 SR
OWNER TEL NO IFINAL DATE FINAL BY CODE
IMILLHAM, JACKIE (626) 287-1231- 1
19809 DAINES DR
TEMP 917802637 ID SCRIPT ON OF WORK
REWIRE ENTIRE HOUSE
1APPLICANT TEL NO
GLYCHER, ELINOR (818) 438-2022- _
SPECIAL CONDITIONS
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
CALIFORNIA PREFERRED BUILDERS (800) 418-7055- 1
120335 VENTURA BLVD # 422 LIC NO ITEMPORARY POWER POLE I I -
IWOODLAND HILLS, CA 91364 929364B 1 11
UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER TEL NO �UFER GROUND I I
_ I I I
- LIC NO i TROUGH CONDUIT
IROUGH WIRING
' MAIN WATER LINE
I I I
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIEDI),, �I +_
' I* ADDITIONAL, DATA ON FILE
IREPORT ID DPR265- y ROUTE TO BS0508