The URL can be used to link to this page

Home My Public Portal About9926 DAINES DR_Electrical__ DBS SA 25M SETS 2-47 "PLICATION P 1?C A tQ ION ATARI ADT1T3iIPffR� ]DEPARTMENT OF 4fr1MDIING AND SAFFIT, L'ss ll.�YIrE�H1 l� Y'iJ�10 1C Y�HYI�1L�iL COUNTY OF J1A LA�ffSLLDDEAI1�lYGLi•lELES ►7E��i 8; ELECTRIC W J. FOX HIEF ENGI ER �+ Z DISTRICT NO. GROUP I ZONE PERMIT NO. Q NAME U ADDRESS 7.+ K -RECEIyyEEEDDD BY READY FOR DATE ISSUED W CITY TEL.NOar/�I [ FIRST INSPECTION J COUN vXl�� 41 CERT NO. EXPIRES APPLICANT EII.L IN HEAVILY OUTLINED POR'T'ION O Y JOB -2 DESCRIPTION OF WORK ADDRESS Z NUMBER OF OUTLETS ON CIRCUITS p LOCALITY LOCATION BY ROOMS ° NEAREST LIGHT OUTLETS JSW.I PLUGS FIXT CROSS ST. CIRCUIT A B C D E F G H R NAME Z MAIL v 3 ADDRESS O ' CITY TEL.NO. 1 AIA THE LEGAL POSSESSQR OF THE ABOVE LOS ANGELES COUNTY CERT T QUALIFICATION.. MLECTRICIAN. I APA THE LEGAL.OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORREL"T.`TONS .fk Q _ Z c� 0 TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES -M-ISCFiLANEOUa POWER PERMIT FEE $ ( Q� UTILITY CO.NOTIFIED TOTAL FEE FINA - -DSSq_SAA DEPARTMENT SSrETTpS,�2-747 g� g�a7gp 7�g7�7Q'1 AND �i MP WA's A rNON FOR P R wr ID�AKY17HE1tlA ®S' E➢ILI�H�L77LLVV9 Kl\ILD w7 Prrtl.o'L4LEiHC1�TR.ItLHC➢. g COUNTY OF LOS ANGELES •a7 Wh1. J. FOX CHIEF ENGINEER a NAME ,E Gr O DISTRICT NO. GROUP ZONE PERMIT NO. 2 7/ ADDRESS Z ' ! U CITY L(.= TEL.NO. 713 � �-�VED BY READY FOR DATE ISSUED (/ FIRST INSPECTION U.I COUNTY W CERT.NO. EXPIRES JOB R1 D�APPLICANI' FML IN HEAVILY OUTLINED PORTION ONLY yE'i.5�.RE a O OF WORK ADDRESS 2- X40 � JV NUMBER OF OUTLETS ON CIRCUITS LOCALITY L a LOCATION BY ROOMS • NEAREST rr++ LIGHT OUTLETS SW. PLUGS Fuer CROSS ST. /ozL" sa CIRCUIT A B C D E F G H rc NAME MRS Z MAIL 3 ADDRESS O CITY TEL NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY1�0 RUALIFICATION.. 6 V ELECTRICIAN. I AM THS LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J — Q _Z L7 0 - TOTAL NO. OF OUTLETS --� APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT t NO. OF SIGNS TRANS. $ 1 WIRING ` d � & 3 NO. OFfMoPb6ea%W HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ / ' UTILITY CO.NOTIFIED 3 — ,7 5- A A 'iw o n 'WORKERS'COMPENSATION DECLARATION TCE 8066 '°'B' APPLICATION FOR ELECTRICAL PERMIT ' hereby affirm that I have a certificate of consent to CE- 806G or a certificate of Workers' Compensafion'Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a'certified opy thereof-(Sec 3800, Lab C ) Policy NoCompany / /—/�d !r/ FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESSL!///7�5 L Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft g - _ g LOCALITY.- NEAREST /tel tion department '. Multi-family Sq Ft CROSS ST Date �y-17 Applicant�� /�/dcL7.d Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE-OF EXEMPTION FROM WORKERS' Outlets Rec Light�Sw MAIL COMPENSATION INSURANCE r ADDRESS (This section need not be completed if the work involved by Total No AddFirst 20 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 Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Jotal No Additional CITY Tel No NOTICE TO APPLICANTT If, aftter making This Certificate of Date caFixed Appliances Not Over 1 HP PERMIT , 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 CITY -Tel No LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other— LICE SE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Canal REG NNUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO PR SSED BY } and Professions Code,and my license is in full force and effect d _ Size &Type HP, KW, KVA, or KVAR 0 License Numbed?/JX {+ Lic Classr Up to 1 Incl FINAL V `` �/ ,�M t DATE /,' ✓ VALIDATION 0 Contractor �VOPf�76 /'/ /d�� 'Date Ovef 1 to 10 Incl ❑ Over 10 to 50 Incl FINAL I am exempt under Sec Over 50 to 100 Inc BY LU B &P C for this reason Over 100 W Services, Swbd , MCC& Ponelboards — Date 0 - 200 Amp\Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Eject SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 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 Professions Code) #:�aQ j 6 ` ❑ 1, as owner of the property, will do the work and the Misc Conduits & Conductors F 'H tY t structure is not intended or offered for sale (Section Ot Se Fornplete Eee S ule)_ ► , 7044, Business and Professions Code) 20 . 4S50 CONSTRUCTION LENDING AGENCY i 1 hereby affirm that there'is a construction lending agency for 4 _ the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) o 0 . 4 SZ,Q c� (Sec 3097, Civ C ) PLAN CHECKING FEE 6 3 Lender's Name — 8 PERMIT ISSUING FEE 0 Lender's Address I certify that I have read this application'ond state that the .TOTAL FEE above information is correct 1 agree to comply with all County ordinances and State jaws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon _ the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0905050004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID T FEES PAID T BUILDING ADDRESS ITR 13805 LT 86 I T 9926 DAINES DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT T TEMP CA 917802638 (ASSESSOR INFORMATION NUMBER. I I NEAREST CROSS STREET BALDWIN 18588-018-018 IA1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl I IHA FAU LESS 3HP 1.00 FAU 10 95 I ITENANT 1JB AC UNITS +3-10HP 1 00 AC 19 65 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1 I ILB 200 AMP PANELS, MCC 1 00 PAN 38 85 105/05/09 SR 11/01/09 1 I TOTAL FEES 97 20 1 I -TOWNER TEL NO- I1IX�l FIN BY CODE 1 IMALDONADO JOSEPH R,ALICIA (626) 286-8257- 1 T t 1 19926 DAINES DR (TEMP 917802638 I (DESCRIPTIO OF WORK 1 1 - 1 (ELECTRICAL OR HVAC SYSTEM AND UPGRADE SERVICE PANEL TO 200 1 AMP (APPLICANT- TEL NO 11 (SAME AS OWNER I (SPECIAL CONDITIONS I (CONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 (SAME AS OWNER - 1 I I I LIC NO 1 (TEMPORARY POWER POLE I I I I 1UNDERGROUND CONDUIT T I TARCHITECT OR ENGINEER TEL NO T IUFER GROUND _ T LIC NO 1 (ROUGH CONDUIT I I 1 (ROUGH WIRING 1 1 1 (MAIN WATER LINE 1 1 I 1PLASTIC Y/N METAL Y/N 1 1 I I I I 1d I I 1 1 1UTILITY COMPANY NOTIFIED QV I I ZI 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 I I I I I I I (REPORT ID. DPR265 ROUTE TO BSO508 1 1 I