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HomeMy Public PortalAbout9472 OLEMA ST_Electrical__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0501250020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 14533 LT: 13 9472 OLEMA ST FEE DESCRIPTION:- QUANTITY: UOM: AMOUNT: TEMP CA 917801341 ASSESSOR INFORMA NUMB R: NEAREST CROSS STREET: 0 5382-020-033 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C F1 120V, 15/20A BR CKTS 4.00 BR 69.00 TENANT: G1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50 I S E ON:-PROCESSED BY: PLAN BY: EXPIRES ON: G2 LIGHTING FIXTURES 25.00 LGT 45.75 01/25/05 JK 07/24/05 TOTAL FEES 162.00 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE- HO (818) 287-5042- 9472 OLEMA STREET TEMP 917802634 DESCRIPTION 0 WOR ELECTRICAL FOR REMODEL AND ADDITION. APPLICANT: T 0: CHIN (626) 922-8783- 316 N. PRIMSORE AVE SPECIAL CONDITIONS: ALHAMBRA, CA 91801 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CSP AIR CONDITIONING AND HEATING (626) 922-8783- 316 PRIMROSE AVE LIC. NO TEMPORARY POWER POLE ALHAMBRA CA 91801 635242 C20 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N ILITY COMPANY NOTIFIED REPORT ID: OPR265 ROUTE TO: SS0508 76AG63-CES06 10/74 APPLICATION FO ELECTRICAL. PERMIT COUNTY OF LOS ANGELES �� ,� DEPARTMENT OF COUNTY ENGINEER ADDRESS Z L (�i�+=��� BUILDING AND SAFETY DIVISION LOCALITY62NEARE � 1 y FOR APPLICANT TO FILL IN CROSS ST. (/ �%�- OUTLETS N0. EACH FEE OWNER OR �� FIRM NAME RECEPT._ S MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. NO. SWITCH_ OVER 20 •10 PLAN CHECK LIGHTINGTOTAL FIRST 20 .25 APPLICANT FIXTURES .f0 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO..PERMIT �� RANGE /��c DRYER_WTR. HTR. APPLICANT S S XAL STA. COOK DISP. F.A.U. ADDRESS S/VoRm SPACE HTR, AIR COND. CITY TEL. N0. llel CLOTHES WASH. DISHWASH. LICENSE OR 2, 3 CLASS,G/0 REG. NUMBER J FAN OTHER 1.00 1 .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 REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. - SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF } CALIFORNIA OR THAI' 1 AM THE LEGAL OWNER OF THE ABOVE p„ 1 - 10 / 3.00 DESCRIBED RES!D IAL PROPERTY. CD 10 - 50 5.00 PERMI7EE SIGNATURE F 50 - 100 10A0 DISTRICT NO. PRO ESSED BY 1'1 CL 100 - 500 15.00 [ �� ♦ Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE -IN SP TO R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICE OVER 600 VOLTSOR'20OAMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL A / PERMIT FEE (SUB TOTAL) NOTES; PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH 1 1 2%0-my 27 2 D 1 3.5 0 ©�d SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �) ` 76A689-CE806 >izI7SAPPLICATION ORE C RICAL PERMIT ` COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST B /^7 �� BUILDING AND SAFETY DIVISION DRESS _/ . F P CALITY � New Residential Bldgs& Pools EACH NO. FEE 1 & 2-Family,Sq. Ft. $ .025 — $ OSS ST. A Multi-famil S Ft. ,0P — NER OR Y q• FIRM NAMEaw o, Residential Swimmind Pools 20.00 MAIL ADDRESS Outlets: Light,Switch& Receptacle CITY &,m JE First 20 •50 PLAN CHECK Additional .30 APPLICANT ADDRESS ' Lighting Fixtures First 20: .50 CITY Tel.No. Additional 30 PERMIT . Tqf0 ^ &rV APPLICAN l�.CS Fixed Appliances Not Over 1 HP ADDRESS Range_Heater D.W._ CITYyezi, (2�', • Tel.No. S`�aL.� Oven_-Dryer_W.M._ LICENSE OR //�� Top_ FAU —W.H._ REG.NUMBER L.Class. a Hood_ Fan _ 2.00 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Disp_A.C. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Power Apparatus& Large Appliances ELECTRICAL WIRING. Size&Type HP,KW, KVA,or KVAR I .HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �•- Up to 1 Incl. 2.00 ]CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE Ip Over 1 to 10 Incl. 5.00 DE¢CRISED RESID TI L PROPERTY. '® Over 10 to 50 Incl. 10.00 PERMITEE Over 50 to 100 Incl. 20.00 SIGNATURE Over 100 30.00 DISTRICT NO. P C BY Services .576C 0- 200 Amp. Under 600 V 12.50 INSPECTORS I� 201.1000 Amp. Under 600 V 25.00 APPROVALS D SIGNATURE g Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE m Temp.Power Pole&Appurtenances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING ) ry 7 (Other) FIXTURES POWER AUTHORIZED ! U UTILITY CO.NOTIFIED FINAL PERMIT FEE (SubrTotal) DOTE PLAN CHECKING FEE (One-Fourth Permit Fee) /S� PERMIT ISSUING FEE $6.00' TOTAL FEE 1 (fZ PLAN CHECK VALIDATION " CK. M.O. CASH PERMIT VALIDATION CK. MO. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULT 3514F - 15. 2 ® g4o 0 '°Asea )BS-BA 11-99 APPLICATION FOR ELECTRIC PERMIT 1 DIVISION OF BIWING AND SA= Depo>e�ent ty of County Engineer os ADD, Or JOF1N A.LAMBIE.COUNTY ENGINEMt �� ` ®"� CASSATT D.GRIFFIN.SUPT OF BUILDINGILD LOCALITY (� R, yr' FOR APPLICANT TO FILL IN NEAREST PERM FEES _ c OSs sT. NUMBER OWNER O L A, A LIGHT OUTLETS MAIL . RECEPTACLES ADDRESS —C WALL SWITCHES FEE CITY TEL.NO. '� TOTAL OUTLETS @ 5¢ $ �d ELECTRICIA 4,416 4s. 4 Acca G As i. ELEC.RANGES 25 ADDRESS d v cl- - 1100 ELEC.HEATERS. 25 CITY, 4r'�ieY1.D rb r3— TEL.NO.671.-41 S7 KW EA STATE FIXTURES 5O LICENSE NO. illf MOTORS DISTRICT NO. GROUP �ZONE READY FOR INSPECIIOM NUMBBR HORSEPOWER FEE 4 I I -z11/��•l NEW MVD. HP OVER IMO. EACH ]E2 BLESS $ .25 nqSPEV iiON i1=BD �2 2 .50 2 5 1.00 8 i8 1.50 ,ai -FI ,/ i5 50 2.50 11-2?tt t(T/T!/J/l/ -FFX T /�/1/ 50 200 5.00 MISC. NO.SIGNS NO.TRANS. A-87-AM10r //MPROP-PLY ` NO.SIGNS NO.LAMPS FOR EACH PERMIT: /19 ON WIRING $1.00 2 ey,,cyn LIGHT /A/ AW `. FIXTURES $1.00 S f T ✓' SUPPLEMENTARY :SO APPROVALS I TOTAL FEE $ of DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT /r�" ffvadVal WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING IIJ'r I Ctl ✓ L 1 r1 t T!'. ELECTRICAL WIRING. i I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES (° S t 9 r LICENSED AS REQUIRED BY LOS ANGELES C UNTY AND STATE OF CALIFORNIA OR THAT I THE L HER OF THE ABOVE POWER �aD v DESCRIBED RESIDENTIA 0 ER SIGNATURE ./ Q _ UTILITY CO.NOTIFIED ,t OF PERMITTEE CG/liiJ��s FINAL �-7—e _/ IOHN A.LAMBIE.COUNTY ENGINEER ATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR MO CASH :r.LO?.6 5 9 e v►v 23 2 3. to al c WORKERS'COMPENSATION DECLARATION 10/81 APPLICATION F LECTRICAL PERMIT I hereby af(trrm that I have a certificate of consent to self CE-806G 6 insure,Qr a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY ora 'eetif(ile`d copy there ¢ec. 3800, L b. C.) A /1 •�' Policy Nal J .there FOR APPLICANT TO FILL IN JOB ADDRESS qy 7� ©4 / A �/+ ❑ Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE 1 &2-Family, Sq . $ $ LOCALITY �/� �Ft _ _ Certified copy is filed with the county building inspec- i NEAREST tion department. Multi-family Sq. Ff. o�� �� /�♦ Residential Swimming Pools CROSS ST. Dated)—" Applicant ��� rS/�/LJ�i� I( OWNER OR FIRM NAME MAA A ,t�/t /�RL9 11Q sr CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL r COMPENSATION INSURANCE First 20 ADDRESS T-'' / 2 � 1 /01.46 . (This section need not be completed if the work involved by Total No._� Additional CITY�PG� 4/17/Tel. the permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this A PPLALICANTK 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 Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERAOITf A NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT 6,ALl�0A11A 5,044) ' LdAI 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 131 W, 4-A/15'_5A&17_ with comply with such provisions or this permit shall be Top — FAU —W. . — H deemed revoked. Hood — Fan —Other_ CITY�(a��QG/ Tel. IVo.,�Q3 LICENSED CONTRACTORS DECLARATION LICENSE OR 24�y g I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER f'//�"/ J� Class LJ (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCES D BY T and Professions Code,and my license is in full force and effect. r— @. /J Size&Type HP, KW, KVA, or KVAR l� Q O License Number ��2%/4 Lic. Class FINAL Over Up to�•1 Incl. G�1Gl� SOLf1� �Q— 2 Over 1 to 10 Incl. DATE ®®� ,• °C VALIDATION Contractor. + Date Over 10 to 50 Incl. FINAL d ❑ FINAL V I am exempt under Sec. Over 50 to 100 Inc. BY � IL IL Over 100 B.&P.C. for this reason Date: Services, Swbd., MCC&Panelboards , &e 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V 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 66 5, P Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): 0 0 0 0 0 El1, as owner of the property, will do the work and the Misc. Conduits&Conductors n SZ structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business 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 PERMIT FEE (Sub-Total) 3 (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 above 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 theeaabove-menti ed perty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date