HomeMy Public PortalAbout9491 OLEMA ST_Electrical__ 'SA663-CESO6-7-56 APPLICATION FOR ':ELECTRIC- PERMIT ],
BUILDING AND SAFETY DMSION
Department of CODA E ree! BUILDING 5 � OM1 A,� �.
County of LOS.Aagele8 ADDRESS ��\
JOHN A.LAMBIE..COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY -e P
NEAREST /�0-
FOR APPLICANT TO FILL IN CROSS 8T. (J -
PERMIT FEES rJ /
NUMBER OWNE fj c+a...rs&- L s�.1 ea Ll ell 1
LIGHT OUTLETS MAIL / /\ / e -h0 y
ADDRESS 46 F. /8r\ 42
` RECEPTACLES EE /� /ted
V1/ALL SWITCHES FEE GiTY �'� F e 4 l • EL.NO. �J
r
TOTAL OUTLETS 0 Sd $ ELECTRICI
ELEC.RANGES 28 ADDRESS
ELEC.HEATERS 28 CITY TEL.NO.
a
KW EA STATE
FIXTURES 8 LICENSE NO.
MOTORS DISTRICT NO. GROUc ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE Lo I 0� I
NEW MVD. HP OVER INC. .,EACH �s
&LESS $ .25 INSPECTION RECORD
Yz 2 .s0
2 8 1.00
S i8 1.80
IS SO 2:80 ,�
ISO- 200 8.00 R, 1 P,'• � �,A4 4'✓-
C' '� �`�fir''•
M ISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING PERMIT $1.00
FIXTURE PERMIT $1.00
SUPPLEMENTARY .80 APPROVALS
TOTAL FEE $, DATE INSPECTOR'S SIGNATURE
1HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Vts/v/d
WITH ALL"COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING roe A
ELECTRICAL WIRING. FIXTURES �`"7 `) f a ���-jm;,G`
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES 'COUNTY AND STATE OF POWER
CALIFORNIA OR THAT.t THE LEGAL OWNER 0• THE AB 11E
DESCRIBED RESIDENT PR PERTY. Q UTILITY'CO.NOTIFIED
SIGNATURE .
OF PERMITTEE FINAL -2-3
"/ /•'1,: IFIcIf
JOHN A.LAMBIE. V AT ARTHUR C.VEIT.
:OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
CK MO
LPA 9 2 1 2 D; JUN 13 2 . 2.4 0
76A669A-CEBO6A 4/72 APPLICATION FOR ELECTRICAL PERMIT u
COUNTY OF LOS ANGELES
C DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS9491 OleTna
LOCALITY Temple City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
�RECEPT. $ $ MAIL Parsons ,
_ ADDRESS ]- Olema
LIGHT TOTAL FIRST 20
CITY TEL. N0.
SWITCH_ OVER 20 PLAN CHECK
LIGHTINGTOTAL FIRST 20 APPLICANT
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT Electric
STA. COOK DISP. F.A.U. ADDRESS 8843 Mission Drive
SPACE HTR. AIR COND. CITY g ] TEL. NO. 280-h260
CLOTHES WASH. DISHWASH. LICENSE NO. 227962 CLASS. C-10
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY p
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C�
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO p
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W
CALIFORNIA OR THAT IAM THE LEGAL W NE OF AND INTEND TO
1 - 10 O RESIDE IN, THE AB DESCRIBE R IAL PR RTY. Z
3-ton A/G
10 - 50 SIGNATURE
OF PERMITT
50 - 100
DISTRICTNO. CLASS ZONEP SSE IV
100 - 500 O g
SIGN, GASSIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVI CE NOT OVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE '
SERVI CE OVER 600 VOLTS OR 200 AM P
_ TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES
TEMP LIGHT OR RECEPT. SYSTEM UNDERSLAB WORK
ROUGH CONDI UT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE
7.�
PERMIT ISSUING FEE FINAL
TOTAL FEE 13 O
PLAN CHECK VALIDATION. CK. M.O. CASH PERMIT VALIDATION 0.
M.0. CASH
538r'D-DEC 120 U 1 3.50 ®%0
WORKERS'COMPENSATION DECLARATION 76-663 io at APPLICATION FOR ELECTRICAL PERMIT
I,t+ereby affirm that I have a certificate of consont to self insure, CE-soeG
or a certificate of Workers' Compensation Insurance,
su ce,/qr a certified COUNTY OF LOS ANGELES BUILDING ARID SAFETY
copy thereo f,Scc/ 0 C.) 1
^ Poli NO ^/ ` ompany r X r FOR APPLICANT TO FILL IN JOB
ADDRESS
Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE
Certif' d o I 1 & 2-Fa S Ft $ — ^y LOCALITY ! n er/ i
py is filed with the ounty building inspo on y, q —
depa r en • �� f `^ Multi-family Sq Ft CROSS STNEAREST '
Date Applicant /� I 1 .f Residuitiul Swimming Pools O10JNER OR
J
FIRM NAME
C RTIF ATE OF EXEMPTION FROM WORKERS' MAIL
First 2 ! / i
COMPENSATION INSURANCE Outlets.Rec_Light — t 20 w.— ADDRESS
(This section need not be completed if the work involved by the <
permit is for one hundred dollars($100)or less.) Total No Additional CITY i�l�� �, Tel.No.
CHECKPLAN
I certify that in the performance of the work for which this permit APPLICANT
is issued, I shall not emp!oy 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 PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT
Exemption,you should become subject to the Workers Compensation Range_ Heater_ DW
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 }/,�'f ��1�/'"Wel.Tel.No.`
LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ v
I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR "
D!Sp. — Room Air Cond. REG.NUMBER LClass,
(commencing with Section 7000)of Division 3 of the Business and
Professions Code,and my license is In full force and effect. Power Apparatus&Largo Appliances DISTRICT NO PROCESSED BY
��`• �� Size&Type HP,KW,KVA,or KVAR O
License Number LUp to 1 Incl FINAL
ic.Class
� U
it >�J►/t , A j /, !`/, Over 1 to 10 Incl. p DATE
�y `� VALIDATION 0O
Contractor Over 10 to 50 Incl.
ElFINAL 1 W
I am exempt ndor Sec. Over 50 to 100 Inc. BY
B.&P.C.for this reason Over 100
N
Services,Swbd,MCC&Panelboards � Z
Date: 0-200 Amp.Under 600 V r V
Signature 201 - 1000 Amp.Under 600 V
Over 1000 Amp.or Over 600 V
❑ Exemption for Reg.Mamt.Elect 2
SINGLE FAMILY Temp Power Polo&Appurtenances P•``i�
HOME OWNER-BUILDER DECLARATION
Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Law
for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits
Code):
❑ Misc.Conduits&Conductors
I,as owner of the property,will do the work and the structure +A_,
is not intended or offered for sale (Section 7044, Business Other(Seo Complete Fee Schedule)
and Professions Code). A 4,6 M
CONSTRUCTION LENDING AGENCY 4•' i,�_: j
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)
Civ.C.). ' ^ t,,a :!�,r»
PLAN CHECKING FEE _t 2/ t_
Lender's Name 16
PERMIT ISSUING FEE :f•ti�� I ' �•r.'
Lender's Address
I certify that I have read this application and state that the above TOTAL FEE 1 e
information is correct. I agree to comply with all County ordinances
and State laws regulating Electrical wiring, and hereby authorize
repres ntatiIs of this County to enter upon the above;mentioned
prop for inspection-!fir s. SEE REVERSE FOR EXPLANATORY LANGUAGE
k JAI
</
ignatureo Per tee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
r7T$PaRrRIENT OF PUBLIC WORKS 9701 LAS 'PUNAS EL 0508 0807210033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I BUILDING ADDRESS: I
[TR: 14533 IT: 24 BL: .001 I I 9491 OLEMA ST
I _ [[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801342
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15382-014-048 [A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
I IFI 120V, 15/20A BR CKTS 1.00 BR 17.25
[TENANT: ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
J 1 TOTAL FEES 83.85 107/21/08 SR 01/17/09 [
OWNER: TEL. NO: I IFINAL DATE "� �j Y: CODE: I
[
VALASSIDIS, PAUL I I
9491 OLEMA ST
ITEMP 917801342 I IDESCRIPTION OF WORK
I I (PANEL UPGRADE FROM 100 AMP TO 200 AMP AND 5 NEW CIRCIIITS FOR
I I IKITCHEN THIS CIRCUITS WILL REPLACE OLD CIRCIIITS
(APPLICANT: TEL. NO: I I I
[DISCOUNT ELECTRIC (626) 808-2825- I I I
1311 S. AVENUE 56 #2 [ [SPECIAL CONDITIONS: [
[LOS ANGELES CA 90041 [ [
I [ I I
ICONTRACTOR: TEL. NO: [ [APPROVALS DATE INSPECTOR SIGNATURE I
IDISCOUNT ELECTRIC (323) 578-8687- [ I I
1311 S AVENUE 56 #2 LIC. NO [ ITEMPORARY POWER POLE I I [
[LOS ANGELES, CA 90041 901069 C10 [ I [ I
I I [UNDERGROUND CONDUIT
I I I
I II[ARCHITECT OR ENGINEER: TEL. NO: - 1 [LIFER GROUND O I 1 1
I LIC. NO: I IROUGH CONDUIT [ I
ROUGH WIRING
I I I
I I IMAIN WATER LINE [
I [PLASTIC YIN METAL YIN [ [ I
[ I JUT LITY COMPANY NOTIFIE t1 i I I
[ I I I [
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IREPORT ID: DPR265 ROUTE TO: BS0508 [ [ [ [
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