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Home My Public Portal About9506 OLEMA ST_Electrical__ 1• .S: 76A68DEia 619�1E175 APPLICATION FOR ELECT. ICAL• P �RMIT 7',e, . c� BUILDING AND SAFETY DIVISION FOR APPLICANT TO PILL IN JOB EACH NO. FEE ADDRESS 9 06 Olema New Residential Bldgs.&Pools 1 &2 Finaily Sq. Ft. $ — $ LOCAUITY Temple City Multi-family Sq.Ft. CROSS ST. +�1C1t1].to Residential Swimming Pools OWNER OR FIRM NAME_Pauline Hall Outlets: Light,Switch&Receptacle MAI L First 20 ADDRESS 9706 Olema Additibnal CITY Temple City Tel. No. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel.No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT MO lea Range_ Heater_ D.W. — ADDRESS 8843 Mission Drive Oven _ Dryer _ W.M. Top _ FAU W.H.. _ CITY Rosemead Tel.No. 280-426o Hood Fan REGNNOBE Disp. A.C. REG. NUMBER 227962 Class. C-10 E3 � 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATIC THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V ,Power Apparatus&Large Appliances WITH ALL ,COUNTY ORDINANCES AND STATE LAWS REGULATING LLI Size&Type HP, KW,KVA,or KVAR ELECTRICAL WIRING. O_ y } Up to 1 Incl. 1 HEREBY CERTIFY THAT I AM PROPERLY REG STBRED AND/OR •'�n /, Over 1 to 10 InCI. LICENSED AS REQUIRED BY LOS ANGEL7OU AND STATE OP CALIPORNIA OR THAT I AM THE EGAW OF THE ABOVE Over 10 to 50 lncl. DESCRIBED RESIDENTIAL PROPER Over 50 to 100 I ncl. PERMIT Over 100 SIGNATURE DISTRICT NO. PROCESSED BY Services ✓�� ' 0-200 Amp. Under 600'V �j 201 -1000 Amp. Under 600 VAPPROVAL'S DATE INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP.POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) W I R I N G FIXTURES ]POWER AUTHORIZED PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE TOTAL FEE 6 NOTES PLAN CHECK VALIDATION "�K: ^ M iS� cAS.H 3 PERMIT VALIDATION CK. M.O. CASH POLE'. � �. C' c.- ��;! �t:a��;�� ; 9.0 U 2�33c , IBA66S-CESOS-7-36 APPLICATION FOR:,.ELECTRIC PERMIT ], BU=ING AND SAFETY DMSION Department of County Engineer BUIL MNG �® County of Los Angeles ADDRESS !O JOHN A.LAMBIE,COUNTY ENGINEER J t , CASSATT D.GRIFFIN,SUP'T OF BUILDING LOCALITY L FOR APPLICANT TO FILL IN— j CROSS ST. I.n/ PERMIT FEES NUMBER _ OWNER . WIZIlzin X LIGHT OUTLETS MAIL ADDRESS ®S &—X RECEPTACLES WALL SWITCHES. FEE CITY Cl? Y TEL.NO. TOTAL OUTLETS ® so $ ELECTRICIAN �p ELEC.'RANGES 25 ADDRESS 9�D� V/-rIN9A ELEC. HEATERS 25 CITY Fc 11TEL.NO. KW EA -4STATE FIXTURES S 1LICENSE NO. MOTORS DISTRI�NO. GROUP— ZON READY FOR INSPECTION NUMBER HORSEPOWER FEE I NEW MVD. HP OVER INC. EACH �* +^ /� 1/2&LESS $ .25 u,�ryy ON RECORD A 2 .50 2 S 1.00 5 15 1.50 i5 SO 2.50 —�SS7/_°-Irl"�V� �U.E".1'7''/OA1lls 50 200 5.00 MISC. aloe NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 FIXTURE PERMIT $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWERCALIF DESCR�BED RESIDENTI .RNIA OR THAT IPM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED _ SZ SIGNATURE OF PERMITTEE d9 • FINAL s IOHN A.LAMBIE. VALIDATI ARTHUR C.VEIT. ;OUNTY ENGINEER OK MO sH SUPERVISING ELECTRICAL ENGINEER L&6 3 , o ' tmm 2 5 2 125 �' 4 WORK tR`6t I hcpv COMPENSATION DECLARATION C6A� 10/81 APPLICATION FOR ELECTRICAL PERMIT I,by rtrNthat I hwe a certificate of consent to self insur, tvf`,certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING.AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C,) Policy No. Company FOR APPLICANT TO FILL IN JOB �� / O�FA � Certified co is hereby furnished. EACH NO. FEE ADDRESS ('f A PY Y New Residential Bldgs. &Pools c ❑ — LOCALITY Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ t° ®/� G/ NEAREST /`� % tion department. Multi-family Sq. Ft. L CROSS ST. Residential Swimming Pools OWNER OR e Date Applicant FIRM NAME /✓� e CERTIFICATE OF EXEMPTION FROM.WORKERS' � , -MAIL Outlets: Rec Light Sw 1 A.DDRESS COMPENSATION INSURANCE d t be If the Involved by. First 20 _ (This.section rMenot compe work Total No. Additional S � CITY e ( 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 t APPLICANT ermit is'issued, I shall not employ any person in any manner t� k so as to become subject to the Workers'Compensation Laws. Lighting Fixtures J First 20 V ADDRESS Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1'HP PP rtA�+/, PERMIT NOTICE TO APPLICANT: If, aft making this Certificate of �c 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. — CITY j Tel. No. deemed',revoked. Hood — Fan � Other_ l / C� yy 'S9> LICENSED CONTRACTORS DECLARATION LICENSE OR I I hereby affirm.that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG, NUMBER Class. 4103 i (commencing with Section 7000)of Division-3 of the BusinessDISTRICT NO. PROCBY and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances „` E S Size.&Type HP, KW, KVA, or KVAR" c. License Number yy�y8 Lic. Classes Up to 1 Incl: FINAL V //.�,,•��oo Over 1 to 10 Incl. DATE VAL ATION ContractorSMA bzecM Ci Date �7 �5 Over 10 to 50 Incl. r FINAjr V ❑ d am exempt under Sec. Over 50 to 100 Inc. " BY zof A, In I B&P.C. for this reason Over 100 y 0 Services, Swbd.,MCC&.Panelboards l Date: 0 -200 Amp. Under 600 V ''Signature 201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over•600 V ;22722A Exemption for Reg. Maint. Elect. ` o 0 0 o a `2 SINGLE FAMILY Temp. Power Pole&Appurtenances HOME 1 OWNER-BUILDER DECLARATION Sign.with One Branch Circuit ( o 0 4Z 5 0 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 + 4350-05 Professions Code): �I as owner of the property, will do the work and the Misc. Conduiti&Conductors Cal 4-85 s)iructure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ Poo'17044, Business and Professions Code). CONSTRUCTION LENDING AGENCY t I hereQ affirm that there is a construction lending agency for the perfo mance of the work for which this:permit is issued PERMIT FEE (Sub-Total) (Sec..3097; Civ. C.). PLAN CHECKING FEE Lender's c(ne AA PERMIT ISSUING FEE ��.: to Lender's AAess I certify that have read this application and state.that the I TOTAL FEE above inform tion is correct.I agree to comply with all County ordinances a State laws regulating Electrical wiring,, and hereby outhori a repre entatives.of this County to enter upon the bove-m o ed opetty for inspection.purposes. �v SEE REVERSE FOR EXPLANATORY LANGUAGE �y 0 5 nature Per itt'ee Date WORKERS'C.OMPENSATIONDECLARATION CE-806G (2.80) APPLICATION FOR ELECTRICAL PERMIT d CE-808 I hereby affirm that I.have�eTlcerhtcate of consent to self COUNTY OF LOS ANGELES M BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified y there (Sec.3800,L C.) - livy&N o: CompaFOR APPLICANT TO FILL IN JA P cy ny EACH . NO. FEE ARESS • New Residential Bldgs.&Pools 0 Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ _ Is LOCALITY Multi-family Sq. Ft. — NEAREST ertified cop is filed with t co ty b ilding inspection CROSS ST ,T / depart ant. Residential Swimming Pools OWNER 0RE.. r 1 Date pplicant Outlets: Rec.—Light Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERd Total No. Additional CITY Tel No. COMPENSATION INSURANCE > PLAN CHEICK O. (This section need not be completed if the- work involved APPLICANT. 0 by the permit is for one hundred d611ars .($100) or less.) Lighting Fixtures First 20 ADDRESS Total No. Additional I certify that initie performance of the work for which this• CITY Tel O permit is Issued, I shall not emplo any.pe on in any manner Fixed Appliances Not Over 1 HP PERMIT W so as t bec a subject to the or er 'C mperisation Laws. Range_Heater D.W._ APPLICA a Oven _ Dryer_W.M._ ADDRESS / 2 Date �A licant Top _FAU _W.H.._ Pp Hood-_ Fan _Other_ CITY Tel NOTICE TO APPLICANT: If, after making this Certirrkers' Disp. _Room Air Cond— LICENSE Exemption, you should become subject to the REG.NUMB Class Compensation provisions of the Labor Code,you must forth- Power Apparatus'&Large Appliances DISTRICT NO. PROCESSED-BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR / Up to 1 Incl. . Over 1 to 10 Incl. — DATFINAE -A LICENSED CONTRACTORS DECLARATION a�9 e '! VALIDATION_ Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL, BY /° , • 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 nese land Professions.Code; and my license is in full force and effect. Services 0-200 Amp.Under 600 V License Numb ic.Class �5 201-1000 Amp.Under 600,V Contractor Date / 0 Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 703.1.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors o i ,7.9 i a ,� I, as owner of the property, will do the work and the Other(See Complete Fee Schedulel— structure is not intended or offered for sale (Section �} 7044,Business and Professions Code). 0 0 0 0 0 CONSTRUCTION LENDING AGENCY I hereby affir that there is a construction lending agency 2 0 o 3 2,0 Q. for the perfo a of tli rk fOr whi h ismpermit is issued(Sec.3 7 iv. (¢� PERMIT FEE (Sub-Total) 0 0 0 3� C C 7 Lende;'s Nam PLAN CHECKING FEE (One-Fourth Permit Fee) Q 1 8-80 Lender's Address PERMIT ISSUING FEE 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 tho" e r pr entatives of this County to enter upon the ab a-men o ed pr perty for inspection p pos SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date - WORKERS'COIVIPENSATIONDECLARATION 3 E-80 C6G (2.80) APPLICATION FOR ELECTRICAL PERMIT ' CE-80 I hereby affirm that I.have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No. Company n/ �v(p • New Residential Bldgs.&Pools EACH NO. FEE ADDRESS Certified copy'is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITYL�- Certified co Multi-family.$q. Ft. CROSS ST /. copy is filed with the county building inspection Residential Swimming Pools department. OWNER OR FIRM NAME Date Applicant Outlets: Rec—LightSw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS'. Total No. Additional CIT ��G el No. �?j COMPENSATION INSURANCE PLAN CHECK tl ]APPLICANT .0 (This section need not. be completed if the work involved 0 Lighting ' by the permit is for one hundred dollars ($l00) or less.) Ligg Fixtures First 20 Additional ADDRESS W. Total No. Q I certify that in the performance of the work fd which this' Fixed Appliances Not Over 1 HP CITY Tel No. permitis issued, I shall not employ any person in any mannerPERMIT- so'as to become subject.to the Workers'Compensation Laws. Range_Heater D.W_ _ APPLICANT CO) Oven _ Dryer_W.M._ ADDRESS Date Applicant Top _FAU _W.H.. Hood _ Fan _Other_ CITY Tel No. NOTICE TO APPLICANT:rlf, after making this Certificate of Disp. _Room Air Cond_ LICENSE OR Exemption, you should become subject to the Workers' REG.'NUMBER ass Comitensatiori provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances' DISTRICT NO. ;PROCES"r-D BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. `5 LICENSED CONTRACTORS DECLAR� Over 10 to 50 Incl.TION Over 1 to 10 Inc(. DATE Z 'VALIDATION 'i°" I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. BY AL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 ness land Professions..Code,-and my license is in full force and effect. Services License Number. Lic.Class 0-200 Amp.Under 600 V 201-10.00 Amp.Under 600 V .Contractor• Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.'Power Pole&Appurtenances I hereby affirm that I am exempt from the; Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors )k I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— ' acture is not intended o1• offered for sale (Section ' 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 0 2 4 3.5 A for the performance •of the work for which this permit is issued(Sec.3097,Civ.G.) PERMIT FEE (Sub-Total)'. � 0 0 0 0 0.2 Lender's Name. PLAN CHECKING FEE (One-Fourth Permit.Fee) 2 0 0 1 7.00 Lender's Address PERMIT ISSUING FEE 0001`700H 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 1 R02-80 ordinances and ate i laws regulating Electrical wiring, and hereby Otho epr5i p=tives of this County to enter upon the a one roperty for inspection purposes. SEVREVERSE FOR EXPLANATORY LANGUAGE _/ / nature of Permittee Date