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Home My Public Portal About10104 OLIVE ST_Electrical__ DAPPLICATION FOR YERMI'1 DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER NAME a DISTRICT NO. GROUP ZONE PER/MIT NO. U ADDRESS /•{ wU CITY J '/ TEL.NQ RECEIVED BY READY FOR DATE ISSUED ..• FIRST INSPECTION -1 COUNTY - _ w CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF FORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY ' LOCATION BY ROOMS NEAREST LIGHT OUTLETS lsw. PLUGS I FIXT CROSS ST. / CIRCUIT A B C D E F G H It —NAME w --- Z MAIL 3 ADDRESS r .rteV O( Z CITY TEL.NO. f I ( 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS .•' ^ ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. Y 1 AM THE"GAL OWNER OF THE PROPERTY DESCRIBED ql ABOVE Ay -r4 OWNER. CORRECTIONS j• � I 'ILA a f p• r \ J Q Z D TOTAL I NO. OF OUTLETS `3�J $ APPROVALS NO. OF FIXTURES 3 $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. EE $ WIRING ��f= NO. OF R_ffZeS OR HEATERS J $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ UTILITY CO.NOTIFIED TOTAL FEE C' FINAL OBS'SA ZSM sera 2-47 APPLICATION iOit PEUM � y DEi'ART1iIENT,OF BUILDING AND 3AI•'LTY__` g'i�� s COUNTY OF LOS ANGELES M. J. FOX CHIEFENGINEER NAMEII f DISTRICT NO.. GROUP ZONE PERMIT NO. U ADDRESS Ava CITY df - TEL.NO. RECEIV_ � READY FOR DATE ISSUED+ UNTY / / -)), FIRST INSPECTION CERT.NO. ( / EXPIRES re+r / !APPLICANT FILL IN HEAVILY OUTLINM PORTION ONLYJOB � DESCRIPTION OF WORK ADDRESS ZV^e�'''�^4* 6.�< <`.� NUMBER OF OUTLETS ON CIRCUITS LOCALITY r -%•II�11G`�f r 4.��/ `i V LOCATION BY ROOMSNEAREST _ LIGHY OUTLETS SW. PLUGS Fn(T CROSS87. CIRCUIT A B C D E F G H W NAME �-M-„ —�° _�..• 7-- Z ADDRESS 0.?o `.a Lei 1"iC3 3 71 -6 . r O idl O CITY 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE LNGAL OWNER OF�T}HEIROPaRTY DESCR BED - ABOVE � •du �1.1�.��Q �.� Q'dpm .Moria J Q �+ "1 Z (' 1 '`1,, o [NO. OUTLETS �� $ APPROVALS FIXTURES $ DATE INSPECTOR'S NAMMOTORS H.P. $ CONDUIT SIGNS TRANS. $ WIRING RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER IT FEEi $ UTILITYCO. NOTIFIED[PFERM L.FEE W '' { 91 15 FINAL COUNTY OF LOS ANGELES APPLICATION FOR PERM DEPARTNffiW OF COUNTY ENGINEER ELECTRIC 1 DIVISION OF BUILDING & SAFETY WUJJM 1. FOX COUNTY ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN �� A<° ADDRESS 6 RECEIV READY FOR DAT ISSUED n FIRST iNSPEf-TION 4 CITY e� V TEL. No. P� COUNTY LICENSE NO. EXPIRES BUILDIN i �y/� p �e r PERNIIT FEES ADDRESS �'l k /I C� NUMBER EACH FEE � R LOCALITY d°a". LIGHT OUTLETS NEAREST . RECEPTACLES ROSE T. . j s!! ,15R IW rldf WALL SWITCHES OWNER. TOTAL OUTLETS SC $ MAIL � I r B ELEC. RANGER 23 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES S MISC. i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT' THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER New MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. IA a IB88 S .25 SIGNATURE OF A� va 2 .50 PERMITT 2 5 1.00 INSPECTION RECORD 5 is 1.50 is so 2.50 s0 200 5.00 200 500 10.00 J Boo 1000 15.00 Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP Q' WELDERS: AC-KVA O GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75% of omG.) MOVED MOTORS (75% of oRIG.) MISC. SIGNS No. NO. TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT / FIXTURES $1.00 WIRING -SUPPLEMENTARY ,50 FIXTURES 2 < POWER TOTAL FEE S / v TILITY CO. NOTIFIED Ii��✓+ /�••/1 FINAL 76A 868 0138q 8A. 4-8R - WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT L1 (Aierpby J"irmSthat.'f have a certificate of consent t9 self insure, 7MG63 P� or a certifi6ate of Wdrker's Compensation'lnsurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) f Policy No. Company FOR APPLICANT TO FILL IN ADDRESS NO. EACH C rT Certified copy is hereby furnished. New Residential Bldgs.&Pools FEE LOCALITY I $Ft Sq. . _ $ Certified copy is filed with the county building inspection 1 &2-Family, NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw- OWNER OR &41 A 1 e i�fy COMPENSATION INSURANCE FIRM NAME t`�1 n lv This section need not be completed If the work Involved b the First io MAIL ,r ( P y Total No. Additional ADDRESS �O I D 1L UUUS- S permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITYTel.No.s�� is Issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional �Q�N T OVER ADDRESS Date Applicant RESIDENTIAL APPLIAISCES 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of ® CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must forthwith,comply with such PERMIT sa 7 provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LCi� LICENSED CONTRACTORS DECLARATION Size&Type.HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9. Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY' Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. d LICENSE Class • Over 50 to 100 Incl. REG.NUMBB ER Over 100 DISTRICT NO. CESSED BY V License Number Lie.Class p Services,Swbd.,MCC&Panelboards 0-399 Amp.Under 600 V FINAL Contractor Data DATE I— ❑ 400-1000 Amp.Under 600 V V I am exempt under Sec. FINAL VALIDATION d Over 1000 Amp.or Over 600 V B.&P.C.for this reason BRANCH CIRCUIT FEES BY Z Date: 15A,or 20A,120V,Lighting or Recept. 1 To 10 Branch Circuits Signafure 11 To 40 Branch Circuits ❑ Al Or More Branch Circuits Exemption for Reg.Maint.Elec(. 16A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances s= 75.00 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law i ) for the following reason(Section 7031.5,-Business and Professions Additional Sign Branch Circuits i= ,O CCoodee), I AL Misc.Conduits&Conductors I,as owner of the property,will do the work and the structure ?rr;l^�; 75.00Y is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) )� and Professions Code). ® CHANGE _ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construct(on lending agency for the !jtE _(� t['s.1r ")frrr performance of the work for which this permit is Issued (Sec. 3097, PERMIT FEE (Sub-Total) /� y Civ.Ci.) ) s4 �. Art 83-44 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE ld—� Lender's Address TOTAL FEE D I certify that I have read this application and under penalty of purjury state that the 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 the above-mentioned property for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE NAT DATE " �� •s{WORKEA'S COMPENSATION DECLARATION 20.0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT 4+j ergb a firrrrn tfiat�1 have a certificate of consent tQ self Insure, of a 1.certifj6atW.of Worker'g'Compensaflorl4hsurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS- BUILDING AND SAFETY DIV. copy`theraof(Ser?.0-800 Lab.C.)K , ,Policy'No. Company. FOR APPLICANT TO FILL IN - ADDRE$$' 1 to d S ❑ Certified copy is hereby furnished. New &2-FamilySq,Ft. $ $Residential Bidgs..&Pools NO. EACH FEE LOCALITY ❑ _ Certified-copy is filed with the county building inspection NEAREST 10, department. Multi-family Sq.Ft.• CROSS ST. Date. .. Applicant. ' Residential Swimming Pools - M P BOOK PAGE PARCEL CERTIFICATE OF•EXEMRTION FROM WORKERS' Outlets:'Rec..-Light Sw. FIRM NAME C COMPENSATION INSURANCE First 20' MAIL (This section need not be completed If the work Involved by the Total.No. Additional ADDRESS /Flel, Okilb- •S permit is for one hundred dollars($100)or less.) I certify that'in the.performance of the work for which this permit CITY ' C� Tel.No' g��S Is issued, I shallnot employ any person in any manner so as to PLAN.DHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date' Applicant RESIDENTIAL APPLIANCES NOT.OVER 3 HP. NOTICE TO APPLICANT:IIf, .after making this Certificate.of CITY Tel.No. Exemption,you should become.subject to the Workers'Compensation 'OTHER APPLIANCES NOT OVER 3 HP: provisions of the Labor Code,you must forthwith comply with such PERMIT Power Apparatus&Large Appliances APPLICANT provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS.DECLARATION Si�Type HP,KW,KVA,,or KVAR• ADDRESS hereby affirm tbdt I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with.Section 7000)of Division 3 of the'Business and CITY Tel.No. Over 10 to 50 Incl. Professions Code,and my license is in full force and effect. • , LICENSE OR CI d Over 50 to 1.00 Incl. REG.NUMBER 6 O Over 100 DISTRICT NO.' P SSED BY U License Number L•ic.Class Servicei,Swbd.,MCC&Panelboards cc ,z 0-399 Amp.Under 600 V FINAL Contractor Date DATE I— ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V FINAL VALIDATION d Over 1000 Amp.or Over.600 V B.&P.C.fol this reason BRANCH CIRCUIT FEES BY ca Z Date: - 15A,or 20A,120V,Lighting or Recept. 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits Exemption for Reg,Maint:Elect. 15A,20A,208V To 277V Lighting Br.Circuits. AL SINGLE FAMILY Temp.Power Pole&Appurtenances AC ° HOME OWNER-BUILDER DECLARATIONSin with One Branch Circuit `r ` x'5_90 Sign I hereby affirm that I am exempt from the Contractor's License Law `!' a for the following reason(Section 7031.5, Business and Professi.o.ns 'Additional Sign Branch Circuits Z3 �� Code); '' ` I,as owner of the property,Will.-do the work and the structure Misc.Conduits&.Conductors is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee SchedUle). TO 1 AL �( and Professions Code). ®• CONSTRUCTION LENDING AGENCY CHECK I hereby.affirm that there is a construction lending agency for the CHANGE performance of the.work for which.this permit is.issued(Sec. 3097, j PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEEIie Lender's Name t t-t) iI' a v.i 13/r5 PERMIT ISSUING FEE 9452 9-224; Lender's Address I certify that I have read.this application and under penalty of purjury state TOTAL FEE that the 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 the above-mentioned property for inspection.pu g SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATUO �T � E p , • EOUNTY OF LOS ANGELES TEMPLE CITY # 0508 L,ELECTRICAL_P,ERMIT- • DEPARTMENT 0� PU LIC WORKS 9701 LAS TUNAS EL 0508 9905210066 BUI6DING AND SAFETY / AND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: S PAID B U I L DI G ADDR SS: TR: 10558 LT: 20 10104 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803344 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8585-002-020 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 15.00 OUT 29.25 TENANT: G2 LIGHTING FIXTURES 5.00 LGT 9.75 ISSUED ON: PROCESSED Y: PLAN BY: EXPIRES-ON- - LN PIRES0LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85 05/21/99 UT 11/17/99 TOTAL FEES 105.60 OWNER: TEL. 0: FINAL DTE FINA BY: CODE: SHUI MICHAEL (626) 582-8235- ,�`� i/�> ES� `7 10104 OLIVE ST D/ TEMP 917803344 DESCRIPTION OF WORK ELECTRICAL FOR GARAGE AND WORKSHOP APPLICANT: E 0: SAME AS OWNER - SPECIAL CONDITIONS: S Cp CONTRACTOR: TEL. NO: Q� ��/,. APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - V �► LIC. NO TEMPORARY POWERPOLE ` UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: // UFEFGROUffF LIC. NO ROUGH CONDUIT 0 L R G U D L�� W(0 RD �� I WATER LINE PLASTIC Y/N METAL Y/N TIL COMPANY NOTIFIED O O Service That REPORT ID: DPR265 ROUTE TO: BS0508