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HomeMy Public PortalAbout10124 OLIVE ST_Electrical__ _ e SA663-CEBOS1 0-81 APPLICATION FOR EL4 RICAL PERMIT , COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING 10124 E. Oli#e BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY m le Cit Mj NEAREST FOR APPLICANT TO FILL IN CROSS ST. 1 T E M NO. I EACH FEE OUTLET (FIRST 20) R.20 S OWNER Trott LIGHTS RECEPT. SW. MAIL OUTLETS, (ADO'L UNITSY .f0 ADDRESS same LIGHTS RECEPT. SW. LIGHTING FIXTURES, (FIRST 20) ,20 CITY TEL.NO. LIGHTING FIXTURES, (ADDITIONAL) .10 ELECTRICIAN Best Electric Co, RANGES .CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 160 W. Roosevelt GARB.DISP. STA.COOK CITY AzusaTEL.NO. •� Ed '7-0065 DISHWASH. AUTO.-WASH. STATE 156185 SPACE BTA.APP.(+h H.P.MAX.) .50 O LICENSE NO. MOTORS, OVER NOT OVER H.P. DISTRI N GTP NE P ESSED BY O 1 1.00 I s 1.50 INSPECTION RE O.RD } S S 2.00 0 O B is 2.so U 09 15 so 3.00 so too 5.00 _ o. SIGNS, NO.TRANS. h NO.LAMPS Z SERVICE O-600V-NOT OVER 200A 1.00 SERVICE O.-BOOV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI TI N .APPROVALS DATE 'INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TOC MPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / j L ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/,OR v LICENSED AS REQUIRED BY'LOS ANGEL AND STATE OF CALIFORNIA HAT 1�AM;THEL WN OF THEABOVEDESCRIBED SID TIAL POWER SIGNATU UTILITY CO.NOTIFIED �� OF PERMI FINAL 13 01 2— V n.._. (DATION SUPERVISING C. VEIT oc� MO CASH SUPERVISING ELECTRICAL ENGINEER p` 2 7 6 9% AUG 9 2 D 490- 4 WORKER S'CQMPENSATIONDECLARATION' E CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT - E,806 I hereby affirm that I have a certificate of consent to,self COUNTY OF LOS ANGELESBUILDING ANDSAFETY insure,or a certificate of Workers'Compensation Insurance,or IY a certified copy thereof(Sec.3800,Lab.C.) i Policy No: CompanFOR APPLICANT TO FILL IN JOB y New Residential Bldgs.&Pools EACH NO. FEE ADDRESS CD i. C7/adz_ E] Certified copy is hereby furnished. 1&2-Family,Sq.Ft. $ $ LOCALITY • E] CertifiedSq:Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST department. ; Residential Swimming Pools OWNER OR J) � ( FIRM NAME Date Applicant Outlets: Rec..--_Light Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional I CITY el No. COMPENSATION INSURANCE s ' PLAN CHECK , /! tl (This section need not be completed if the work involved' APPLICANT OLighting Fixtures First 20 � by the permit is for'one hundred dollars ($100) or less.) ADDREss Additional OC Total No. O I certify that in the performance of the work for which this I, CITY T ermit is issued, I shall not,em to an Fixed Appliances Not Over 1 HP p p y y person in any manner'!' I PERMIT. W so as to become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT rL Oven Dryer_W:M._ ADDRESS Date Applicant - TOP _ FAU _W.H.._ e Hood — Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of I ,,Disp. _Room Air Condom i LICENSE OR Exemption, you should become subject to the Workers'I' REG.NUMBER 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,KV or KVAR 'c Up to 1 Incl. . � �'6,[1 • I FINAL Over 1 to 10 Incl. DATE y�� ' ' LICENSED CONTRACTORS DECLARATION . Over 10 to 50 Incl. VALIDATION I hereby affirm that Lam licensed under provisions-of Chapter I Over 50 to 1Q0 Inc.. FINAL ' 9 (commencing with Section 7000).'of Division 3 of-the Busi-' Over 100 ' BY "9+ ness and Professions.Code, and my license is in full force and. ' effect. Services License Number Lic.Class' 0-200 Amp.Under 600 V 201-1000 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 17saProfessions Code): Misc.Conduits&Conductors s owner of the property, will do the work add the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section, E 3 2 a 9 A ; 7044,.Business and Professions Code). CONSTRUCTION LENDING AGENCY # 00 - 2 ' I hereby affirm that there is a construction lending agency for.the performance of the work for which this permit is PERMIT FEE (Sub-Total) 2 0 o 2 3 5 n issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) ! 0 c 0 2 O , Q 3I Lender's Address PERMIT ISSUING FEE S 03 1 '6—P 2 I� 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 lectrical wiring, and I hereby thorize representatives of th' County to enter upon . the.. ov mentio d property f. r ecuon ec n purposes. -- SEE'REVERSE FOR EXPLANATORY LANGUAGE, nature of Permittee Date WOR.KERS'COMPENSATION.DECLARATION 7.6A663, APPLICATION FOR -ELE.CTRK4 PERMIT I hereby affirm that I have a certificate of consent to self ''COUNTY OF LOS ANGELES D SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy:thereof(Sec.3800,.Lab.C.) FOR APPLICANT TO FELL INJ,O.B Policy No. Company DAESS,96/3�9, New ResidentBldgs.&Pools EACH NO.. FEE Cer'tified.co Is hereb furnished. $ —. S LOCALITY j. p.Y' y 1 &3-Family,Sq:Ft. G Certified co Multifamily Sq. Ft.. — NEAREST copy is filed with the county building inspection CROSS ST AD w Ir"611, department. Residential Swimming Pools OWNER OR , FIRM NAME ! — Date Applicant Outlets; Rec� MAI L .1Light Sw.. ADDRESS. LL pp First 2 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.� Additional V CITY Tel No. -COMPENSATION INSURANCE PLAN CHECK a APPLICANT O (This section need not be completed if the work involved I r V by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Additional Total'No. O I certify. that -in the. performance.of the Work for which this,. ' CITY Tel No. Fixed Appliances Not Over 1 HP _ V permit is issued,'I shall not employ any person in any manner • PERMIT lL so as to become subject to the Workers'Compensation Laws. Range_Heater._D.W. APPLICANT p, Oven _Dryer=W.M._ " ADDRESS N Date Applicant Top _ FAU• T W.H..— ? Hood _ Fan L.Other_ J� CITY Tel No. NOTICE'TO.APPLICANT: If,after making this Certificate of Disp. _Room . Air CondOC (CENSE OR Exemption,. you should become subject- to the 'Workers' REG:NUMBER Class. Compensationprovisions'of'the Labor Code, you must forth= Power Apparatus&Large Appliances DISTRICT NO. P1 OC ED BY with comply With .:such provisions or- this permit .shall be deemed revoked. Slze-&Type HP,KW,KVA,or KVAR �� P Up to 1 Incl. FINAL y Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION VALID ION Over 10 to 50 Incl. I hereby affirm-that I ani licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division'3 of tthe.Susi= Over 100 B ness and Professions.Code,and.my license if in full force and effect.. Services License 0Number. Lie.Class 0-200 Amp.Under 600 V 201-1000 Amp.Under 600 V Contractor Date Over 1.000•Amp.or Over 600 V r-.- :H.OME OWNER-BUILDER DECLARATION' Temp.Power-Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.$, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors 0 1 14A Q A I, as Owner of the property; will do .the work and the Other(See Complete Fee Schedule)— ., structure is not intended or 'offered for sale' ($actio.n to0.0 0 o G 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 2 0 o I hereby affirm that there is a construction lending agency for 'the'performance of the work for Which this permit is issued.(Sec.3097,Civ.C.). PERMIT FEE `• (.Sub-Total) „ Lender's Name, PLAN CHECKING FEE '(One-Fourth Permit Fee) Lender's Address PERMIT,ISSUING FEE 7 I certify that 1 .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 represents ives of this County to enter upon ,the, Bove=menti ned prop ty for inspection purposes. SEE'REVERSE FO.R;EXPLANATOR.Y LANGUAGE 6. S nature of Permittee Date CCIUNTY OF LOS ANGELES • TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0012260030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING DRESS: TR: 10558 LT: 22 10124 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803344 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8585-002-012 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY F2 208, 277V LGT BR CKT 1.00 BR 27.30 TENANT: G1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50 ISSUED ON: PROCESSED BY:--PUN—BY EXPIRES ON: TOTAL FEES 74.55 12/26/00 UT 06/25/01 OWNER: TEL. NO: FINAL D TE FI CODE: HEATER JOHN H;CHRISTINE (818) 444-5111- 10124 OLIVE ST �•� 24—)c), TEMP 917803344 WORK MISCELLANEOUS WIRING IN GA AGE AND CHANGE OUT 10 OUTLETS APPLICANT: TEL. 0: NICK'S REMODELING (626) 442-7985- 9941 HOWLAND SPECIAL CONDITIONS: TEMPLE CITY CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE NICK'S REMODELING (626) 442-7985- 9941 HOWLAND DRIVE LIC. NO t:'- TEMPORARY POWER POLE TEMPLE CITY, CA 91780 409663 B ; UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: _ { ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N - - - - UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508