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