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HomeMy Public PortalAbout10219 OLIVE ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of CountBUILDING EngineerF �������� DIVISION OF BUILDING Sc SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRIC�yNO. GROUP ZONE PERMIT N.O. _ 5 I� q ELECTRICIAN S A-% S� 6 6� �. ` �wx .P. r/� C IVED Y READY FOR DATE 99U D ADDRESS �vit' 3 [[ q FIRST INSPECTION CITY NS�f� _A TEL 71Fl N0. �t�'a�.�► y k COUNTY LICEE NO. t. J ' EXPIRES.s�iY—e BUILDING I�r 9 PERMIT FEESL.Al ADDRESS Z&2—Z47� �l) �(- FEE /p+ - NUMBER EACH LOCALITY - LIOHT OUTLETS "NEAREBT RECEPTACLES / , CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS Sc S MAIL ELEC. RANGES Be ADDRESS w ELEC. HEATERS 25 CITY TEL. 190. FIXTURES 5 _ 13— I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS MIB'. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 -CERTIFY THAT 1- POSSESS THE ABOVE. VALID LOS NuMeER' HORSEPOWER FEE ANGELES COUNTY LICENSE; OR I AM THE LEGAL OWNER NEw Mvo. HP OVER 1190. 'EAC" OF THE RESIDENTIAL PR13PERTY DESCRIBED AB VE. Va 6 LESS .25 I/a 2 ` v SIGNATURE OF �~-I .--C Y .50 PERMITTEE- tli a 9 1.OD INSPECTION RECORD 5 19 1.50 1S 50 2.50 50 200 5.00 200 S00 10.00 J 500 11300 15.00 Z` OVER 1000 20.00 0 M.G. SET/FREQ. CHANGER-HP WELDERS'AC-KVA O , GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (76% OF ORIG.) MOVED MOTORS (75%.OF ORIG.) MIS0: SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMIT' DATE INSPECTOR'S NAME WIRING $1.00 DO CONDUIT FIXTURES $1.00 WIRING BUPPLEMENTARY .50 FIXTURES 5 POWER TOTAL FEE. UTILITY Co.NOTIFIED FINAL /L- T6A663 DBS#5A 4-58. 7SA5S3 DBS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY` COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. .� �� %..� 144-44Y ELECTRICIAN ^- RECEIVED BY READY FDR DATE ISSUED ADDRESS �j .a-- FIRST INSPECTION CITY TEL.NO. /I) , COUNTY ICENSE NO. - EXPIRES BUILDINGZ:Z ^ 00, PERMIT F,2ADDRESS NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER J TOTAL OUTLETS Be $ MAIL ELEC. RANGES 85 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 r 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS 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 I AM THE LEGAL OWNER New Mw. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. %2 A LESS $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE _ -� —�'- 2 5 1.00 INSPECTION RECORD 5 1S 1.50 _ 15 SO 2.50 50 200 5.00 i 200 5013 10.00 J 500 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 CRIG-) MOVED MOTORS (75% OF CRIG.) MISC. SIGNS NO. N 0.TRANS. APPRoval.s NO. NO.LAMPS FOR EACH PERMIT: DATE INSPECTOR'B NAME WIRING $1.00 eTO CONDUIT FIXTURES $1.00 C�-O WIRING SUPPLEMENTARY ,50 FIXTURES POWER TOTAL FEE $ ��- UTILITY CC.NOTIFIED FINAL '�s??VVORKERS'COMPENSATION DECLARATION 76-883 70/81 APPLICATION FOR ELECTRICAL PERMIT i +°;'hereby�irm that I have. a certificate of-'consent to self insure, CE-8o6G or 4t certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy themof'(Sec.3800 Lab.C.) Policy N0. Company FOR APPLICANT TO FILL IN JOBri ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE �-- ❑ Certified copy is filed with the county building Inspection 1 & 2-Family,Sq.Ft. $ _ $ 1 LOCALITY department. Multi-family Sq.Ft. NEAREST Residential Swimming Pools OWNER OR Date CROSS ST. Applicant C�lC-tea FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' `5 Sw. OA COMPENSATION INSURANCE Outlets:Recce_Light First 20 ADDRESS (This section need not be completed if the work Involved by the �j( CITY & �` Tel.No. �c��-� )J— permit permit is for one hundred dollars($100)or less.) Total No Additional PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT is issued, I shall not employ any person n any anner so as to become subject to the Workers'Compen ation L s. Lighting Fixture First 20 ADDRESS )( oJ�6—yj A o Total No Additional CITY Tel.No. Dat C� pelican Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after rn mg this Certificate of PERMIT Exemption,you should become subject ty'theW Workers'Compensation Range_ Heater_ D.W. APPLICANT provisions of the Labor Code,you mu t forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top — FAU _ W.H. CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR (commencing with Section 7000)of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER Class. Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO.,r PROCESSED B a Size&Type HP,KW,KVA,or KVAR 8 License Number Lic.Class Up to 1 Incl. FINAL Over 1 to 10 Incl. DATEt�W VALIDATION 0 Contractor Data Over 10 to 50 Incl. FINAL A V ❑ I am exempt under Sec. Over 50 to 100 Inc. BY a BARC.for this reason Over 100 / Services,Swbd.,MCC&Panelboards ` ® Z Data: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V l ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit riay n I hereby affirm that I am exempt from the Contractor's License Law PLIC ov for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits Code): I,as owner of the property,will do the work and the structure Misc.Conduits& Conductors 1 %TC!is is not Intended or offered for sale Section 7044, Business Other(See Complete Fee Schedule) TOT AL U55 r and Professions Code). CONSTRUCTION LENDING AGENCY` �"� 55'5D I hereby affirm that there is a construction lending agency for thei Performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE QL_ 1� 1 7/27!3-9 Lender's Name PERMIT ISSUING FEE 4716 '2107 Lender's Address I certify that I have read this application and state that the above TOTAL FEE J�� information is correct.I agree to comply with all County ordinances and State Jaws regulating Electrical wiring, and hereby authorize represenIves of this County to enter upon the above-mentioned prop� rty _r inspectio purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE gnature 5yPermittee Date a •WORKAR'S COMPENSATION DECLARATION 20- 63 DPW(12-91) I hereby;sfArma-that I have a certificate of consent to self insure, APPLICATION FOR ELECTRICAL PERMIT orAipertificate of Worker's.Compensation Insurance, or a certified, C.OUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy tfrereof(Sec.$800 Lab.C.) Poliby No. Company FOR APPLICANT TO FILL IN JOB ADDRESS ❑. Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY ❑ 1 &2-Family,Sq.Ft. _ $ $ Certified copy is filed with the county building inspection NEAREST department. Multi-family Sq.FL CROSS ST. Date Applicant Residential Swimming Pools . Mqp SSORc ` PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rei Light Sw. FIRM NAME COMPENSATION INSURANCE First 20 U� MAIL (This section need not be completed if the work Involved by the Total No.� Additional ADDRESS permit is.for one hundred dollars($100)or less.) 1/Ul 0 I certify that in the performance of the work for which this permit /�� <C_ CITY et.No. Is issued, I shall not employ any person in ny nner s s to `� PLAN CHECK r become.subject to the Workers'Compensa` L'a Lighting Fixtures First 20 APPLICANT Total No.W Additional ' ADDRESS Date "Applicant r NOTICE TO AP L CANT: If, aft making this Certificate of RESIDENTIAL APPLIANCES NOT OVER'3 HP. CITY el.No. Exerpption,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. p Y P.Y APPLICANT ' provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KIN,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. LICENSE B Clase. r Over 50 to 100 Incl. REG.NUMBER �� 0 Over 100 DISTRICT NO. ;0 ?F;D BY V License Number Lic.Class Services,Swbd.,MCC&Panelboards �•01 0-399 Amp.Under 600 V FINAL Contractor Date DATE V ❑ 400-1.000 Amp.Under 600 V VALIDATION I am exempt under Sec. Over 1000 Amp,or Over 600 V FINAL a B..&P.C.for this reason BRANCH CIRCUIT FEES BY 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 r SINGLE FAMILY Temp.Power Pole.&Appurtenances L r HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCT.T. I hereby affirm that I am exempt from the Contractor's License Law L for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits �30� �Oo�F Code): ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors - L LTE MS is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , TOTAL 76. 30, and Professions Code). CONSTRUCTION LENDING AGENCY CASH 6.80 1 hereby affirm that there is a construction lending agency for the CHANGE off) performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEEC i Lender's Name PERMIT ISSUING FEE 2 Q 111110100-00-131 'i563 I AM 9g[)7 Lender's Address I certify that I have read this application and.under!penalty of purjury state TOTAL FEE "7.(p• �j that the above information is correct. I agree to comply with all County prdinances and State laws regulating ElectricalWing.and hereby authorize represent of ty to en up a above-mentioned property for Ins SEE REVERSE FOR EXPLANATORY LANGUAGE 10MATMSOF PER.MrrrEE WORKERS'have ace DECLARATION 76-806 10/81 APPLICATION FOR ELECTRICAL PERMIT �-j: -' CE-806G I I�@reby affirm that I have a cert'dicate of'1$onsent to self insure, or a certificate of Workers' Compensation Insurance, or a,-certifled COUNTY OF.LOS ANGELES BUILDING AND SAFETY ' �hereof(Sec.3800,Lab.C.) No, L� Company 801f B FOR APPLICANT TO FILL IN JOB Certified copy Is hereby furnished. EACH NO. FEE ADDRESS New Residential Bldgs.&Pools 1 &2-Family,SQ•Ft. $ _ $ LOCALITY T k • Certified copy is filed with the county building inspection department. Multi-family Sq.Ft: NEAREST .. CROSS ST. 0/Alp Applicant�V�� �/ QtRot.� Residential Swimming Pools. ' + ' OWNER OR ,n �y II FIRM NAME pi x=_,o /�y� D CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light Sw. f MAIL ' COMPENSATION INSURANCE First 20• � ADDRESS O s+/Ifr (This section need not be completed.if the work involved by the Total No. Additional CITY r' ►_ Tel.Na. �_ C�/os permit 19 for one hundred.dollars($100)or less.) , ; certify that in the performance'of the work for which this permit I . PLAN CHECK is issued, I shall not employ any person.in any manner so as to I ` APPLICANT' , 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 NOTICE TO- APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range._ Heater D.W. _ APPLICANT propisions of the Labor,Code,you must.,forthwfth comply with.such Oven — Dryer_ W.M._ ADAJ DRESS CN'LrN/� .� provisions or this,permit shall be.deemed revoked. TOO' FAU W.li: CITY �•,� ,. .Tel.No. :?` .LICENSED:CONTRACTORS DECLARATION Hood — Fan Other_ I hereby:affirm that I am.licensed under provisions of Chapter 9Disp. — Room Air Cond. LICENSE OR C (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Class.0�7rj Professions Code,and my license is in full force and effect. power Apparatus&Large i4ppliances DISTRICT No. P . ED BY a•, (' Size&Type HP,KW,KVA,or KVAR i• License Number !2.3 �- Lic.CIas3J ff Up to 1 Incl. FINAL; Over 1 to 10 Incl. DATE VALIDATION Contractor 10 O& Date '� Over 10 to 50 Incl. FINAL . 1 am. pt under Sec. Over 50 to 100 Inc.. gY BAP.C.for this reason- Over 100 N Services,Swbd.,MCC&Panelboards, � r z . Date:. 0:20.0 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V 'Over 1000 Amp.or Over 600 V ❑ Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances, HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit AG�� a I hereby_ affirm that I am exempt from:the Contractor's License Law o v Additional Sign Branch Circuits Cothe-following 1 following reason(Section 7031.5,Business and Professions ,1 3307' 24.00 ❑• I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors V 1 ITEM is•not•intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)'_ and Professions Code).® TOTAL 4.00 'CONSTRUCTION LENDING AGENCY CHECK 2.4.011 I hereby affirm that there is a construction lending agency for the CHAk .00 performance of the-work for which this permit is.issued(See.309.7, PERMIT FEE- (Sub Total) 3 Civ.C.),, PLAN CHECKING FEE Lender's Name _ M'CM1 8/24/89 PERMIT ISSUING FEEy�j 1I10Q 14 Lender's Address I certify that I have read this application and;state that the.above TOTAL FEE o information is correct.I agree to comply with all County.ordinances i and State laws regulating Electrical. wiring, and .hereby authorize representatives of this County to enter upon the above-mentioned I ' pronarAy for inspection pure a SEE REVERSE FOR EXPLANATORY LANGUAGE / Signature . Permittee ate COUNTY OF LOS ANGELES i TEMPLE CITY # 0508 ECTRICA!. FERMI DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 50B-970'57TOO45 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: E EES PAD I I G SS: TR: 14341 LT: .4 I 10219 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803347 ASSESSOR 0 0 BER: NEAREST CROSS STREET: BALDWIN 8586-026-004 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 64 LOCALITY: TEMPLE CITY H5 RES WASH MACH LT 3HP 1.00 WAS 10.80 TENANT: TOTAL FEES 38.55 ISSUED ON: PROCESSEDB EXPIRES ON: 05/21/97 TC 05/21/98 OWNER: TEL. NO: FIA DATE FINAL DE: EMERSON HARRY W;ARACELI (818) 442-8405- / 10219 OLIVE ST c� L TEMP 917803347 DESCRIPTTON OF WORK �a TArI 'JRY�tAEP APPLICANT: L. 0• FIREBALL (818) 334-3545- `�a SPECIAL CONDITIONS: CONTRACTOR: TEL. 0: �' �'I,��' i � �� ,� ` APR ALS DATE INSPECTOR SIGNATURE FIREBALL PLUMBING (818) 334-3545- '�j� ` 205 S. LEMON AVE. LIC. NO /// TEMPORARY--POWER POLE AZUSA, CA 91702 C36 B C10 UNDERGROUND CONDUIT ARCHITECT 0: �6',' _- ?� 11.. i I �- � IlUFERGROUND LIC. NO: I' I i __ _� ;�! ROUGH CONDUIT IUCUGH WIRING V. IN WATER LINE BLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508