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Home My Public Portal About10249 OLIVE ST_Electrical__ 76A88S- 01385A U-48 ® APPLICATION FOR PERMIT DEPARTMENT OF BMDING AND SAFETY •COMY'OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO. ELECTRICIANEi um� RECEIVED BY READY FOR'. DATE ISSUED ADDRESS,41/11FIRST INSPECTION CITY ,.y TEL NqQ'4Aff 91 COUNTY LICENSE NO. EXPIRES UILDING ®� PERMIT, FESS FEE ADDRESS Le NUMBER OUTLETS EACH LOCALITY LIGHTS Sc 8 NEAREST CROSS ST. .� RECEPTACLES 5 � FIXTURES 5 OWNER �y^� /+—Ge�.+�1✓- %�!, ,*13 !1' WALL SWITCHES S MAIL V ELEC. RANGES 25 ADDRESS ELEC.-HEATERS 25_ CITY TEL. NO. MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: APPLICATION AND. STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWER I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEW MVD. HP 'OVER INC. EACH FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF•THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. a LESS S .2S V 2 2 .50 SIGNATURE OF PERMITTEE 2 5 1.00 S 15 I.SO *SPECTION RECORD 15 50 2.50 50 200 5.00 200 Boo 10.00 Boo , 1000 15.00 J _ a OVER 1000 20.00 . Z M.G.•SET/FREQ. CHANGER-HP a FTRANSFORMERS LDERS: AC-KVA Q NERATORS = KW - KVA MP. MOTORS (75% of ORIG.) VED MOTORS 75% F onla.) SC: SIGNS."'.' TYPE: NO. TRANS. TYPE: NO. LAMPS APPROVALS DATEINSPECTOR'S'NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES 81.00 WIRING SUPPLEMENTARY SO FIXTURES. POWER ,yy TOTAL FEE 8 6 J UTILITY CO. NOTIFIED �Q '� �L+J e•h( -4--. _ FINAL [tJ�=��l'� :!r""�•%l"/r1'. ,y�„�.�r/ t SI WORKER'S COMPENSATION DECLARATION 20.0019 DPW(t2-91) APPLICATION FOR ELECTRICAL PERMIT u 76A663 I heresy afflr�that I have a certificate of consent to self Insure, or a certificate of Workers Compeil'sation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE _ $ $ LOCALITY ❑ Certified copy is filed with the county building Inspection 1&2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. CROSS 8T. Date Applicant I Residential Swimming Pools �P BOOK jf PAGELQP6 PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.J_; Lighty Sw. FIRMNER OR NAME �/ •0 COMPENSATION INSURANCE 4— �� First 20 _ (This section need not be completed if the work Involved by the ADDRESS Q Y permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CITY Tel.No. is issued, I shall not employ any person in any manner so as to PLAN CHEfdk 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: 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 p p y APPLICANT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances 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. LICENSE OR a Over 50 to 100 Incl. REG.NUMBER Class. Over 100 DISTRICT NO. faWSSED BY V License Number Lie.Class Services,Swbd.,MCC&Panelboards 0 Contractor Date 0-399 Amp.Under 600 V DA7E ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V ,(�✓ 'f VALIDATION Ill 0 Over 1000 Amp.or Over 600 V FINAL Q. B.&P.C.for this reasonBRANCH CIRCUIT FEES BY 2 , 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 SINGLE FAMILY Temp.Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law g ACCT=� for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): , , 0.i ;• ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors ITEMS is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , TOTAI 4 and Professions Code). CONSTRUCTION LENDING AGENCY CASH 44=40 1 hereby affirm that there is a construction lending agency for the CHANGE _00 performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) ` Civ.C.) PLAN CHECKING FEE Lender's Name / 0000-0001 0/27195 PERMIT ISSUING FEE Fj , Lender's Address 1 1-070 1 PM 5:35 1 certify that I have read this application and under penalty of purjury state TOTAL FEE !f 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 1A SIGNATURE OF PERMITTEE DATE 1 ' T T COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0403160004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: Y GAL I PAID UILDI G DDR . TR: 14341 LT: 9 10249 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803347 ASSESSOR INFORMATION NUM R: NEAREST CROSS STREET: BALDWIN 8586-026-009 Al PERMIT ISSUANCE FEE 27,75 THOMAS PAGE: 597 GRID: 64 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 35.00 OUT 59.25 TENANT. G2 LIGHTING FIXTURES 10.00 LGT 19.50 ISSUED 0 : PROCESSED BY: PLAN BY: EXPIRES ON: H7 RES EXHAUST FANS 2.00 EX 21.90 03/16/04 VG 09/12/04 LB 200 AMP PANELS, MCC 1.00 PAN 38,85 OWNER: TEL. NO: TOTAL FEES 167.25 FINAL DATE FINAL BY: CODE: WONG SIU ON;LEUNG SUI WAN (626) 448-2421- �Z2 v 10249 OLIVE STREET d TEMPLE CITY 91780 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION APPLICANT: TEL. O: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY-POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. 0: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING /1J� MAIN WATER LINE PLASTIC Y/N METAL Y/N TILITY COMPANY NOTIFIED r REPORT ID: DPR265 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0211010011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: E AL ID: FEES PAID BUILDING TR: 14341 LT: 9 10249 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803347 ASSESSOR NFOR 0 BER: NEAREST CROSS STREET: BALDWIN 8586-026-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 25.00 OUT 45.75 TENANT: G2 LIGHTING FIXTURES 7.00 LGT 13.65 ISSUED ON: PROCESSED BYF PLAN BY: EXPIRES H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 11/04/02 JK 05/03/03 . H7 RES EXHAUST FANS 1.00 EX 10.95 OWNER: TEL. N0: TOTAL FEES 109.05 FINAL DATE �L BY: CODE: WONG SIU ON;LEUNG SUI WAN (626) 448-2421- (/� 10249 OLIVE TEMP 917800000 DEI C 0 OF WORK ELECTRICAL FOR ADDITION/REMODEL APPLICANT: TEL.—NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: �, ;•,:a,- , APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NOTEMPORARY POWERE �, � �� •�✓c-'�� •� \,, '+ UNDERGROUND CONDUIT / t � ' ARCHITECT OR ENGINEER: E 0: p � 'f �;• � ER GROUND LIC. NO:': ROUGH CONDUIT i - - - - ROUGH MAIN WATER LINE PLASTIC Y/N METAL Y/N -- - — - UTILITY-COMPANY NOT F ED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0403260017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D BUILDING ADDRESS: TR: 14341 LT: 9 10249 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803347 ASSESSOR INFORMATION N U ER: NEAREST CROSS STREET: BALDWIN 8586-026-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY HA FAU LESS 3HP 1.00 FAU 10.95 TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSED 8 N BY: EXPIRES ON: TOTAL FEES 58.35 03/26/04 VG 09/22/04 OWNER: TEL. NO: FINAL DATE FINAL-BY: CODE: WONG SIU ON;LEUNG SUI WAN (626) 448-2421- 10249 OLIVE STREET -Lz y TEMPLE CITY 91780 DERCkIPTIUN OF WORK ELECTRICAL FOR NEW HVAC APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH RING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NO I IE REPORT ID: DPR265 ROUTE TO: BS0508