HomeMy Public PortalAbout10257 OLIVE ST_Electrical__ 7SAfw&3 088 BA 9-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY.
COUNTY OF LOS ANGELES �M
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN : DISTRICT NO. GROUP ZONE PERMIT N13.
ELECTRICIAN
E
�
RECEIVED BY READY FOR DATE ISSUED
ADDRE9B ?� FIRST INSPECTION ,
CITY TEL.NO 6
COUN LICENSE NO. a EXPIRES BUILDING
PERMIT FE ADDREBB�ir
�� .
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSB ST. �/
WALL SWITCHES OWNERUJ ��, • JLLn�21JA-o
TOTAL OUTLETS5c 8 1`!� MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS b 1 AND AGREE TO COMPLY WITH ALL COUNTY ORDJWANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS • 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE. LEGAL OWNER
,_
NEw MvD. HP OVER INc: EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
y a LEBE -8 .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
2 s.. 1.00 INSPECTION RECORD
5 15 1.50
15 SD 2.50 ��
50 200 5.00
200 500 10.00 . -�Q
500 11300 15.00 Z.
OVER 1000 20.00 2
M.O. SET/FREq. CHANGER-HP Q'
WELDERSIAC-KVA O
GENERATORS - KW
TRANSFORMERS'- KVA .
TEMP.MOTORS (75% or CRIB.)
MOVED MOTORS (75% of cRIBa
MISC. \
SIGNS
NO. NO.TRANS.
APPROVALS •
NO. NO.LAMPS
FOR EACH PERMIT: DATE. INSPECTORS NAME
WIRING 01.1101 CONDUIT
FIXTURES 81.130. ' WIRING
SUPPLEMENTARY ;Sp FIXTURES
/r I POWER
TOTAL FEE UTILITY CO.NOTIFIED led
FINAL /''-'
1
o '
.78AG68.CE806_8_87 APPLICATION FOR ELECTRIC PE.R-MI'T 1.
" COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING D AS77
A O
BUILDING AND SAFETY DIVISION ADDRESS
�
JOHN
AS ATT D.GRIFFIN,SUPT OFEBUIIGR
LDN
CLOCALITY
FOR APPLICANT TO FILL IN CROSS ST.
PERM FEES
EIGHTH RECEPTACLES SWITCHES OWNER
.NUMSERI ITEM EACH FEE MAIL
O z^;Z •
TOTAL OUTLETS $ .10 ADDRESS S `
ELEC. RANGES, WATER HEATERS, CITY A el TEL.NO.
CLOTHES DRYERS 'SO ELECTRICIAN C`
ELEC.SPACE HEATERS,STAT'Y. COOK=
ING UNITS, GARDA DISPOSERS, ADDRESS Q
AUTO WASHERS, DISHWASHER .2s'
LIGHTING FIXTURES .10 CITY —a—
TEL.NO
MOTORS STATE
LICENSE NO.
HORSEPOWER
H.Pi OVER INC. � �ISR
. . A ON READY FOR INSPECTION
h
%&LESS .25
z so ,�1, ;t;j INSPECTION RECORD
i — 5 1.00
5 15 1.5oa O,
1s ' — so 2.50 , • r
50 — zoo 5.00 �^!
! `!' Z."4 //iso:^•x4
MISC.
SIGNSII NO.TRANS
NO.LAMPS
SERVICE O-600V 1.00
SERVICE OVER GOOV 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 ...�
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE $ diDATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING r
ELECTRICAL WIRING. WIRINGy'9 qe
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR FIXTURES '�s� f
LICENSED AS REQUIRED BY LOS ANGEL COUNTY AND STATE OF
CALIFORNIA OR.T I AM THE LEG 0 R OF T E ABOVE POWER
DESCRIBED REBID T1 L PROPERTY,
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE( FINAL
IOHN A.LAMBIE VALIDATION ARTHUR C..VETT,
rOUNTY ENGIN SUPERVISI
MO CASH NG ELECTRICAL ENGINEER
I f`
I h.¢ PIKERS'COMPENSATION DECLARATION 79-683 to/at An❑Pll �C/n��i'I � N �® �ECTRICAL PERMIT
retry affirm that I have a certificate of consent to self insure,
CE-808G Ij' Lh ( l] II CJ
or- certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
coj� theredf(Sec.3800,Lab.C.) I fl
Policy No. Company FOR APPLICANT TO FILL IN JOB }�
❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS Q , �Q S
1 New Residential Bldgs.&Pools
I"1 1 &2-Family,Sq.Ft. $ _ $ LOCALITY
�--I Certified copy is filed with the county building inspection
department. Multi-family Sq.Ft. NEAREST
CROSS ST.
D1DI Residential Swimming Pools. OWNER R }�T
. Applicant I FIRM NAME VVA
'CERTIFICATE OF EXEMPTION FROM WORKERS' Rec Light —Sw. ' MAI
Outlets: L
— —_
COMPENSATION INSURANCE I First 20 ADDRESS $ r
(This section need not be completed if the work involved by the CITY Gr jr Tel )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 PLAN CHECK'
APPLICANT
is issued,.I shall not employ any person in any manner so as to
become,subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Additional
Total No.. CITY Tel.No.
Date Applicant ,
NOTICE TO APPLICANT:-"If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption,you should become subject to the Workers'Compensation Range_ Heater_. D.W. APPLICANT
provisions of the Labor Code,you must 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 9 Disp. — Room Air Cond. LICENSE OR Class.
(commencing with Section 7000)of Division 3 of the Business and REG.NUMBER
Professions Code,and my license is in full force and effect. DISTRICT NO. PR
ED By
Power Apparatus&Large Appliances
Size&Type HP,KW,KVA,or KVAR � Qt
License Number Lic.Class Up to 1 Incl. FINAL C+
Over 1 to 10 Incl. DATE VALIDATION Od
Contractor Date Over 10 to 50 Incl. 1-
❑ C�)
I am exempt under Sec. ! Over 50 to 100 Inc. FINAL
Over 100
BAP.C.for this reason
Services,Swbd.,MCC&Panelboards Zr•„
Date:. 0 200.Amp.Under 600 V
Signature 201 - 1000 Amp,Under 600 V
Over 1000 Amp.or Over 600 V
Exemption for Reg.Maiint.Elect.
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Law additional Sign Branch Circuits
for the following.reason(Section 7.031.5,Business and Professions
Code)'
Misc.Conduits&Conductors
I,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule) _
Is not intended or offered for sale (Section 7044, Business p
Y'i S�.t'I ".r.' a '
and Professions Code). I,-
,
CONSTRUCTION LENDING AGENCY ^� °"•'ter A
I hereby affirm that there is a construction lending agency for the it °s"
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub Total) j11�si✓ ,_j-'
Civ.C.).
PLAN CHECKING FEE
Lender's Name i.:j_j_j'-;�,Iji.i :x•'_,., '�
PERMIT ISSUING FEE.'
Lender's Address
I certify that I have read this application and state that the above TOTAL FEE ��7 ?�'! `• .
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 pur oses. SEE REVERSE FOR EXPLANATORY LANGUAGE
I ,
i n re rm1a its
- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0508050030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 14341 IT: 11 10257 OLIVE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803347
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ARDEN
8586-026-011 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
F1 120V, 15/20A BR CRTS 3.00 BR 51.75
TENANT: F2 208, 277V LGT BR CKT 1.00 BR 27.30 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
G1 OUTLETS-LGT,SW,RECP 22.00 OUT 41.70 08/05/05 JK 02/01/06
G2 LIGHTING FIXTURES 7.00 LGT 13.65
OWNER: TEL. NO: TOTAL FEES 162.15 FINAL DATEJAL BY: CODE:
GOTTFRIED WALTER T CO TR GOTTFRIED (626) 444-4275-
10257 OLIVE ST �- _i
TEMP 917803347 DESCRIPTION OF WOR
ELECTRICAL FOR ADDITION
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. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT J�
i
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
•~ COUNTY OF LOS ANGELES TEMPLE CITY
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS # 0508 ELEO 0801410270020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS:
ITR: 14341 IT: 11 I I 10257 OLIVE ST ]
1 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803347
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18586-026-011 JAI PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
I JHA FAU LESS 3HP 1.00 FAU 11.00 1 1
ITENANT: IIA N-RES EX FANS IT 3HP 1.00 EX 15.30 ISSUED ON: PROCESSED BY: PLAN BY:
1JB AC UNITS +3-10HP 1.00 AC 19.70 110/27/14 SR
TOTAL FEES 73.80 1 1
[OWNER: TEL. NO: I JFI AL ATE F BY: CODE:
IGOTTFRIED, KAREN (626) 452-1205- 1 1 '
110257 OLIVE ST I
ITEMP 917803347 1 ID CRIPTION 6F WORK
I 1 [A/C + FAU UNITS AND TWO 1AUST FANS
APPLICANT: TEL. NO: I I I
IWUKMIR, NICK (626) 442-2148- I I 1
111500 RAMONA BLVD. i (SPECIAL CONDITIONS:
EL MONTE CA 91731
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IJAMES WUKMIR CO., INC. (626) 442-2148- 1 1 1
111500 RAMONA BLVD LIC. NO 1 ITEMPORARY POWER POLE I I I
]EL MONTE CA 91731 285626 1 1 1 1 1
UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
1 LIC. NO: i TROUGH CONDUIT
I TROUGH WIRING i 1
]MAIN WATER LINE Illi TTT
] 1 (PLASTIC Y/N METAL Y/N 1 I 1
] 1 1UTILITY COMPANY NOTIFIEDI I 1
I I I ] 1 ]
I I I I I
I I I ] I 1
I
I I I
] IREPORT ID: DPR265 ROUTE TO: BS0508 I 1