HomeMy Public PortalAbout10321 OLIVE ST_Electrical__ F6A668-CE606 6-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING pA t
BUILDING AND SAFETY DIVISION ADDRESS % 0
JOHN A. LAMBIE. COUNTY ENGINEER p
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY ��� \ `.r
NEAREST
FOR APPLICANT TO FILL IN' CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 6.20 S OWNER
LIGHT MAIL
ADD'L f0 ADDRESS
SWITCH. OVER 20
TOTAL CITY L.NO.
LIGHTING I
F1asT 20 .20FIXTURES ADD'L t0 ELECTRICIAN
OV R 2O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS.
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE tITRB. BTA.APP.(Ya H.P.MAX.) .SO
LICENSE NO..
MOTORSs OVER NOT OVER H.P. DILS�RI.CT O. GROUP ZO EO S�S�n BqY
O 1 1.00
1 9 1.so INSPECTION RECC►RD
s s 2.00
B 1 s 2.50
1s so 3.00 }
_ a
s0 100 5.00 O
- U
SIGNB�
NO.TRANS.
NO.LAMPS �O)...
SERVICE 0.600V-Nor OVER1.00 IU
SERVICE O-SOOV-OVER 22.00 d
N
SERVICE OVER SOOV5.00 ?
SC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE 'INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT A A p
WITH ALL COUNTY ORDINANCES.AND STATE LAWS REGULATING
ELECTRICAL WIRING. �A
WIRING r, �_, �;, � ! •.:�f�r'i:
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR•
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNS RTHE OVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE r
VALIDAT ARTHUR C. VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L.h�o 5 5 8 3 r)CP 14 2 D 1,00-
'6A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �q`.s
BUILDING AND SAFETY DIVISION wDDREss 0
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'T OF BUILDING [LOCALITY C
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
REC EP T, TOTAL NO. EACH FEE_
OUTLETS FIRST 20 $,2p 5 OWN_ _ ER
LIGHT MAIL
IADD'
L .10 ADDRESS 4t
SWITCH. OVER 2O
TOTAL CITY L. NO.
LIGHTING 1 FIRST 201 20
FIXTURES 1 AOD'L 10 ELECTRICIAN
OVriR 20
RANGES CLO.DRYERS WTR,HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.('/y H.P.MAX.) ,50 LICENSE NO.
MOTORS: ovER NOT OVER H.P. DISTRICT NO. GROUP ZONE O SSE BY
O 1 1.00 t] 7 7
I s 1.80 INSPECTION RECORD
a a 2.00
a 1 S 2.50
15 so 8.00 }
a
SO 100 5.00 0
SIGNS: NO.TRANS
im
NO.LAMPS 0
O
SERVICE 0-60OV-NoT OVER 200A 1.00 cc) W
SERVICE 0-60OV-OVER 200 A. 2.00 D.
N
SERVICE OVER 600V 5.00
hoysc.
D
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 8
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'$SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT .t
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING -
.�:,' !_
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR > _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER THE OVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED 3
OF PERMITTEE -
FINAL
VALIDATI ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
=
. 14 2 D 1.0 0
F6A663-CE606 8-62 APPLICATION FOR ELECTRICAL PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS lJ
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT or BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
TOTAL N EACH FEE
L SHT . OUT TS FIRST 20 $20 $ OWNER
LIGHT MAIL c
ADD
SWITCH. 41 OVER 20 f .10 ADDRESS
T L. O.
LIGHTI G I TOFtiRsr 20 .20 CITY
FIXTURES ADD'L 0V9R 20 .10 ELECTRICIAN
RANGES CLO.DRYER8 WTR.HTRS. 1.00 'ADDRESS'
GARB.DISP. STA.COOK CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE•
SPACE HTRS. STA.APP.(1/i H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST CT N=G� ZONE PROC Sp Y
0 1 1.00
1 s 1.50 INSPECTION RECORD
8 S 2.00 [y 1
8 15 2.50 .i
15 50 8.00 Jr >
A d
50 100 5.00 66��►►
q/
+: 4 O
SIGNS: .NO..TRANS. v f 1
NO.LAMPS Ir.�.aP�s•` '3!/ NA.i° 1 -Y�Y �!'�3�0 , 1 i t O
..� a r`-✓
SERVICE 0.60OV-NoT OVER 200A 1.00 Ik'i } _
uj
SERVICE 0.600V-OVER 200 A. 2.00 v �+�,g ,? f �AnA�� h h
SERVICE OVER 600V 5.00 Jv rr YRS r ?
(r
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE Is
(�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS 'DAm INSPECTOR'S SIGNATIIR6
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITHA p ,,.m✓r.
WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING• ®�`�A '� ✓..�.a�.�:S+f,.� ��
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR •(' v �•"' 1�
LICENSED AB REQUIRED.BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER 42
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE /
IS FINAL
VALI T ARTHUR C. VEIT
M CASH SUPERVISING ELECTRICAL ENGINEER
�� L L 5 .4 1 0`a SEP 1 0 2 D 3.20— a
76A668 DBS SA 11-60 APPLICATION FOR 'PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF. LOS ANGELES E LE CTR T C : . Z
WILLIAM J. FOX, CHIEF ENGINEER i
FOR APPLICANT TO'FILL IN' (, DIST ICT NO. GROUP ZONE PERMIT NO.
\\ �'1 '\1 \� '.J e p
ELECTRICIAN �� \�.� N� f
s ; RECE VED BY READY FOR DATE ISSUED
ADDRESS_ \\�� \�. \� \ \Nt `,` `� FIRST INSPECTION
1 ., \,N
CITY -- a +,., \,� Cl- C \�k-.��hl- NO N (\1
COUNTY LICENSE NO. /. \(r.t\n w%NEXPIRES\ BUILDIN
^•� ADDRESS \ 1 `'�}.L cz 'S
PERMIT FEES
NUMBER EACH FEE LOCALITY —1,"&
v-&
LIGHT OUTLETS NEAREST N�,
CROSS ST. it
RECEPTACLES l � 1�1 l' \,
WALL SWITCHES \ OWNER (`�v�:s{A�`1`\� c=,., V�sJ`tr�►J—
TOTAL OUTLETS Sc 5 MAIL
ELEC. RANGES 25
�4
ELEC. HEATERS 25 CITY \� h`C C* rTEL. NOV b�C (NA kJ�
FIXTURES S
I HEREBY ACKNOWLEDGE TJ
I 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NuMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE' LEGAL OWNER
NEW MVD. HP OVER INC. EACH 'OF THE RESIDENTIAL PROPERTY DESCRIBED i'ABOVE.
I \\\ i
1/2 a LESS S .25 SIGNATURE OF ��
1/2 2 .50 PERMITTEE \\\ � I
2 5 1.00 INSPECTION�RE,CORD '
5 15 1.50 -
15 50 2.50
50 200 5.60 '
200 500 10.00. J
SOO 1000 15.00 Q
Z
OVER 1000 20.00 0
M. G. SET/FREQ. CHANGER-HP a
WELDERS:AC-KVA
GENERATORS-KW
"r
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. No.TRANS. APPROVALS . '
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 I CONDUIT
FIXTURES $1.-00' WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE 5 ? UTILITY CO. NOTIFIED
II FINAL
i
!&f 'iP;141/
7GA603-CMOG-t1�APPLICATION FOR' ELECTRI.M'ERMIT • '1
COUNTY OF LOS KNGELES
DEPARTMENT OF COUNTY ENGINEER 6UILDIN
BUILDING AND SAFETY
�p EDnIgVlInSION ADDRESS
C MUTT D. G NHUE08Vt O!S lw LOCALITY w
ST
FOR APPLICANT TO FILL IN CROSS ST.
PERM FEES
ITEM NUMBER. EACH FEEOWNER
OUTLETS: . $ $ MAIL d
.LIGHTS RECEPT. SW. .10 _ ADDRESS
LIGHTING.FIXTURES .10 CITY L, O.
ELEC.RANGES , CLO.DRYERS ELECTRICIAN
W'AT6RHEATERS •50 ABDRESS
ELEC.SPACE HTRS. DISHWASHERS
GARBAGE DISPOSERS AUTO.- CITY TEL.NO.
WASHERS STA.COOKING UNITS .z5 STATE S
LICENSE NO.
MOTORS: OVER INC. H.P.
o— 1/2 25 DISTRICT 1GROPI ZONE! READY FOR INSPECTION
1/z — 2 SO
2 — 5 1.00
WSPECTION RECORD
� - � •
5 — to A VISO
tr
go— zoo 15.00
SIGNS: NO.TRANS..
NO.LAMPS
SERVICE O-GooV 1.00
SERVICE OVER 600V 5.00
MI
WIRING PERMIT 11.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT -SO'
TOTAL FEE $ ,p�� ' APPROVALS
4
1 HEREBY ACKNOWLEDGE THAT I .HAVE READ THIS AP KDATE INSPECTOR'S.SIGNATURE
ATION -
AND STATE THAT THE ABOVE I$ CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING f
ELECTRICAL WIRING. WIRING 2-19
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED .AND/OR !
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ST.A'rgfbF FIXTURES .f/s !s•s.:
CALIFORNIA OR THAT 1 AM THE LEGAL HER F TH B POWER
DESCRIBED RESIDE TIA PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED O,' ''�-3,8'
OF PERMiTTE FINAL '
vAT.IDAT O ARTHUR C. EIT.
SUPE
CK MO(CASH]
SUPERVISING ALmcrRICAL ENBINEBR
LAC5 0 9 5 L SEP 23 2 A 2.0 0. M
MA663-CE806 8-62 APPLICATION FOR ELECTRICALERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION, wcOREBs
JOHN A. LAMBIE; COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO, EACH FEE
RECEPT. TOTAL v
OUTLETS FIRST 20 S.20 $ OWNER
LIGHT MAIL
ADD'L 10 ADDRESS.- �.
SWITCH. OVER 20 p
CITY Y>,e
LIGHTING 1 TOTAL FIRST 20 .20 TEL.NO.
FIXTURES. 1 'L ,10. ELECTRICI
OVER
R ZO
RANGES: CLO.DRYERS WTR.HTRS. 1.00 ADDRESS. ,�V
GARB.DISP. STA.COOK rr
CITY TEL.NO. b L.U.
DISHWASH. AUTO.-WASH. STATE '
SPACE HTRS. BTA.APP.(Va H.P.MAX.) .50 LICENSE NO.
MOTORS& OVER NOT OVER H.P. DI T ICT 3 . GROUP ZONE P ESSED BY
O 1 1.00. GN
t s .1.50 INSPECTION RECORD sss
S .8 2.00
8 18 2.50
15 50 9.00 p',• a
50 100 5.00
SIGNSi NO.TRANS•
NO.LAMPSO
SERVICE 0.600V-NOT OVER 200A 1.00 G
SERVICE 0.60OV-OVER 200 A. 2.00 y'
SERVICE OVER 600V .5.00 ?
C.
w
S
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ'THIS APPLICATION APPROVALS DATE INSPECTOR'B SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT. I
WITH ALL•COUNTY ORDINANCES.AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY .REGISTERED AND/OR `
LICENSED A8 REQUIRED BY LOSANGELES COUNTY AND STATE OF FIXTURES '
CALIFORNIA OR THAT 'I AM THE LEGAL .OWNER OF TF* BO -
DESCRIBED RESIDENTIAL PROPE POWER
SIGNATURE UTILITY CO.NOTIFIED71w3l
OF PERMITTEE FINAL �1
VALIDATI ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
I
LACO 1.9 0 3t2 OCT 2 8 2 D '3.00- '
.iWORKERS'COMPENSATION DECLARATION i 20-0019 DPW 3/87 APPLICATION FOR I.ELECTRICAL PERMIT
�! herel;y affirm that I have a certificate of consent to self Ce O
insure, or a certificate of Workers'Compensation Insuranc4, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or 4 certified copy thereof(Sec. 3800, Lab. C.)
Poli.c�No. Company FOR APPLICANT TO FILL IN j JOB ��3Z r�� L 5
Certified copy is hereby furnished. I New Residential Bldgs. &Pools EACH NO. FEq ADDRESS G' CI )/- I
Certified co is filed with the count bu!Id!n ins ec- 1 &2-Famil S Ft. $ = $ LOCALITY
PY � Y 9 � P Y. 9•
tion department. I Multi-family Sq. Ft. ! NEAREST
Residential Swimming Pools CROSSST
Date Applicant I OWNER R j FIRM NAME J
f� ug HS/G(N
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec__�_._Light_L_Sw.� I ADDRESS I DLJ z �• ULI►/b �/,
COMPENSATION INSURANCE First 20
(This section need not be completed if the work involved byTotal No. Additional I CITY 'T�,✓��L� 6ify Tel. No.
the permit is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which thil PLAN CHECK
APPLICANT
permit is issued, I shall not employ any person in any manneE
so as to become subject to the Workers'Compensation Laws( Lighting Fixtures First 20 ADDRESS
I Additional
Date Applicant Total No. CITY Tel. No.
NOTICE TO APPLICANT: If, after makingthis Certificate of Fixed Appliances Not Over 1 HP PERMIT
Range— Heater—D.W. — APPLICATION
Exemption, you should become subject to the Workersi g
Compensation provisions of the Labor Code, you must forthi Oven — Dryer —W.M.— ADDRESS
with comply with such provisions or this permit shall be Top — FAU —W.H. —
deemed revoked. I Hood — Fan —Other— CITY O Tel. No.
LICENSED CONTRACTORS DECLARATION LICENSE OR
Disp. — Room Air Cond. — Class.
1
I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBER
(commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances I DISTRICT NO. PRCS.-USED BY
and Professions Code,and my license is in full force and effect Size&Type HP, KW, KVA, or WAR �,
License Number Lic. Class Up to 1 Incl. FINAL
Over 1 to 10 Incl. I DATE _ 8"��'� VALIDATION cc
Contractor DateOver 10 to 50 Incl. I F-
FINAL
I am exempt under Sec. Over 50 to 100 Inc. � BY LU
B.&P.C, for this reason Over 100 d
Date: i Services, Swbd., MCC&Panelboards I , N
Z
0-200 Amp. Under 600 V
Signature i 201 - 1000 Amp. Under 600 V
Over 1000 Amp. or Over 600 V
El Exemption for Reg. Maint. Elect.
SINGLE FAMILY t Temp. Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit � T 1-
I hereby affirm that I am exempt from the Contractor's License Aug I ■F
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits f
Professions Code): i s10f 143060__
Misc. Conduits&Conductors I I!EMI'D
�I, as owner of the property, will do the work and the l Fee Sched
Complete See u
structure is not intended or offered for sale(Section 7044) Other ( P TO i*AL 16 - 60
Business and Professions Code).
CONSTRUCTION LENDING AGENCY 'HECK i is a _I
I hereby affirm that there is a construction lending agency for'' CHANGE
the performance of the work for which this permit is issued kPEFEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE
Lender's Name i [I_I0111–il(101 1'2/ 3/97.:
PERMIT ISSUING FEE � „r,: .,4t,
Lender's Address /_ 4222 1 AN S=: `�
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 Electrical wiring, anc�
hereby authorize representatives of this County to enter upon
the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
SignaturdjofJPertdittee V Date I ®�
. WORKERS'COMPENSATION DECLARATION (ec 8o6G 10/
�S� APPLICATION POR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self insure,
or a certificate,of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND"WETS(
copy,thereof(Sec.3800.Lab.C.) "fl
Policy No. Company FOR APPLICANT TO FILL IN JOB y
Certified copy.is hereby,furnished. EACH NO. FEE ADDRESS ]D3�� OL i 1i ST.
New Residential Bldgs.&Pools LOCALITY
E] Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ — $ Psi GI S
department. Multi-family Sq.Ft. — NEAREST
CROSS ST.
Date. Applicant Residential Swimming Pools OWNER R ''II
FIRM NAME ,TUA & nS 4JtJCv
CERTIFICATE OF EXEMPTION FROM WORKERS' � MAIL
Outlets:Rec Light Sw.. )
COMPENSATION INSURANCE � First 20 �p / � ADDRESS JD��.f �. OLjI/�
(This section need.not be completed if the work involved by the /1/ CITY Tel.No.
permit.Is.for one hundred dollars($100)or less.) Total No. Additional Additional r to . G7T{ 4S.&-Y7:4.40
PLAN CHECK
I certify that in the performance of the work for which this permit 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 Q o+ ADDRESS
Additional
Total No.4— CITY Tel.No.
Date Applicant .Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT
Exemption,you should become subject.to the Workers'Compensation Range_ Heater D.W.
provisions of the Labor Code,you must forthwith comply with such Oven ^ Dryer_ W.M._ ADDRESS
j' provisions or this permit shall be deemed revoked. Top FAU W.H. _
LICENSED CONTRACTORS DECLARATION Hood Fan � OtherCITY Tel.No.
_ _
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. PROCESSED BY
'�.,9 Power.Apparatus&large Appliances
Size&Type HP,KW,KVA,or KVAR O
License Number Lic.Class Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE VALIDATION OW 0
Contractor Date Over 1.0 to 50 Incl.
NAL
FI
I am exempt under Sec. Over 50 to 100 Inc. FI W
B.&P.C.for this reason Over 100 �-
fA
Date:
Services,Swbd.,MCC&Panel-boards 1 /P , Z
0-200 Amp.Under 60 V
Signature 201 - 1000 Amp.Under 600 V
❑
Exemption for.Reg.Maint.Elect. Over 1000 Amp.or Over 600 V
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuitp�- a.
I hereby affirm that 1 am exempt from the Contractor's License Law. Additional Sign Branch Circuits ACC °-w
for the following reason(Section 7031.5,Business and Professions
Code): 3 (-7
® 1,as owner of the property;will do the work and the structure Misc.Conduits i Conductors i � I+
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ ®
and Professions Code). U-141' 4
AL ®00
CONSTRUCTION LENDING AGENCY CHUN, 5;r.117..
I hereby:affirm that there is a construction lending agency for the' / �1HANGE °I':i_
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total)
Civ.C.).
PLAN,CHECKING FEE
Lender's Name 0010—000' 8/20/5-L
PERMIT ISSUING FEE
Lender's
Lender's Address
1 certify that I have read this application and state that the above TOTAL FEE ,00
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
proper for inspection purposes. Q SEE REVERSE FOR EXPLANATORY LANGUAGE
AA III—e-1 O"
Sign ture of r ee Date /.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0602230010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: F88S PAID BUILDING ADDRESS:
BK: 5 PG: 59 PC: 3 10321 OLIVE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802861
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8586-028-047 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50
TENANT: ;G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 51.15 02/23/06 JK 08/22/06
i
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
LIU, HONG PING (626) 444-0820- V7^-�C3TJ
10321 OLIVE ST
TEMP 917802861 DESCRIPTION OF WORK
4 OUTLETS, 2 J-BOXES, 2 LIGHTS, 4 SWITCHES
APPLICANT: TEL. NO:
TA MICHAEL (909) 292-6199-
786 PINEFALLS AVE SPECIAL CONDITIONS:
WALNUT, CA 91789
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
WEST COAST CUSTOM ROOMS (909) 594-7547-
786 PINEFALLS AVE LIC. NO TEMPORARY POWER POLE
WALNUT CA 91789 471619BEIC
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
I
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1208280008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: 1
IBK: 5 PG: 59 PC: 3 1I 10321 OLIVE ST 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802861 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18586-028-047 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
I G1 OUTLETS-LGT,SW,RECP 1.00 OUT 2.00 1 1
(TENANT: [ TOTAL FEES 29.80 11SSUED ON: PROCESSED BY: PLAN BY: 1
HOUGH PING LIU [ 108/28/12 SR 1
[OWNER: TEL. NO: [ [FINAL DATE FINAL BY: CODE: 1
HOUGH PING LIU (626) 286-4217- [
110321 OLIVE ST I i mo-D-
ITEMP 917802861 1 IDESCRIPTION OF WORK 4I
1 [ (INSTALL AN OUTLET IN LIVING ROOM 1
(APPLICANT: TEL. NO: [
I
IFUNG'S CONSTRUCTION CO (626) 625-7048-
1437 W. WELLS STREET 1 ISPECIAL CONDITIONS: I
ISAN GABRIEL CA
CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
I
1FUNG'S CONSTRUCTION CO (626) 625-7048- I
1437 W. WELLS STREET LIC. NO 1 ITEMPORARY POWER POLE I I I
ISAN GABRIEL CA 753441 1 1 1 1 I
I [ (UNDERGROUND CONDUIT I I I
[ARCHITECT OR ENGINEER: TEL. NO: - [ IUFER GROUND I I
I I I
LIC. NO: [ [ROUGH CONDUIT I [ 1
1 I [ROUGH WIRING I I
I I IMAIN WATER LINE
[ I IPLASTIC YIN METAL YIN I I I
I [ (UTILITY COMPANY NOTIFIEDI [ I
I I I I I I
I I I I I
[ I I I I I
1 i I I I
[ 1 I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508
I I I I I