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HomeMy Public PortalAbout10325 OLIVE ST_Electrical__ eAe63 CE-806(6/78) APPLICATIO FOR ELECT AL-PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB r� ` New Residential Bldgs.&Pools EACH NO. FEE' ADDRESS 3 li �� J 1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY Multi-family Sq.Ft. .02 — NEAREST CROSS ST. Residential Swimming Pools 25.00 OWNER OR FIRM NAME AS' Outlets:Rec Light Sw. MAIL First 20 .50 ADDRESS Total No. Additional .30 CITYTel.No. PLAN CHECK APPLICANT Lighting Fixtures First 20 •50 ADDRESS Total No. Additional "30 CITY Tel.No. Fixed Appliances Not Over 1 HP PERAP LICANT rc� !h- g5- Range_Heater_D.W. Oven—Dryer4p—t— W.M. ADDRESS �r C� jtWr ,,- 1,4170W Top _FAU —W.H._ CITYTe. o. A7 lNf-7 2 e Hood_Fan —Other LICENSE OR Disp._Room Air Cond. 2.50 2 REG.NUMBER � '�L,/'Z Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS �R 2.50 REGULATING ELECTRICAL WIRING. Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY.AND STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 50 to 100 Inc. 25.00 DESCRIBED'RES LPROPERTY. 40.00 PERMITEE / Over 100 SIGNATURE w" ✓ us Services DISTRICT NO'.. PROCES D BY 0-200 Amp.Under 600 V 12.50 -^ 201-1000 Amp.Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 Temp.Power Pole&Appurtenances 10.00 1 a^ / Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION INFORMATION u Misc.Conduits&Conductors 10.00 ON REVERSE z Other(See Complete Fee Schedule l SIDE W $ 1 2 0.2 P ' Z g # 0 0 0 0 0 2 d 2002200 PERMIT FEE (Sub-To'tall Z 0002200` PLAN CHECKING FEE (One-Fourth Permit Feel O � PERMIT ISSUING FEE $7.00 0 1,07-78 Q TOTAL FEE > INSPECTION FI ((� W date: /�/By ®s WOR,ICERS'COMPENSATIONDECLARATIONCE-806G (2$0) APPLICATION FOR' ELECTRICAL PERMIT CE$06 I hkreby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Wori,,Ts'Con tpensation Insurance,or a certified copy thereof(Sec.3800,Lab. ) /+ Fo�i No, ` 1% 04-Co pahy FOR APPLICANT TO FILL IN JOB ' New Residential Bldgs.&Pools EACH• NO. FEE ADDRESS {���• J Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — $ L'OCALITY NEAREST Certified copy is filed with the co Multi-family Sq. Ft. — i- y b din 'nspe tion CROSS ST Residential Swimming Pools OWNER OR - department/ \ate r% Applicant `- I FIRM NAME Outlets: Rec.—Light Sw. MAIL First 20 ADDRESS CERTIFICATE OF E M ON FROM WORKERS' Total No. Additional CITY Tel No.. COMPE N INSURANCE PLAN CHECK APPLICANT (This section need not be completed if the work involved V by the permit is for one hundied dollars ($100) or'less.) Lighting Fixtures First 20 ADDRESS Total No. Additional O I certify that in the performance of the.work for which this CITY Tel No. permit is.issued, I shall not employ an Fixed Appliances Not Over 1 HP P ' y y person n any manner PERMIT �� so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT Ga/ a Oven ._ Dryer- W.M._ N ADDRESS Date Applicant Top _ FAU _W.H.,— r / Hood Fan _Other_ CITY Tel No. Y'/ NOTICE TO APPLICANT: If, after making this Certificate of Disp. —Room Air Cond.— LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER-Q33 o3Class G '63 Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCES ED.@Y with comply with such provisions or this permit shall be Size&Type HP,KW,KVA,or KVAR �y deemed revoked. —� Up to 1 Inbl. / FINAL LICENSED CONTRACTORS DECLARATION Aver'1 to 10 Incl. DATE © vjr VALIDATION - Over 10 DATE 50 Incl. �J I-hereby affirm that I am licensed under provisions of Chapter -Over 50 to 100 Inc. FINAL r9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in,full force and effect. Services License Nb d�� Lic.Class C�� 3 0-200 Amp.Under 600 V D C 201-1000 Amp.Under 600 V Contracto e /` �•— � Over 1000 Amp.or Over-600 V H RE OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenarices I y affirm that I am exempt from the Contractor's Sign with One Branch Circuit Additional Sign.Branch Circuits License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): Misc.Conduits&Conductors ' ElI, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 1 ,0 8 O✓"1 structure is not intended or offered for sale (Section 7044,Business and Professions Code). ;f o 0 0 0 0 2 CONSTRUCTION LENDING AGENCY I hereby affirm that'there is a construction lending agency 2 0 0 - 9,90 for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). PERMIT FEE (Sub-Total) f9 a 0 0.0 S r Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 8 1 Lender's Address PERMIT ISSUING FEE � 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 Electrical wiring, and hereby authorize representat' es of this County to enter upon the above-m Toned rope y for inspection purposes. SEE'REVERSE FOR EXPLANATORY.LANGUAGE P. ature of Permittee Date D, COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706180027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID. FEES PAID BUILDING ADDRESS: ON FILE 10325 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:j TEMP CA 917802861 ASSESSOR INFORMATION NUMBER: INEAREST CROSS STREET. 8586-028-038 lA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 7.00 OUT 13.65 I TENANT: JG2 LIGHTING FIXTURES 2.00 LGT 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 45.30 06/18/07 SR 12/15/07 (OWNER: TEL. NO: ICHIEM JASON;PAULINA TRS (626) 350-5645- FINAL DATE FI Y: CODE: 10325 OLIVE ST I I I V l(� TEMP 917802861 I ID19SCRIPTIO14 OF WORK 14 OUTLETS, 2 SWITCHES, 2 LIGHT FIXTURES, 1 J-BOX APPLICANT: TEL. NO: 1CREPAULT (800) 763-4000- 115261 CONNERCTOR IN HUNTINGTON BEACH ISPECTnr• CONDITIONS: CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE IGALKOS CONSTRUCTION, INC. (714) 373-8545- 115261 CONNECTOR IN LIC. NO ITEMPORARY POWER POLE 1HUNTINGTON BEACH CA 92649 4927158 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND LIC. NO: IROUGH CONDUIT ROUGH WIRING I ' (MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508