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Home My Public Portal About10410 OLIVE ST_Electrical__ . � 'GST 76ASss-maw 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ° BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY NEAREST 7Rsr 20 F F .20 OR APPLICANT TO FILL IN CROSS ST. RECEPT. . TOTAL NO. EACH FEEIF OUTLETS FIRST 20 $2O $ OWNER. L18HT ,� / MAIL ADD'L O LIGHTING ADDRE88 SWITCH. OVER 20 CITY TEL.NO. 1 TOTAL FIXTURES 1 ADD'L .1O ELECTRICIAN OV R 2O _ RANGES CLO.DRYE WTR.HTRS. 1.00 ADORES GARB.DISP. STA.COOK l CITY TEL.N �l DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(Va H.P.MAX.) ,50 (CENSE NO. MOTORS, OVER NOT OVER H.P. DISTRICT NO. GROUP Z NE P EBBED BY O 1 1 1.00 t 8 1.50 INSPECTION RECORD s 8 2.00 8 is 2.50 15 50 8.00 so 100 5.00 0 SIGNSs NO.TRANS. OC NO.LAMPB O F- SERVICE 0-600V.NoT ovER 200A 1.00 u CIL SERVICE 0.600V-OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE .1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ T1418 APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT �' k WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING ,yp �l ELECTRICAL WIRING. WIRING ,�'d`/:�/w r �•`1 4' a_�irr •, I HEREBY CE . THAT I AM PROPERLY ED' AND/OR rr' '— LICENSED AS Q RED BY L08 ANGELES Y AND STATE OF FIXTURES CALIFORNIA O T I AM THE LEGAL W R O THE ABOVE DESCRIBED RES E IAL PERTY. POWER A i SIGNATURE TILITY CO.NOTIFIED (511 OF PERMITT FINAL OZ ^kLIDATION ARTHUR C. VEIT (C MO CASH SUPERVISING ELECTRICAL ENGINEER 5 4 Ltll� 0 2.+n 9 2 D 1 5•r.,0 � �. 764663-0680810/74 APPLICATION .R ELECTRICAL PERMIT y COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7ADDRESS �. BUILDING AND SAFETY DIVISION LOCALI TY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR FIRM NAME RECEPT. $ $ MAIL LIGHT TOTAL FIRST 20 ADDRESS � ' *� OVER 20 CITY TEL. NO. SWITCH 3 _ 10 PLANCHECK TOTAL LIGHTING FIRST 20 •25 APPLICANT FIXTURES OVER 20 .10 ADDRESS. � RESIDENTIAL APPLIANCES CITY TEL.N0. PERMIT RANGE DRYER_WT.R. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS L SPACE HTR. AIR"COND. CITY TEL. NO. -f- CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER CLASS FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING. IND. HEATERS, ETC, HP, KW.KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO • - I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR 0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE c lO 3.00 J� DESCRIBED RESIDENTIAL PROPERTY. C3 — .�. C7 10 — 50 5.00 SIGNATURE EE URE O 50 — 100 1040 yVj DISTRICT N0. SED 100 — 50i9 15.00 6 Od7 1 Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEcTalk SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP / 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT .n TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING 7- 9,0-N TEMP LIGHT OR RECEPT. SYSTEM 3.OD FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH. PERMIT VALIDATION cK. M.O, CASH o:�. � t 1.4 .2 0 19.5 0 A% SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION 20-oo19DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT Q I h,1j,,bn afitm that I have a certificate of consent to self CE'4 � insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB _ Certified copy is hereby furnished. New Residential Bldgs. 8 PoolsEACH NO. FEE ADDRESS L Certified co is filed with the count buildinginspec- 1 &2-Family, S Ft. $ — $ LOCALITY copy y p y q NEAREST tion department. Multi-family Sq. Ft. CROSS ST. ' ei Date Applicant Residential Swimming Pools OWNER OR FIRM NAME ) E CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec /Lig ht L Sw.! MAIL t' �r— COMPENSATION INSURANCE 1 Q ADDRESS G Z (This section need not be completed If the work Involved by First 20 CITY. Tel. No the 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 APPLICANT permit 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 Date Applicant Total No. CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. — Room Air Cond. — Class. 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 DISTRICT NO. p-RQCESSED BY a and Professions Code,and my license is in full force and effect. Size&Type HP, KW, KVA, or KVAR j O License Number Lic. Class �_ Up to 1 Incl. 1V FINAL U Contractor Date Over 1 to 10 Incl. DATE VALIDATION cc Over 10 to 50 Incl. q I U aFINAL `J�, I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 0.. Services, Swbd., MCC&Panelboards Z Date: 0-200 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 I hereby affirm that I am exempt from the Contractor's License Law fort following reason (Section 7031.5, Business and Additional Sign Branch Circuits ' Profes ' ns Code): I, as owner-of the property, will do the work and the Misc. Conduits&Conductors _ y t structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)— ® I_ ' 49 a E-10 Business and Professions Code). a :*WZ"_F. 6 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE ;i,l';fit— s:l i j 12", 5J Lender's Name PERMIT ISSUING FEE Lender's Address J. 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 representatives of this County to enter upon I above-mentione roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE i 66 ®' Signate o ermittee Date ur • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0406090022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 10558 LT: 47 10410 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802862 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-020-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C HA FAU LESS 3HP 1.00 FAU 10.95 TENANT: AB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 58.35 06/09/04 VG 12/06/04 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: PARMENTER WALKER E;MARY JO W (626) 445-3063- 10410 OLIVE ST TEMP 917802862 DESPt-Pylur. Ur WORK- IFIECTRItAl FOR HVAC APPLICANT: TEL. N0: CONNOR AIR CONDITIONING (626) 286-3157- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CONNOR AIR CONDITIONING (626) 286-3157- 4931 ENCINITA AVE LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 403735 C20 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UF-ER GROUND LIC. NO: ROUGH CONDUIT ROUGE WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508