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Home My Public Portal About10508-10512 OLIVE ST_Electrical__ of" 76A6S8-CRBOS7-SS APPLICATION FOR ELECTRIC PERMIT I, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING . BUILDING AND SAFETY DIVISION ADDRESS Olive JOHN A. LAMBIE, COUNTY ENGINEER ' CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERM FEES CROSS ST E��''{ 1 T E'M NUMBER EACH :FEE OWNER Donald Meredith LOIGHTSIV RLCEPT.l SW6 _$,10 $ MAIL 0 ADDRESS Same TL LIGHTING FIXTURES 10 .10 l 00 CITY TEL. NO. ELEC. RANGES CLO. DRYERS 'ELECTRICIAN D-Jax Eimt. Enter. In WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS _ CITY -San Di TEL. NO.- GARBAGE DISPOSERS AUTO.- " RD 1 561 STATE 174520 WASHERS STA. COOKING UNITS .25 LICENSE NO. MOTORS- OVER INC. H.P. DIST NO. G OUP z NE PR SED Y O— 1/2 .25 +/$— 2 so INSPECTION RECORD / 2— 5 1.00 a— 15 1.50is— 50 2.50 ?c L v 50—200 5.00 A - SIGNS; NO. TRANS. ' NO. LAMPS - SERVICE 0-SOOV 1.00 1 OO SERVICE OVER SOOV 5.00 MISC. WIRING PERMIT 1.00 00 FIXTURE PERMIT 1.00 OO SUPPLEMENTARY PERMIT 50 TOTAL FEE S APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP ICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT d WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR o LICENSED AS REQUIRED BY O ANGELES COU TY STATE OF FIXTURES Q` (I CALIFORNIA OR THAT I E LEG O ER F THE ABOVE DESCRIBED RESIDENTIAL O Y. POWER SIGNATURE e UTILITY CO.NOTIFIED• fJ OF PERMITTE FINAL /Glw ! ON ARTHLJ S CK O CASH U ERVISINC ELEICTRICAL ENGINEER - . 'A .2`,88 6-St FEB 2 7- 2 A 7-30 M WORKER'S.-COMPENSATION a certificate. DECLARATION 20.0083 DPW(12'91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm,th$t I.have a certificate.of consent to self Insure, or a certificatg,of Worker's Compensation Insurance,or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof;(Sec:3800 LabvC.) Policq No. Company FOR APPLICANT TO FILL IN JOB I�..� G ADDRESS G 0 Certified copy is hereby furnished. Ne7 9 2-Family, $w Residential Bldgs.&Pools NO. EACH FEE LOCALITY /� — - Certified copy is filed with the county building inspection Sq.Ft. $ Ic NEAREST Allr .department. Multi-family Sq.Ft. CROSS ST. < Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PARE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OWNER OR `� COMPENSATION INSURANCE FIRM NAME �l (Thissection need not be completed the work Involved by the First 20 MAIL perm Total No. Additional ADDRESS 15 �I permit Is for one hundred dollars($1000)or less.) I certify that in the performance of the work.for which this permit CITY �e �+, Tel.No. _BSLf Is issued, I-shall.not employ any person in any manner so as to PLAN CHECK 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 provisions or this permit shall be deemed revoked. Power Apparatus.&Large Appliances APPLICANT r LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,'or KVAR ADDRESS I hefeby affirm that I am licensed under p.rovisions 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 Class d Over 50 to 100 Incl. REG.NUMBER Over 100 ' DISTRICT NO. P OCESSED BY 0 License Number Lic.Class Se 'ces,S bd.,MW&Panelb ands • � �. Contractor Date mp. oder DATE !AL 0 400-1000 Amp.Under 600 V Z "� VALIDATION V I am exempt under Sec. Over 1000 Amp..or Over 600 V FINAL LJ 1 B.&P:C.for this reason BRANCH CIRCUIT FEES Da_te: BI SA,or 20A,.120V,Lighting or Recept.. Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits r „ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 2T/V Lighting Br.Circuits ,,. SINGLE FAMILY Temp.Power Pole&.Appurtenances. HOME OWNER-BUILDER DECLARATION ,• 0 I hereby affirm that I am'exempt from the Contractor's License Law. Sign with Ona Branch Circuit ACC i�•■'e' for the following reason(Section 7031.5, Business and.Professions Additional Sign Branch Circuits 3303' . ' 63.45 C;7 rs I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 1 lTEIPS is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ► TOTAL 63.45 and Professions Code). �( �• CONSTRUCTION LENDING AGENCY CHECK 63.45 TJ I.hereby affirm that.there is a construction lending agency for the CHANGE a J performance of the work for which this permit is Issued(Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) Lender's Name PLAN CHECKING FEE 13000-1111,101 12/416/933 _- PERMIT ISSUING FEE 304T 1 AMIDO-4 Lender's Address I certify.that I have read this application and under penalty of purjury state TOTAL FEE that the above information is.correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representa ives of this County to enter.upon the above-mentioned property for i e n pur SEE REVERSE FOR EXPLANATORY LANGUAGE 812 RE OF PERMITTEE DATE ` WORKER'$COMPENSATION DECLARATION 20.00119 DPW(112.911) I I 7BA6B3 Ll I tlere�sy affirm'that I have a certificate of consent to self insure, APPLICATION FOR ELECTRICAL PERMIT or a certificate of Worker's Compensation Insurance,or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof Sec.3800 Lab.C.) h 7• Y. Policy No. Company FOR APPLICANT TO FILL IN JOB p Certified copy is hereby furnished. NO. EACH FEE ADDRESS New Residential Bldgs.&Pools _ $ $ LOCALITY Te ❑ Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. _ NEAREST department. Multi-family Sq.Ft. CROSS ST. aW (� Date. Applicant Residential Swimming Pools ASSESSOR rj�p� ' MAP BOOK D CJ pAGE�O�� PARCEL 0 CERTIFICATE OF EXEMPTION FROM WORKERS' Out ts:Rec. Light jj Sw.V C NEO ME COMPENSATION INSURANCE �. °'20 .�PJ . (This section need not be completed If the work Involved by the ADDRESS Su j(& is for one hundred dollars($100)-or less.) JTZ=i Additional B� l I certify that in the performance of the work for which this permit CITY e Tel.No. / is issued, I shall not employ any person in any manner so as to PLAN CHECk become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No.�- Additional ADDRESS Data Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. t�0 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 suchpE MIT �jtj-j provisions or this permit shall be-deemed revoked. Power Apparatus.&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR / DDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10.Incl. / /J�i (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. CIS, d LICENSE OR Over 50 to 100 Incl. REG.NUMBER Over 100 DISTRICT NO. P OCESSED BY License Number Ltc..Class �O p Serviceii,Swbd. CCz&&Panelboards a Contractor Date - o-39 A9 mp.Under 600 V DATE O ❑ 400-1600 Amp.Under 600 V VALIDATION VU( I em exempt under Sec. Over 1000 Amp.or Over 600 V FINAL d B.&P.C:for this reason BRANCH CIRCUIT FEES BY fn ' Date: 1.5A,or 20A,120V,Lighting or Recept. z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits { ❑ 41 OrLightiMore Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,.208V To 277V ng Br.Circuits r•n SINGLE FAMILY Temp.Power Pole&Appurtenances �1L•;��v HOME OWNER-BUILDER DECLARATION ,1�'jjti ; 4 j i I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit fort following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits . TTEMS C _ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 1174'. 213 Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ; 174 f}_) and Professions Code). CONSTRUCTION LENDING AGENCY CHANGE 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE Sub-Total �'O . + r civ.C.) j ) ,+ USI— s 1Li:i ,_`. zw PLAN CHECKING FEE2266 x AM I D 17 Lender's Name / PERMIT ISSUING FEE !® Lender's Address 1 certify that I have read this application and under penalty of purjury state TOTAL FEE thatthe above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize repre n tives of this County to enter upon the above-mentioned property for i s ion pur- a_. SEE REVERSE FOR EXPLANATORY LANGUAGE SIO E OF PER DATE ON N 2"019 1 here .y affirmOtt�aER haveMa cerSt ficlate oEconsentOto self Insure, 7BA663 DPW(12.91) APPLICATION FOR ELECTRICAL PERMIT ll or certificate of'Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof Nec..3800 L.ati.-C.) Policl No. Company FOR APPLICANT TO FILL IN JOB k/�1 V ❑ ADDRESS 1VV 4 `• S�. Certified copy is hereby.furnished'. New Residential Bldgs.&Pools NO. EACH FEE' ' LOCALITY LOC 1&2-Family,Sq.Ft. ❑ — $ $ p` Certified copy is filed with the county building Inspection _ NEAREST amn department. Multi-family Sq.Ft. CROSS ST. £ Date Applicant . Residential Swimming Pools ASSESSOR MAP BOOK PAGE Cal. PARCEL oG CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.I�Light E�Sw. u u ' OWNER OR COMPENSATION INSURANCE I FIRM NAME �3 First io MAIL /-� (This section need not be'completed if the work Involved by the Total No. Additional , ADDRESS G ai{e permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit I CITY Ci Tel.No. SC _ O Is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject,to the Workers'Compensation Laws. Lighting Fixtures First 20 ! APPLICANT Total No.. Additional' L_-yo 000 ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate ,of i 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 Y P Y APPLICANT proyisiohs or this permit shall be deemed revoked: .I 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 Class. Over 50 to 100 Ind. REG.NUMBER d Over 100 DISTRICT NO. 4fdRSSED BY 0 License Number Lic.Class 0 Services,Swbd.,MCC&Panelboards . 08 Ifvwlo�� IZ 0-399 Amp.Under 600 V FINAL. 0 Contractor' Date DATE ❑ I am exempt under Sec. 400-1000-•Amp.Under 600 V Over 1000 Amp.or Over 600 V VALIDATION W B.&P.C.for this reason FINAL a BRANCH CIRCUIT FEES BY (n Date: I 15A,or 20A,12OV,Lighting or Recept.. Z 1 To 10 Branch Circuits (. Signature 11 To 40 Branch.Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maim.Elect. 15A,20A,208V To 2T7V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances ''I`)° HOME OWNER-BUILDER DECLARATION F-7y °i}t_f I hereby affirm that.I am exempt from the Contractor's License Law Sign with One Brarich Circuit LI•, 3 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits I NEN" Code I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 1:32- is.not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ► CHECK and Professions Code). C ' CONSTRUCTION LENDING AGENCY I CHANGE I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) , r -+ Civ.C.) �,(�;t� _I s} 0 12/22i 9.: PLAN CHECKING FEE , �y � � / Lender's Name ,:r 128 PERMIT ISSUING FEE (p Q Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE 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-mentionedproperty for Ins purpo e . SEE REVERSE FOR EXPLANATORY LANGUAGE SIG RE OF PERMITTEE DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0303140004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE: (626) 285-0488 EXT: LEGAL ID: FEES FMD BUILDING ADDRESS: TR: 11290 LT: 8 BL: B 10508 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802864 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HALIFAX 8585-021-013 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: P P . H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 03/14/03 JK 09/10/03 . H9 RES APPL LT 3HP 1.00 RES 10.95 OWNER: TEL. 0: LA.$WAMP PANELS, MCC 1.00 PAN 38.85 FINAL A E FI CODE: SPATA ALEXANDER;CATHERINE;JOHN (626) 350-1054- you TOTAL FEES 102.15 10512 OLIVE ST TEMPLE CITY 91780TIO"F WORK ELEC RICAL FOR LAUNDRY AND GARAGE APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: APPROVALS ATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT AACHITECT OR R: TEL. N0: UFER GROUND LIC. NO: ROUG ',CO DUIT ROUGH G cjAp-jbj �' 3 MAIN WATER LINE I — PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIEU O REPORT ID: DPR265 ROUTE TO: BS0508