HomeMy Public PortalAbout10519-10520 OLIVE ST_Electrical__ Worm th COMPENSATION DECLARATION 7M ft3 DPW 3/87 APPLICATION FOR ELECURICAL PERMIT O
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I hereby affirm that I have.o certjjicote v"consent to self cE-806G
insure, or a certificate of 4 orkers%<_ompensation Insurance, , COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a certified copy thereof(Sec. 3800, Lab. C.) '41
Policy No. 19/it°-2 Company liybL?da FOR APPLICANT TO FILL IN JOB 10519 CLIVE
Certified copy is-hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS
Certified co is filed with the count buildinginspec- 1 8 2-Family, S Ft. 3080 $ .05 —is 154 00 LOCALITY `a2p.,.E Cjrm
copy y P y q NEAREST
tion department. Multi-family Sq. Ft. "-
2-21-90 JEREY°S 11 LBC MIC Residential Swimming Pools CROSS ST.
Date Applicant
OR
FIRM NAME OPM DUVEE NRU
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL 2035 S. °L•F
COMPENSATION INSURANCE First 20 ADDRESS
MU
(This section need not be completed If the work involved by Total No. Additional CITY� Tel. NO-359-3211
tho permit Is for one hundred dollars ($100)or loss.)
that in the performance of the work for hick this PLAN CHECK
I certify P APPLICANT
permit is issued, I shall not employ an person in a manner
so as to become subject to the War s'Compe on Laws. Lighting Fixtures First 20 ADDRESS
Total No.
Date �— 6Applic Additional CITY Tel. No.Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION a7M°S ELEOQ4MC, 3W.
Exemption, you should become subject to the Workers' Range— Heater—D.W. —
Compensation provisions of the Labor Code, you must forth- Oven _ Dryer —W.M.— ADDRESS 3876 DONANIW3 AVE.
with comply with such provisions or this permit shall be Top — FAU —W.H. —
deemed revoked. Hood — Fan —other— J�IITTAT CITY RATPARK Tel. No.960-4545
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. — REG. NUMBER Class. —
(commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRIC1,N Off,/ PRO D BY a
and Professions Code,and my license is in full force and effect. (13[
Size&Type HP, KW, KVA, or KVAR Q
License Number 259475 Lic. Class C-10r,� U
Up to 1 Incl. FINAL /V��(v
° Over 1 to 10 Ind. DATE VALIDATION cr
Contractor JEI S � TGote 2-21-90
❑ Over 10 to 50 Incl. (0,11w/FINAL F-
I
I am exempt under Sec. Over 50 to 100 Inc, gY U
B.BP.C, for this reason Over 100 d
Services, Swbd., MCC 8 Panelboards
Date: Z
0-200 Amp. Under 600 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 i h u
HOME OWNER-BUILDER DECLARATION
Sign with One Branch Circuit Ah.i6.T,v I-'
I hereby affirm that I am exempt from the Contractor's License �+ i-+o
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 7'7 is
Professions Code):
Misc. Conduits 8 Conductors 1 ITES1
structure is noter fintended or ffered owill othe work and r sale Section 7044e ( Complete Fee Schedule)_ T(.I i AL 1-67 o[DO
Other See o
Business and Professions Code). ( `I,"
t�t�IS 157 0 L
CONSTRUCTION LENDING AGENCY CM1412E
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) 154 00
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE X001'9.3 :(001 2I2'7RD
Lender's Name PERMIT ISSUING FEE 13 001
Lender's Address
I certify that I have read this application and state that the TOTAL FEE 167.00
above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby a orize rep sentatives of this County to enter upon
the a mentio a roperty for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
b I z H5
Date ®s
ignature of Permittee
1
WORKERS'COMPENSATION DECLARATION 70-0019 DPW 307 APPLICATION FOR ELECTRICAL PERMIT
qQ
I hereby afAvm.thgt I-have' . C��
certificate of consent do self,
,iaLIre, cf!u-certificatef of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a certifiA coey there (Sec. 3800,.Lab. C.)
Policy Company - FOR APPLICANT TO FILL IN JOB y �
❑Certified copy is hereby furnished.
New Residential Bldgs. & Pools EACH NO FEE ADDRESS Z-11 V4
Certified copy is filed with the c6J bufldmg inspec� 1 &2-Family, Sq. Ft. $ — $ LOCALIT
r9,tion department. Multi-family Sq. Ft. — NEAREST
_ CROSS ST 452KA )
Date` pplicant& �—' Residential Swimming Pools OM
NER
NAR C'/�!
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL
�
COMPENSATION INSURANCE First 20 n '
(This section need not be completed If the work involved by Total No. Additional CITY a/V. Tel. No
the permit is for one hundred dollars($100)or less.) PLAN HECK
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 Lighting Fixtures First 20 ADDRESS
so as to become subject to the Workers'Compensation Laws.
Additional
Date Applicant Total No. CITY r Tel. No.
NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT g�
Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATI
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. CITY Tel. No.
Hood — Fan —Other—
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. — REG. NUMBER F - Class.
(commencing with Section7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRIC PR ED d
and Professions Code,and my license is in full force and effect.
Size&Type HP, KW, KVA, or KVAR U
License Number � Lic. CI Up to 1 Incl. FINAL a 1
�� / Over 1 to 10 Incl. DATE VALIDATION cc
Contractor Date Over 10 to 50 Incl. s I U
❑ FINAL
I am exempt under Sec. Over 50 to 100 Inc. BY W
B.&P.C. for this reason Over 100 O_
Services, Swbd., MCC&Panelboards
Date: Z
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
HOME OWNER-BUILDER DECLARATION rAdditio:nal
wer Pole&Appurtenances
I hereby affirm that I am exempt from the Contractor's License
One rancF_0rcuit
Law for the following reason (Section 7031.5, Business and Sign Branch Circuits 3_5117 ,,5°5U
Professions Code):
ETE-05
❑ I, as owner of the property, will do the work and the nduits&Conductors _ ' .r 5
structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)— TOT I C, o 0
Business and Professions Code). r I +7 _}
CONSTRUCTION LENDING AGENCY t,tt t z: °
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 02 0-33131 11/14/39
Lender's Name ,
PERMIT ISSUING FEE 6721 i i��311.-5y
Lender's Address TOTAL FEE
I certify that I h e read this application and state that the
above inform n is t. I agree to comply with all County
ordinances /S ate la s r lating Electrical wiring, and
hereby ou Vie epre nt es of this County to enter upon
the abov - ntione pro ty for inspection purposes.
�f SEE REVERSE FOR EXPLANATORY LANGUAGE
ig ture of Permittee Date as
ra• M
4 a
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT GF PUBLIC'WORKS 9701 LAS TUNAS EL 0508 1111100034
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I BUILDING ADDRESS:
: 1
1
1BK: 224 PG98 PC: 1 1 10519 OLIVE ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802865 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18586-029-048 ]A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
]G1 OUTLETS—LGT,SW,RECP 9.00 OUT 17.50 I 1
ITENANT: ]G2 LIGHTING FIXTURES 4.00 LGT 7.80 [ISSUED ON: PROCESSED BY: PLAN BY: 1
TOTAL FEES 53.10 111/10/11 SR
(OWNER: TEL N0: ] IF NAL /T�E FI AL BY: CODE: 1
1HSIEH, ROBERT (626) 786-2200— 1 I �L` � [
10519 OLIVE ST
fq
ITEMP 917802865 [ IDEMRIPTIOW OF WORK m1
I [ 1275 SQ.FT. ALUMINUM PATIO ENCLOSURE AND 44 SQ.FT. ENCLOSED 1
I I 1PATIO THAT IS CURRENTLY AN OPEN PATIO ]
(APPLICANT: TEL. NO: [ I
IMORTON, EVONNE (714) 335-8165— 1
I I ]SPECIAL CONDITIONS:
I
I I I
ICONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE 1
TALL PRO REMODELING (714) 288-1314— I 1 I
1706 N TUSTIN AVENUE LIC. NO 1 ITEMPORARY POWER POLE I I ]
IORANGE, CA 92867 574698 B 1 I I I I
I I ]UNDERGROUND CONDUIT I I I
]ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND
_ I I I
1 LIC. NO: 1 IROUGF CONDUIT I I
1 ] ]ROUGH WIRING I I I
I 1 IMAIN WATER LINE 1 1 1
I I [PLASTIC YIN METAL YIN I I
I ] IUTILI COMPANY TOTIFIED1 I I
I I I I I I
I ] 1 I I I
I I I I I I
1 I I I ]
I I I I I
I I I I I I
I I I I I I
I I I I I I
I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
I I I I I I
W� '
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1212170021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
JBK: 224 PG: 98 PC: 1 1 10519 OLIVE ST ]
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917802865 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
8586-029-048 lAl PERMIT ISSUANCE FEE 27.80 ] THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C1
I JP2 PC RES PV<JOKW 153.90 ]
TENANT: JP3 INVRTR RES PV<10KW 27.90 (ISSUED ON: PROCESSED BY: PLAN BY: [
1 1 TOTAL FEES 209.60 112/17/12 SR [
OWNER: TEL. NO: 1 (FINAL DATE FINAL BY: CODE: [
CHEN, TIM (626) 379-1611- [ 1 ^ L'�
10519 OLIVE ST ,i _l/
ITEMP 917802865 1 DESCRIPTION OF WORK
I 1 14.56 KW SOLAR INSTALLATION (ROOF TOP) 16 MODULES 1
1APPLICANT: TEL. NO: 1 I I
ICHANG, NOBEL (626) 272-1553- I 1 1
14441 BALDWIN AVE #A I [SPECIAL CONDITIONS:
JEL MONTE CA 91731 I I 1
[CONTRACTOR: TEL. NO: 1 ]APPROVALS DATE INSPECTOR SIGNATURE
JUS TOPCO ENERGY INC (626) 272-1553- [ 1 1
14441 BALDWIN AVE A LIC. NO 1 ITEMPORARY POWER POLE I ]
JEL MONTE CA 91731 956994 1 [ ]
I [ 1UNDERGROUND CONDUIT [ ] ]
1ARCHITECT OR ENGINEER: TEL. NO: - 1 1UFER GROUND 1 I 1
1 LIC. NO: I IROUGH CONDUIT 1 1
I I (ROUGH WIRING
[ IMAIN WATER LINE
] 1 PLASTIC YIN METAL YIN I I 1
1 [ UTILITY COMPANY NOTIFIED[ ] I
1 I I I I ]
I I I 1 [ [
I 1 [ 1 I 1
I I I I 1 I
I 1 I I I
I I i i I
] I ] I I
1 iREPORT ID: DPR265 ROUTE TO: BS0508
1 I I I
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1209240028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
1BK: 224 PG: 98 PC: 1 I 1 10519 OLIVE ST
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802865
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18586-029-048 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 20.00 OUT 40.00 1 1
ITENANT: IG2 LIGHTING FIXTURES 10.00 LGT 20.00 (ISSUED ON: PROCESSED BY: PLAN BY:
IHl RES ELEC OVEN IT 3HP 1.00 OVE 11.00 109/24/12 SR I
IH2 RES GRBG DISP IT 3HP 1.00 DIS 11.00 1
(OWNER: TEL. NO: IH3 RES DISHWASHR IT 3HP 1.00 DIS 11.00 IFI .DATE FIWAIL BY: CODE:
ICHEN, TIM (626) 379-1611- IH4 RES RANGE HDS IT 3HP 1.00 HOO 11.00 I I
110519 OLIVE ST IHS RES WASH MACH IT 3HP 1.00 WAS 11.00 I I
ITEMP 917802865 IH7 RES EXHAUST FANS 1.00 EX 11.00 IDE-SCRIPTICrS OF WORK II
I I TOTAL FEES 153.80 IREWIRE KITCHEN AND THREE BATHROOMS REMODEL I
(APPLICANT: TEL. NO: I I I
ITSH CONSTRUCTION & DEVELOPMENT (626) 688-6255- I I 1
15605 TEMPLE CITY BL. I ISPECIAL CONDITIONS:
ITEMPLE CITY CA 91780 I I
I I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
ITSH CONSTRUCTION AND DEVELOPMENT (626) 688-6255- 1 1 I
15605 TEMPLE CITY BLVD. #B LIC. NO I 1TEMPORARY POWER POLE I
TEMPLE CITY, CA 91780 952913-B I I
(UNDERGROUND CONDUIT
I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I I
LIC. NO: I IROUGH CONDUIT
1 1 1ROUGH WIRING 1 I
IMAIN WATER LINE I I
I PLASTIC Y/N METAL Y/N I I I
I I I I
1 I UTILITY COMPANY NOTIFIED( I I
I I I I I I
I I 1 I I I
I I I I I
I I 1 I
I I I I I
I I I I I I
I I !I 1 1 I
I I I I I
REPORT ID: DPR265 ROUTE TO: BS0508
I I 1 I I I