HomeMy Public PortalAbout10520 OLIVE ST_Electrical__ J
7GA663-C66gC 10/74 APPLICATION OR ELEC RICAL PERMIT
COUNTY OF LOS ANGELES L
DEPARTMENT-BUILD NG AND SAFETY DIV SIONER JOB /QS? 40 E- 6)1- If 1146 S r
LOCALITY —empL 6 GI%y c4.
NEARE
FOR APPLICANT TO FILL IN CROSS ST. /JALMA l-L VA
OUTLETS NO. EACH FEE OWNER OR �
FF -NAME 4T K•lL fO/�vk
RECEPT.�
$ $ RM P,A MAIL S `V -2 OL/vL-
LIGHTI TOTAL FIRST 20
SWITCH 3 �3 OVER 20CITY —. C—/7' TEL. NO. 5--71-9-6659
�' PLAN CHECK
LIGHTINGTOTAL FIRST 20 lu APPLICANT
FIXTURES
Leg I OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERM It
RANGE DAYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. �/ ADDRESS
SPACE HTR. AIR COND. CITY lio71v TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR CLASS.
REG. NUMB
FAN OTHER 1 HEREBY ACKNOWLEDGE THAT 1 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.
S1ZE & TYPE OVER TO
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 I. 3.00 DESCRIBED RESIDEW4 PROP RTY. CD
10 - 50 5.00 PERMITEE k-SIGNATURE CD
50 - 100 10.00 w
DISTRICT NO. P ED BY d
100 - 500 15.00 D 8 Z
SIGN, GAS SIGN AND ONE CIRCUIT AtIA 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS AIA 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP AV+ 4 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR 200AMP WA 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES ?* 5.00 WIRING 2.
TEMP LIGHT OR RECEPT. SYSTEM AIM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED y)
FINAL ���'� lsi�►
PERMIT FEE (SUB TOTAL) NOTES;
PLAN CHECK FEE
PERMIT ISSUING FEE L
TOTAL FEE (� J529
PLAN CHECK VALIDATION CK. M.0. CASH Z' l
IT VALIDATION CK. M.0. CASH
2 7 8 nF2D _
- 1 0.5 Q Mb
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,
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'BA668 L°E-806(6/78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
' EACH NO. FEE ADDRESS I0520 E• �11Ve Ave.
New Residential Bldgs.&Pools
1 &2-Family,Sq.Ft. $ 025 — $ LOCALITY Temple City
Multi-family Sq.Ft. .02 — NEAREST 1r.,X
Residential Swimming Pools 25.00 CROSS ST. C
OWNER Mr and Mrs•
' FIRM NAME Gada
Outlets:Rec__LLight__L Sw. MAIL
First 20 .50 () ADDRESS 3.0 520 E. 03Ive
Total No. Additional .30 CITY Temple City Tel:No.444-5 5oo
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
Additional .30
Total No. CITY Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
Range—Heater—D.W._ APPLICANT AAA. Condi Air Inc
Oven_Dryer—W.M. ADDRESS 10160 Valley Blvd.
Top _FAU —W.H._ CITY El Monte. Tel.N579-1800
_1800
p•
Hood_Fan —Other LICENSE OR
Dis Room Air Cond. 2.50 REG.NUMBER Qd''(s ' Class-1090
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 KV_AR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
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 .r LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF U
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 RESI NTIi4L PROPERTY,
40.00 PERMIT EE
Over 100 SIGNATURE. It
us
Services DISTRICT NO: PROCESSED BY.
'0-200 Amp..Under 600 V 12'.50 O
201.1000 Amp.Under 600 V 25.00
Over 1000 Amp.or Over 600 V 50.00 Z
O
Temp.Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00.
Additional Sign Branch Circuits 2.00 INSPECTION
INFORMATION u
Misc.Conduits&Conductors 10.00 ON REVERSE _
Other(See Complete Fee Schedule) SIDE u
5
O.
O O O C O
PERMIT FEE (Sub-Total) o O
Z
PLAN CHECKING FEE (One-Fourth Permit Fee) O
PERMIT ISSUING FEE $7.00
Q
TOTAL FEE - >
INSPECTION FINALED W
date: �fr By �.r- �.,_.d,,, as
kit
del
WORKERS'COMPENSATION DECLARATION 764,663. 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-8066
insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES �' BUILDING AND SAFETY
or a certified copy thereof(Sec. 3800, Lab. C.)
or
Policy o. `Compa��-t/ND a FOR APPLICANT TO FILL IN ADDRESS L/ yw S%
Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE
Certified copy is filed with the county building i.nspec- 1 &2-Family, Sq. Ft. - $ _ $ LOCALIT .
tion department. Multi-family Sq. Ft. NEAREST
Residential Swimming Pools CROSS ST.
Date Applican OWNER O
FIRM NAME
CERTIFICATE OF,EXEMPT ON FROM WORKERS' Outlets:Rec�Light MAIL
COMPENSATION INSURANCE Sw._ 'ADDRESS
( completed if thework involved b
This section need not be com ' First 20 '
p Y Total No. Additional CITY Tel. No.
the permit is for one hundred dollais(;100)or less.)
I certify that in the performance of the work for which this PLAN CHECK
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
Total No. Additional
CITY Tel. No.
Date Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption, you should become subject• to the Workers' Range— Heater—D.W. _ APPLICA �! ` G 10V1
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. — CITY/d/�✓��OV/NFI Tel. No.
deemed revoked. 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 r Clas
(commencing with Section 7000)of Division 3 of the Business DISTRICT NO—Power . PROCESS BY
and Professions Code,and my license is.in full force and effect. Apparatus 8 Large Appliances IL
G- tf Size&Type HP, KW, KVA, or KVAR- S� O
QontractqI
cense Number3Z 7 J�S Lic. Class (-� c 3'� �r' y
��— Up'to 1 Incl. J f FINAL
r Im
Over 1 to l ncl. � DATE VALIDATIONDate. Over 10 to 50 Incl.
FIN
❑ 1 am exe pt under Sec. Over 50 to 100 Inc. BY
B.&P.C. for this reason Over 100 U1
Date: Services, Swbd.., MCC&Panelboards
0 -200 Amp. Under 600 V
Signature 201 1000 Amp. Under 600 V
❑ Over 1000 Amp. or Over 600 V A
Exemption for Reg. Maint. Elect. ? 1 1.J
SINGLE FAMILY Temp. Power Pole&Appurtenances {{ o,0 0 0 o 2
HOMEOWNER-BUILDER DECLARATION Sign with One Branch Circuit
1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits L o ° 1 5 e_5
Law for the following reason (Section 7031.5, Business and
Professions Code): o.o 0 1 2 5
❑ 1, as owner of the , will do the work and the ro ert Misc. Conduits&Conductors P P y )
( Complete lSee Other Othete Fee Schedule _ ► 0 7 3 1 F4
structure is not intended or offered for sale (Section
7044, Business and Professions Code).
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
Lender's Name
PERMIT ISSUING FEE O
Lender's Address
I certify that I have read this application.and state that the TOTAL FEE /J
information is correct. I agree to comply with all County
ordiri ces and State laws regulating Electrical wiring, and
her y authorize representatives of this County to enter upon
I ab L
ention operty for inspection.purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Sign Lure of Permittee ate
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0310070018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11290 LT: 7 BL: B 10520 OLIVE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802864
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-021-040 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
F1 120V, 15/20A BR CKTS 1.00 BR 17.25
F2 208, 277V LGT BR CKT 1.00 SR 27.30ISSUED • S .
-
G1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50 10/07/03 JK 04/04/04 .
G2 LIGHTING FIXTURES 4.00 LGT 7.80
OWNER: TEL. 0: H7 RES EXHAUST FANS 1.00 EX 10.95 F /1� TE : CODE:
JOHNSON, T.J./SEEMA (626) 403-7151- TOTAL FEES 110.55 // —
10520 OLIVE ST.
TEMPLE CITY 91780 DOLKIPTION
ELECTRICAL FOR ADDITION/REMODEL
APPLICANT:
PAUL DAVIS RESTORATIONS (714) 228-0895-
14670 FIRESTONE #406 SPECIAL CONDITIONS:
LA MIRADA 90638 _
CONTRACTOR: TE 0: 5 coC/� APPROVALS DATE INSPECTOR SIGNATUR
PAUL DAVIS RESTORATION (714) 228-0895-
14670 FIRESTONE BLVD LIC. NO TEMPORARY POWE� ' R PO E
LA MIRADA, CA 90638 510431 B/ �\
�r UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER* TEL. NO: - UFE
PENA, JOSE (714) 835-917 fi=r I �,� ` R GROUND
914 S. MAIN ST. STE. #105 LIC. 0•
� ROUGH CONDUIT
SANTA ANA, CA 02701 NONE
ROUGH WIRING
C7 �� r� n IN WATER N
i ! �_�� �, PLASTIC Y/N METAL Y/N
L2,,!!U 1�/�,r, ,(3� LC, ..Q
UTILITY COMPANY NOTIFIED
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REPORT ID: DPR265 ROUTE TO: 8SO508