HomeMy Public PortalAbout10526 OLIVE ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer .
DIVISION OF BUILDING.& SAFETY ELECTRICWILLIAM J. FOX, County Englneer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN-
RECEIVED BY READY FOR DATE ISSUED
ADDRESS x � FIRST INSPECTION
CITY TEL NO. -D /!//�
COUNTY LICEAE NO. EXPIRES BUILDING
PERMIT FEES ADDREBB
FEE � �
NUMBER EACH LOCALITY
-.6
LIGHT OUTLETS I NEAREST
RECEPTACLES Cl
CROSS ST.
WALL SWITCHES OWNER
TOTAL OUTLETS 5c $ MAIL ,�f)
ELEC. RANGES 85 ADDREBB �f19
ELEC. HEATERS 25 CITY TEL NO. . d
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS ,AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS . I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELEB COUNTY LICENSE, OR I AM THE LEGAL OWNER
New MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 s LEBB $ .25 SIGNATURE or"'7114 Aj-
_ %2 2 .50 TILIC-OC-i gm-��I
z B 1.DD
INSP9CTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 15.00 Q
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP Ix
WELDERS'AC-KVA 0
GENERATORS - 'KW
TRANSFORMERS.. KVA
TEMP. MOTORS (75% OF CRIB.)
MOVED MOTORS (75% CF CRIB.) _
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NC.LAMPS .
FOR EACH PERMIT? DAT INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 sLIL WIRING .0/1.? �j
SUPPLEMENTARY .50 FIXTURES L
POWER
TOTAL FEE s9 / ,/✓ 'UTILITY CO.NOTIFIED A *_e• ��
FINAL
76A668 DBS#5A 4'-52 '�
TEMPLE CHTY
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES vFZml
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION --ADDRESS. r�L/
JOHN A. LAMBIE, CoUNTY ENGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
OWNER �' r
OUTLETS:
ITEM NUMBER I EACH FEE MAIL
I
$ $ ! ADDRESS-9::;Z-,/
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 CITY TEL.N G�
ELEC.RANGES CLO.DRYERS ELECTRICIA •�
ii
WATER HEATERS .50 ADDRESS of SJ
ELEC.SPACE HTRS. DISHWASHERS
i � CITY C TEL.N '
GARBAGE DISPOSERS v AUTO.- �/
.— STATE f 0 f q4
Art 1-ni
WASHERS STA.COOKING UNITS .215 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT NO. GROUP ZONE P CESSED BY
0— V2 .25
ll/$.- z .50 INSPECTION RECORD
2— 5 1.00
a— 15 1.50
Is— SO 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO..LAMPS
SERVICE 0-60OV 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
e
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE ,LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I THE LEGAL I OF THE AH E
DESCRIBED RESIDE OPE POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMI • ,!
®P �y A ATION ARTHUR C.VEIT,
! e �_/,` o cK MO CASH SUPERVISING ELECTRICAL ENGINEER
. L3 LEl1 PL E•1 C13TY
MA663-CE80 i S-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT
UILD NG AND SAFETY DIVISION ER A
DDRESS DJ°'ZG
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING TG's ® GDi rr
j
FOR APPLICANT TO FILL IN . d j l4j43(
RECEPT. TOTAL NO. EACH FEE � �/ / `^. �)Q rG•�
OUTLETS FIRST 20 S.20 $
OWNER J r P'Y LIGHT
MAIL
SWITCHOYER L .10. ADDRESS / QJ
TOTAL
CITY �� G��p �iEL.NO.�® J Ir®O
LIGHTING 1 FIRST20 .20
FIXTURES 1 ADD'L
OVFR 20 1O. ELECTRICIAN
RANGES DLO.DRYERS WTI.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE '
SPACE HTRS. STA.APP.(V=H.P.MAX.) =.s0 LICENSE NO.
MOTORS, OVER NOT OVER H.P. DIS GROUP ZONE P SSED BY
O 1 1..00 ..-.
I s 1 11.30 INSPECTION RECORD
s s 1 12.00
8 is 2.50
1s' so 8.00 �-
D_
so 100 5.00 O •
SIGNS: NO.TRANS
NO.LAMPS 0
- � O
11
SERVICE 0=600V-NOT OVER 200A 1.00 'V Q1' +0 Dl-JIG h `/)
SERVICE 0.60OV-OVER 200 A. 2.00 ' D.
N
SERVICE OVER SOOV 5.00 ?
MISC. / Y VL Co
1 f
PERMIT ISSUING FEE 2.00'
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS .DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH,ALL-COUNTY ORDINANCES.AND STATE LAWS REGULATING
ELECTRICAL WIRING: WIRING
1 HERESY CERTIFY THAT'1 AM PROPERLY REGISTERED AND/OR
LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF F1X7'URES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATUREUTILITY CO.NOTIFIED !
OF PERMITTEEle�ze-k_
FINAL
VALIDATIO A SI
HU C. VETT
SUPERV NG ELECTRICAL ENGINEER
CK MO CASH
:r �,a`? 6 4-3'12 Hyly 14 2 D 5.00 G'
78A6634EBi�E;;v - APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMEIST OF COUNTY ENGINEER BUILDING
BOILDINC AND SAFETY DIVISION ADDRESS leSZ+�
JOHN A. LAMBIE. COUNTY ENGINEER JJ
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 7-6-If�440—
NEAREST �J
FOR APPLICANT TO FILL IN CROSS ST. x V J*L,04
NO. EACH _FEE �f _ l
RECEPT. $ $ OWNER ;ig aq e a/4 AP &Fe
MA IL
LIGHT TOTAL. FIRST 20 .20 B.d ADDRES'S S
SWITCH' OVER 20 .10 '10 CITY TEL. NO.46-/ d 0 10
PLAN CHECK
LIGHTING JTOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .1.0 1,• ADDRESS
RANGE—DRYERLWTR.HTR._
CITY TEL. NO.
STA..COOK_DI$P.—F.A.u._ CONTRACTOR
+I t
SPACE HTR,0lFrAIR COND. /�" ADDRESS y
CLOTHES WASH.�DISHWASH._ 9� CITY TEL. NO.
FAN-LOTHER 1:00 A0.10 LICENSE WO. CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
.,���yyQQ a WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
hlkrW�i(�/� 0 - 1 3 1.00 s? d1� ELECTRICAL WIRING. -
F.7�� a.� 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 ..'LICENSE. AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTE D TO a
10 - 50 5.00 RESIDE IN, THE ABO DESCR ED R SID AL PR TY. O
50 - 100 ' 10.00 SIGNATURE U
OF PERMITTEE ad
100 - 500 1s.00DISTRIC GR E P CESSED BY C
SIGN,GAS [ADDITIONAL
IGN AND ONE CIRCUIT 3.00 �� W
TUBE, OR p,
MARQUEE CIRCUITS 1.00' NOTES: Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGHCONDUIT
PERMIT FEE (SUB TOTAL) // D WIRING
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED oe go
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE Jngiipji C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
&O 7 2 7.6.o NOV4 E D �. 3.8 m.
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
f�WORKERS'COMPENSATIONECLAR4ITION
CE-806 y APPLICATION FOR ELECTRICAL PERMIT
� ;, • E$066 (2.80)
Iereby affirm that I have a certificaL-d#'consentto}self COUNTY OF LOS ANGELES BUILDING AND SAFETY
in ure, or a certificate of Workers'Compensation Insurance,or
a,certified copy thereof(Sec.3800,Lab.C.)
FOR APPLICANT TO FILL IN JOB
;Policy No. Company 1 New Residential Bldgs.&Pools EACH NO. FEE ADDRESS
0 Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ —' $ LOCALITY 7�fC4,0PZ1F, �
O Multi-family Sq. Ft.
'w — NEAREST
Certified copy is filed.with the county building inspec ion CROSS ST
department. I Residential Swimming Pools OWNER OR L7
FIRM NAME `� r G C
tL
Date Applicant Outlets: Rec. Light Sw. e 7 C S ADDRESS
`
15
First 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.JL Additional CITY Tel No.
COMPENSATION INSURANCE 3 }
_ PLAN CHECK a
iP.PLICANT O
(This section need not be completed N the work involved v?3 y U
Lighting Fixtures First 20 i
by the permit is for .one hundred dollarg ($100) or less.) ADDRESS
Total No. 57
Additional O
I certify that in the performance of the work for which this CITY Tel No.
permit is issued, I shall not employ any person in any manner Fixed Appliances Not Over 1 HP PERMIT
�so as to become subject to ZWrk Compe . tion.l. M Range_Heater D.W. _ APPLICANT
I Oven _ Dryer_W.M._ ADDRESS U)/ Z
DateT�V
"— Applicant Top — FAU —W.H. CITY Tel No.
Hood — Fan _Other_
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 Class
Compensation provisions of the Labor Code,you must•forth- PovOer Apparatus•& Large Appliances DISTRICT NO. PROCESSED BY
with comply with such provisions or this permit shall tie Size&Type HP,KW,KVA,or KVAR
deemed revoked.
Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE
LICENSED.CONTRACTORS DECLARATION ) Over 10 to 50 Incl, f VALIDATION
I hereby affirm that 1 am licensed uFINALnder provisions of Chapter Over 50 to 100 Inc. BY
9 (commencing with Section 7000)of Division 3 of the Busi- Over 100kyb
ness and Professions.Code, and my license is in full force anal
effect.
Services
-200 Amp.Under
License Number Lic.Class 201-1000 Amp:Under 600.V
-Contractor Date Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION I Temp.Power Pole&Appurtenances.
I hereby affirm-that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031. 5, Busi-, Additional Sign Branch Circuits
ness and Professions Code):
'I Misc.Conduits&Conductors
❑ I, as owner of the property, will do the work and the; Other(See Complete.Fee Schedule)—
structure. is not intended or offered for sale (Section
70441 Business and.Professions Code).
CONSTRUCTION LENDING AGENCY '
I hereby affirm that there is, a construction lending agency, ' ' =�-�l r 7
for the performance of the work for which this permit is PERMIT FEE (Sub-Total) I O_ C, �
issued(Sec.3097,Civ.C.). (i v
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address ; PERMIT ISSUING FEE
d
I certify that I have read this application and•statethat thea TOTAL FEE
above information is correct.I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and.,
hereby authorize representatives 0-:2
his oynty to enter upon
the ve- nti ed prop ty pe n purposes.
j SEE'REVERSE FOR EXPLANATORY LANGUAGE
Signa re of P ittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
EL 0508 1112290003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 11290 IT: 6 BL: B UN: .002 10526 OLIVE ST
]FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802864
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-021-011 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY CAI
I IG1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.50 1 1
TENANT: IG2 LIGHTING FIXTURES 4.00 LGT 7.80 ]ISSUED ON: PROCESSED BY: PLAN BY: 1
IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.90 112/29/11 SR 1
IH3 RES DISHWASHR IT 3HP 1.00 DIS 10.90 1
(OWNER: TEL. NO: IH4 RES RANGE HDS LT 3HP 1.00 HOO 10.90 FINALDATE FINAL BY: CODE:
XWOK, YU PING (626) 863-6329- IH7 RES EXHAUST FANS 1.00 EX 10.90 I
10526 OLIVE ST 1 TOTAL FEES 94.70 �� 1
1TEMP 917802864IDESCRIPTION OF WORK 1
I ] IKITCHEN AND BATHROOM REMODEL. REPLACE OUTLETS, FOUR NEW 1
ILIGHTING FIXTURES, GARBAGE DISPOSAL, DISHWAHSER, RANGE HOOD 1
(APPLICANT: TEL. NO: 1 ]AND EXHAUST FAN. 1
ISAME AS OWNER - 1 I I
ISPECIAL CONDITIONS:
I �
I �Q GAY Gn; Al a Ike(-Q, 1
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
SAME AS OWNER - 1 I I
I LIC. NO I ITEMPORARY POWER POLE
I I I
I I (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND
I I I
I - I
ILIC. NO: I IROUGH CONDUIT 1 1
I I I ROIIGH WIRING �I
I IMAIN WATER LINE
IPLASTIC YIN METAL YIN I I I
I I 1UTILITY COMPANY NOTIFIEDI 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 I I I I I
I I I I I I
I ]
IREPORT ID: DPR265 ROUTE TO: BS0508