HomeMy Public PortalAbout10536 OLIVE ST_Electrical__ ;A663-CE606 5-62 APPLICATION FOR ELIECT I IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING J
BUILDING AND SAFETY DIVISION ADDRESS /0 r3 ii l� 06
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN
CROSS ST.
RECEPT. TOTAL NO. EACH FEE
LIGHT OUTLETS FIRST 20 3 S,20 $ OWNER
ADD' .1O L ADDRESS 0�2 P4
SWITCH'. I OVER 20 ,
TOTALry O CITY TEL.NO. �S
LIGHTING FIRST 20 .20 L
FIXTURES. 4 vDe'L 10 ELECTR CLAN We.If
o
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK .
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Va N.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P.
DISTRICT UPI WN20 E VE BY
O 1 1.00
1 3 1.50 INSPECTION RECORD A
„
3 S 2.00 V�r��.•i :� t, i.�:�..^'��!�
S 152.50iv + - I ..r }
1s so 3.00 Ou
so 100 5.00
O
SIGNS: NO.TRANS: V
NO.LAMPS
W
d
SERVICE 0.600V-NOT OVER 200A 1.00 V)
Z
SERVICE 0.60OV-OvER 200 A. 12.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE D
I XBREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INE
INSPECTOR'S SIGNATUR
AND BTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE 6
DESCRIBED'RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED _ /l
OF PERMITTEE• /C� �; _l `
FINAL
VALIDATIO ARTAUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LAL;o 5 2 .9 0 OCT 8 2 D 2.8 ON Q
i
IA653-CE000 5-62 APPLICATION OR .LECTRICAL ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS D3
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT qF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL 1N CROSS ST.
RECE TT. TOTAL NotelEACH FEE
OUTLETS FIRST 20Llff $.20 $ OWNER
LIGHT MAIL
AOD'L ADDRES
SWITCH. f OVER 20 10
TOTAL CITY TEL.NO.
LIGHTING FIRST 20 .20
FIXTURES Ao0'L .10 ELECTRICIAN
OV R 2O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. BTA.APP.(V&H.P.MAX.), .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIS RICT NO. GROUP
,7 XNE P ESSED BY
O 1 11.00
1 3 1.50 INSPECTION RICO-RD
3 a 2.00
8 is 2.50
f so 3.00 0
so loo 5.00
TRANS-
SIGNS: NO.TRANS- O
NO.LAMPS IU
a
SERVICE'O.6oOV-Nor OVER 200A 1.00 H
Z
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE.OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 6
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S 81ONATURC
AND STATE THAT THE ABOVE 10 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING: - WIRING dam/
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 9
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE
DESCRIBED RE81 NTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
VALIDATI ARTHUR C. VEIT
CK MO CAB
SUPERVISING ELECTRICAL ENGINEER
LALC) 7 9 1 7 DEC 5 2 D -3.00- ti,
)A668-CESOO 5-52 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FBU Or� 0
BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING FOR APPLICANT TO FILL IN .
RECEPT. TOTAL I NO. EACH FEE -
OUTLETS FIRST 20. ffi.20 $ OWN ER
LIGHT
ADD'L 10 ADDRESS
SWITCH. OVER 20
LIGHTING TOTAL FIRST 20 .20 CITY' TEL.NO.
FIXTURES } ADD'L .10 ELECTRICIAN e
OV R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.D18P. BTA.COOK CITY TEL.NO.
DISHWASH. AUTO.-WASH. _ STATE'
SPACE HTRS. STA.APP.(Va N.P.MAX.) / .50 LICENSE NO.
MOTORS, OVER NOT OVER H.P. DISTRICTj!� 17rPI Z P D
O 1 1.00 V� t U
1 s 1.50 INSPECTION RECORD
s s 2.00
8
is 2.00 d
to so 3.00 Ov
50. 100 5.00 0
O
SIGNS, NO.TRANS• V
NO.LAMPS IIJ
CL
SERVICE 0.600V-NOT OVER 200A 1.00 N
Z
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPP.LEMENTAgY PERMIT ISSUING FEE 1.00
TOTAL FEE e
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLYCONDUIT /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING O /� //
ELECTRICAL WIRING. WIRING As A3 UI
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY,AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL ONE
AL NE F THE ABOVE
DESCRIBED RESIDENTIROPERTY. POWER
SIGNATURE J UTILITY CO.NOTIFIED
OF PERMITTE FINAL 5-1,-,F- r't
✓l'!
VALIDATI ARTHUR C. VEIT
CK NO CASH SUPERVISING ELECTRICAL ENGINEER
5 8 6 3 OCT 2 2 2 D 2,5 0—
WORKER'S COMPENSATION DECLARATION 20-0019 APPLICATION FOR ELECTRICAL PERMIT
DPW(12-91)
I hereby affirm that I have a certificatg of consent to self insure, 76A863
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(Pec.3800 Lab.,C.) „jl�_ �/
Policy No./V r Company I "— r rFOR APPLICANT TO FILL IN JOB'
ADDRESS /0.9736 L//� ��yy � A
l9��I NO /(—daG—
Certified copy is hereby furnished. New Residential Bldgs.&Pools NO.J. FEE. LOCALITY
$ $Ft
Sq. . _
Certified copy is filed with the county building inspection 1&2-Family, NEAREST y1 deo/
department. Multi-family Sq.FC CROSS ST.
Date �s ApplicanM.ti� Residential Swimming Pools ASOR O�05— P14E�/ PARCEL
MSSESA'P BOOK DO �,[•�J
CERTIFICATE OF EXEMPTION FROM WOFIKERS' Outlets:Rec. PL Light__!Y Sw. OWNER
NAME �—
COMPENSATION INSURANCE g First 20 '
(Thlstectlon need not be completed if the work Involved by the Total No. A ` Additional MAIL O.S-7& QUA —
permit is for one hundred dollars($100)or less.) ��y-I
1 certify that in.the.performance of the work for whichCITY this permit �
T.I.No.�T.! �
gs�+/ Ql%T
Is Issued, I shall not employ any person in any manner so as todf! �9 D PLAN CHECK
beconfe subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT
Total No. V Additional
ADDRESS.
Date _ Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. d'� do/ 90
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.
PERMIT
provisions of the Labor Code,you must forthwith comply with such APPLICANT
provisions or this permit shall be deemed,revoked. Power Apparatus.&Large Appliances.
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS/�JZ
I hereby affirm that I Am licensed.under provisions of Chapter 9 Over 3 to 10 Incl. CITYIV/,u Tel.No. 6
7/3
(commencing with Section 7000)of Division 3 of the Business and Over 10.to 50 Incl.
Professions Code,and my license is in full force and effect. LICENSE OR 51611-11 }
Over 50 to 100 Incl. REG.NUMBER Class. B O
�/��� Over 100 DISTRICT NO. PROCE V
License Number (69 Lie.Class 0
Services;Swb/d,M�C, P/�p°,elyy.ards
Contractor Date b�z�� 0- 93 9 Amp.UndeI�600 V &17 FINAL 0
DATE❑ 1--400-1000 Amp.Under 600 V
I am exempt under Sec. Over 1000 Amp.or Over 600 VFINAL VALIDATION OW.
B.&P.C,for this reason BRANCH CIRCUIT FEES BY (�
Date: 15A,or 20A, 20V,LiJ.
ghtiIl3 or ept. / Z
1 T 1Or nc. Ircuits
Signature 11 To 40 Branch Circuits
El41 Or More Branch Circuits AyC ;T��
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits _
SINGLE FAMILY Temp.Power Pole&Appurtenances 33033
147.15
HOME OWNER-BUILDER DECLARATION Sign with'One Branch-Circuit 1
I hereby affirm that I am exempt from.the ContractorITEMS-7- :15for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code):
0 I,as owner of the property,will do the.work and the structure. Misc.Conduits&Conductors CHECK 147.15
kI's not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , CHANGE .00
i and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the 0000-0001 6/13/9.=
performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) 5;,oCiv.C.) � 6�F 1 P41 4:50
PLAN CHECKING'FEE
Lender's Name-
Y. PERMIT ISSUING FEE
Lender's Address /-'
I•certl4that..l have read.this.application and under penalty of purjury state TOTAL FEE I- /
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-mentioned property
for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGNATURE OF PERMITTEE DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
.DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0505030006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11290 LT: 5 BL: B UN: .003 10536 OLIVE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802864
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-021-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 7.00 OUT 13.65
TENANT: G2 LIGHTING FIXTURES 14.00 LGT 27.30 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 68.70 05/03/05 JK 10/30/05
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
VELASQUEZ FRED;YOLANDA;CLAUDIA (626) 575-8152-
10536 OLIVE ST
TEMP 917802864 DESCRIPTION OF WORK
ELECTRICAL FOR THE ADDITION
APPLICANT: TEL. NO:
BUMIL CONSTRUCTION COMPANY (626) 401-2777-
PO BOX 1529 SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
BUMIL CONSTRUCTION CO. (626) 401-2777-
PO BOX 1529 LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 414634
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIE
REPORT ID: DPR265 ROUTE TO: BS0508