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HomeMy Public PortalAbout10557 OLIVE ST_Electrical__ 76A888-CE808 4-66 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF :LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING p� BUILDING AND SAFETY DIVISION ADDRESS - ®�/ 45-1 JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPTACL TOTAL B, OUTLETS FIRST 20 No. X20.$ F MWL LIGHT ER �i�����5 SWITCH ADD'L .10 ADDRESS OVER 20. TOTAL FIRST 20 1.20 CITY TEL.N LIGHTING 1 FIXTU ES FIXTURES J( ADD'L f0 CONTRACTO OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS10/4 y ARB STA.COOK CITY TEL.NO DISHWASH AUTO.-WASH STATE / !� SPACE HTRS. BTA.APP.(Va H.P.MAX.) .50 O LICENSE NO. J MOTORS: OVER NOT OVER H.P. DISTRICT NO. ZPAJE PR. O 1 1.00 1 3 1.50 INSPECTION R CORD 3 3 2.00 8 is 2.50 y nv 15 50 3.00 O SO 100 5.00 V rip SIGNS: NO.TRANS• �� ^Jr O NO.LAMPS / d5 ri SERVICE O•SOOV•NOT OVER 200A 1.00 J pw N SERVICE O-SOOV•OVER 200 A. 2.00 Z SERVICE OVER SOOV 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE i. APPROVALS DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP CATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ��p ELECTRICAL WIRING. 7 y WIRING 1 HEREBY CF"Y THAT IAM PROPERLY EGISTERED AND/OR FIXTURES d LICENSED Al q RED BY LOS ANG LES UNTY AND STATE'OF CALIFORNIA O �&l D.A THE LEGA OW R OFND NE POWER ,RESIDEIN,THE CRIBRE ID TIAL AA .IT PETV. SIGNATURE UTILITY CO.NOTIFIED life Ic OF PERMITT c FINAL 0LIDATION JOSEPH C. ROOHAN CK MO CASH SUPERVISING.ELECTRICAL ENGINEER ,LAC6 0. -63"' MAR 22 2 D 1 3.8 QNcc it j V1IAbRKERS'COMPENSATION DECLARATION CE-806C 10/81 APPLICATIO FOR ELECTR • AL PERMIT I hergby•affirm that.:I have a certificate of consent to self CE-806G insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof.(Sec. 3800, Lab. C.) Policy.No. Company FOR APPLICANT TO FILL IN JOB 95 Certified co is hereby furnished. ADDRESS S PY Y New Residential Bldgs..&Pools EACH NO. FEE ❑ — i Certified copy is filed with the county. $ $ LOCALITY building inspec- 1 &2-Family, Sq. Ft. � tion department. Multi-family Sq. Ft. — 'NEAREST Residential Swimming Pools CROSS OWNER TOR. Date Applicant• FIRM NAME 4 h CERTIFICATE.OF EXEMPTION FROM WORKERS' Z.-Li � Sw.� .. :MAfL COMPENSATION INSURANCE Outlets: Rec ght, _ 'J ADD First 20 r` f n (This.section need..not be completed if the work involved by Total NO. Additional CI p 1 Tel.'No.5 [ — the permit is for one hundred dollars(;100)or less.) PLAN CHECK 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 1'�j� so as to become subject to the Workers'Compensation Laws. Lighting Fixtures.s.� First 20 ADDRESS Total No. y Additional CITY Tel. No. Date pp12 h 1§1licant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO PLICANT. If, aft r ing this Certificate of APPLICANT Exemption, you should beta subject to the•Workers' Range_ Heater_D.W. 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 _ FAUWH. — CITY Tel. No. _ Q deemed revoked. Hood Fanfo;h?er— 4 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 DISTRICT NO. PROCESSED BY Power Apparatus&Large Appliances and Professions Code,and my license is in full force and effect. � Size&Typp HP, KW, KVA, or KVAR' O :License Number Lic. Class Up to 1 Incl. FINAL v Contractor Date Over I to 10 Incl. DATE VALIDATION Over 10 to 50 Incl. FINAL to I amexempt under Sec. Over 50 to 100 Inc, BY B.&P.C. for this reason Over 100 H Date: Services, Swbd.,MCC&Panelboards 0 -200 Amp. Under.600 V Signature 201 1000 Amp. Under 600 V Over 1.000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits 7 2 5:7 Law far the following reason (Section 7031.5, Business and Prof ions Code): # o. o.o o '02 111J I, as owner of the property, will do the work and the Mist. Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ► 2 0 0 20.50 7044, Business and Professions Code). 2 Q.5 Q('30 0•o CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for ( 2 Q 1 -83 the performance of the work for which this permit is issued PERMIT FEE' (Sub-Total) *0 (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name ' PERMIT ISSUING FEE 'Lender's Address I certify that I have read this application and state that the TOTAL FEE 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 WORKERS'COMPENSATION DECLARATION 76-663 , 10/81 CE-606G APPLICATION FOR ELECTRICAL PERMIT ''1 hereby affirm Tat 1 have"a.certificate of consent to self insure; br a certificate Tat Compensation Insurance, or'a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY ' cdpyy thereof(Sec.3800,Lab.C.) Pollsc� .- -34 Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished.. New Residential.Bldgs.&Pools EACH NO. FEE ADDRESS 1. . — ❑• Certified copy is filed.with county buil ing ion 1 &2-Family,Sq.Ft. $ $ LOCALIT. 2_. NEAREST Clmf . department. Multi-family Sq.Ft.. CROSS ST. Date '" I Appli tit Residential.Swimming Pools OWNER OR CERTIFICATE OF EXE PTION FR OIG RS' FIRM NAME N� Outlets:Rec Light Sw. MAIL s COMPENSA ON INSUR E� , 3 �a ADDRESS .6w list 04 First.20 / (This section need not be c mpleted,if a work involved by the CITY Tel.No. permit is for one hundred d ars($ .0)or less.). Total No. Additional I certify that in the performance o e work for which this,perm'it PLAN CHET is issued„I shall not employ any person in any manner so as to APPLICANT become subject:to the Workers'Compensation Laws. Lighting Fixtures First 20 1•/5 .34 ADDRESS • T- al Total No. AdditionCITY Tel.No. . .Date Applicant Fixed Appliances Not Over 1 HP NOTIC15 TO APPLICANT: If, after making. this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range.-L Heater_ D.W. -PPLICAN n ' provisions of the Labor•Code;you must forthwith comply with such. b%%C Bven Dryer_ W.M._ , ADDRESS J provisions or this permit shall be deemed revoked. Top FAU _ W.H. — ITY Tel.No. C7 LICENSED CONTRACTORS DECLARATION Hood T- Fan _ Other_. / I hereby affirm that I am licensed-under provision of Chapter 9 G• /2' LICENSE OR -Disp. � Room Air Coiid. Clasa (commencing with Section 7000)of DIVIsion 3.of the Business and REG:NUMBER 7j Professions Code,and my license is in,full force and effect. Power Apparatus&Large Appliances DISTRICT NO. '• PROLE ED BY Size&Type HP,KW,KVA,or KVAR . � p License Numbern-1._ Llc.Class._ Up to 1'Incl. FINAL. C� O Over 1 to 10 Incl, DATE �y VALIDATION a te, Over 10,to 50 Incl. I/ FINAL' ❑ I am exempt under Sec. Over 50 to 100 Inc.. BY W C.� B.&P..C.for this reason Over 100 += Z Date: Services;Swbd.;MCC&Panelboards pop. �t j�, q Z 0-200 Amp.Under 600 V Signature 201 - 1.000 Amp.Under 600 V ;�%( s=ra J. E] Exemption 1000 Amp.or Over 60d V Exemption for Reg..Maint.Elect. 1. TjM5 ' SINGLE FAMILY Temp.Power Pole&Appurtenances i31#N%. �x�--.57 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit �o+=�! I hereby affirm that I am exempt from the Contractor's.License Law CHECK it h Circuits rcus - for the following reason(Section 7031.5,Business and Professions Additional Sign � . Code): (l�fkt?k .ivt.l Misc.Conduits&'Conductors ❑ I,as owner of the property,will do the work.and the structure Other(See Complete Fee Schedule) is not intended or offered•for sale (Section 7044, Business ,{ / j js and Professions Code). I Poo. 13003-010,011 1' CONSTRUCTION LENDING AGENCY 9263 gar I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued'(Sec.309.7, PERMIT FEE (Sub Total) Civ.C.). PLAN CHECKING_FEE Lender's Name f PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state thatthe above TOTAL tEE information is correct.I agree to comply with all County ordinances and State laws reguiat(n ctrical wiring, and hereby'authorize sen s of this u ,to a er upon the'above-mentioned p for' s otic p oses. SEE REVERSE FOR EXPLANATORY LANGUAGE Si atu o r it a Date a COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0309220009 • BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: -JEM ID: FEES D BUILDIN TR: 7690 LT: 8 UN: .002 10557 OLIVE ST . FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917802865 ASSESSOR I I0 B R: NEAREST CROSS STREET: BALDWIN AVE. 8586-029-041 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 1.00 LGT 1.95 ISSUED ON: PROCESSED L BY: EXPIRES • TOTAL FEES 43.35 09/22/03 JK 03/20/04 . OWNER: TEL. NO: FINAL DA F I NAL BY: CODE: FANG CHIN-MING;JOYCE (626) 443-6348- a g 10557 OLIVE ST L TEMP 917802865 D C PTION R ELECTRICAL FOR DEN ADDITION A 0: CORTES (562) 806-7166- 8321 EASTERN AVE. SPECIAL CONDITIONS: BELL GARDENS 90201 ' CaE_-�-�— .s. S CONTRACTOR: TEL. N0: del01111 ��\ APPROVALS DATE INSPECTOR SIGNATURE REALTY BUILDERS (800) 205-2677- r�+ �= 8929 EXPOSITION BLVD LIC. NO ``� ��.�?� '�� TEMPORARYER POLE LOS ANGELES, CA 90034 797103 B UNDERGROUND CONDUIT ARCHITECTOR ENGINEER*-- N0: ��/. ll - -r` .;-i ��-� 1'•.� � . ��1 R GROUND M. C. DESIGN & ASSOCIATES (562) 806-71,66- -- 8321 EASTERN AVE. LIC. I�O� / _ _ I � ! ——;— �� ROUGH CONDUIT BELL GARDENS, CA 90201 NONE'[ �' ;b f - -— --- I L-J -J l j ROUGH WIRING p r'1 l �l '- - '"�� A MAI WATER LINE �,11i11 PLASTIC Y/N METAL Y/N °-- -- -- -- --------- ---- ---- UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508