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