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Home My Public Portal About10561 OLIVE ST_Electrical__ Da S•q,la-aa 9SM APPUCATION FOR FERIffi ENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINES qlzl DISTG ZONE PERMITNO. ADDRESS RECEI BY READY FOR DATE 1 UED CITY 19 'TEL.NO. ••. - FIRST INSPECTION COUNTY �„CERT.NO. EXPIRES _ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OP-WORK ADDRESS " r 7 NUMBER OF OOTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGSdFITZ CROSS ST. l - ✓tf�f�_� CIRCUIT�'` A' B C ® E F G H N .'NAME jt 3MAIL ADRESSO' CITY v C/- TEL NO. �� '� , ^( 1 AM THB LEGAL POSSESSOR OF THE ABOVE LOS ANGLES COUNTY CERTIFI F: T All +� 4 rIi/ [' �t1� . ( ^�, l - •` ELECTRICIAN.- '` I AM UN LEGAL OWNER OF.THB PMWF=Y DESCRIBED .f= '�p ( ABOVE f - 'OWNER: CORREMONS 1 J � f / ` y till I'vA I ti1,4'?I AWt,",, �.ti fir r fir•- e�oc., f _= .. f l - xhat . rm D — z / a / f TOTAL, .-' NO. OF OUTLETS ffi APPROVALS 1 NO. OF FIXTURES ffi = DATE INSPECTOR'S NAME NO. OF MOTORS H.P. ffi CONDUIT NO. OF SIGNS TRANS. ffi WIRING NO. OF RANGES OR HEATERS ffi FIXTURES .��F J��'ry !�/ nr•r✓�' �,. MISCELLANEOUS POWER' / PERMIT FEE ffi UTIL4 CO.NOTIFIED � � � ///. s 7:•�'"� �' _ TOTALNEE - FINAL;' +' `j` �}; r: ��) . " •E -�0 i < ,.TIV L lip 77 WORKER'S COMPENSATION DECLARATION 20.0019 DPW(72-91) APPLICATION FOR ELECTRICAL PERMIT' IJ I herebyeaffirm that I have a certificate of consent to self insure, 76A863 t or a eertificate.of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF-PUBLIC WORKS BUILDING AND SAFETY DIV. copy t7�ereof(Sec.3800 Lab.C.) i // Policy Ngj. Company FOR APPLICANT TO FILL IN ADDRESS D:�f7 .D �' �jYR ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO.1 EACH FEE $ $ LOCALITY - ❑ Certified copy Is filed with the county building inspection 1 &2-Family,Sq.Ft. _ NEAREST Ir department. Multi-family Sq.Ft. CROSS ST. ��sy Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK ��! PAGeo` PARCEL3 (O CERTIFICATE nIWORKERS' Outlets:Rec Light ! Sw. OWNER COMPENSTONNSURA CEO M A , First 20 ' MAIL 1) � (This section need not be completed if the work Involved by the Total No. Additional159 d ADDRESS �(I 1�,(e S' "a%r"�� permit is for one hundred dollars(5100)or less.) I certify that in the performance of the work for which. this permit CITY Tel.No. is issued; I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No.___& Additional ADDRESS Date Date L " ` I _q 3 Applicant R AAP NC LIAES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this rtificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must forthwith comply with such PERMIT n��l provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT 10 LICENSED CONTRACTORS DECLARATION &Type HP,.KW,KVA,or KVAR ADDRESS 1. 3 0 G I hereby affirm that I am licensed under provisions of Chapter 9 _� Over 3 to 10 Incl. (commencingSia. with Section 7000)of Division 3 of the Business and CITY 1,4;116Cry T Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. I. '. } LICENSE ORClass Q„ Over 50 to 100 incl.. REG.NUMBER �'l-4 1 6 O 13 Over 100 DISTRICT NO. R SSED BY V License Number Lic.Class L� Services,Swb C /& a elazds epf� O Contractor ( r 7 , '' L Date " 1 : +3 0- Amp.Under E00 V DATE �y U ❑ I am exempt under Sec. 400 1000 Amp.Under 600 V rVALIDATION W Over 1000 Amp.or Over 600 V FINAL. IZ B.&P.C.for this reasonBRANCH CIRCUIT FEES BY / Z Date: 15A,or 20A,120V,Lighting or Recept. _ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ Al Or More Branch Circuits Exemption fdr Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances At-T°s HOME OWNER-BUILDER DECLARATION iit h Ci B with O Sign wne Branch ; i I hereby affirm that I'am exempt from the Contractor's License Law Si }111 �UL°'L for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 1 ITEMS. ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 163.35 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) !63°35 and Professions Code). ® CHECK CONSTRUCTION LENDING AGENCY CHANGE .013 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) DUQ ;.( 17i 8/11S PLAN CHECKING FEE Lender's Name 9vu � °yid PERMIT ISSUING FEE � - - Lender's Address TOTAL FEE �3 -3 I certify that I have read this application and under penalty of purjury state 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. 11, SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE 0DATE COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1209170035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 7690 IT: 7 UN: .002I I 10561 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802865 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: PAL MAL 18586-029-003 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 1.00 OUT 2.00 I I TENANT: IG2 LIGHTING FIXTURES 1.00 LGT 2.00 JISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEES 31.80 109/17/12 SR OWNER: TEL. NO: IFINAL DATE FIYAL BY: CODE: IHOUN MENG OUI;PHET HOUANG (626) 448-7127- 1 O 110561 OLIVE ST I I TEMP 917802865 1 IDESCAIPTION OF WORK it SWITCH, AND CHANGE 1 LIGHT TO LED LIGHT FOR BATHROOM APPLICANT: TEL. NO: iREMODEL SAME AS OWNER - I I ISPECIAL CONDITIONS: CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I I LIC. NO I ITEMPORARY POWER POLE I I I (UNDERGROUND CONDUIT I (ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND I I I LIC. NO: I IROUGH CONDUIT I I I I I TROUGH WIRING IMAIN WATER LINE I I I IPLASTIC Y/N METAL Y/N I I I I (UTILITY COMPANY NOTIFIED( I I I I I I I I I II 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 II I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1209130036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: [LEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 7690 IT: 7 UN: .002 [ [ 10561 OLIVE ST [ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802865 [ [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: PAL MAL [ 18586-029-003 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 11.00 OUT 22.00 I 1 TENANT: 1G2 LIGHTING FIXTURES 4.00 LGT 8.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 IH3 RES DISHWASHR LT 3HP 1.00 DIS 11.00 109/13/12 SR [ 1 H4 RES RANGE HDS IT 3HP 1.00 HOO 11.00 1 I (OWNER: TEL. NO: I TOTAL FEES 79.80 (FINAL DATE FIN BY: CODE: IHOUN MENG OUI;PHET HOUANG (626) 448-7127- 1 110561 OLIVE ST I I O I ITEMP 917802865 1 IDESCRIPTION OF WORK 1 I 1 110 RECESSED LIGHTS, 11 OUTLETS, DISHWASHER AND RANGE HOOD 1 FOR KITCHEN REMODEL 1 (APPLICANT: TEL. NO: I I ISAME AS OWNER - I I I I I ISPECIAL CONDITIONS: I I I I I I I I CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I LIC. NO I ITEMPORARY POWER POLE [ 1 I I I I I I I I I [UNDERGROUND CONDUIT I I I I I I I I I [ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND 1 [ I LIC. NO: [ IROUGH CONDUIT I I I I I IROUGH WIRING y1 I I IMAIN WATER LINE I I I [ I IPLASTIC YIN METAL YIN I I I (UTILITY 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 I I I I I I I I I I I I I I I I I I I I I 1 IREPORT ID: DPR265 ROUTE TO: ES0508 I 1 [ I I I I I I