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HomeMy Public PortalAbout10566 OLIVE ST_Electrical__ DEPARTMENT OF RUMDING-AID SAMr � . Alydrdt��l�IIYIDl`Y avy1N drmdtluvnari COUNTY OF LOS ANGELES .E4 LE IQ WIM. J..FOXCHIEF ENGINEER z NAME DISTRICT NO. - GROUP ZONE PERMIT NO. .� ADDRESS ` Y rr~ ��• ...__1 �+� � �� ' W /L>_ RECEIVED 13Y READY FOR DATE ISSUED CITY !- �/ TEL.NO. " -FIRST INSPECTION ev __7 .d COUNTY (/'(ter. /�.7�r. �rrc� - •u'" �' W CERT.NO. EXPIRES �'•- = APPLICANT RM RN HEAVM`Y ObTU[NEEHD PORTION 0?9X.JOB I DESCREMON OF WORK DDRESS_..a NUMBER OF OUTLETS ON CIRCUITS: LOCALI ..r LOCATION BY ROOMS NEAREST Y LIGHT OUTLETS, ISW. . PLUGS I FIUT CROSS ST. CIRCUIT A B C D E F G H a NAMC".4m .' t ADDRESS,, CI /'�Z•/ns 060, TEL.NO. / f fir' I AM THE EGAL POSS�ggSOR OF THE ABOVE LOS ANGELES CO NTX CERTdFICAT6 OF QUALIFICATION.. ELECTRICIAN. 4 AM T LMAL=HER OF THI EBC BED X. ABOVI3 OWNER. s`� (C- OILS is c i Z. ID MOTAL NO. OF OUlfLETS APPROVALS NO. OF FIXTURES DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. / ffi WIRING NO. OF RANGES QW-HEATERS `) ffi FIXTURES / MISCELLANEOUS POWER PERMIT FEE $ v `' UTILITY CO.NOTIFIED TOTAL FEE Rllt TION � V'firm RSVCI have a cirli DECLARATION 76-1663 10/81 �PPLICATI®IV FOR ELECTRICAL PERMIT r!f5ere�y firm��iat I have a cert+ficate of consent to self CE-8066 �a ins4g% 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 Certified copy is hereby furnished. EACH NO. FEE ADDRESS New Residential Bldgs. 8 Pools ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — E LOCALITY tion deportment. Multi-family Sq. Ff. CNEAREST 7;i:rA4 Ad de ezzov, ROSS ST. Residential Swimming Pools Date Applicant OWNER OR ��q FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_aLight�Sw.� MAIL COMPENSATION INSURANCE ADDRESS First 20 • D (This section nood not bo eomplella If the work involved by Total No. 12 Additional �' CITY Tel. No. the permit is for one hundrod dollars($100)or less.) I certify that in the performance of the work for which this PLAN CHECK permit is issued, I shall not employ any person in/anyom'nne r APPLICANT so as to become subject to the Work s'Co penn Laws. Lighting Fixtures First 20 ADDRESS �- Total No._i Additional Date pplicant CITY Tel. No. Fixed Appliances Not Over 1 HP NOTICE TO PLICANT: If, after aking 's ilertificate of PERMIT Exemption, you should become subject to the Workers' Range_ Heater_D.W. _ APPLICANT 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 _ FAU —W.H. — " deemed revoked. Hood _ Fan _Other_ CITY Tel. No LICENSED CONTRACTORS DECLARATION LICENSE OR I herebyaffirm that I am licensed under p Disp. _ Room Air Cond. Class. Zd? provisions of Chapter 9 REG. NUMBER (commencing with Section y license of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCE ED BY a and Professions Code,and my license is in full force and effect. Q , _ _, � C� Size&Type HP, KW, KVA, or KVAR �/ License Number m2�.0 S" Lic. Class_ Up to 1 Incl. FINAL Over 1 to 10 Incl. ras DATE VALIDATION Contractor /L° 4161610Dafe Over 10 to 50 Incl. �� 92 FIN W ❑ I am exempt under Sec. Over 50 to 100 Inc. BY n- B.BP.C. for this reason Over 100 Date: Services, Swbd., MCC&Ponelboards ss' 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint, Elect. Over 1000 Amp. or Over 600 V �4 6 3 4 A SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # 0 0 0 0 0 I hereby affirm that I am exempt from the Contractor's License Additional SBranch Circuits ) o o wj 6, 2 ign Law for the following reason (Section 7031.5, Business and - Professions Code): ❑ I, as owner of the property, will do the work and the M.sc. Conduits&Conductors o 0 0 5 Q 5 0 5 structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) S(� (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 ordinan nd State laws regulating Electrical wiring, and hereb a ori 4!=:: tatives of this County to enter upon the e- a Tperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sgnature o er D to ON DECLARATION 1 hereby affirm that I'haveMa certificate lof consent to self Insure, 20.0019 DPW(12-91)76A663 APPLICATION FOR ELECTRICAL PERMIT or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. gopv ther of(Sec.3100 Lab.C.) Policyjr-No. // /�Ompany �,/I�f�I FOR APPLICANT TO FILL IN JOB / ADDRESS 6�. Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. $ EACH $ FEE LOCALITY Certified copy is filed with the unty building inspe ion 1 &2-Family,Sq.Ft. NEAREST dap rtme Multi-family Sq.Ft. — CROSS ST. Date Applica Residential Swimming Pools ASSESSOR MAP BOOK I PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WO ERS' Outlets:Rec.�Light S Sw. FlRM NAME COMPENSATION INSURANCE First 20 �' (This section need not be completed if the work Involved by the ADDRESS�v.� (JG �j V permit Is for one hundred dollars($100)or less.) Total No. Additional 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 Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. 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. provisions of the Labor Code, you must forthwith comply with such PER p p y Power Apparatus&Large Appliances APPLICANT 'S provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY G Tel.No. ct Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR / Class. Over 50 t0 100[no[. REG.NUMBER d License Number 7/06 Lic.Class Over 100 DISTRICT NO. f/ P SED BY 0 —6/ ,V � Services,Swbd.;MCC&Panelboards �4 �C�C��y 0 399 Amp.Under 600 V FINAL 0 Contractor Date DATE ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V VALIDATION V Over 1000 Amp.or Over 600 V d B.&P.C.for this reason FINAL BRANCH CIRCUIT FEES BY / co Date: 15A,or 20A,120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A.20A,20 VV To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION ACCT.-Or I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits 73303 47 z 0 Code): ❑ 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors I ITEMS Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) TOTAL 47 ., 30 and Professions Code). CONSTRUCTION LENDING AGENCY CPEt:K 47.30 1 hereby affirm that there is a construction lending agency for the CHANGE .00 performance of the work for which this permit.is issued (Sec.3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE 0000-0001 7/10/95 Lender's Name PERMIT ISSUING FEE 0 1223 1 A41 8.204 Lender's Address TOTAL FEE a�t I certify that I have read this application and under penalty of purjury state �7i 50 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 nter upon the above-mentioned property fol ' pe Io urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATU OF P ITTEE DATE COUNTY OF OS LES TY DEPARTMENT OFLPUBLICEWORKS 9071LLASITUNAS # 0508 �0-508- I032000T2J Et✓0-508-4803200002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA DUPLICATE PHONE: (818) 285-0488 EXT: LEGAL D: f S PAID BUILDING ADDRESS: TR: 11290 LT: 1 BL: B UN: .002 (�1856d ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP—GA-9'1-78028114 ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET: 8585-021-001 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95 TENANT: TOTAL FEES 29.70 ISSUED 0 PROCESSED BY: PLAN B PI 03/20/98 UT 03/2 9 . OWNER: TEL. NO: FINAL DATE FINAL 8 CODE: VASI HUSEINI A;KHADIJA H (818) 442-7865- f, 10566 OLIVE ST `►' b TEMP 917802864 ES ll'-rUN-OFWORK •EL-EG•T-R3•CAt-FOR 3RD-BEDROOM— APPLICANT: TEL. NO: T W HOMES, INC. (626) 288-6269- 1101 E. GARVEY AVE y.�_.�- SPECIAL CONDITIONS: MONTEREY PARK, CA CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE T W HOMES, INC. (626) 288-6269- F j"tv� ��'• 1101 E. GARVEY AVE. #212 LIC. NO TEMPORARY POWER POLE MONTEREY PARK, CA 91754 676124 B -� S ��'' UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: - f r . , �, R GROUND LIC. N0: _ " _ i i- , ROUGH CONDUIT - ROUGH WIRING MAIN'WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508