HomeMy Public PortalAbout10647 OLIVE ST_Electrical__ ON
I hereby affirmORn ER'at Ihave a aPcerStf iclate oEcoLnsentOto self insure, 7SM63 DPW(12-91) APPLIC-ATIdN FOR ELECTRICAL PERMIT Ll
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(Sec.3800 Lab.C.)'
Policy No. Company FOR APPLICANT TO FILL IN JOB
A DRESS
Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY
❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ $ $ NEAREST
department. Multi=family Sq.Ft. CROSS ST.
Date Applicant Residential Swimming Pools MAP BOOK
PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' O MMER OR
COMPENSATION INSURANCE Outlets:;Rec._Light Sw. NAME
(This section need not be completed If the work Involved by the First 20 MAIL
permit is for one hundred dollars•($100)or less.) Total.No. Additional ADDRESS 4Q(p47 07- 6 v
I certify that in the performance of the work for which this permit CITY'IfAW e` 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.
rovisions of the Labor Code,you must forthwith comply with such PERMIT
p Y P Y Power Apparatus&Large Appliances APPLICANT
provisions or this permit shalt 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 Tel.No.
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR
Over 50 to 100 Incl. REG.NUMBER Class. d
License Number Lic.Class
Over 100 DISTRICT NO. PIROGESSEP BY O
()
ices,,S d.,MCC&Panelb ards dG�
FINAL
Contractor Date �Amp0 V DATE
❑ 400-1000 Amp.Under 600 V -Z� VALIDATION V
I am exempt under. 70
Sec. Over 1000 Amp.or Over 600 V d
B.&P.C.for this reason BRANCH CIRCUIT FEES
FINAL
Date:- 15A,or 20A,120V,Lighting or Recept. Z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
El
41 Or More Branch Circuits
Exemption for Reg.Maim.Elect. 15A,20A,208V To 277V Lighting Br.Circuits
Z
SINGLE FAMILY Temp.Power Pole&Appurtenances �•�
HOME OWNER:BUILDER DECLARATION ACCT.-11
Branch Circuit B
with One ran
I hereby affirm that I am exempt from the Contractor's License Law Sign w � •-,
for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits 330 o,?v�r.r
Code):
1 ITEMS
Misc.Conduits&Conductors _
I,as owner of the property,will do the work and the structure _.,
is not intended or offered for tale(Section 7044, Business Other(See Complete Fee Schedule) T071 AL 63 m 45
and Professions Code).
CHECK
CONSTRUCTION LENDING AGENCY CHANGE � �
I hereby affirm that there is,a constructiorr lending.agency for the
Performance of.the work forwhich this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total)
Civ:C.)
PLAN CHECKING FEE 0000-0001 8/20/93
Lender's Name PERMIT ISSUING FEE o2� 1377 1 AM100.4-1
Lender's Address
I.certify that I have read this application,and under penalty of purjury state TOTAL FEE
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
ATED PER I E-J�1� 3
1
• .COUNT! OF LOS 'ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0806300027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID I BUILDING ADDRESS:
ITR: 7690 LT: 1 BL: .001 1 10647 OLIVE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802843 it
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: EL MONTE
18586-030-002 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
I 1B2 1 OR 2 FAMILY DWELL 640.00 SQ 67.20 1 1
(TENANT: I TOTAL FEES 94.95 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
106/30/08 SR 12/27/08
(OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE:
ILUONG, TONY T (323) 864-3868- I I
110647 OLIVE ST I I
ITEMP 917802843 I ID2SCRIPTIOIN OF WORK I
(ELECTRICAL FOR 2ND: UNIT
(APPLICANT: TEL. NO: I 1 I
ILUONG (323) 864-3868- I 1 I
110647 OLIVE ST. I ISPECIAL CONDITIONS:
(TEMPLE CITY CA 91780
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
ITONY TRUNG LUONG (626) 448-2488- 1 1
110647 OLIVE STREET LIC. NO I ITE14PORARY POWER POLE
TEMPLE CITY, CA 91780 685617 * I
(UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I I
LIC. NO: I IROUGH CONDUIT I I I
1 I I ROUGH WIRING 1'
I IMAIN WATER LINE I I I
(PLASTIC Y/N METAL Y/N I I I
(UTILITY COMPANY NOTIFIED( I I
1 I I I I I
1 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* ADDITIONAL DATA ON FILE I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508 I I I
I I I I I I
COUNTY.OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL EL 0508 005080PERMIT
• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 806300023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
JTR: 7690 IT: 1 BL: .001 1 10647 OLIVE ST
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:l TEMP CA 917802843
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EL MONTE I
8586-030-002 jA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 126.00 OUT 182.10
TENANT: JG2 LIGHTING FIXTURES 48.00 LGT 76.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
JHA FAU LESS 3HP 2.00 FAU 21.90 106/30/08 SR 12/27/08
JH1 RES ELEC OVEN IT 3HP 1.00 OVE 10.95
OWNER: TEL. NO: - JH2 RES GRBG DISP IT 3HP 1.00 DIS 10.95 FINAL DATE FINAL BY: CODE:
ILUONG, TONY T (323) 864-3868- JH3 RES DISHWASHR IT 3HP 1.00 DIS 10.95
3L0647 OLIVE ST JH4 RES RANGE HDS IT 3HP 1.00 HOO 10.95
TEMP 917802843
JHS RES WASH MACH IT 3HP 1.00 WAS 10.95 DESCRIPTION OF WORK
JJB AC UNITS +3-10HP 2.00 AC 39.30 JELECTRICAL FOR MAIN HOUSE ADDITION, GARAGE AND SERVICE PANEL
ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 JUPGRIADE TO 200 AMP
APPLICANT: TEL. N0: TOTAL FEES 441.45
ILUONG (323) 864-3868-
SPECIAL CONDITIONS:
110647 OLIVE ST.
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
TONY TRUNG LUONG (626) 448-2488- TEMPORARY POWER POLE
(10647 OLIVE STREET LIC. NO
TEMPLE CITY, CA 91780 685617 * i JUNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: i JUFER GROUND eyP
LIC. NO:
ROUGH CONDUIT [I
(ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
I
�* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508
• Va ..4
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0910010010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
]TR: 7690 IT: 1 BL: .001 I I 10647 OLIVE ST [
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802843
[ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: EL MONTE I
18586-030-002 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
I [G1 OUTLETS-LGT,SW,RECP 28.00 OUT 49.80 1 1
(TENANT: G2 LIGHTING FIXTURES 29.00 LGT 51.15 [ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: ]
1 i TOTAL FEES 128.70 10/01/09 SR 10/01/10
(OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: [
ILUONG, TONY T (323) 864-3868-
110647 OLIVE ST 1 �r��� 7 X
ITEMP 917802843 I IDESCRIPTION OF WORK %
]ELECTRICAL FOR REMODEL LIVING ROOM, BATHROOM AND 2 BEDROOMS ]
(APPLICANT: TEL. NO:
ILUONG (323) 864-3868-
I
10647 OLIVE ST. ] ]SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
I ] I I
CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE ]
TONY TRUNG LUONG (626) 448-2488- 1
10647 OLIVE STREET LIC. NO I ITEMPORARY POWER POLE I I [
(TEMPLE CITY, CA 91780 685617 * I
] ] ]UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER: TEL. NO: [ IUFER GROUND
_ 1 1
] LIC. NO: [ ]ROUGH CONDUIT I I ]
] I IROUGH WIRING
I
I MAIN WATER LINE
] I PLASTIC YIN METAL YIN 1 1
I [ [UTILITY COMPANY NOTIFIED[ [ 1
I I I I I I
1 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* ADDITIONAL DATA ON FILE [ I I I
I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
I I I I I I