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Home My Public Portal About9047 OLIVE ST_Electrical__ 7!EA653LCE806 1/70 APPLICATION FOR ELECTRICAL ERMIT� �. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUI eISS ()8A-( BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY } COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING FOR APPLICANT TO FILL IN CROSSS T. C��JJt• �`� OUTLETS NO. EACH FEE , OWNER O$�L� EVQti��J RECEPT._ FIRST 20. $ 20$ MAIL �q r `' Z ADDRESS 0�\ C `0`-x V .�@•�` . LIGHT TOTAL CITY;JeMQ\lE C TEL. NO. _877-01� SWITCH_ OVER 20 .10 PLAN CHECK FIRST 20 .20 APPLICANT LIGHTING TOTAL OVER 20 ADDRESS FIXTURES .10 APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW.KVA. , ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSED AS ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNI THAT AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE . THE A DESC R ESIDENTIAL PROPERTY. SIGNATU Q 10 - 50 5.00 OF PERMITTEE V 50 - 100 10.00 DC DISTRICT NO. CLASS ZON PR E Y GROU 100 - 500 15.00 3 L? G W SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: N TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 z SERVICENOTOVER 600 VOLTS OR 200 AMP i 2.00 2 00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 5.00 TEMP.POWER POLE TEM P SERVI CE,POLE,IN APPU RTENANCES 3.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDI UT WIRING PERMIT FEE (SUB TOTAL) FIXTURES f PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZEDL r _ ^ UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 j✓�-J Q FINAL 1� SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSIMPHfC. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION Cr. M.0. CASH PERMIT VALIDATION M.0. CASH LPr- 9 6 3 3 c APR 9 2 D 4.0 0- SEE NSEE BACK OF APPLICATION FOR COMPLETE SCHEDULE CITY OF TE12LE CITY 476A663-CE606 468 ,. APPLICATION FOR ELECTRICAL PERMIT Anthony COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 90 '7 Olive St JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO.. EACH FEE RECEPT,_ $ $ OWNER Mrs Robert Evans MAIL as job LIGHT�-11 � TOTAL FIRST 20 .20 L�.O ADDRESS SWITCH y OVER 20 .10 CITY TEL. NO. 2-87-1748 PLAN CHECK LIGHTING JTOTAL, FIRST 20 .20 ZO APPLICANT FIXTURES 1 OVER 20 .101 ADDRESS RANGE—DRYER_WTR.HTR.— CITY TEL. NO. STA.COOK_DNP._F.A.U._ CONTRACTOR Cobine Electric CO, SPACE HTR. AIR COND. ADDRESS 1607 Chestnut St® CLOTHES WASH._DISHWASH._ CITY AlhambraTEL. NO. 282-0315 FAN—OTHER 1.001 LICENSE NO. 229847 CLASS. C-10 MOTORS.TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION SIZE & TYPE OVERTO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 1 hp 0 — 1 1 1.00 1 00 ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 1 — 103.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF "CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 50 5:00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. so — 50 — 100 10.00 SIGNATURE V OF PERMITTEE ` � 100 — 500 15.00 CD DISTI T GROU ZO E P ED a SIGN,GAS SIGN AND ONE CIRCUIT 3.00 N TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 q¢. NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 .SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, B APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAI WORK of ROUGH CONDUI PERMIT FEE (SUB TOTAL) 1. 60 WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 2 00 UTILITYCO.NOTIFIE SUPPLEMENTARY PERMIT ISSUING FEE 1.00 IFINAL f 1 TOTAL FEE 3 60 JOSEPoI ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION > M.O. CASH pr,-9 4 2 1c:2 W29 2, D 3.60- q EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��'}WORKERs'COMPENSATION DECLARATION 70A663 ,o,a, APPLICATION FOR ELECTRICAL PERMIT _.1 ore Wf)fm.tftat I have b certificate of consent to self insure, CE-808G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY c6py thereof(Sec.3800,Lab.C.) `-lolicy No. Company FOR APPLICANT TO FILL IN. JOB ❑ Certified copy is hereby furnished. EACH NO.. FEE ADDRESS IF0 _01",/10-N 2_Fa tial Bldgs.&Pools ❑ 1 2-Family,Sq.Ft. $ -- $ LOCALITY Certified copy is filed with the county building inspection NEAREST department. ulti-family Sq.Ft. Residential Swimming Pools CROSS ST. Date Applicant OWNEWOR FIRM NAME 64k Zw- -571 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec t Light Sw. L� COMPENSATION INSURANCE 4117 T �► �- pDRESS �4 (This section need not be completed If the work Involved by the First 20 7 IQ permit Is•for one hundred dollars($10Q)or less.) Total No, Additional 'CITY / Tel.No. I certify,•that In the performance of the work for which this-permit PLAN CHECK is issued, I:shell not'employ any,.person in any manner so as to APPLICANT become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS • , ` I. Additional 3- 7 c� — CITY Tel.No. -Date Applicant Fixed Appl ances dot Over 1 HP NOTICE TO APPLICANT: if, after, making his Certificate Of PERMIT xemption,you should become subject to the Workers'Compensation Range_ Heater D.W. APPLICANT provisions of the Labor Code,you must forthwith comply with such Oven Dryer W.M._ ADDRESS provisions-or this permit shall be deemed revoked. Top —.FAU _ W.H.. LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Tel.No. I hereby affirm that I am licensed under provisions of Chapter 9 • Disp, 'Room Air Cond. ' UCENSE OR Class. ' (commencing with.Section 7000).of Division 3 of the Business and REG.'NUMBER Professions Code,and my license is in full force and effect. DISTRICT NO: PROC E BY Power Apparatus&Large Appliances Size&Type HP,KW,KVA,or KVAR r License Number Lic.Class Up to 1 Incl. FINAL . 1 Over 1 to 10'Incl. DATE VALIDATION 0 Contractor Date Over 10 to 50 Incl. ❑ FINAL. I am exempt under Sec. Over 50 to 100 Inc. BY ty� B.&P.C.for this reason Over 100 N ervices rds / Z Data., P. . -200 Amp.Under 60 Signature '201 - nder 600 V �"❑' Over 1000 Amp.or Over 600 V Exemption for Reg:Maine 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 Law additional Sign Branch Circuits for the following reason(Section 7031.5,Business and Professions ' Code): I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors ' Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). CONSTRUCTION LENDING AGENCY 91 1.9 A I.hereby affirm that.there is a construction lending agency for the # 0 0 0 0 02 performance of the work for which this permit is issued(See.3097, PERMIT FEE (Sub Total) Civ.C.). I 1 6 o51.00 / . PLAN CHECKING FEE z Lender's Name ' � � � 51,00� • PERMIT ISSUING FEE l 0 3.0 7. 8 8 4 Lenders Address fe7 Q I��Q S certify that I have read this application and that the above TOTAL FEE. d i , formation 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 proper t!for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE �- -� 7 t SignatUrd o rmittee Date