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HomeMy Public PortalAbout9064 OLIVE ST_Electrical__ 76A663 DBS BA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT N.D. ELECTRICIAN Vlsdli�V ��e READY FOR ADDRESS - �3:� RECEIVED BY / FIRST INSPECTION DATEISSUED CITY J i{? TEL.N 01 7S� r2� '-G(, L/ COUNTY LICENSE NO. EXPIRES 71°'R?8 BUILDING �,9� ' PERMIT FEE ADDRESS �y"� �/ NUMBER EACH FEE LOCALITY �° / LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS 5D $ Q MAIL ELEC. RANGES SS ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWB REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACHOF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. r � 7P r /2 6 LE9B $ .25 SIGNATURE OF � %z 2 .50 PERM ITTE a—' 2 s 1.00 INSPECTION RECORD I: ° 5 16 1.50 1550 2.50 SO 200 6.00 2012 500 10.01 . J 500 1000 15.00 Q Z. OVER 1000 20.00 19 M.G. SET/FREQ. CHANGER-HP Ix WELDERS.,AC-KVA O GENERATORS - KW TRANSFORMERS - kVA TEMP. MOTORS (75% DF DRIG.) — MOVED MOTORS (75% DF oRIGa MISC. SIGNS NO. N O.TRANS. I APPROVALS NO. NO.LAMPS FOR EACH PERMIT: DATE INSPECTOR98 NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 V FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED FINAL I /?- v d : S � ;ti� WQRIfE S''CO.MPENSATIONDEGLARATION i 78-683 10/81 AP��I/�/eT101� 'F®R ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self ir+sure, CE-Bose !� Oo/9 I or a certificate of Workers' Compensation Insurance,or a ce ified COUNTY OF LOS ANGELES : ' BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) I �� Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished: EACH.. O. FEE ADDRESS 1�6 M vt+l U I New Residential Bldgs.&;Pools + ❑ Certified .copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ - $ LOCALITY EST department. Multi-family Sq.Ft." / CROS ST Date Applicant - Residential Swimming Pools OWNER oR FIRM NAME O OV. /v I e CERTIFICATE OF EXEMPTION FROM WORKERS' ' + L COMPENSATION INSURANCE , Outlets:Rec—Light .Sw. AU KESS (This section need not be completed If the work involved tri-theFirst 20 v / permit is for one hundredxlollare($100)or less.) ): Total No. Additional PLANCII Y Tel.No bo I certify that in the performance of the work for which this pbrmit +. APPLICANT CHECK APPLICANT is issued, I shall not employ any person in any manner so as to I become subject to the Workers'Compen tion Laws. i Lighting Fixtures First 20 ADDRESS 0 A Additional l Total No. CITY Date Applica ° Fixed Appliances Not Over 1 HP NOTICE TO A LICANT: If, r :making- this Certificate of i PERMIT APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. provisions of the Labor Code,you must forthwith comply with"such Oven Dryer_ W.M._ ADDRESS provisions or this permit shall be deemed revoked. ' Top FAU 25- W.H. LICENSED CONTRACTORS DECLARATION ' CITY Tel.No. Hood — Fan Other_ I hereby affirm that I am licensed under provisions of Chapter 9Disp. — Room Air Cond. LICENSE OR 'Class. (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSED B Power Apparatus&Large Appliances i + I' Size&Type HP,KW;KVA,or KVAR v o G8 License Number Lic.Class i' Up to 1 incl. FINAL Over 1 to 10 Incl. DATE VALIDATIO 0 Contractor Date Over 10 to 50 Incl. V FINAL ❑ I am exempt under Sec. I• Over 50 to 100 Inc. i BY 0 W .B.&P.C.for this reason i' Over 100 ► 71 2 4 A N' Services,Swbd.,MCC&Panelboards i' # o 0 0 0 0 2 Z Date: 0-200 Amp.Under 600 V t® o,o.o �j= Signature 201 - 1000 Amp.Under 600 V � ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY i Temp.Power Pole&Appurtenances 2$s 8 7 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 I,as owner of the property,.will do the work and the structure Misc.,Condults&Conductors r is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) poll. 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(Sec.3097, PERMIT FEE I.(Suo-,Total) Civ.C.),' r PLAN CHECKING FEE i Lender's Name j PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL�FEE t 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-meniloned :ty for' ion urp s. SEE REVERSE FOR EXPLANATORY LANGUAGE bS'Iogpnat'u'e of Permittee WORKERS'COMPENSATION DECLARATION CE.806 10/81 APPLICATION FOR ELECTRICAL PERMIT i here�y affirm that I have a certificate of consent to self CE-8066 i' insdre, ori+certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES t BUILDING AND SAFETY or a c ed//co�p��y��Che,,{�r/�[Qf(Sec. 3800 Lab. C.) Po ic�04o. Compan FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnish . New Residential Bldgs. &Pools EACH NO. FEE ADDRESS Zvi7 D (� 1'&2-Family, Ft. $ — $ LOCALITY �r Certified copy is filed with the county b ildirig i spec- Y, Sq• ion departure 7® Multi-family Sq. Ft. NEAREST EARESCROSS T. licant Residential Swimming Pools OWNER OR pp ` k FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�_Light�SW.�f 'MAIL !� � ,( COMPENSATION INSURANCE 'ADDRESS 7 _ (/ First 20 (This section need not be completed if the work involved by Total No. 3 Additional CITY T.I. N " O 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 -so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No.. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven Dryer —W.M.— ADDRESS7 If �r /✓1��-- with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. CITY 7� Tel. IVo — Hood _ Fan _Other_ LICENSED CONTRACTORS DECLARATION — LICENSE O. 063 t j�R I hereby affirm that I am licensed,under provisions of Chapter 9 Disp• Room Air Cond. REG.NUBER Cla C (commencing with Section 7000)of Division,3 of the Business DISTRICT NO. PROC ED BY Power Apparatus&Large Appliances and Professions Code,and..my license is in full force and effect. � /+/0�73S S'q� �a Size&Type HP, KW, KVA, or KVAR' ���///L 7 �s� � License Number ` Lic. C ss Up to 1 Incl. DATE t �/� C;o �Q� Over 1 to 10 Incl. '�' 0 VA ATION O Contractor C/// Date , � ❑ Over 10 to 50 Incl, FINAL 4.7 am exempt under Sec. ' Over 50 to 100 Inc. BY rM B.&P.C. for this reason Over 100 Date: Services, Swbd., MCC&Panelboards 0 -200 Amp. Under 600 V Signature 201 -1000 Amp. Under 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 Additional Sign Branch Circuits z 0 2 6'2 A Law for the following reason (Section 7031.5, Business and Professions Code): # 0 o o 0 0 2 Misc. Conduits&Conductors I, as owner of.the property, will do the work and the J-0 0 2 3 2 5 structure is not intended or offered for,sale .(Section Other(See Complete Fee Schedule)_ , 7044, Business and Professions Code). . .-.23256 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for Q 7.2 2 i 8 8 the performance of the work for which this permit is Issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE. U I Lender's Address .I certify that I have read this application and state.that the TOTAL FEE J 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 abo -men•oned proper r ms ction purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature df-Permittee Date � y WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR L TRICAL PERM(TV/r7 I hereby affirm ,thaE!�have a certificate of consent to self CE-806G insure, or a certificate of.Workers'Compensation Insurance, COUNTY OF LOS ANGELES I, BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lob. CC.) j Policy N 3/ Company ;5/'"1Tr— FOR APPLICANT TO FILL IN JOB ADDRESS O� Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ❑ 1 &2-Famil S Ft. $ — $ LOCALITY T� Certified copy is filed with the county building inspec- y' q• tion department. Multi-family Sq. Ft. — NEAREST ^�$^ 7 Residential Swimming Pools WNE CROSS ST.FIOR F Date Applicant IRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:,Rec. Light Sw._ MAIL �s COMPENSATION INSURANCE ADDRESS D� c• CJS-`v� (This section need not be completed if work involveFirst 20 d by Total NoAdditional CITY [�� Tel. No.d"c7–rpQ� the permit is for one hundred dollars($1$1 .00)or less.). PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional 1. CITY r ` A�Teel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT �,/� C?�-15� NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Ad Exemption; you should become subject to the Workers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M.— ADDRESS with comply with such provisions or this permit shall be I Top — FAU —W.H. — �`�A A �. d deemed revoked. i (',CITY X0,44– Tel. No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ Dis _ Room Air Cond. i REG..LICENSE M 43 7a Class.� I hereby affirm that I am licensed under provisions of Chapter 9 �. P• REG. NUMBER J! c!`� (commencing with Section 7000)of Division 3 of the Business 1 DISTRICT NO. PROCESS BY and Professions Code,and m license is in full force and effect. Power Apparatus$Large Appliances `�my + So( Size&Type HP, KW, KVA, or KVAR (� License Number 3?a-9/2- Lic. Class C-10 FINAL (� Up to 1 Incl. DAT O C `' !8 ' Over 1 to 10 Incl. VALI ATION Contractor Date Over 10 to 50 Incl. ❑ 9 7 FI I am exempt under Sec. I Over 50 to 100 Inc. B Q BAP.C. for this reason I Over 100 z Z Date: , Services, Swbd. MCC&Panelboards ,1 Am Under 600 V t1 Signature 1 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V , a 6 6 9.3 A Exemption for Reg. Maint. Elect. I F 6 #.000002 SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit i J o 6 2 5 5 0 I hereby affirm that I am exempt from the Contractor's'License i Additional Sign Branch Circuits 1 Law for the following reason (Section 7031.5, Business and o 0 o255,05 Professions Code): (nductors 03. 18-8.7$ 8 7 ❑ I, as owner of the property, will do the work and the I Mi.sc. Conduits&Complete Fee Schedule)- 7044, structure is not intended or offered for sale (Section ( P ) 7044, Business and Professions Code). I '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) I (Sec, 3097, Civ. C.). PLAN CHECKING FEE I Lender's Name 0 / PERMIT ISSUING FEE VV I Lender's Address I certify that I have read this application and state that the TOTAL FEE O�15 above information is correct. I agree to comply with all County ordinances.and State laws regulating Electrical wiring, and i I. hereby authorize representatives of this County to enter upon the above ore ed property for inspection urpos S. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature brPermittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508. 9902030027 BUILDING AND SAFETY /- LAND DEVELOPMENT TEMPLE CITY CA 91780 - PHONE: (626) 285-0488 EXT: ` LEGALD: FEES PAID UILDING ADDRESS: TR: 11218 LT: 24 BL: E ,9064 OL-I-VE-ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803006 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SULTANA 5388-006-013 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 TENANT: TOTAL FEES 31.65 ISSUED ON: PROCESSED BY: PLAN BY: --EXPIRES ON: 02/03/99 UT 02/03/00 OWNER: TEL. NO: FINAL DATE Y: CODE: CHAN ALBERT;REGINA - 9064 OLIVE ST InT TEMP 917803006 DESG R-04-- 0 .0 OR - ELECTTR-I-CALOR REPAIR-DUE TO-AUTO-ACCIDENT APPLICANT: TEL. NO: SIGNATURE RESTORATIONS, INC. (818) 785-4666- 7247 HAYVENHURST SPECIAL CONDITIONS: VAN NUYS,CA 91406 CONTRACTOR: TEL. NO: X05 ��A� APPROVALS DATE INSPECTOR SIGNATURE SIGNATURE RESTORATIONS (818) 785-4666- 7247 HAYVENHURST AVE #A-8 LIC. NO TEMPORARY POWER POLE DBA DAVIS PAUL SYSTEMS 686142/B VAN NUYS CA UNDERGROUND CONDUIT ARCHITECT OR ENGINEER, O: „ R GROUND LIC. N 1111111 ROUGH CONDUIT ROUG G Ir n n pD UC WO Rn/j MAIN WATER INE �= '(vI J ((w/.. lu � PLAST I C Y/N METAL Y/N TILITY COMPANY NOTTFM a o 0 ❑ O ❑ �� IflI� ,fir f++ A ❑ ®1- 46 , El o� service fit% REPORT ID: DPR265 ROUTE TO: BS05O8