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
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O ❑ �� IflI�
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A ❑ ®1-
46 , El o�
service fit%
REPORT ID: DPR265 ROUTE TO: BS05O8