HomeMy Public PortalAbout9129 OLIVE ST_Electrical__ . y
R COUNTY OF LOS ANGELES ` _ APFIM T= Pw PEMMT
DepaTimmi of C
DMSION OF ULMIISSASTY
WILLIAM L FOX. County EooloM '
ELECTRIC i
FOR APPLICANT TO FILL IN DISTRICT NO. ORQLIP ZONE PERMIT NO.
ELECTRICIAN. — lA—
j
ADDREr IVlD rlmw IDNlicOTIONAT I�`Ifm
CITY TEL.NO.
r
COUNTY LIO K Na IMMIREN MUILDINS
PEMUM pm
or
ADORN
NUMBER KAON FIR LOCALITY
LIONT OUTLETS NEAMENT '
• MKOKFTAO■EM ORO
WALL SWITCHES OWNER. (�
TOTAL 13UTLVM Neta MAIL
ELKO. RANSEM ADDRESS ■
eo
ILEO. HEATERSS CITY TEL. Na
FIXTURES ■ 1 Hcm=iT AOKM0WLq§mK THAT 1 HAVE READ THIS
APPUOATI N AND STATE THAT THE AMOVE 1■ DORRECT
MUMMER OF LIMHT CIRCUITS AND ASRRK TO COMPLY WITH ALL OOUMTY ORDINANOKM
NUMBER OF MKOQTACLE CIRCUITS AND ■TATE LAWN ME■ULATINS ELECTRICAL WIMINS.
NOTORS 1 OEMTIFY THAT: 1 PC THE AMOVE VALID LOS
Nummin HDRSKPOWlM ru! AMMELES COUNTY UOKN■% OR 1 AM THE LERAL OMEN
New Nvo. HP oven 1160. 9"14 1OF THE RMIDENTIAL PROP KRTY DEMON' ED ANOVL
VA 8 usam •Mm MINNATUR! OF
Ill .SD PcMMIrnz ----
i S 1.00
ENSPEC7= HHD
d 1M 1.150
is on 2.1513
sa ROD 0.00
ROD MSD 10.1313 -11
sm 1013101 111600 Z
OVER 1000 sD.m 0
Md. mirrlrmM ONANNER-HP
WELDERst AO-ILVA
MENCRAT13M - KW
TRANSFORMER■ - EVA _
TEMP. MOTORR t OR outs
MOVED MOTORS 17 OF 01111
MINO.
a1owM
NC NC.TRANL APPRVAU
N NCL hiLm.
FOR EACH PESMITR DA INSPEOTOR■S NAME
WIRING �1.DO CONDUIT
FIXTURE■ 1.m - WIRING
EUPPLMEWrARV MU FIXTURES
POWER
TOTAL REE •, `"' UTILITY OO.NOTIFIED
FINAL %S
f"Mif DBS#U &IM
1�
�v WORKERS'COMPENSATION DECLARATION 2000IvDPW ais7 APPLICATION FOR ELECTRICAL PERMIT
, •hereby affirm that I have a certificate of consent to self. .c
!, e
insure, or a certificate of Workers'Compensation Insuran 8e, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
• 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. &Pools
Certified co is filed with the count building inspec- 1 &2-Family, S Ft, $ — $ LOCALITY
PY � Y 9 � P Y. 9•
tion department. I' Multi-family Sq. Ft. NEAREST
Date Applicant Residential Swimming Pools CROSS ST.
OR
FIRM NAME I
CERTIFICATE OF EXEMPTION FROM WORKERS' 1 Outlets: Rec Light Sw.— AMAIL
DDRESS t �'
COMPENSATION INSURANCE First 20
(This section need.not be completed if the work Involved by Total No. Cl Tel. N..o
the permit Is for one hundred dollars($100)or less.) Additional /� �'
PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit is issued., I shall not employ any Pers n in' �, ner Lighting Fixtures First 20 ADDRESS
so as to become subject to the-Wo r p so ws. g g
Additional
Total No.• CITY T
Date '!-7 r✓Applican i Fixed Appliances Not Over.1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION
Exemption, you should become subject to the Workers' Range— Heater—D.W. —
Compensation provisions of the Labor Code, you must forth- Oven — DryerW.M.— ADDRESS
with comply with such provisions or this permit shall be Top — FAU �W.H. —
deemed revoked. I Hood — Fan —Other— CITY Tel. No.
LICENSED CONTRACTORS DECLARATION LICENSE OR
Disp. _ Room Air Cond. REG. NUMBER Class.
I hereby affirm that I am licensed under provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Busines's Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY >-
and Professions Code,and-my license is in full force and effect. a-
Size&Type HP,.KW, KVA, or WAR a O
License Number Lic. Class Up to 1 Incl. FINAL U
Over 1 to 10 Incl. DATE � � VALIDAT, N Er
Contractor Date Over 10 to 50 Incl.
aF-
I FINAL'am exempt under Sec: Over 50 to 100 Inc. BY LLJ
B.&P.C. for this reason Over 100 t]
I Services, Swbd., MCC&Ponelboards , Z
CD
Date: 0-200 Amp. Under 600 V —
Signature 1 201 - 1000 Amp. Under 600 V .0 7 6;A
" Over 1000 Amp. or Over 600 V $If o oro 0 0.2
Exemption for Reg. Maint..Elect.
SINGLE FAMILYTemp. Power Pole&Appurtenances ( 0.0 2 1'0 0
HOME OWNER-BUILDER'DECLARATION
I hereby-affirm that I am exempt from the Contractor's License Sign with One Branch Circuit '0 0 0 2 1.0 0'O
Law fort following reason (Section 7031.5, Business and Additional Sign Branch Circuits
Profe ' ns Code): I
1I '0 9 2 2;y 8 8
I, as owner of the property, will do'the work and the Misc..Conduits&Conductors
structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ ,
Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency fob'
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
F PERMIT'ISSUING FEE
Lender's AddressTOTAL FEE / I
I certify that I have read this application and state that the
above information is correct. I agree to-comply with.all County
ordinances and State laws regulating Electrical wiring, and j
hereby authorize representatives of this County to enter upon
the above-mentioned:property for inspection purposes.01 SEE.REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date ®'
'• �C° - l U-/�� ,L- x'•30-�� y:
lk WORKERS'CI ENSATION DECLARATION ' CE-806 10/81 APPLICATIONFOR ELECTRICAL PERMIT
I H�.reby/ia��irrrls•that I have a certificate of consent to self. CE-806G
re, o*a'certificate of Workers'Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY ILJI
or'a certified copy thereof(Sec. 3800; Lab. C.,)
Policy No:� Company FOR APPLICANT TO FILL IN JOB
ADDRESS a
Certified co is hereby furnished. EACH NO. FEE
PY Y New Residential Bldgs. & Pools
Certified copy is filed with the county building inspeci 1 &2-Family, Sq. Ft. $ -= $ LOCALITY
111�tion department. Multi-.family Sq. Ft. — NEAREST
• CROSS ST.
�• �. Residential Swim ' g Pools OWNER T. r
Date Applican
FIRM NAME s
ERTI ICATE OF EXEMPTIO FROM RKERS' Outlets: ec• LihtS � MAIL
COMPENSATION INSURANCE -ADDRESS `
This section need not be completed if-the work involved b' �(g— First 20
( y Total No .Sem_ Additional CITY Tel. No..
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
I Total No., i0joi Additional CITY Tel. No.
Date ApplicantTotal
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, yob must forth,- Oven —Dryer _W.M.— ADDREJS
with comply with such provisions or this permit shall be Top — FAU W.H. — ^S/r�
deemed revoked. ' Hood _ Fan CITY r Tel. No.
LICENSED CONTRACTORS DECLARATION Other_
LICE EOR
1 hereby affirm that.1 am licensed under provisions of-Chapter 9 Disp. _ Room Air Cond. REG.NUMBER Class.'f3
(commencing with Section 7000)of Division 3 of the Business? DISTRICT NO. SSED BY 0.
and Professions Code,and my license is in full force and effect.! Power Apparatus 8 Large Appliances 0
Size&Type HP, KW, KVA, or KVAR• i' -57 0C-
License Number. Lic. Class_, Up to 1 Incl.
FINAL
Over I.to 10 Incl. DATE �. O
Contracto Date , VALIDATION
ID .11 rOver 10 to 50 Incl. FIN W
I am exempt under Sec. Over 50 to 100.Inc. B N
Over 100
B.BP.G. for this reason Z
Date: Services, Swbd., MCC&Ponelboards
0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑
Exemption for Reg. Over 1000.Amp, or Over 600 V
Nlaint. Elect.
SINGLE FAMILY Temp. Power Pole&Appurtenances.
HOME OWNER-BUILDER DECLARATION
r Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License additional Sign Branch Circuits
Law for the following reason (Section 7031.5, Business and
Professions Code):
❑ I, as owner of the property, will.do the work and the Misc. Conduits 8 Conductors
structure is not intended or, offered for sale (Section Other(See Complete Fee Schedule)_
7044, Business and Professions Code). , ;25627A
I
CONSTRUCTION LENDING AGENCY # 0 0 0.0 0 2
1 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 ''I o o 19.25
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE o o o 19.2 5 5 h
Lender's Name I a 13=8 6
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and state that the TOTAL FEE 19
above information is correct. I agree to comply with all County
ordinances and Stat ,low p regulating Electrical wiring, and
hereby authorizer es datives of this County to enter upon
the above-m ti rt for ins ecti urpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee ate
COUNTY OF LOS ANGELES TEMPLE CITY # 0508TRICAL P
r JtMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 0508'9707080047
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
- LEGAL ID: FEESPAID—
TR: 11218 LT: 12 BL: D 129 OL-IVEJST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803008
ASSESSOR 0 NUMBER: NEAREST CROSS STREET: LOMA
5388-005-012 Al PERMIT ISSUANCE FEE 27.75 ;THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 23.00 OUT 43.05
G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PROCESSED BY: P EXPIRES ON:
H5 RES WASH MACH LT 3HP' . 1.00 WAS 10.80 07/08/97 TC 07/08/98,
H7 RES-EXHAUST FANS 1.00 EX 10.80
MER: TEL. NO: TOTAL FEES 100.20 FINAL'D TE FINAL BY: ODE:
OKAMOTO, WESLEY (626) 286-1342- r
9129 OLIVE ST 113 1'
TEMP 917803008 UESCRIPILUN OF WORK
ELECTRICAL FOR LAUNDRY AREA AND BATH AND CLOSET
APPLICANT:
SAME.AS OWNER -
SPECIAL CONDITIONS:
It
CONTRACTOR: TEL. N0: v =a APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER LIC. NO O
UNDERGROUND COND I
ARCHITECT OR ENGINEER: TEL. NO: l y:' �� !•'.� ^ - R GROUND
LIC. N0: ! ROUGHICONDUIT
7t Iv
f - --- -hROUGHjWIRING
+ -II-� - i- -•i i --�,P� - -I� 4`z I MAI DATER LINE IG.
PLASTIC Y/N METAL Y/N
UTILITY COMPRART-N-0-frFM
ly
leo
i
REPORT ID: DPR265 ROUTE TO: SS0508