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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