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Home My Public Portal About9230 OLIVE ST_Electrical__ 76A688.QE806 7•06 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING p q BUILDING AND SAFETY DIVISION ADDRESS 7oG JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST • PERM FEES CROSS ST I T E M NUMBER 1.EACH FEE OWNER OUTLETS Zr $ $0— S ADDRESS LIGHTS RECEPT: _SW. .10 . LIGHTI G FIXTURES 7 .10 7D CITY TEL. NO. ELEC. RANGES CLO. DRYERS/ f ELECTRICIAN W..A T E R HEATERS / .SO d ADDRESS ELEC.SPACE HTRS./DISHWASHERS C17YTEL. NO. GARBAGE DISPOSERS AUTO.- y STATE WASHERS STA. COOKING UNITS .2S a-�7 LICENSE.NO. MOTORS: OVER INC. H.P. DISTRICT NO. GROUP NE P ESSED BY o— 1/g 26 I/a— 2 .50 WSPEMONCOBn 2— s 1.00 5— 1s 1.50 !s— s0 2.60 s 50—200 6;00 3 SIGNS: NO. TRANS. NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER GOOV 5.00 MISC. WIRING PERMIT 1.00 d-d FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .s0 ° TOTAL FEE S. APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DAT IN§q§o- -ft-WSIGN (IRE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,'' CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �- ELECTRICAL WIRING. -`. WIRING l•I�I,• _ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND�OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES G CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENT A PROPER - SIGNATURE 1 UTILITY CO.NOTIFIED j OF PERMITTEE FINA d VALIDATION SUI PERVISING ELECTRICAL CK MO CASH RICAL ENGINEER • • FEB 5 2A 695 M f WORKERS'COMPENSATIONDECLARATI:ON ( 76A663 APPLICATION FOR ELECTRICAL PERMIT ' I CE$O6G (2-BOl I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers Compensation Insurance,or a cerofie copy thereof(Sec.3800,La .C.) ! / � FOR APPLICANT TO FILL IN SOB n Policy No..�Company ADDRESS V New Residential Bldgs.&Pools EACH NO.. FEE ❑ Certified copy is hereby furnished. I 1 &2-Family,Sq.Ft. $ — $ 'LOCALITY a A Multi-family Sq. Ft. — NEARESTtip Certified copy is filed with the county building inspection CROSS ST , , depa tment. Residential Swimming Pools OWNER OR t FIRM NAME P Date & Applicantgid Outlets: Rec.f—Light Sw.� �dMAIL !i First 20 1 Lin CERTIFICATE OF•EXEMPTION FROM WORKERS' Total No.1 Additional ICITY Tel No. . } COMPENSATION INSURANCE PLAN CHECK CL (This section need not'be completed'if the work involved I f APPLICANT V 'by the permit is for one hundred dollars ($100) or less,) Lighting Fixtures First 20 [� ADDRESS C) ; Total No. Additional O I certify that in the performance of the work for which this Fixed Appliances Not Over 1'HP CITY el No. - U permit is issued, t shall not employ any person in any manner PERMIT LU as to become subject to the Workerst Compensation Laws: Range_Heater D.W. _ APPLICANT Oven _ Dryer_W:M._ ADDRESS Top _ _ _ DateAETO.APPLICANT: Applicant i FAU W K.. CITY Tel No Hood _ Fan. _Other NOTIf,after ma ' _ this•Certificate of Disp. _Room Air Cond, LICE E OR Exemption, you should become subject to the Workers' REG.NUMBER l Class" Compensation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances. DISTRICT NO. PRQPE ED BY With comply with'.such provisions or this permit shall be I Size&Type HP,KW,KVA,or KVAR deemed revoked. Up to 1 Incl. ' I Over 1 to 10 Incl. • DATE -, LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. r z 7— VALIDATION I' I hereby affirm that I am licensed under provisions of Chapter I Over 50 to 100 Inc.. FINALBY, 9 (commencing with Section 7000)of Division 3 of the BUsi= ' Over 100 ness and Professions.Code,and my license is in full force and effect. I • Services u License Nm e'1�7`"1 1 i .Class r/ I 0-200 Amp.Under 600 V v 3 ,yam I 201-1000.Amp.Under 600 V Contracto f/—arLt ate Over 1000 Amp.or Over 600 V - Joe Y HOME OWNER-BUILDER DECLARATION Temp.Power PoleA Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi-' Additional Sign Branch-Circuits / ness and Professions Code): 0 7 8 1 A Misc.Conduits&Conductors ❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 0 0 0 0 0 02 structure is not intended or offered for sale (Section 7044,Business and Professions Code). ° ° 1500 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 0 0 a 1 r, 0 X ' for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). (1 1 7-81 ' Lender's Name PLAN CHECKING FEE (One-Fourth Permit'Fee) '� j .Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and herehy authorize repres tatives of this County, to enter upon the _ ove-m ntioned pr�perty for inspection purposes. SEE-REVERSE FOR EXPLANATORY'LANGUAGE 'f Signatur Permitte Date i WORKERS'COMPENSATION DECLaixATION,; CE-806 V APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I 'have a certificate .of consent,to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation'Insurance,or I "fl ce co y e f e..�11 / ab.C.) LA. OB liccy 0. Com $nyvTCW FOR QPPLIbANT TO FILL IN ADDRESS a New Residential Bldgs.&Pools EACH NO. FEE Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — LOCALITY Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection' CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME v Da Appllcar� Outlets: Rec.—Light First MAIL 20 \ CERTIFICATE OF EXEMPTION FROM WORKERS' ITotal No. Additional CITY Tel } COMPENSATION INSURANCE PLAN C EC APPLICANT �- (This section need not be completed if the work involved 0 by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Additional tr Total No, CITY 1 certify that in the performance of the work for which this 0 Fixed.Appliances Not Over 1 HP W I-- permit is issued, I shall not employ any.person in any manner • PERMIT so as to become subject to the Work rs'C pensation Laws. ; Range_Heater_D.W. _ APPLICANT. d ' Oven _ Dryer_W.M.= ADDRESS Z Dade ��DkpplicanQt& Top _ FAU _W.H. Hood _ Fan _Other— CITY Tel No. NOTICE TO APPLICANT: If, after mak this Certiftcafe of Disp. _Room Air Condom LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER' lass Compensation -provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances •DISTRI.CT..NO. P WSED BY with comply with such provisions or this permit shall be s • deemed revoked. tf Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. FINAL JJV Over 1 to 10 Incl. DATE / LICENSED•CON'6ACTORS DECLARATION VALIDATION • ; Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- BY Over 100 ness and Professions.Code,,and my license is in full force and effect. i Services �� License Number Lic.Class I 0-200 Amp.Under'600 V 201-1000 Amp.Under 600 V -Contract �Dat�~�� Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances Sign with One Branch Circuit I hereby affirm that I am exempt from the dontra031.5, usi- Additional Sign Branch Circuits -!;5371 A License Law for the following reason (Section 7031.5, Busi- ness'and Professions Code); �+ 0 0 0 0 0 Misc.Conduits&Conductors I, as owner of the property, will do'the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale '(Section 2 0 ' 3200 7044,Business and Professions Code). _ CONSTRUCTION LENDING AGENCY a opo J20L � I hereby affirm that there is a construction lending agency dor the performance of the work for which this permit is PERMIT FEE (Sub-Total) - Q 5 2 2—8 1 issued(Sec.3097,Civ.C.). _ Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's,Address PERMIT ISSUING FEE, I certify that I have read this application and state that the TOTAL FEE above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby aut representatives of"thiounty to enter upon Bove,. nti d property for inspe ion pu�oses. SEE-REVERSE FOR EXPLANATORY LANGUAGE _ 'Signature of P%fiittej Dae YY WORKERS'COMPENSATION DECLARATION 76A663 10/91 hereby affirm that I have a certificate of consent to self CE-W6G APPLICATION FOR ELECTRICAL PERMIT insane,•ora certificate of (sec. 3'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) j u ' P❑olicy No. • Company FOR APPLICANT TO FILL IN JOB e� Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS q�3a ®L $' ' Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST CROSS ST.. A 41ma Will Date Applicant Residential Swimming Pools OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' � �. FIRM NAME Outlets: Rec Light Sw._ IL j COMPENSATION INSURANCE First 20 1 DDRESS � � ,� (This section need not be completed if the work involved by Total No. Additional CITY 7"E t Tel. No. _3277 the permit is For one hundred dollars($100)or less.) 1 certify that in the performance of the work for which this PLAN CHECK permit is issued, I shall not employ an APPLICANT p p y y person in any manner a so as to become subject to the Workers'Co n ion Laws. Lighting Fixtures First 20 ADDRESS Additional Total No. CITY I. No. NOTIDate pplicanf Fixed Appliances Not Over 1 HP PERMIT Exemption, TO APPLICANT: If, of m s er ficate of Range— Heater_D.W. — APPLICANT Exemption, you should become ject f fh Workers' 9 Compensation provisions-of the La or Code, you must forth- Qven —Dryer _W.M. ADDRESS with comply with such provisions or this permit shall be Top _ FAU _W.H:— deemed revoked. Hood _ Fan _Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under,provisions of Chapter 9 Disp. _ Room Air Cond. Class. (commencing with Section 7000)of Division 3 of the Business DISTRICT REG. NUMBER ER PROC SED as > and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances �� 0. !'Size&Type HP, KW, KVA, or KVAR � License Number Lic. Class Up to 1 Incl. FINALp M Over 1 to 10 Incl. DATE' � VALI ATION. Contractor Date Over 10 to 50 Incl. "I 17- FINAL W I am exempt under Sec. Over 50 to 100 Inc. BY '� �� n B.&P.C. for this reason Over 100 '-1' z Date: Services,Swbd., MCC&Panelboards — 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole&Appurtenances 0 3 5 9 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # o,0 0 0 'Z I hereby affirm that I am'exempt from the Contractor's License oAdditional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and t♦ o o23,50 Professions Code): I, as owner of the property, will do the work and the Misc. Conduits&Conductors 0 0 - 23505 structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ► 7044, Business and Professions Code). C a p 5p-8 S 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) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the I TOTAL FEE 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 abov oned roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ee D e D f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1403170071 BIIILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BIIILDING ADDRESS: 1 ITR: 11492 IT: 7 BL: .001 1 9230 OLIVE ST IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803125 1ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: ENCINITA 8590-001-006 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CA I IG1 OUTLETS-LGT,SW,RECP 3.00 OUT 6.00 1 I ITENANT: [G2 LIGHTING FIXTURES 3.00 LGT 6.00 ISSUED ON: PROCESSED BY: PLAN BY: I I JH7 RES EXHAUST FANS 2.00 EX 22.00 103/17/14 SR 1 I [ TOTAL FEES 61.80 1 I 10WNER: TEL. NO: 1F AL DAT FINAL CODE: 1JIMENEZ AGUSTIN;MINERVA (626) 232-6557- 9230 OLIVE ST ITEMP 917803125 1 IDE8CAIPTION OF WORK 141 [REMOVE AND REPLACE CEILING AND VANITY LIGHTING, REMOVE AND I I [REPLACE CEILING FAN (2) 1 [APPLICANT: TEL. NO: 1 I I SAME AS OWNER I 1 (SPECIAL CONDITIONS: ICONTRACTOR: TEL. NO: [ IAPPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I 1 LIC. NO 1 ITEMPORARY POWER POLE I � I I I 1UNDERGROUND CONDUIT [ I I 1ARCHITECT OR ENGINEER: TEL. NO: - 1 1UFER GROUND I I I LIC. NO: I IROUGH CONDUIT I [ 1 I 1ROUGH WIRING I I MAIN WATER LINE I I 1 1PLASTIC Y/N METAL Y/N I I I I 1UTILITY COMPANY NOTIFIED[ [ I I I I I I I i I I I 1 I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I