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Home My Public Portal About9328 OLIVE ST_Electrical__ i 76A66Sr=CESOG`'I-68 APPLICATION FOR ELECii`IAL�PERLMI COUNTY OF LO ANGELES 91 DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER ��JJ COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY C. v FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO. EACH FEEL RECEPT - $ S OWNER � MAIL LIGHT �5 FIRST 20 O .20 O 0 ADDRESS SWITCH ,/L .7 OVER 20 . 0 / zv CITY Cf TEL. NO. LIGHTING 1TOT PLAN CHECK FIRST 20 .20 ® APPLICANT FIXTURES f=am OVER 20 .10 1 .ADDRESS RANGE-DRYER-WTR.HTR.- CITY TEL. NO. STA.COOK_DISP. t'F.A.U. :f CONTRACTOR r SPACE HTR. AIR COND.-ADDRESS Ur /313 pc CLOTHES WASH.!!!!'_DISHWASH." CITY TEL. NO. LJ �A J FAN"_OTHER 1.00 / �� ICE NSE NO.Z� �� CLASS. MOTORS,TRANSFORMERS RATING 1 IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO .I ND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ' WITH ALL COUNTY ORDINANCES AND STATE LAWS-REGULATING . LECTRICAL WIRING: 0 - 1 1.00 1 HEREBY CERTIFY HAT I AM PRO RLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIR. BY LOS ANBE S COUNTY AND STATE OF �„ CALIFORNIA OR THATAM THE LEGA OWNER OF, AND INTEND TO 91 10 - 50 5.00 TESIDE IN, THE OVE DE.CRI.. ./RESIDENTIAL PROPERTY: O SIGNATURE V 50 - 100 10.00 OF PERMITTEE CK too - 500 15.00 DI SSI CT G . ZO P E rj SIGN,GAS [SI AGN AND ONE CIRCUIT 3.00 ♦ UAJTUBE, OR MRQUEEDDITIONAL CIRCUITS 1.00 NOTES: Z •� t SERVICE NOT OVER 600 VOLTS OR 200 AMP / 2.00 G CS I SERVICE OVER 600 VOLTS OR 200 AMP S.00 .I TEMP SERVICE, POLE, &APPURTENANCES 3.001 APPROVALS ATE INSPECTOR'S SIGNATURE I TEMP. POWER.POLE IERSLAB WORK GH CONDUIT PERMIT FEE (SUB TOTAL) ING TURES PLAN CHECK FEE (50% PERMIT FEE) ER AUTHORIZED PERMIT ISSUING FEE 2.00 LITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 AL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELE AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAL'IDATIO'N CK. M.O. CASH .E BACK OF APPLICATION-FOR COMPLETE FEE SCHEDULE I WORKER'S COMPENSATION DECLARATION 20.0019 DPW(72.91) 76A683 APPLICATION FOR ELECTRICAL PERMIT ll I herepy. firm that I have a certificate of consent to self insure, I or a�certificake of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND.SAFETY DIV. copy thereof (Sec.3•800 Lab.C.) i Policy No. Company I FOR APPLICANT TO FILL IN ADDRESS O�♦ 49 Certified copy Is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE $ $ LOCALITY d ❑ Certified copy is filed with the county building Inspection 1&2-Family,Sq.Ft. _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Residential Swimming Pools ASSESSOR !� D Date Applicant MAP BOOK pr S 1 10 PAGE 4747 PARCEL O A CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.AQ—Light Sw. F�RM NAME COMPENSATION INSURANCE �� •First 20 MAIL (This section need not be completed if the work Involved by the Total No. 2,Z Additional ADDRESS 3�� permit Is for one hundred dollars($.1.00).or less.) � I certify that in the performance of the work for which this permit CITY ` L 1� T.I.No, is issued, I shall not employ any person in manner as to PLAN CHECK become sub' to the Workers'Comp sat! aws. Lighting Fixtures First 20 APPLICANT Total No. Additional ' ADDRESS DTp..Vr�hslons t ® Applicant &IDENTIAL APPLIANCES NOT OVER 3 HP. CE T APP (CANT: If, making this Car ' ca of_ CITY Tel.No. ption,you a subj t to the Workers' sation OTHER APPLIANCES NOT OVER 3 HP.of the Labo de, ou Lust forthwith com I with such PERMITY �'1' comply APPLICANT —pl'ovl'sions or this permit'sh d emed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I:hereby affirm that'I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000)of Division 8 of the Business and CITY Tel.No: .r Professions Code;and my license is in full force.and effect. Over 10 to 50 Incl. �. LICENSE OR Class. O Over 50 to 100 Incl. REG.NUMBER Over 100 DISTRICT NO. EBB BY V License Number Lie.Class Service ,Swbd. MCC PFINAL anelb� Dards, Contractor Date. 1 � DATE El Q 400-1000 mp.Under VALIDATION W 1 am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL 0- B.&P.C.for this reasonBRANCH CIRCUIT FEES BY (n Date: I 15A,or 20A,120V,Lighting or Recept. 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El Exemption Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit ACCT o'er for the following reason(Section 703.1.5, Business and Professions Additional Sign Branch Circuits UL�I� T I,as owner of the property,will do the work and the structure :Misc.Conduits&Conductors I I r Code) r. S is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , T�TOL �`_2® R`5 and Professions Code). CHECK 11,'.65 CONSTRUCTION LENDING AGENCY 7 1 hereby:affirm that there is a construction lending.agency for the CHANGE v 10 performance of the work for which this permit Is Issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE. 00,10-03131 83/25/514 Lender's Name / 7— • PERMIT ISSUING FEE (Q 6643� 80.21. Lender's Address TOTAL FEE I certify that I have read this application and under penalty of purjury state / of that the above information is correct. I agree to comply with all County ordinances andEF-sies. laws regulating Electrical wiring,and hereby authorize representatives County to enter upon the above-mentioned property for' c SEE REVERSE FOR EXPLANATORY LANGUAGE SI ATURE OF PE .ITiEE DAT WORKERS'COMPENSATION DECLARATION 9DPW 3 87 APPLICATION FOR ELECTRICAL PERMIT 76A66 I,hereby affi76A663 rm that I have a certificate of consent to self CE-806G � insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS q�Q gs ified copy the of (Sec. 3800, Lab. C.) PolicyTlo. Company Nor d /v I FOR APPLICANT TO FILL IN JOB �j7 // ❑Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS �// tlf TXCrtified copy is filed with the county building inSpe 1 &2-Family, Sq. Ft. $ $ LOCALITY ? r n department. p Multi-family Sq. Ft. NEAREST A-1 ` t� .J/ � CROSS ST. ori [ �!M e Da�P b Applicant �(� Residential Swimming Pools OWNER OR // �n FIRM NAME [2 _J u4� M!,r=,�ui CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Li ht Sw.— MAIL COMPENSATION INSURANCE g ADDRESS (This section need not be completed if the work involved by First 20 CITY y- Tel. No. ,S%`a7 0 Total No. Additional �' rP � S the permit Is For one hundred dollars($100)or loss.) 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 Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT 7 NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION owmeI Z % r� `U/'r ee Exemption, you should become subject to the Workers' Range— Heater—D.W. — 7 y Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS G,3� A/, ?�/VC/•�J with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY 7e /,e r/ 6 Tel. No. _ 1� LICENSED CONTRACTORS DECLARATION LICENSE OR O r Disp. — Room Air Cond. — J lass. I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO PROCESSEFY a and Professions Code,and my license is in full force and effect. t C t 3. Size&Type HP, KW, KVA, or KVAR r G O License Number U �• Lic. Class` �' � FINAL U Up to 1 Incl. �}tf, �j Over 1 to 10 Incl. DATE —� VALID ION 0 Contractor �� Date �� -�/ Over 10 to 50 Incl. FIN O ❑ I am exempt under Sec. Over 50 to 100 Inc. BY w B.&P.C. for this reason Over 100 a Services, Swbd., MCC&Ponelboards U) Date: z 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V .y ,n ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY ° HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): ❑ 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 for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) Uv (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name I S PERMIT ISSUING FEE Lender's Address TOTAL FEE 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 hereby authorize representatives of this County to enter upon the a ve- entioned 1771 or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE rte. 10�� X p, Signature of Permittee Date S ~ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0007130060 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 11492 LT: 5 BL: B 9328 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803127 ASSESSOR INFORMATION NU190CM. NEAREST CROSS STREET: ENCINITA 8590-002-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 9.00 OUT 17.55 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED N: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 49.20 07/13/00 UT01/10/01 OWNER: TEL. N0: FINAL TE F CODE: MAGNI JUAN C;ANGELICA M (626) 285-9105- / CQ 9328 OLIVE ST Z z OI TEMP 917803127 DESCRIPTION OF OR ELECTRICAL FOR EXTENDING MASTE BEDROOM APPLICANT: T E L. 0: SAME AS OWNER - SPECIAL CONDITIONS: ��1GELES C® CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE- --UNDERGROUND CONDUIT ARCHITECT OR E GI EER: TE 0: UFER GROUND LIC. NO- ! 1111111 ROUGH CONDUIT L ROUGH I ING G,n n D--')n �� W(0 IF,', ,', S MAIN WATER LINE I Ivl I IIh ILJ�L<l ILJK(� PLASTIC Y/N METAL Y/N o � ILITY COMPANY NOTIFIED 0 �= 0 �y 46�• o� i� Service TV% REPORT ID: OPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0906300001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 11492 IT: 5 BL: B 9328 OLIVE ST 1 IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917803127 1 (ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: 18590-002-005 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 1 I TENANT: TOTAL FEES 66.60 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 106/30/09 SR 12/27/09 1 10WNER: TEL N0: I IFI FIN BY: CODE: [ IMR & MRS. JUAN MAGNI (626) 285-9105- ICYV 19328 OLIVE ST 1 I ITEMP 917803127 I 1rJESCRIPTION OF WORK 1 I ] (UPGRADE METER 200 AMP I (APPLICANT: TEL. NO: ] I RAY YOUNG ELECTRIC CORP. (626) 712-3032- 16006 RENO AVENUE I (SPECIAL CONDITIONS: I ITEMPLE CITY CA 91780 ] I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 IRAY YOUNG ELECTRIC CORP. (626) 286-8762- 1 1 I 16006 RENO AVE LIC. NO I ITEMPORARY POWER POLE [TEMPLE CITY, CA 91780 570197 C10 I I I I 1UNDERGROUND CONDUIT I I 1ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUNDI I- I I I I I LIC. NO: IROUGH CONDUI I I I I ] I IROUGH WIRING I � ] IMAIN WATER LINE I I I 1 [ ]PLASTIC Y/N METAL Y/N I I I 1 I ]UTILITY COMPANY NOTIFIE ] f 1 1 i I I I I I I I I I I I I I I I I I I ] I I I I ]REPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I COUNTY OF LOS 'ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1010250035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 11492 LT: 5 BL: B 9328 OLIVE ST I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803127 I ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: ALESSANDRO I 8590-002-005 AlIPERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I IGI OUTLETS-LGT,SW,RECP 7.00 OUT 13.60 I TENANT: IG2 LIGHTING FIXTURES 10.00 LGT 19.40 ISSUED ON: PROCESSED BY: PLAN BY: I H2 RES GRBG DISP IT 3HP 1.00 DIS 10.90 10/25/10 SR I TOTAL FEES 71.70 I I OWNER: TEL. NO: I I FIIJAL DATE F BY: CODE: 1 IMAGNI JUAN C;ANGELICA M (626) 484-1673- 1 I I 19328 OLIVE ST I I ITEMP 917803127 ID30SCRIPTION OF WORK 1 I ELECTRICAL FOR NEW ADDITION AND REMODEL ,APPLICANT: TEL. NO: I I I MAGNI, JUAN (626) 484-1673- I I I SPECIAL CONDITIONS: I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IMAGNI, JUAN (626) 285-9105- I 1 9328 OLIVE ST. LIC. NO ITEMPORARY POWER POLE I I ITEMPLE CITY, CA 91780 NONE I I I I UNDERGROUND CONDUIT I I I ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I _ I LIC. NO: I IROUGH CONDUIT I I I I I IROIIGH WIRING � 1 1lPPLWATER L LASTICY/NMETAL Y/N I (UTILITY COMPANY NOTIFIED I 1 I I I I I I I I I I I I I I I I I I I � I I I I I I I I i I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I COUNTY'OF LOS"GELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1012290007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 11492 IT: 5 BL: B 1 1 9328 OLIVE ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917803127 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ALESSANDRO 1 18590-002-005 [A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 21.00 OUT 40.30 1 1 [TENANT: 1G2 LIGHTING FIXTURES 15.00 LGT 29.10 JISSUED ON: PROCESSED BY: PLAN BY: [ IH3 RES DISHWASHR IT 3HP 1.00 DIS 10.90 12/29/10 VG IH4 RES RANGE HDS IT 3HP 1.00 HOO 10.90 1 I IOWNER: TEL. NO: TOTAL FEES 119.00 IFI FINAL CODE: 1MAGNI JUAN C;ANGELICA M (626) 484-1673- 1 19328 OLIVE ST [ I I ITEMP 917803127 IDESCRIPTION OF WORK 1 I I (ADDITIONAL ELECTRICAL FOR ADDITION AND REMODEL 1 I I I I 1APPLICANT: TEL. NO: I I I IMAGNI, JUAN (626) 484-1673- I ] I [ I ]SPECIAL CONDITIONS: 1 I I ] [CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 IMAGNI, JUAN (626) 285-9105- I 1 [ 19328 OLIVE ST. LIC. NO I ITEMPORARY POWER POLE I I I ITEMPLE CITY, CA 91780 NONE I ] I ] I 1UNDERGROUND CONDUIT I I [ [ARCHITECT OR ENGINEER: TEL. NO: [ 1UFER GROUND I I I LIC. NO: [ ]ROUGH CONDUIT I [ IROUGH WIRING I [ I [ ] IMAIN WATER LINE I I I ] [PLASTIC YIN METAL YIN I I I I ]UTILITY COMPANY NOTIFIEDI [ I I ] I ] ] I [ I I I I I I I I I I ] I I I I I I I I I I I I I I ] IREPORT ID: DPR265 ROUTE TO: BS0508 I [ I I I I I I I