Loading...
HomeMy Public PortalAbout9517 OLIVE ST_Electrical__ 7BA663-CESOB.7A APPLICATION FOR ELECTRIC PERMIT BUILDING AND SAFETY DIVISION Deportment.of County Engineer FADDRESS County of Los Angeles JOHN A.LAMBIE. COUNTY ENGINEER CASSATT D.GRIFFIN.SUP'T OF BUILDING NEARES FOR APPLICANT TO FILL IN CROSS ST. PERICT FEES NUMBER OWNER ✓ LIGHT OUTLETS. MAIL C� ADDRESS „J RECEPTACLES WALL SWITCHES FEE CITY EL.NO. r% TOTAL OUTLETS @ 5¢' $ � ELECTRICIAN _-t.,rsre ELEC. RANGES 25 ADDRESS I ELEC.HEATERS 25 CITY 7EL.NO.ff— KVI EA STATE FIXTURES 5 LICENSE NO. MOTORS DISTRICT Nom. I GROUP I ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH Y2 a LESS S .25 INSPECTION RECORD ]F2 2 50 2 5 1.00 5 15 1.50 15 'S0 2.50 50 200 5.00 misc. NO.SIGNS NO.TRANS. NO,SIGNS NO. LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 FIXTURE PERMIT $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE IDATE IN ECfT%S SIGNATURE I Ir HEREBY ACKNOWLEDGE THAT I HAVE READ T915 APPLICATION CONDUTT C- '% 711.6n AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS NGELES COUNTY AND STATE OF POWER CALIFORNIA OR TH 1 A}F�7 LEGAL OWNER OF THE ABOVE DESCRIBED OR P UTILITY CO.NOTIFIED SIGNATURE OF PERMITTE FINAL / JOHN A.LAM1 V ARTHUR C.VEIT. =OUNTY ENGIN SUPERVISING ELECTRICAL ENGINEER K MO GASH LACo 5 6 6 4 JUN 2 6 2 2.8 5 �' BABES-CEBOU 10-56 APPLICATION FOR- ELECTRIC PERMIT 1 BT MMIG AND SAFETY DIVISION Department of County Engineer BUILDING County of Los Angeles ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERM FEES z OWNER LIGHTS RECEPTACLES SWITCHES NU 1 T E M EACH EE MAIL $ $ ADDRESS TOTAL OUTLETS .10 ILCO ' ELEC. RANGES, WATER HEATERS, CITY I TEL.NO. CLOTHES DRYERS •30 ELEC�RICIAN ELEC. SPACE HEATERS, STAT-Y. COOK. , ING UNITS, GARBAGE DISPOSERS, ADDRESS d, 1 AUTO WASHERS, DISHWASHER .25 LIGHTING FIXTURES .10 CITY LS L O MOTORS STATE LICENSE NO. HORSEPOWER DISTRICT NO. I GROUP ZONE READY FOR INSPECTION H.P. OVER INC.. V2.&LESS .25 lh - z s. INSPECTION RECORD 2 5 1.00 5 15 1.501 1 IS 50 2.50 50 200 5.00 MISC. SIGNS I NO.TRANS ' NO..LAMPS SERVICE O-GOOV 1.00 SERVICE OVER 600V 5.00 y� WIRING PERMIT 1.00 (r' FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 = APPROVALS TOTAL FEE I I DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT 1---•�fi WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING. �- ELECTRICAL WIRING. WIRING I 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE. OF CALIFORNIA OR THAT 1AM E LEGAL OWNER OF THE AB OE POWER DESCRIBED RESIDENTIA RO RTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEEWd FINAL C OHN A. LGINEER IDATION A HU C.VETT; :OUNTY ENGINEER CK Mo CASH SUPERVISING ELECTRICAL ENGINEER 3.ti WORKERS'COMPENSATIONDECL?iRATION S CE-906G 12.80) APPLICATION FOR ELECTRICAL PERMIT , j¶ CE-806 I hereby affirm that I have a certificate of consent to self I " COUNTY OF LOS ANGELES BUILDING AND SAFETY I�Jp insure,or a certificate of Workers'Compensation Insurance,.or y a certified copy thereof(Sec.3800,Lab.C.) ,• Policy IVo. Company, FOR APPLICANT TO FILL IN JOB ADDRESS 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 OR OWNER T OR FIRM NAME Date• Applicant Outlets: Rec.^Light Sw.First 20�_ .ADDRESS `PJ CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.�— Additional CITY Tel No. COMPENSATION INSURANCE PLAN CHEC d (This section need not be completedif the work. involved APPLICANT p by the permit is for one-hundred dollars ($100) or less.) Lighting Fixtures First ADDRESS V Total No. Addition cc I certify that in the performance of the work for which thisFixed•Appliances Not Over 1 HP CITY Tel No. 0 permit is issued, I shall not employ any person in any manner PERMIT so as to become subject to the Workers'Compensation Laws. Range_Heater_D.W._ APPLICANT LU �Q �Q Oven _ Dryer_W.M. ADDRESS CO Date _I"�U pplicant G Top• —FAU _W.H. Hood — Fan _Other— ' CITY . NOTICE TO APPLICANT: If, ter making this Certificate of Disp. —Room Air Condom LICENSE OR Exemption,'you should bec a subject to the Workers' REG.NUMBER lass Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCESSF D BY with comply with such provisions or this ,permit shall be Size&Type HP,KW,KVA,or KVAR r deemed revoked. Up to 1 Incl. Over 1 to 10 Incl. FINALDATE LICENSED CONTACTORS DECLARATION Over 10 to 50 Incl. VALIDATION R I hereby affirm that I am licensed under provisions of Chapter Over 50 to.100'Inc. 4 FINAL of 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professions,Code,and my license is in full force and effect. ' - , Services 0-200 Amp.Under 600 V ` License Number Lic.Class 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances7 1 I hereby affirm that I Am exempt" from the ContractorSign with One Branch Circuit's - - License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits P-9 0 o 0 o2 ness and Professions Code): ° .2 Misc.Conduits&Conductors 1 0 Ell, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 2 I structure is not intended or offered for sale (Section 7044,Business and Professions Code). 8- 1 _ 2. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction.lending agency for the performance. of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). Q 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 authorize representatives of this County to enter upon , the above-mentioned property for inspection.purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE g ature of Permittee Date WORKERS'COMPENSATIONDECLARAT N CE-806G (2.- APPLICATION FOR ELECTRICAL PERMIT _ CE-806G I hereby affirm that I have a'certificate of conseNt to selr, l COUNTY OF LOS ANGELES ` - BUILDING AND SAFETY insure,ora certificate of Workers'Compensation Insurance,or i / / a certified copy thereof(Sec.38..00,Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No. Company ADDRESS New Residential Bldgs.&Pools � EACH NO. FEE 'Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY a 'Certified copy is filed with'the county building ! Multi-family Sq.Ft. — NEAREST inspection Residential Swimming CROSS ST Pools department. OWNER OR l FIRM NAME Date Applicant. Outlets: Rec,a Light Sw, d ' �p MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY e' Tel No. COMPENSATION INSURANCE t t PLAN CHECK �.. (This section need not be'completed if the work involved APPLICANT /'1/. G U Lighting Fixtures First 20 by the'permit is for one hundred dollars ($100) or less.) ADDRESS Total No. cc Additional I certify that in the performance of the work for which thisCITY, Tel No. ' Fixed Appliances Not Over 1 HP permit is-issued, I shall not employ any person in any manner PERMIT W so as-to become subject to the Workers'Compensation Laws. I Range_Heater D.W.= APPLICANT cL Oven Dryer_W.M._ , ADDRESS �0Z Top _ FAU W.H. Date Applicant - _ - Hood _ Fan —Other CITY Tel NOTICE TO APPLICANT: If, Uer making this Certificate of . Disp. _Room'Air Condom LICENSE OR I CSV� cy Exemption, you should become subject to the Workers' REG.N.U.MBER 9� Cfass Compensation provisions of the Labor Code, you must forth Power Apparatus&Large Appliances DISTRICT NO. PROCESED BY,, with comply with such provisions or this-permit shall be J. deemed revoked. Size&Type HP,KW,KVA,or KVAR 5 .0 d, z�� 7 Up to 1 Incl. FINAL. , ' Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION 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- I Over 100 BY ness and Professions.Code,and my license is in full force and " i effect: .Services License.Number Lic.Class 0-200 Amp.Under 600 V 201-1000 Amp.Under 600 V \ Contractor Date- �0(; Over 100 Amp.or Ober 600 V HOME OWNER-BUILDER DECLARATION v.` / 1 Temp..Power Pole ,Appurtenances ` Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's: 1'4.2 2 7{� License Law for the following'reason (Section 7031:5, Busi- Additional Sign Branch Circuits JQ ness and Professions Code): , 0,G 0 0 o (��( IMisc.Conduits&Conductors 1l I,. as owner of the property, will do the-work and the Other(See Complete Fee Schedule)—. - 2 ° ° ° 9 1 0 structure is not •.intended .or offered for sale (Section 7044,.Business and Professions Code:): o 0 0 0 9 1 0 CONSTRUCTION LENDING AGENCY , I hereby affirm that there is a construction.-lending agency 06031-82 O, 0 3'_ for the performance of the work for which this permit is PERMIT FEE (Sub-Total) Q issued(Sec.30.97,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Pecmit Fee) Lender's Address PERMIT ISSUING FEE Ilcertify 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 authorize representatives of this.County to enter upon �he above-mentioned.property for inspection purposes.. SEE:REVERSE FOR EXPLANATORY LANGUAGE i atuie of Permittee Date " Y.� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0909150014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I HIIILDING ADDRESS: ON FILE 1 9517 OLIVE ST ] IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803132 1 ]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CLOVERLY 18588-025-020 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I 1G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85 I I ]TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 IISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 IHA FAU LESS 3HP 1.00 FAD 10.95 109/15/09 SR 09/15/10 ] ] IJB AC UNITS +3-10HP 1.00 AC 19.65 I ] 1OWN8R: TEL. N0: ]LA 100 AMP PANELS, MCC 1.00 PAN 38.85 ]F- D Tel FI CODE: 1 IGAVREL JAMES T (323) 283-3400- ] TOTAL FEES 105.00 I ] 19517 OLIVE ST ITEMP 9178031321 1DE CRII)TIOIA OF WORK 1 I (ELECTRICAL FOR HVAC SYSTEM AND UPGRADE SERVICE TO 100 AMP (APPLICANT: TEL. NO: I I I (AMERICAN HTG & AIR (626) 285-8206- I I I 15308 NOEL DRIVE I ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 I I I ICONTRACTOR: TEL. NO: ] ]APPROVALS DATE INSPECTOR SIGNATURE ] (AMERICAN HEATING AND A, C (626) 285-8206- I 1 I 15308 NOEL DR. LIC. NO I ITEMPORARY POWER POLE I I I ITEMPLE CITY, CA 91780 664929C20 ] I 1--i I ] I 1UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IgFER GROUND LIC. NO: 1 IROUGH CONDUIT' I I I TROUGH WIRING I ] ] I I IMAIN WATER LINE I I I I ] IPLASTIC YIN METAL YIN ] I I I I (UTILITY COMPANY NOTIFIE I I I I I I I ] I I I I I 1 ] I I ] I I I I I I I I I I 1 1 I ] I I I I I I ] I I I ] I IMEPORT ID: DPR265 ROUTE TO: BS0508 ] I ] I I I I I I