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
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] I I I I I
1 ] I I ] I
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I IMEPORT ID: DPR265 ROUTE TO: BS0508 ] I ]
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