HomeMy Public PortalAbout9663 OLIVE ST_Electrical__ COUNTY OF Los ANGELES _ APPLICATION FOR PERMIT
Department of County Engineer ELECTRIC
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DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
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ELECTRICIAN .c-a�b'� .r�.w�� a.t.R.(i�
ECEIVED BY R.EADY FOR DATE ISSUED
ADDRE58 �;L / y FIRST INSPECTION
CITY / .4. —TEL NO. /O�J• (X ie
COU LICENSE NO. 6 EXPIRES 6UILDIPWJ
PERMIT FEES ADDRESS
JJ
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNE_R
TOTAL OUTLETS 5c $
MAIL 41 /
ELEC. RANGES gg ADDRESS
ELEC. HEATERS 25 CITY 4 TEL NO.
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE I9 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
New MVD. HP ,OVER I INC- EACH OF THE RESIDENTIAL ROPERTY DESCRIBED ABOVE.
I/2 s LESS $ .25 SIGNATURE Ok '
s 1r 9tv,E 2 .50 PERMITTEIr
2 B 1`DD INSPECTION RECORD
5 1 S 1.50
15 50 2.50
So 200 5.00
200 Boo 10.00 J
Boo 1000 15.00 Z
OVER 1000 20.00 [7
M.G. BET/FREQ. CHANGER-HP
WELDERS*AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIS.)
MOVED MOTORS (75% CF CRIB.)
MISC.
SIGNS
NO. NO.TRANS
APPROVALS
NO. NO.LAMPS
FOR EACH PERMITI DATE INSPECTOR'S NAME
WIRING $1.00 a CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER „
TOTAL FEE ® i UTILITY Do.NOTIFIED
FINAL !y, Y✓�s� GL�i�� _rr
75A553 D138#5A 2-53
• DEPACOUNTY OF LOS RTMENT OF COUNTY ANGELES EeR C` f APPLICATION FOR PERNIIT
DIVISION OF BUILDING & SAFETY ELECTRIC 1
WILLIAM I. FOIL COUNTY ENGII =
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN A l 76o-' � 2
/�J�, RECEIVED BY READY FOR DA TE ISS ED
ADDRESS
N a�q er FIRST INSPECTION l�I C�
CITY s^� pTEL. NO. ' 1/ J
COUNTY LICENSE NO. of / EXPIRES BUILDING
PERMIT FEE ADDRESS
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $
MAIL �p
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
FIXTURES 5 �Q CITY TEL. NO.
MISC. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP ovm I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
V2 6 LE98 S .25 SIGNATURE OF
V. 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 1s 1.50 /•� +�
1s s0 2.50
s0 200 5.00
200 500 10.00 t
goo 1000 ts.0o z
OVER 1000 20.00 5
M.G. SET/FREQ. CHANGER-HP It
O
WELDERS: AC-INA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% of ORIG.)
MOVED MOTORS (75% of 01116.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE--'I INSPECTOR'S NAME
WIRING $1.00 U CONDUIT �y
FIXTURES $1.00 OQ WIRING
SUPPLEMENTARY .50 FIXTURES
0 POWER l �p
TOTAL FEE $�� 0 UTILITY CO. NOTIFIED
FINALArt
76A 663 D38# 9A. 4-82 I
' WORKERS'COMPENSATION DECLARATION 7� 663 10,81, APPLICATION FOR ELEC .RICAL PERMIT
I hereby affirm that I have a certificate of consent to self E-e06G
insure, or a certificate of Workers'Compe tion Insurance, COUNTY OF LOS ANGELES I ILDING N FETY
or a certified copy thereof(Sec. 3800; La . .)
Policy No. Company i ° FOR APPLICANT TO FILL IN B
Certified co is hereby furnished. I EACH NO. FEE ADDRESS
PY Y New Residential Bldgs. &Pools
Certified co +s filed.with the count building 1 &2-Family, S Ft. $ I—Is
LOCALITY
PY� Y 9 inspec- Y� q•
tion department. ; Multi-family Sq. Ft. NEAREST
�� Residential Swimming Pools OWN R OR
Date Applicant FIRM,NAME.
CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL �o
COMPENSATION INSURANCE Outlets: Rec Light SW'._ ;ADDRESS C
First 20
(This section need not be completed if the work Involved by Total No. Additional CITY Tel. Naas yot
the permit Is for one hundred dollars($1100)or less.) PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit.is issued, I shall not employ any person in any manner
so as to.become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. Additional 'CITY Tel. No.
Dcte. Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE'TO APPLICANT: If, after making this Certificate of APPLICANT
Exemption, you should become subject to the Workers' Range— Heater_D.W. —
Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS ,®
with comply with such provisions or this permit shall be Top — FAU W H. — CITY Tel,IVo.
deemed revoked. yya 74�
Hood — Fan .�Other—
LICENSED CONTRACTORS DECLARATION 'LICENSE OR /
I hereby affirm that 1 am licensed under provisions.of Chapter 9 Disp. —.Room Air Cond. REG. NUMBER CZ Class.G Jd
(commencing,with Section 7000),of Division:'3 of the Business +D1$TRICT NO. PROCES D BY
and Professions Code,..and.my license is in fullforce and.effect. Power Apparatus&.Large Appliances c
nn _` I Size&Type HP, KW, KVA, or KVAR- '64O
License Numb �� Lic.Classes ; Up to 1 Incl. FINAL
cc 1 Over 1 to 10 Incl. •IDATE 4? VALIDATION
r
Contracto te f� —O� Over 10 to 50 Incl. FINAL
al
❑ I am exempt er ec. Over 50 to.100 Inc. IBY LIM
B.&P..C. for this:rebson Over 100
i Services, Swbd., MCC&Ponelboards
Date' 0 -200 Amp. Under 600 V
Signature I 201 - 1000 Amp. Under 600 V
❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V I
SINGLE FAMILY' i Temp. Power Pole&Appurtenances
,HOME.OWNER-BUILDER DECLARATION ,Sign with.One Branch Circuit'
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and I Additional Sign Branch Circuits
Professions Code):
❑ I, as owner of the property, will do the work and the I Misc. Conduits&Conductors 7131*
structure is not intended or offered for sale (Section ` Other(See Complete Fee Schedule)_ ;►
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirmdi
.that there is a construction lending agen.c for--- - `y 00
the performance of the work for which this permit is isssd PERMIT FEE (Sub-Total) '
Sec. 3097, Civ. C.).( ) PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE �D
Lender's Address. '
(..certify that I have.read this.application and state.that the TOTAL FEE.
above information is correct. I agree to comply with all County I
ordinances and State laws regulating Electrical wiring, and
hereby authorize representatives of this•County to enter upon
the above-m ntioned property for'nspection purposes. {
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature IWPermittee Date i
'arm that
COMPENSATION DECLARATION 7WSS DPW 9/89 APPLICATION FOR 'ELECTRICAL PERMIT
78AB63
I hereby affirm that I have a certificate of consent to self insure, ,
or a certificate of;Worker's Compensation,Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec.3800 Lab.C.)
Policy No. Company FOR APPLICANT TO RLL IN ADD ,
REBS
❑. Certified'copy is hereby furnished. -Now Residential Bldgs.&Pools EACH NO. I FEE LOCALITY
❑ Certified n — $
ts 1 &2-Family,Sq.Ft: $
departmeis filed with the county building inspection Multi-family Sq.Ft. p AR S T; LOC- X 'LAS ro f—' TIC
Date Applicant Residential Swimming Pools ASSESSOR
MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER oR
COMPENSATION INSURANCE Outlets:Rec._Light Sw. FIRM NAMFirst 20 E
.(This section need not be.completed if the work Involved•by.the Total No. Additional aDDREss .QG�3
permit is for one hundred dollars($100)or lose.)
I certify that in the performance of the work.for which this,permit CITV.PT , � Te-NoZ$-7 INA
is issued, I shall not employ any persdn in any manner so as to PLANbHECK
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT
Total No. .. Additional :ADDRESS
Date Applicant 15 OR 20A,120V CIRCUITS
NOTICE TO APPLICANT:'If, after making this'Certificate of CITY. Tel.,No.
Exemption;you,should become subject-to the Workers'Compensation 1'TO 10 INCLUSIVE EACH
provisions.of the Labor Cade,you must forthwith•comply with such 11 TO 40 INCLUSIVE EACH PERMIT
'
provisions or this permit shall.be deemed revoked.. 41 OR MORE BRANCH CIRCUITS EACH' APPLICANT 6 �_
LICENSED CONTRACTORS DECLARATION ADDRESS }
I hereby affirm that.I am licensed under provisions of,Chapter 9 150R 20A,208V TO 277VLIGHTING EACH o
(commencing with Section 7000)of Division-3 of.the.Business and CITY) Tel.No. V
Professions Code,.and my Iicense•is in full force and effect ;; Claw Q
, ,RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR ..
Power Apparatus&targe Appliances REG.NUMBER
License Number Lic..Class ,Size&Type,HP,KW,.KVA,or KVAR DISTRICT No. f PR ED'BY I
Up to 3 Indi. W
Over 3 to 10 Incl. FINAL a
Contractor Date ly - Over 10 to 50 Incl. DATE dc.
I am exempt under Sec. Over 50 to 100 Incl. VALIDATION
FINAL'
B.&PSC.for'this reason Over 100 BY 'n
.<Services;Swbd/�(I C&Panelboards
Date: r' 0-200 Amp.'Under 600 V J dIAa
Signature. 201•-1.000 Amp.Under 600 V
Over 1000 Amp.or Over 600 V
l•
.,Exemption for Reg.Maint.Elect. - -• - •�;
SINGLE FAMILY 'Temp.Power Pole&Appurtenances i
HOME OWNER BUILDER DECLARATIONr�:•# ?_^
I hereby affirm that I am exempt from the Contractor's License Law Sign-with One Branch Circuit' ^
for the following reason(Section 7.031.5, Business and Professlgna .Additional-Sign.Branch Circuits - `�� •A�f E r.�i:I
Code).:..::. - - - , _ - _: T-r:-•' ,
I,as owner.:of theproperty,will do the work and the structure ,Misc.Conduits.&Conductors
- A +� _.,...
is not intended or offered for sale(Section 7044, Business I,Other(See Complete Fee Schedule) €to `.i_- _'==� -�=°
and Professions Code). ! �' y.••.;:• c•,,•,
CONSTRUCTION LENDING AGENCY r-.•.I y{;; - ,
I.hereby affirm that there is a construction lending agency for•the
performance of the work for which this permit is issued(S 3097, 'PERMIT'FEE (Sub-Total)
Civ.C.) �p
Lender's Name
IJ{CjtC 0 i P PLAN CHECKING FEE X"j I jsr_ g', ypy
/r ,/J PERMIT ISSUING FEE v? 7 ! r{Iw�rt ;, I411
Lender's Addre
v r I- G.:ss � S
I certify that I have res is ap { ation and state that the.above TOTAL FEE
Information is correct ogre comply with all County ordinances I
and State laws regul in ectrical•wiring, and hereby authorize
representatives of this to enter upon the above-mentioned
pro rty for inapecti- p SEE REVERSE FOR EXPLANATORY LANGUAGE
� -ZZg�.,
1 TU E OF APPL OR
AS
N DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0401200019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
GAL FEES PAID BUILDING ADDRESS:
ON FILE 9663 OLIVE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803250
ASSESSOR NFORMA ON NUM NEAREST CROSS STREET: TEMPLE CITY BLVD
8588-024-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 20.00 OUT 39.00
TENANT: G2 LIGHTING FIXTURES 5.00 LGT 9.75 ISSUED ON: PROC S D BY: PAN BY: EX S 0
HA FAU LESS 3HP 1.00 FAU 10.95 01/20/04 VG 07/18/04
H7 RES EXHAUST FANS 2.00 EX 21.90
OWNER: TEL. NO: JB AC UNITS +3-10HP 1.00 AC 19.65 FINAL DATE FINAL BY: CODE:
METRILLO CECILIA (626) 309-7598- JX MOTORS, LT 3 HP 1.00 MOT 15.30
9663 OLIVE ST TOTAL FEES 144.30 ^ Z >r^ K
TEMP 917803250 9VE°CRIP1'ION UF WUKK
ELECTRICAL FOR ADDITION
APPLICANT: TEL. 0:
SAME AS OWNER -
SPECIAL CONDITIONS-
CONTRACTOR:
OND TIONS:CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER PO E
UNDERGROUND CONDUIT
ARCHITECT-OR E GI ER: TEL. 0: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIR NG
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508