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Home My Public Portal About9666 OLIVE ST_Electrical__ 1 WORKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT J hereby4firm that I have a certifi-cate of consent to self CE-8066 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certifiedcopyc�opyy thereof (Sec. 3800, Lab. C.) Policy No. b _ 22 Company &1JV W&r&i S FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 9&&& e5p1.1VK 5 Certified copy is filed with the county building inspec- 1 &2-Family, q• Ft. $ — $ LOCALITY rem P NEAREST tion department. Multi-family Sq. Ft. CROSS ST. /// f11 ,-s e�eG&-T Residential Swimming Pools _Lr ap ZM CA OWNER T. ®®q pp w/L Date Applicant FIRM NAME ��D AMP RA Gn CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets: Rec Light Sw._ ® s-, COMPENSATION INSURANCE 20 ADDRESS (This section need not be completed if the work involved by First ti the permit is for one hundred dollars($100)or less.) Total No. Additional CITY Tel. No.Z� o� P I certify that in the performance of the work for which this PLAN CHECK permit is issued, I shall not employ any person in any manner APPLICANT so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional iU CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' Range_ Heater_D.W. _ APPLICANT A54 F Parm-*ec Owe Compensation provisions of the Labor Code, you must forth- Oven — Dryer _W.M.— ADDRESS 9Z ® T with comply with such provisions or this permit shall be Top _ FAU _W.H. — deemed revoked. Hood Fan _Other_ CITY 4rd1jM Tel. No.��Me. LICENSED CONTRACTORS DECLARATION _ Dis _ Room Air Cond. LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 p' REG.NUMBER �'Z,Z��. Class. r_.. � (commencing with Section 7000)of Division 3 of the Business PROCE. D Y power Apparatus 8 Large Appliances DISTRICT NO. ,) W and Professions Code,and my license is in full force and effect. v�( O Size&Type HP, KW, KVA, or KVAR- License Number Lic. Class Up to 1 Incl. � I/t� FINAL Over 1 to 10 Incl. 1 DAT VALI ATION Contractor Date Over 10 to 50 Incl. ❑ FIN GW.. I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 Z Date: Services, Swbd., MCC&Panelboards ' f�2L/ 0 -200 Amp. Under 600 V J Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp, or Over 600 V SINGLE FAMILYy 9 4 2 Q 6 A Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # o o a o 0 2 1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): 1 - 3650 = I, as owner of the property, will do the work and the Misc. Conduits&Conductors ° ° ° 3 6,5 Q v structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). 0311 -86 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.). 1 PLAN CHECKING FEE Lender's Name ,7 PERMIT ISSUING FEE eJ G Lender's Address I certify that I have read this application and state that the TOTAL FEE 134.54 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 , /� A6 Signature of Permittee Date E COONTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0006260082 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: EGA ES PAID SUILDIIM ADDRESS: TR: 14210 LT: 21 9666 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803251 ASSESSOR INFORMA I UMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD. 8589-003-011 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPL fTY HA FAU LESS 3HP 1.00 FAU 10.95 T JB AC UNITS +3-10HP 1.00 AC 19.65 TSSUED ON: PROCESSED B LAN EXPIRE N: TOTAL FEES 58.35 06/26/00 UT 12/2 O OWNER: TEL. NO: FINAL DATE FINAL BY: ODE: TAM;WAI (626) 285-9283- 9666 OLIVE ST. TEMP 91780 DESCRIPTIO OF WORK ELECTRICAL FOR NEW HEATING AND AIR IONING APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: OGELICS C 0 � , SAME RASTOOR:WNER TEL. N0: - ///��j �;`�� ,+ APPROVALS DATE INSPECTOR SIGNATURE LIC. NO 11 �� \��° TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: - •_ FER GROUND LIC. NOI I � � i `yROUGH CONDUIT tLL(_._ I ~`.: L ROUGH'WIRING r- MAIN WATER LINE LIU IN-)) L G \1n��1�� I, L, J`� PLASTIC Y/N METAL Y/N -- LJ lJ u— UTILITY COMPANY NOTIFIED ervice REPORT ID: DPR265 ROUTE TO: BS0508 • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAi PERMIT DEPARTMENT OF PUBLIC -:ORKS 9701 LAS TUNAS EL 0508 0409230002 311,11LDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285 C- u EXT: L GAIL ID: TEES PAID BUILDING ADDRESS: TR: 14210 LT: 21 9666 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: A14OUNT: TEMP CA 917803251 ASS SSOR RP J.. 0NUMBER: --- NEAREST CROSS STREET: TEMPLE CITY BLVD. 8589-903-011 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 25.00 OUT 45.75 TTE1�NT:-J G2 LIGHTING FIXTURES 6.00 LGT 11.70 ISSUED ON: PROCESSED BY: PLAN Y: EXP ES ON: TOTAL FEES 85.20 09/23/04 JK 03/22/05 OWNEP.: TEL. NO: }INAL DATE FINAL BY: CODE: i TRUONG. CUONG 132.3) 223-7959- / //�✓ 2323 1/2 LINCOLN PK `f LOS ANGELES 90031 DE CRIPTi OF WORK ELECTRICAL FOR ADDITION APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CON-i?A;:TOR: - TEL. NO: APPROVALS CATE INSPECTOR SIGNATukE -1 SAME A5 OWNER - i LIC. NO IEMPORARY POWER POLE -� UNDERGROUND CONDUIT ARCHITECT M-NG1I EEA 1 EL. OFUF RRGROUIRD XU, WILLY (626) 297-7915- _ 318 N. 3RD ST., #C LIC. NO: ROUGH CONDUIT ALHAMBRA, CA 91801 NONE ROUGH GIIRING FIA-IN LINE - PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0310080007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D• _ FEES PAID BUILDrNG ADDRESS: TR: 14210 LT: 21 9666 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803251 ASSESSOR UMBER: NEAREST CROSS STREET: TEMPLE CITY 8589-003-011 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED 0N: PROCESSED ES TOTAL FEES 43.35 10/08/03 JK 04/05/04 OWNER: TEL. N0: FINAL DATE FINAL BY: CODE: WAI HAR TAN (626) 485-0520- J_�/ 9666 OLIVE STREET J'T TEMPLE CITY 91780 DESCRIPTION OF WOR ELECTRICAL FOR ADDITION APP TEL. NO: SAME AS OWNER - __ SPECIAL CONDITIONS: CONTACTOWNER OR: L. N0: - q�! _CICS A �''C/,� � APPROVALS DATE INSPECTOR SIGNATUR SAMELIC. NO TEMPORARY W R POLE ��• ;+ rV t - � , U DERGROU D CONDUIT ARCHITECTOR ENGINEER: E 0: Af �� r_ r - GROUND i I I LIC. g0 --L--� �II I !ter,-� i i i -, �',Ih ROUGH CONDUIT t"-),-I t - - - - '--J-� �L --1-I�• l -/`-- RO GH WIRING [ r- r• ii t, r� - -- r I� MAIN WATER LINE PLASTIC Y/N METAL Y/N f ------ ----------- ----- - --- -J I UTILITYCOMPANY OT ED of Vic REPORT ID: DPR265 ROUTE TO: BS05O8