HomeMy Public PortalAbout9909 OLIVE ST_Electrical__ . U.
- !"663-CE6O6 9-66 .APPLICATION IFOW ELECTRIgAL PERMIT
COUNTY OF LOS ANGELES
DROAR-MENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS LjgplL'
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINSI SUPERINTENDENT OF BUILDING LOCALITY 2S-m 4
NEAREST ,�I �
FOR APPLICANT TO FILL IN CROSS ST. ��
RECEPT. TOTAL NO. EACH FEE gg -�� Jp yam.
I OUTLETS FIRST 20 .20 $ OWNER $„1 y�� �� f�Ae�//
LIGHT J} rf/I MAIL ,�q� F
H� ADD'L 10 ADDRESS. (C�/_j
SWITCH �►
OVER 20
1 TOTAL FIRST 20 .20 CITY�� po Tj TEL.NO.
LIGHTING l FIXTURES 6a �}
FIXTURES J( ADD'L .10 CONTRACTOR
OVER 20
RANGES DRYERS WTA.HTRS. 1.00 ADDRESS ^ (/A(�
GARS.DISP. STA.COOK N
CITY >^ pr TEL.NO. a
DISHWASH. AUTO.-WASH. STATE r fl �fy n
SPACE HTRS. STA. APPL. .50 LICENSE NO.
MOTORS. OVER NOT OVER H.P. DISTtRICT GROUP NE JPR E D BY
O 1 1.00 V. /
1 8 1.50 INSPECTION RECORD
s s 2.00
8 is 2.50
15 so 8.00
50 100 5.00 U
SIGNS: NO.TRANS. IM
NO.LAMPS V
SERVICE 0-S00V-NOT OVER 200A 1.00 d
SERVICE O-SOOV-OVER 200.A. 2.00 in
z
SERVICE OVER SOOV 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 `
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE IMBPECTOR•BSIGNATUM
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /
ELECTRICAL WIRING. WIRING
IHEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO POWER
RESIDE IN,THE ABOVE DES IB RE (DENT L PR RTY.
SIGNATURE UTILITY CO.NOTIFIED 7 '�
OF PERMITTEE
FINAL ✓Q
VALIDATION JO PH . ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L&914 0Qi JUN16 2 D 1 0.20N
Ad4�
76A66$dCE60611/70 APPLICATION FOR ELECTRICAL PERMIT IJ
COUNTY OF LOS ANGELES
• DEPARTMENT OF COUNTY ENGINEER BUILDING �� rr
BUILDING AND SAFETY DIVISION ADDRESS /o
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY /% �"�
NEAR EST
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS NO. EACH FEE
OWNER
RECEPT. 4
ry S S AMAIL
DDRESS
FIRST 20 .25 .�
LIGHT TOTAL CITY T� elEL. NO.
SWITCH �� OVER 20 ,10
PLAN CHECK
LIGHTINGFI RST 20 25 APPLICANT
TOTAL
OVER 20 ADDRESS
FIXTURES .10
APPLIANCES CITY TEL. NO,
RANGE DRYER_WTR. HTR. APPMICANT �Adn'r>tir f` /l�id/ U,S ice✓
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY ,Z, NO. �Y
CLOTHES WASH. DISHWASH. LICENSE NO.,,,; ,!%; 2o-j- CLASS.E^/�
FAN OTHER. 1.00 1 HG& ACK�FflWi94YGF/THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO }
1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
10 - 50 5.00 OF PERMRITTEE CSL V
50 - 100 10.00 O
DISTRICT NO. CLASS ZON PROC D
100 - 500 15.00 . 6 LU
SIGN, GAS ISIGN AND ONE CIRCUIT 5.00 NOTES: h
TUBE, OR ?
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOT OVER 600 VOLTS OR 200 AMP 3.00
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOTS'SIGHATURE
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK +
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT a
' �.. WIRING /��
FIXTURES
PERMIT FEE (SUB TOTAL) � POWER AUTHORIZED /
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL /
PERMIT ISSUING FEE 3.00 �� JOS PH C. ROOHAN
TOTAL FEE f IY9SUPERVISING ELECTRI CAfINJINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION C M. CASH'
L1104 9 2 FEB 2 D
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
'&A `""B' APPLICATION FOR-ELECTRICAL PERMIT
COUNTY.OF LOS ANGELES BUILDING AND SAFETY
FOR POPLICANTTO FILL IN ADDRESS
New Residential Bldgs.&Pools EACH - NO. FEE �
1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY LL/
Multi-family Sq.Ft. ;.02 . — NEAREST
L!�
Res.idential25.00 CROSS ST. Ile
,Swimming Pools 01NNER 0 -
FIRM NAME
Outlets:RecLight .Sw.• MAILr
First.20 •50 A ADDRESS
Total No. Additional .30 CITY :; Tel.No. _
PLAN CHECK
APPLICANT
Lighting Fixtures First.20 50 ADDRESS
Additional ,.30
Total No. � - CITY Tel.No. ,
Fixed Appliances Not Over 1 HP PERMIT
APPLICANT C� c
Range_Heater_D:.W.
Oven—Dryer_W.IVI. ADDRESS
— %G. �p2v
Top _FAU _W.H._ CITY
'..Tel.No.
Hood_ Fan _Other_ LICENSE OR
p''—: 2.50 Class.t
Dis Room Air Cond. REG.NUMBER U
I HEREBY ACKNOW.LEDGE.THAT I HAVE.READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES AND-STATE LAWS" D�
Slze&T HP;KW, KVA,or KVAR 2 50 REGULATING ELECTRICAL.WIRING.
0, to 1,Incl. I HEREBY CERTIFY THAT I AM THAT REGISTERED AND/OR' W
5
l Over 1 to 10 Inc]. S.oO 0- LICENSED AS REQUIRED BY LOS'ANGELES COUNTY AND STATE OF at,
r Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM•T eLEGL OWNER OF THE ABOVE. 0
25,00 DESCRIBED RESIDE L PROP
.O,ver 50.to.100 Inc. PERMIT.EE_
40:00
Over 100 SIGNATURE us
ServicesDISTRICT NO. ," PROCESS DB
0-200 Amp.Under 600 V 12.50
201"-.1'000 Amp.Under 600 V 25.00 ��r �- -
Over 1000 Amp.or Over 600 V` 50.00 Z
Temp.Power Pole&Appurtenances 10:00
Sign with One Branch Circuit' 10.00
Additional.Sign Brdnch Circuits 2^00 INSPECTIQN > '
To.00 INFORMATIONbd
Misc.Conduits&Conductors ON REVERSE s
Ot6f(See Complete Fee Schedule) v 861
- SIDE�. • z ,
# 0 0 0 0 0
IL
2P.GC,
PERMIT FEE l86b-Total) Q� e
PLAN.CHECKING FEE. ..(One-Fourth Permit Feet O
PERMIT ISSUING FEE $7.00 � D a -• -G ,
TOTAL FEE / d r' >
INSPECTION ONALED ode
date; B es
M {�,� +� � C.:-
WtherRhat I COMPENSATION DECLARATION CE 806G IOial APPLICATION FOR ELECTRICAL PERMIT
ed
that I have a certificate of consent to self insure,
of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
ec.3800,Lab.C.) fl
Policy No. Company FOR APPLICANT TO FILL IN JOB
ADDRESS
❑ Certified copy is.hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE
❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ — $ LOCALITY
department. Multi-family Sq.Ft. — NEAREST
CROSS ST.-
DateResidential Swimming Pools OWNER Rde
!
Applicant `/ s / FIRM NAM
CERTIFICATE OF EXEMPTION FROM WORKERS' �J• "j L MAIL
COMPENSATION INSURANCE Outlets:Rec_T""" Light First'20 ?S ADDRESS �'
(This section need not be completed if the work Involved by the . C Tel.N
permit is for one hundred dollars($100)or less.) Total No. Additional �.�
I certify that in the performance of work for which this permit P H CK /r
is issued, I S all no employ APPLICANT
p y any, pe n in any mann so as to
become sub' of to rkers'Glom nation Laws Lighting Fixtures First 20 ADDRESS
Total No. Additional CITY .
D Applfc ' Fixed Appliances Not Over 1 HP PERMIT
N IC TO PPLICANT: a I I Certifi a of
Exe tion,you should be ubject to orkers'ComFith
ation Range_ Heater D W. APPLICANT
provisions of the Labor you mu ort ith comply such Oven _ Dryer_ W.M._ ADDRESS
provisions or this perm' all be deemed revoked. Top — FAU _ W.H. _ CITY Tel.No.
LICENSED CONTRACTORS DECLARATION Hood — F Other_
I hereby affirm that I am licensed under provision of Chapter 9 Disp. RoomlAir Cond. 3 CENSE OR Gass.
(commencing with Section 7000)of Division 3 of the Business and REG.NUMBER
Professions Code,and my license is in full force and effect. DISTRICT NO. �O PROCESSE Y '
Power Apparatus&Large Appliances
Size&Type HP,KW,KVA,or KVAR �
License Number. Lic.Class Up to 1 Incl. 41 U FINAL (/ 8
Over 1 to 10 Incl. F-W DATE �� IDATION.
Contractor Date Over 10 to 50 Incl.❑ O
L 15 I am exempt under Sec. Over 50 to 100 Inc. W
B.&P.C.for this reason over 100 �`�9 1 5 v A N
Services,Swbd.,MCC&.Panelboards 0 0 0 0 0 'Z Z
Date: 0-200 Amp.Under 600 V
Signature 201 - 1000 Amp.Under 600 V o o29, 00
❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V =
� 0029 ()�7 )
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit p a 1 1 -88
1 hereby affirm that'I am exempt from the Contractor's License Law
for the following reason(Section 7031.5,Business and Profession Additional Sign Branch Circuits
Code):
/0 I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)
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(Sec.3097, PERMIT FEE (Sub-Total)
Civ.C.).
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and state that the aboveTOTAL FEE 9 �o
information is correct.I agree to comply with all County ordinances
and State laws regulating Electrical wiring, and hereby authorize
repre atives, of this County to enter upon the above-mentioned
p arty.for insp b [poses.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig rinittee - Date
Z /
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1310280048
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
1
LEGAL ID: FEES PAID BUILDING ADDRESS:ON FILE [ 9909 OLIVE ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803239
ASSESSOR INFORMATION NUMBER: I [ NEAREST CROSS STREET: CAMBURY [
18588-019-010 IIAl PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI
II LB 200 AMP PANELS, MCC 1.00 PAN 38.90
[TENANT: i TOTAL FEES 66.70 JISSUED ON: PROCESSED BY: PLAN BY: [
10/28/13 SR
OWNER: TEL. NO: IFINAL DATE FI BY: CODE:
IADAIMY, ANI (818) 497-4113-
I9909 OLIVE ST UaA51
TEMP 917803239 [DETIPTION OF WORK
UPGRADE MAIN ELECTRICAL SERVICE 200 AMP (METER & PANEL)
[APPLICANT: TEL. NO: I
SAME AS OWNER -
I [SPECIAL CONDITIONS: [
CONTRACTOR: TEL. NO: IAPFROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
1 LIC. NO 1 TEMPORARY POWER POLE I I I
I I 1UNDERGROUND CONDUIT [ I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I
I - I
ILIC. NO: ' 1 IROUGH CONDUIT
I [ROUGH WIRING [
! [ IMAIN WATER LINE
[ � I IPLASTIC Y/N METAL Y/N
I I I
(UTILITY COMPANY NOTIFIEDI� I
I I I I I
I I I I I I
I [ I I [
I II I I [ I
I I
I [REPORT ID: DPR265 ROUTE TO: BS0508 ISI