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Home My Public Portal About9153 OLEMA ST_Electrical__ 76A663 CESOS 4.sg .� APPLICATION FOR E.L _ ��TRICAL PERMIT- 1 ,-dO;SNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7NEAREST BUILDING AND SAFETY DIVISION /q t JOHN A. LAMBIE,.COUNTY ENGINEER COLEMAN W. JENKINS.. SUPT. OF BUILDING �C3 1 ��ppFOR APPLICANT TO FILL IN /(/CyojOE& RECEPTACLE TOTAL NO. EACH FEE OUTLETSFIRST 20 $.20 OWNER-A-, '� LIGHT MAIL � / • SWITCH ADD'L 10 ADDRESS OVER 20 LIGHTING FIXTURES FIRST 20 .20ib TAL CITY . TEL.NO' FIXTURES ADD'L 10 'CONTRACTOR OVER 20 RANGES CLO.DRYERS NRR.NTRS. 1.00 ADDRESS GARB.DISP. STA.COOK' _ CITY TEL.NO. DISHWASH. AUTO.-WASH. ,STATE SPACE NTRS. STA.APP.(V=H.P.MAX.) .50 LICENSE MOTORS: OVER NOT OVER H.P. 'DIST 1' T U NE P EBBED Y 1 3 1.50 INSPECTION ,R&CORD 9 3 B. 2.00 i ;, (��t�Y.�� c e4r . B 15 2.50 4 h 15 50 3.00 � f r' 50 100 5.00 _ JJ 1 �•/ SIGNS: NO.TRANS. f ! •+ _ ��' O NO.LAMPS ( '�j�;f�i+Yri:.2 � t GG SERVICE 0.600V-NoT OVER 200A 1.00 N SERVICE O-SOOV•OVER 200 A. 2.00 Z SERVICE OVER SOOV .5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNAT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI ATION UNDERSLAS WORK �. AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ROUGH CONDUIT s� A ELECTRICAL WIRING. WIRING [ A�� s'�s°` a�,�/Y�•] I HEREBY CERTIFY THAT 1 AM PROPERL GISTERED AND/OR FIXTURES ✓ V•` v ' LICENSED AS REQUIRED S OS NGELE O NTY AND STATE OF CALIFORNIA OR THAT I A E. ALO N OF,AND I TEND TO POWER RESIDE IN.THE ABOVE 1 ESI L PR SIGNATURE. UTILITY CO.NOTIFIED A OF PERMITTEE a C� FINAL 6Ln LIP VALIDATI JOSEPH C. ROOHAN CK MO CABH SUPERVISING ELECTRICAL ENGINEER. Lt;Co 5 9 2 3 3 SEP 217 2 D 4.20- 7GA663 DBS SA 11-SO ` DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ELECTRIC Z WILLIAM J. FOX, CHIEF ENGINEER FOR L ANT ILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIA �� S—OX RE IVE0 BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION CITY COUNTY L CENSE NO. EX IRES UILDING y F S PERMIT ADDRESS !! -JA 04 FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST ` CROSS ST. RECEPTACLES WALL SWITCHES OWNER Aj TOTAL OUTLETS Se $ MAIL ELEC. RANGES Y5 ADDRESS A yo ELEC. HEATERS 25 CITYalsrf TEL. NO., FIXTU 51 HERE ACKNOW E GTHAT 1 HAVE READ THIS MISC. APPLICATION AND ST 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 I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY ICENSE, R I AM THE LEGAL OWNER FEE I OF THE RESIDE ROP TY ES ED ABOVE. NEW MVD. HP OVER INC. EACH 1/2&LESS $ .25 SIGNATURE OF 1/2 2 .50 PERMITT 2 5 1.00 INSPECTION CORD 5 15 1.SO 15 50 2.50 50 200 5.00 200 500 10.00 J 500 1000 15.00 Z OVER 1000 20.00 a M. G. SET/FREQ. CHANGER-HP IY WELDERS:AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF ORIG. MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES ,0011 POWER I TOTAL FEE $/ /1J UTILITY CO. NOTIFIED r Q1 ® FINAL 76A888 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES '1 WILLIAM J. FOX, CHIEF ENGINEER r FOR P/ CANT ILL IN TRICT—NO. GROUP ZONE ®PERMIT NO. ELECTRICIA ' A— S "� R EIVED BY READY FOR DATE ISSUED ADDRESS FIRSTINBPECTION CITY EL. NO. ��• Amo + COUN LICENSE NO. V EXPIRES BUILDING / PERMIT lFfMS ADDRESS FEE NUMB R EACH LOCALITY LIGHT OUTLETS NEA RECEPTACLES ST WALL SWITCHES OWNER TOTAL OUTLETS Sc S SM MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS -11 CITY C TEL. NO. FIXTURES 5 I HEREBY ACKNOW/@ GE THAT 1 HAVE READ THIS MISC. 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, O 1 AM THE LEGAL OWNER FEE OF THE RESIDENTI P OPER D CR IIABOVE. NEW MVD. HP OVER INC. EACH 1/2 a LESS $ .25 SIGNATURE OF 1/2 2 .50 PERMITTE 2 s 1.00 INSPECTION RECORD s 1s 1.so 1s 50 2.50 so 200 s oo 200 Soo 10.00 .I Soo 1000 15.00 a 2 OVER 1000 20.00 (; M. G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OFORIG.) MOVED MOTORS (75%OFORIG.) MISC. SIGNS N . NO.TRANS. I APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING CONDUIT $1.00 FIXTURES $1.00 WIRING SUPPLEMENTARY .50 1 FIXTURES 'f POWER TOTAL FEE /O UTILITY CO. NOTIFIED -n ® FINAL C' 7eaeGa-cefaB 10,74 APPLICATION FOR ELE RICAL PERMIT •' COUNTY OF LOS ANGELES ` DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ' NEAREST FOR APPLICANT TO FILL IN CROSS ST, OUTLETS 0. EACH FEE OWNER OR FIRM NAME RECEPT._ $ $ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS SWITCH OVER 20 10 CITY TEL, PLAN CHECK LIGHTINGTOTAL FIRST 20 ,Zg APPLIC a 1216— FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. N0Ca PERM • � RANGE IT DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS �� r SPACE HTR.—AIR COND.2• CITY TEL, NO.2kS�pZ**� CLOTHES WASH. DISHWASH. REG NNUMBER CLASS.V,-Z?.0 FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND S,TATE LAWS REpULATING IND. HEATERS., ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO .I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED SY LOS ANGELES COUNTY AND STATE OF y CALIFORNIA OR THAI' I AM THE LEGAL OWNER OF THE ABOVE C , 1 - 10 , -1'00 DESCRIBED RESIDENTIAL PROPERTY. C.3 PERMITEE 0= 10 - 50 5.00 SIGNATURE led F 50 - 100 10.00 DISTRICT N0. ROC SED B LLl 100 - 500 15.00 l U d Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECIDAS SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK SERVICEOVER600VOLTS OR'200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 'WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00' FIXTURES POWER AUTHORIZED UTILITY CO'. NOTIFIED FINAL PERMIT FEE UB TOTA 0 r NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE -� PLAN CHECK VALIDATION CK. M.O. CASH 3"PE'RMI'T VALIBIATION CK. M.O. CASH O o o 0 lr-- .1 o 00 •I o O Al 3/2- j 3y v o 0 0 � �O O O w CH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATIONDECLARATION CE-863 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of co9sent toCgelfCOUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation dnsurances or + ( ( i a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN JOBJ tt � Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE ADDRESS `iitl'>) V Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ Is LOCALITY c� C. Multl-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST CN department. Residential Swimming Pools OWNER OR FIRM NAME Date Applicant Outlets: Rec.. Light__,V_Sw.� Q ADDRESS First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. } COMPENSATION INSURANCEPLAN CHECK a V (This section need not be completed if the work involved 1&0 APPLICANT by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS W Total T Additional I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. O permit is issued, I shall not employ any person in any manner PERMIT LJJ so as to become subject to the Workers'Compensation Laws. Range_Heater—D.W. APPLICANT Oven _Dryer_W.M._ ADDRESS �'� i � rs+� Z Top FAU _W.H., .64� — Date pplican _[ CITY (f /` Tel No. ` Hood — Fan —Other C Y iJ &'.��►� NOTICE TO APPLICANT: If, after making this Certificate of Disp. —Room Air Cond._ LICENSE OR e. Exemption, you should become subject to the Workers' REG.NUMBER � 9lClass l""Y Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCEJSSED BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR ��QJ Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE 8��- �J '7 VALIDATION Over 10 to 50 Incl. �G 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- Over 100 BY ness and Professions Code, and my license is in full force and effect. Services License Number. a2ZEW Lic.Class0-200 Amp.Under 600 V oC, 201-1000 Amp.Under 600 V �7 Contractor Date "' Z Over 1000 Amp.or Over 600 V /� HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors a � AI, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section :,-c n o c o 7 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency o o ti for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). � r. C. o ? r` Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) f '. 0 — Lender's Address PERMIT ISSUING FEE U I certify that I have read this application and state that the TOTAL FEE S S above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby a thorize representatives of this County to enter upon thea e n ' o r fot insp tion purposes. SEE•REVERSE FOR EXPLANATOkY LANGUAGE ;7-j ;z 42 Signature of Permittee Date i��,� r RKERS'COMPENSATION DECLARATION 76AS63 10/81 APPLICATI®N FOR ELECTRICAL PERMIT I'hereby- ..,rm that I have a certificate of consent to self insure, CE-8066 or a,certilid'atp.Rf MVorkers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY cop�'i-thereof(u�ec.3800,Lab.C.) y� Policy No. U- Company�f�I�' .aLAJ _ FOR APPLICANT TO FILL IN JOB ,. ^ ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS New Residential Bldgs.&Pools 1�Q1 &2-Family,Sq.Ft. $ _ $ LOCALITY t co Certified copy is filed with my b ding ' spection NEAREST , departure t. Multi-family Sq.Ft. CROSS St Date Applica Residential SwimminZg Pools OWNER T.'or FIRM NAME Sd CERTIFICATE F EXEMPTION FROM WORKERS' Outlets:Rec Light Sw.— ' IL COMPENSATION INSURANCE ADDRESS 4 S -Co L.CrYv (This section need not be completed if the work involved by the First 20 CITY �-7 Tel.N permit Is for one hundred dollars($100)or less.) Total No.y� Additional V ✓�� I certify that in the performance of the work for which this permit APPLICAt�K i 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 Additional Total No. CITY Llq Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT '19169,0u /� S�C� Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. provisions of the Labor Code,you must forthwith comply with such Oven _. Dryer_ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top FAU _ W:H' CITY QJA40�/ 0'M Tel.Nc -05 LICENSED CONTRACTORS DECLARATION Hood — Fan Goo o 1 hereby affirm that I am licensed under Disp. Room Air Cond.provisions of Chapter 9 — C/LICENSE OR (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER S5j-21;. Class. Professions Code,and my license is in full force and effect. DISTRICT NO. P C ED BY Power Apparatus&Large Appliances yf Size&Type HP,KW,KVA,or KVAR (/ G License Number 3� Lic.Class Up to 1 Incl. FINAL CCCyyy p U q. Over 1 to 10 Incl. DATE 7-2 5-1 9 VALIDATION 0 Contract Date Over 10 to 50 Incl. V FINAL. ❑ I am.exempt under Sec. Over 50 to 100 Inc. BY B.&P.C.for this re Over 100 Z Services,Swbd.,MCC&Panelboards a e: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances _33_),' �'-'r°s� HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit EC I hereby affirm that I am exempt from the Contractor's License Law for the following reason.(Section 7031.5,Business and Professions Additional Sign Branch Circuits Code): �;'i 1:N� 2'g-o c ❑ Misc.Conduits&Conductors I,as owner of the property,will do the work and the structure 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.). r t`°�T_ PLAN CHECKING FEE t��t r Lender's Name PERMIT ISSUING FEE ff4o Lender's Address I certify that I have read this application and state that the above TOTAL FEE information is correct.I agree to comply with all County ordinances a regulati al wiring, and hereby authorize of th' oun enter upon the above-mentioned pec' n pur SEE REVERSE FOR EXPLANATORY LANGUAGE r D to