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Home My Public Portal About9422 OLEMA ST_Electrical__ r6AWa (" AL ICA. N FOR C ICAL PERMIT. - COUNTY.OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs..&`Pools EACH. NO: FEE. ADDRESS 1 &2'-Family;Sq.Ff. $ .025 — $ LOCALITY Multi-f.omiIySq.Ff.' .02 — NEAREST, Resident ital Swimmin Pools _ 25.00 CROSS ST. 9• OWNER OR. = ' - FIRMNAME. 4b Outlets:Rec .Light, Sw. MAIL y, First 20 50 ADDRESS 30 CITY Tel,No: Total.No. , Additional rTa - - PLAN CHE APPLICANT - Light'ing Fixtures First 20 •50 ADDRESS Additional .30 - lotal No. CITY lei.No. Fixed Appliances Not Over 1 HP PERMIT - -- Rdnge_Heoter_.D..W._ APPLICANT 'Oven—Dryer—W.M. ADDRESS Top =FAU —W.H._ CITY o, Hood_Fan _'Other_ LICENSE OR . Disp.—Room Air Cond: 2' 50 REG.NUMB _ Class. _ REBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICA- PowerApparat'us&Large'Applionces NAND STATE THAT THE.ABOVE IS CORRECT:AND AGREE TO Size Type HP;KW,.KVA,or KVAR COMPLY WITH,ALL 'COUNTY -ORDINANCES AND'STATE 'LAWS- Yp 2.50 'REGULATING ELECTRICAL WIRING. Up to 1 Incl. I HEREBY•CERTI.FY THAT I AM.PROPERLY REGISTERED AN-D/OR W Over 1-to 10 Incl. 5.00. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STA TE OF t9 Over 10•to 50 Incl. 12.50 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.THE ABOVE Over 50 to 100 Inc. 25.00 DESCRIB RESIDENTIAL PROPERTY. Over 100 40.00 PERMITT -. 96 I�. SIGNATURE. �ry Services ,� j�T,L/�Q "// r r DISTRfCT NO. PR D'B r 0-200 Amp.Under 600 V 12.50 201.1000 Amp: Under 600 V 25.00Over 1000 Am 50..00 C p:,or Over 600 V Temp.Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > INFORMATION u .Mist.Conduits&'Conductors 10.00', �r ON REVERSE ' + s � �9 4 4 7.3 Other(See Complete.FeeSchedUlel SIDE a000,o ' Z 5 '#� � . 2:- o l 9'5.0 PERMIT FEE (Sub-Total) 0 0 0 PLAN CHECKING FEE (One-Fourth Permit-Fee) O 0320.-80 PERMIT ISSUING PEE $7..00 71e TOTAL FEE > INSPECTION FINALED ' W daterS -Z-7 By �"" ®s •76A669 DBS SA 11-60 APPLICATION FOR PERNIIT DEPARTNNdENNT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ONE PERMIT NO. ELECTRICIAN R EIVED BY READY FOR PATE ISSUED ADDRESS FIRST INSPECTION / /v/�' CIT TEL. NO Z , Y COUNTY LICENSE N EXPIRES BUILDING PERMIT FEE ADDRESS FEE NUMBERJEACHI LOCALITY LIGHT OUTLETS / NEAREST ' CROSS ST. RECEPTACLES WALL SWITCHES I OWNER TOTAL OUTLETS —Z Sc $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 S CITY TEL. NO. FIXTURES 'f g �b 1 HEREBY ACKNOWLEDGE 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 NUMBERI. HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE Naw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 12 6 LESS ffi .25 SIGNATURE OF 2 .50 PERMITTER 2 5 1.00 INSPECTION RECORD 5 1s 1 1.50 Is so 2.50 50 200 5.00 200 500 10.00 .1 500 1000 15.00 Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP Ir WELDERS:AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO.TRANS. I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT ✓ - 7 k WIRING $1.00 ,.�4J FIXTURES $1.00 WIRING //—?-(/ (,/ SUPPLEMENTARY .50 FIXTURES Z POWER TOTAL FEE UTILITY CO. NOTIFIED ® FINAL i 7GA663 DBS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OFBUILDING AND SAFETY ELECTRIC COUNTY OFFLOSLOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. DROOP ZONE PERMIT NO. ELECTRICIAN r RECEIVED BY READY FOR DATE ISSUED ADDRESS. • 41le" FIRST INSPECTION / rob TEL NO r COUNTY LICENSE NO. & EXPIRES BUILDING � / r7� ADDRESS H> 0 PERMIT FEES � NUMBER EACH FEE LOCALITY P 7svj02& irlZa LIGHT OUTLETS NEAREBT C RECEPTACLES ROSS BT. WALL SWITCHES OWNER TOTAL OUTLETS Sc S MAIL CLEC. RANGES 85 ADDRESS ELEC. HEATERS oe 25 CITY TEL. NO. FIXTURES 8 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH18 M18C. APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WIT14 ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWB REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB e NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEw MvD. HP avER IND. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. ya YX a LESS S .26.50 81GNATUPERMIRTTEF 2 s 1.Do INSPECTION RECORD 5 15 1.50 is; sO 2.50 50 200 5.00 200 500 10.00 J SOO 1000 15.00 Z OVER 1000 20.00 M.G. BET/FREM CHANGER-HP WELDERSIA13-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75%ar.ORIB.) MOVED MOTORS (75% of ams.) MISC. SIGNS NO. NO.TRANS. NO. NO.LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 ®® CONDUIT ` s FIXTURES $1.00 WIRING Y SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE UTILITY CO.NOTIFIED FINAL 76A663 DBS SA'3-s0 APPLICATION FOR PERMIT DEPARTMENT OFATG AND SAFETY � �� COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN //072/716W R EIVED BY READY FOR DATE ISSUED ADDRESS (D d /°• /�/r� .91 y FIRST INSPECTION p r _r ye CITY..�r�'�/ TEL.NO. TLL.R-'reVT COUNTY LICENSE NO.//,06L•O EXPIRES ADDRESS (p� 4S O2CJe-7_ PERMIT FEES FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST G !/ RECEPTACLES, CROSS ST. WALL SWITCHES OWNER rPr7s .le TOTAL OUTLETS 50 $ lei MAIL ELEC. RANGES S5 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 6 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS M19C. APPLICATION AND STATE THAT THE AB13VE 18 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 1 POSSEBB THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MvD. HP I OVER I INC. EACH OF THE RESIDENTIAL PRO TY DESCRIBED ABOVE. IIY A LESS S .25 SIGNATURE OF r/'PPlr,s (gyp 1 VaV2 a .50 PERMITTE s t.00INSPECTION RECORD 15 7.50 50 2.5O Jw 60 200 5.00 -. 200 500 10.00 -1 500 1000 1.5.00 � A OVER 1000 20.00 d/J' `" 0 M.G. HET/FREQ. CHANGER-HP R� WELDERS"AC-KVA C GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% CF ORIo•) MOVED MOTORS (75% of CRIG.) M ISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS 77 DATE IN9PEOTOR'9 NAME FOR EACH PERMIT: WIRING '.$aJ?A.,r -9(II• f.�A� 1111.00 fj/y CONDUIT FIXTURES r , $1.00 WIRING SUPPLEMENTARY .60 FIXTURES POWER TOTAL FEE S UTILITY DO.NOTIFIED FINAL WORIQ0S'CC APENSATION DECLARATION I 76A663 10/81 � o• GE-806G APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I have a. certificate of consent to self insure, I.J or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB �, ❑ Certified copy is hereby furnished. EACH NO. FEE. ADDRESS New Residential Bldgs.&Pools LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ — $ department. Multi-family Sq.Ft. — NEAREST CROSS ST. VA Date Applicant Residential Swimming Pools OWNER OR FIRM NAME MW nu CERTIFICATE OF EXEMPTION FROM WORKERS' `L MAIL Outlets:Ree Light Sw. n L f COMPENSATION INSURANCE V ADDRESS p y First 20 v CITY Tel.No. (This section need not be completed if the work involved b the Total No. Additional � '� �f permit is for one hundred dollars($100)or less.) I certify that in.the performance of the work for which this permit APPLICANT K is issued, I.shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures n First 20 ADDRESS Total No. /. Additional CITY' T o. Date I&Applican 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'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. _ ✓ LICENSED CONTRACTORS DECLARATIONCITY Tel.No. Hood — Fan Other_ I hereby affirm that I am licensed under provisions of Chapter 9 UCENSE OR Disp. — Room Air COnd. REG.NUMBER Class. (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my license Is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. PROCESPIRD BY Size&Type HP,KW KVA,.or KVAR -mac 6i License Number .Lic.Class Up to 1 Incl. FINAL 8 Over 1 to 10 Inc[. DATE f/ Contractor Date FINAL G Ab DATION O Over 10 to 50 Incl. ❑ l am exempt under Sec.. Over 50 to 100 Inc. By W B.&RC.for this reason Over 100 C. Services,Swbd.,MCC&Panelboards Date: 0-200 Amp.Under 600 V IM Signature 201 - 1000 Amp.Under 600 V ❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V SINGLE FAMILY Temp.Power Pole&Appurtenances A 9 3 3.4 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law # 0 0 0 0 0 2 for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits I o - 21.00 �Code): o o o 2 1.0 0 C5 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) _ 0 4' 7—$8 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.3087, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that.1 have read this application and state that the above TOTAL FEE' 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 purpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE ign ure of Permittee Date