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Home My Public Portal About9450 OLEMA ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of-County Engineer ` DIVISION OF .BUILDING & SAFETY- ; LECTRIC I WILLIAM J. FOX-County Engineer FOR APPLICANT TO FILL N DISTRICT NO. GROUP 'ZONE , PERMIT NO. • ELECTRICIANYV' .ems ' RECEIVED BY READY FOR DATE ISSUED ADDRESS � ..QiSf.�i(w. MP, �. /):�aL� � � FIRST INSPECTION TEL.'NO.WAY1(e.T COUNTY LICENSE NO. EXPIRES j0-FEESBUILDING�/��J PERMIT '. ADOREBe -�ft�6J�FEE LOCALITY4 NUMBER EACH pj" _- LIGHT OUTLETS NEAREST RECEPTACLES _ CR09B DT. WALL SWITCHES PLO ' 'OWNER TOTAL-OUTLETS S '50 $ 4 MAIL /�f ELEC. RANGES 25 ADORE89/�/!� /�/r��O� �/!i/ ep ELEC. HEATERS 85 �r CITyz5#h 6 /G/li/_ TEL. NO. HT FIXTURES �� 5 �J:= • I 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 I CERTIFY THAT I POSSESS-THE ABOVE VALID' LOS 1 IZEIM HORSEPOWER FEE j ANGELES COON LICENSE. OR 1`AM THE LEGAL OWNER New MVD. HP OVER INC. EACH OF THE REGI NTI L PRO R D RIB ABOVE. ,ems Ad�I 1/m 8• LESS 6 .25 O la1GNATURE O I/z 2 .50 PERMITTED z G ,.00 SPECTION RECORD 5 1G 1.50 _ 18 5O 2.50 II''' 50 200 5.00 ITl ysAp(a to el-rll /1j7'9_ 200 500 10.00 _j _ 500 1000 15.00 A OVER I OOO 1 20.00 I 'lri3 fes.'¢ . .� G P�?r�.s�• Z (7 M.G. SET/FREQ.- CHANGER-HP WELDERS:AC-KVAr� 1 GENERATORS - KW TRANSFORMERS-- KVA TEMP. MOTORS (75% OF ORIS.) MOVED MOTORS (75% of BRIG.) MISC. ' SIGNS NO. NO.TRANS. No. No.LAMPS F7 APPROVALS _ FOR EACH PERMIT? DATE INSPECTOR'S NAME cc �� WIRING $1.00 Qom, CONDUIT FIXTURED $1.00 jas WIRING SUPPLEMENTARY .50 FIXTURES �� f'J`:" •/�9 POWER TOTAL"FEE $ 'moi f `j? TILITY CO.NOTIFIED QIT FINAL .•TGA663 DBS#5A 4-58 ; COUNTY OF LOIS ANGELA XppLmTm FOS PEum DIVMON OF $II>�T.DIING & BAFSTY ' 1 WILLIAM J. FOX. DimmV ahmew ELECTRIC FOR APPLICANT TO FILL IN DIMTRICT NO. ORCUP ZONE PERMIT 140. ELECTRICIAN !IVlD ■Y READY FOR DATE I�um ADOREN 12 . FIRMT IHIPEOTICN A CITY TEL.NO. ooum" LIUR M! NO.' PIREN NUILD L ki� FEE= Fina w0oMa■■ 4/ NUMNIR EACH R<l LODALITY UNNT OUTLET■ NEAROT REOEPTAOLCMollu O IM or, r WALL awITOHER OWNER • TOTAL OUTLET■ GE Q MAIL ILEO. RANNKM No ADDRESS rte r f ILEO. HEATERS _ of ¢ FIXTURI■ • 1 NEREGY AOMOWLEDN! THAT 1 HAVE MEAD THIR APPLICATION AND STATE THAT THE ABOVE IN CORREOT NUMBER OF LIGHT CIRCUITS '+ AND AGRR TO COMPLY WITH ALL COUNTY OMDINANOlG NUMNIR OF RlDEPTACUC DIRDu1Tf it AND GTATI LAW MINULATINM ELECTRICAL WININN. MOTORS 1 OZMTIFY THAT 1 PEIGNOIR THE AGOVE VAUD LOB NUMBER NORGEPOWEN ' ANNELJiM COUNTY UORNGI..OR-1 i HE UCIAL OWNER Hm MVD. HP EVER 140- EAEM �� OF THE R� PERTY D!O (D EVE. J a LiRR .NG GIMNATUR - ve I .BO PIINI -' 'f . B • IJml n49M7= B=BD • IN 1.•0 is •O B.NO an N00 G.OD ROD Goo 10.0O J 000 7000 1•-0o Z OVER 1000 GO.oO O M.B. mirr/rmm& ONAMMER-HP WELDEIIGI AO-KVA O MENIRATUM - KW TRANNFORMEM - IMA TEMP- MOTORS I7M OF ER10 MOVED marum OR R1 Minn. BILI NO. NO.TRANIL LV�rB MCL A FOR EACH'PERMITI DATE INBPICTOR7 NAM! WIRINN sum CONDUIT FIXTURI• 417,00 WIRING ELIPPLEUgHTART0 FIXTUR!■ p POWER TOTAL FEE • J , uTILITY 00.NOTIFI FINAL 7M DM#M R-M 78A669,deao 7 APPLICATION FOR EL TRI�CAL PERMIT - CQUNTY OF LOS ANGELES IDEjaARTMENT OF COUNTY ENGINEER BUILDING %/�q`�, ,L BUILDING AND SAFETY DIVISION ADDRESS `7'!� �� S J JOHN A. LAMBIE. COUNTY ENGINEER JJ COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY I- < NEAREST <- FOR APPLICANT TO FILL IN CROSS ST. olk NO. AC � FEE r RECEPT $ $ OWNER 5. am W►. " MAIL LIGHT TOTAL FIRST 20 .20 l ADDRESS -(S-a — vt- SWITCH m OVER 20 .10 CITY ;04- TEL. N0. fi7362-3 LIGHTING �.TOTAL FIRST 20 .20 CONTRAC OR FIXTURES 'r OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR._ CITY TEL. NO. STA.COO K_DISP.—F.A.U._ LICENSE NO. SPACE HTR. AIR COND. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWAS H,_ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �/ ELECTRICAL WIRING. ! FANOTHER 1.00 1 HEREBY CERTIFY THAT I'AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROP RTY. SIZE' & TYPE OVER TO SIGNATURE 0 - 1 . 1.00 OF PERMITTE a, a 1 — to 3.00 DISTRICT GBPU-P ZO PR ED B U 10 - ad 50 5.00 �- �. 0 50 - 100 .10.00 NOTES: G W 100 - S00 15.00 O. y AS A_ z TUBE,GOR SIGN AND ONE CIRCUIT 3.00 MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT e J) WIRING ISSUING FEE 2.00 VV FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL TOTAL FEE JOiIEFiH C. ROOHAN SUPERVISING ELECTRICAL E R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.o ca9 L&:3. 10 44 FEB 4 2 0 49.00- 9 EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE I WORKERS'COMPENSATION DECLARATION 11 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to,self CE-806G insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) Policy No.—Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. $ Pools EACH NO. FEE ADDRESS — Certified copy is filen with the county building inspec- 1 $2-Family, Sq. Ft, $ $ LOCALITY NEAREST II //)► �(��, t tion department. Multi-family Sq. Ft. CROSS ST. 1.0�� r`Yd G 0% Residential Swimming Pools OWNER ST (- Date Applicant FIRM NAME ' I+f dLM k&• C4 t--- CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE ADDRES n This section need not be com leted if the work involved b First 20 P y Total No. Additional CITY .Cs�, rt C' Tel. No-AS 7A Z3 ( the permit is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall pot employ any person in qny manner so a o ec e sjec to the Workers' mpe tion Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. Da pplicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making t i 11 Certificate of APPLICANT Exemption, you should become subject the Workers' Range_ Heater—D.W. _ Compensation provisions of the Labor Code, you must forth Oven —Dryer —W.M.— ADDRESS rLV with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood _ Fan _Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCESS CIL and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances Size$Type HP, KW, KVA, or KVAR 67c/��[ 0 6 V License Number Lic. Class Up to 1 Incl. FINAL Over 1 to 10 Incl. DATEZ— J Z VALID ION F— Contractor Date FIN W ❑ Over 10 to 50 Incl. I am exempt under Sec. Over 50 to 100 Inc. BY N Over 100 B.$P.C. for this reason Services, Swbd., MCC$Panelboards p Date: 0 -200 Amp. Under 600 V v del Signature 201 -1000 Amp. Under 600 V 2 4 0 2 2 A ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V '# 0 0 0 0 0 2 SINGLE FAMILY Temp. Power Pole$Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit - 2S50 = 1 hereby affirm that I am exempt from the Contractor's License o 0 0 2 5,5 0 v ' Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 0 2 1 1 -8 6 Professions Code): 19 1, as owner of the property, will do the work and the Misc. Conduits$Conductors structure is not intended or offered for sale (Section Other(See.Complete Fee Schedule)_ , 7044, Business 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 PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). ,t PLAN CHECKING FEE Lender's Name Ta�E PERMIT ISSUING FEE Q Lender's Address 'y I certify that I have read this application and state that the TOTAL FEE p�S'S 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-mentio ed property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE °,L — / i igna ure r ermitfee Date