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Home My Public Portal About9479 OLEMA ST_Electrical__ 7&A"3 DBBSA 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC CT�'� 1WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN -DISTRICT NO. GROUP ZO RE !PERMIT NO. ELECTRICIAN9v RECEIVEti•.BY READY FOR DATE ISSUED ADDRESS f` FIRST INSPECTION yiryr CITY TEL NO. / /� OOUN ICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS nC NUMBER OUTLETS EACH FEE' LOCALITY AJ ;11 L113HT SD $ a/G-•� NEAREST EARE rrr �pY `F� RECEPTACLES S. / l'1 ! / r�•r FIXTURES .5 1 i� .OWNER WALL SWITCHES 5 .F) MAIL EL C. RANGES 25 ` ADDRESS ELEC. HEATERS 25 \ CITY. C TEL. NO. MISC. 1 HERESY ACKNOWLEDGY THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTAI APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NuMeER HORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEw MVD. HP DVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 & LEGS $ .25 I/z 2 .50 SIGNATURE OF 2 5 1.00 PERMITTE i 5. 1S 1'SO INSPECTION RVOORD 15 50 2.50 SO 200 5:00 200 SOD 10.00 500 1000 15.00 J OVER 1000 .20.00 Z M.G. SET/FREQ. C14ANGER-HP 0 WELDERS:AC-KVA Q' GENERATORS - KW O TRANSFORMERS.= KVA TEMP. MOTORS (75% Cr DRIB.) MOVED MOTORS (75% OF CRIB.) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO.LAMPS APPROVALS FOR EACH PERMIT: DATE_ INSPECTORPS NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50FIXTURES POWER / TOTAL FEE to f �a UTILITY CO.NOTIFIED (ri1 FINAL �� ~ i COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer �� 1 DIVISION OF BUILDING 8c SAFETY WILLIAM J. FOX, County Engineer FOR AP LICANT TO FILL IAV DISTRICT O. GROUP ZONE PERMIT NO. ELECTRICIAN /I )C ISBUISD ADDRE S�� 1y� R CEIV 4 BY FIRST INSPECTION ®READY FORA � CI ' 00 TE'TEL.NO. :3W COUNTY LICENSE NO. EXPIRES BUILDING L r PERMIT ADDRESS NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROBB ST. �/�� WALL SWITCHES OWNER V V —yu-). TOTAL OUTLETS 5o MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 2B CITY TEL. NO. FIXTURES 6 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAW8 REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I2 s LESS $ .25 SIGNATURE OFA/�- Y2 z .50 PERMITTED "��{( G z 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 21111 500 10.00 J SOO 1000 15.00 Z OVER 1000 20.00 0 M.O. SET/FREQ. CHANGER-HP E WELDERS'AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75%p OF CRIB.) MOVED MOTORS (75% or oma.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. 20.LAMPS FOR EACH PERMIT' DATE INSPECTORPB NAME WIRING $1,00 CONDUIT - 41,4AA FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES /j OWER TOTAL FEE $ l lye UTILITY CO.NOTIFIED r^A r FINAL j7J lat LVL u�L 75A563 DBS#5A 2-53 WORKERS'COIIMPENS..-- N DECLARATION 7&4663 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of onsent tP self �CE=806G .0 �j - insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES T BUILDING AND SAFETY or a certified copy thereof. (Sec. 3800,.Lab. C.) policy No. Company I FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. EACH NO. FEE ADDRESS Q 8 Pools LOCALITY Certified copy is filed with the county building inspec- +1 &2-Family, Sq. Ft. $ _ $ Q tion department. I Multi-family Sq. Ft. NEAREST SS ST. Residential Swimming Pools OWNER OR p Date Applicant //' FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light La Sw.� ADD COMPENSATION INSURANCE y7� 0 ADDRESS First 20 (This section need not be completed If the work Involved by Total No. Additional . CITY Tel. No. the permit is.for one hundred dollars(;100)or less.) r� PLAN CHECK I certify that in the performance of the work for which this t7 s APPLICANT J permit is issued, I shall not employ any person in any manner so as to become subject to the kers' pensatio. Laws. Lighting Fixtures First 20 ADDRESS Total No—Z Additional. CITY Tel. No. Date t. ~� Applicah. Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after aking this Certificate of Exemption, you should becom subject to the Workers' Range Heater_D.W. — APPLICANT Compensation provisions of the Labor Code, you must forth- I Oven —Dryer —W.M.— ADDRESS 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. PROCE D B ( g ) Power Apparatus 8 Large Appliances � � and Professions Code,and my license is in full force and effect. a� Size&Type HP, KW, KVA, or KVAR' S f� O c License Number Lic.Class y Up to 1 Incl. FINAL U Over 1 to 10-Incl. DATE „ ,� VALIDATION IN Contractor Date V ❑ Over 10 to 50 Incl. FINAL �'• _ w � lam exempt under Sec. Over 50 to 100 Inc. BY ®-.0 1A B.&P.C.for this reason Over 100 Date: Services,Swbd..,MCC&Panelboards / ► Z 0 -2000 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 /_: 7 a& A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from fhe Contractor's License o a o 0 0 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): 2 0 o 2 C'C I, as owner of the property, will do the work and the Misc. Conduits&Conductors rj structure is not intended. or offered for sale (Section .Other(See Complete Fee Schedul3 L.L C 7044,.Business and Professions Code). polo I 1, 14-83 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.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE V n Lender's Address, I. I certify that I•have read.this application and state that the TOTAL FEE 5.14 above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wirjng, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR'EXPLANATORY LANGUAGE Sig 1 line of Permittee Date