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Home My Public Portal About9484 OLEMA ST_Electrical__ 78AGGS-jES.06 3-89 112i ;t.:-APPLICATION FOR ELECTRICAL P 'RMIT � COUNTY-OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING 7 J FOR APPLICANT TO FILL IN NO. EACH FEE $ $ OWNER RECEIPT. MAIL ADDRESS C2 &Mntnnn, LIGHT - TOTAL FIRST 20 .20 Q CITY TEL.NO. SWITCH OVER 20 10 Q PLAN CHECK LIGHTING TOTAL FIRST 20 ,20 o o APPLICANT FIXTURES } OVER 20 ,10 ADDRESS RANGE DRYER_WTR. HTR. CITY TEL.NO. STA. COOK_DISP._F.A.U. CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH.—DISHWASH. CITY TEL.NO. FAN_OTHER 1.00 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE @ TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 — 1 1.00 INEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 1 — 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 10 - 50 5.00 l SIGNATURE �L'Qce_' 50 - 100 10A0 OF PERMITTEE C-'��— � 100 - 500 15.00 DISTRICT NO. IGROUP ZONE PROCESSED BY SIGN GAS SIGN AND ONE CIRCUIT 3.00 to TUBiF, OR MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: 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 rte/ UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50°k PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 d FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH Lfi.0 1 6 0 .4 o AU9 2 6 2 D 7.6 0 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEOULF. 76A663:CE80611/70 APPLICAT�N R ELECTRICAL PERMIT 1 ' : DEPARCOUNTY OF LOS ANGELES '• , TMENT.OF COUNTY ENGINEER BUILDING S BUILDING AND SAFETY DIVISION COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. / OUTLETS N0. EACH FEE OWNER RECEPT._� $ $ MAIL / k FIRST 20 25 ADDRESS L LIGHT TOTAL OVER 20 CITY �G TEL. NO. Lf /73 er SWITCH_ 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 •IO 1 ADDRESS APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND._9 CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. 512E & TYPE OVER TO IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REDO IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO } 1 - 10 3.00 �� RESIDE IN, THE ABOVE DES IRED RESIDENTIAL PROPERTY. 0 10 - 50 5.00 SIGNATURE V OF PERMITTEE 50 - 100 10.00 DISTRICTNO. CLASS 20 CESSED O 100.- 500 15.00 i Q 119 CL SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: z Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AM P 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAS WORK ROUGH CONDIUT WIRING �fL ' av FIXTUROP rl POWER AUTHORIZED �, /9 PERMIT FEE (SUB TOTAL) v UTILITY CO. NOTIFIED � � PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 JOSEPH C. ROOHAN TOTAL FEE 4.1 C44) SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. 'M.O. CASH PERMIT VALIDATION CK. M.0. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '^ "• SAS63-CESOS-9-97 APPLICATION FOR ELECTRIC- PERMIT` 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER /7 CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITYJ_ NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMT FEES ITEM NUMBER EACH FEE OWNER. OUTLET 8 S MAIL LIGHTS RE;EPT. SW. .iO ® ADDRESS LIGHTING FIXTURES .1'O CITY TEL.N . eLEC.RANGES .CLO.DRYERS ELECTRICIAN IJ WATER HEAT ERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS pp r/ 7 GARBAGEDISPOSERS AUTO.- CITY r ' TEL.NO. S wasHeRs J .28 STATE LICENSE NO. / MOTORS- OVER INC. H.P. 0— 1/2 /y 25 DIST N1 GROUP I ZONE RE R INSPECTION 1/2 — 2 .BO D INSPECTION RECORD 2 — 5 1.00 5 — 15 1.50 15 — 50 2.50 DO— 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICIM09 DATE INSPECTOR'S SIGNATURE AND .STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT Ir WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING p ELECTRICAL WIRING. WIRING �.- I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ADO DESCRIBED RESIDENTIAL PROPERTY POWER- S OWER- � SIGNATURE UTILITY CO.NOTIFIED pr�� •f an` 4'Q�:� — OF PF MITT eg FINAL ATION ARTHUR C.VETT. cK aio CASH SUPERVISING ELECTRICAL ENGINEER 6 rub 2 D 4.5 5 h WORKERS'COMPENSATIONDECLARAT•ION CE-886G (2--80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that. I have a certificate of consent, to. self 1 COUNTY OF LOS ANGELES BUILDING AND SAFETY �' insure,or a certificate of Workers'Compensation Insurance,or , ' a certified copy thereof(Sec.38.00;Lab.C. Policy No. Company FOR APPLICANT TO FILL-IN JOB ��j�4 JJ�� New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1"s b4 cxe/n 0 Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — $ LOCALITY �� . d,� �/7- ❑ Multi-family Sq. Ft. — NEAREST ,4Lf_ Certified copy is filed with.the county building inspection CROSS ST department. Residential Swimming Po9Is OWNE.R.OR . ® FIRM NAME /�"2,4Aj0&//17— ` Date Applicant Outlets: Rec.—Light Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. COMPENSATION INSURANCE PLAN CHECK rL (This section need not be completed if .the work involvedAPPLICANT S8 by .the. permit is ' Total No. Additional for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS - cc I'certify that in the performance.of the work for which.this Fixed Appliances Not Over 1 HP CITY Tel No. p f„ permit is issued, I shall not employ any person in any manner PERMIT U so-as to become subject to the Workers'Compensation 14ws. Range_Heater D.W. _ APPLICANT Y' � ofJ ®A OW. ��,` Oven _ Dryer_W.M._ ADDRESS Z/d� v��6 ZiAka.• CO) Date Applicant ''"""^�"` Top — FAU _W.H.._ t Hood _ Fan _Other=. CITY t44MVsAa Tel No.6W',i5e-t) 90TICE TO APPLICANT: If, after making this Ce ifica-te of i Disp. _Room Air Cond— LICENSE OR ,Z6 Exemption, you should become subject to the Workers REG.NUMBER 9c33�v Class Compensation provisions of the-Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. MCES D BY with comply with such provisions• or this permit shall be deemed revoked. Size&Type HP,'KW,KVA,or KVAR `} > Up to 1.Incl. Over 1 to:10 Incl. ) FINALDATE VALIDATION /�,/ LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl, t (Q / I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. I FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY --o--� ness and Professions.Code, and my license is in-full force and + effect. Services /� License Number 2/,133 Lic.'Class 0-200 Amp..Under 600 V 1 i� 201-1000 Amp.'Under 600 V Contractor Date'/2—W-60 Over 1000 Amp..or Over 600 V HOME OWNER-BUILDER DECLARATION Temp:Power Pole&Appurtenances t I hereby affirm. that I amexempt from. the Contractor•$ Sign with One Branch Circuit License Law for thefollowing reason (Section,7031.5, Busi' Additional Sign Branch Circuits 1 nese and Professions Code): Misc.Conduits&Conductors 0 I, 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 7044,Business and Professions Code). s` 5 6 7 A CONSTRUCTION LENDING AGENCY - 3 I. hereby affirm that there is a construction •lendingagency e for the performance. of the work for which this permit is PERMIT FEE (Sub-Total) # 0 0 0 o t0 2 . issued(Sec.3097,Civ.C.). 2. Lendet's Name PLAN CHECKING FEE ( (One-Fourth Permit Fee) 12 0 0 1 2 0 0 Lender's Address PERMIT ISSUING FEE t 0 0 0 12 0.U u I certify that I have read this application and state. that the TOTAL FEE 12— r' 1230—, 80 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-mentioned property for nspection purposes. SEE^REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date i • i