HomeMy Public PortalAbout9535 OLEMA ST_Electrical__ 76A663 088 SA 11-50 APPLICATIONFOR PERMIT
DEPARTMENT OFNG AND SAFETY
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER ELECTRIC 1
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT No.
ELECTRICIAN RECEIVED BY READY FOR DATE IMBUED
ADDRE ,/8e � a ' A��.An� /�",.,vl'yk? 1,/n}Me_., FIRST INSPECTION //� �
CITY ,�1 i_ TEL NO. Q� ]) � � v
COUNTY LICENSE NO. EXPIRES ADDRESS
C .
PERMIT FEES 1
NUMBER EACH FEE LOCALITY �11A.✓/L/N.Q C�_"^7�
LIGHT OUTLETS CROS
RECEPTACLES SBT.
De
WALL SWITCHES OWNER
TOTAL OUTLETS 5c S MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS. 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. LV �i 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 1 POSSESS "THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
NEw MVD. HP OVER SHO. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%2 A LESS III .25. SIGNATURE OFAf`
V2 2 .50 PERMITTEEr•^", .• \e,.'C.r��fi�+'L.�1`la1/"vV.- ��fif ,r,�
rl
2 5 1.00 INSPECTION RECORD
5 15 7.50
15 5O 2.50
50 200 5.00
200 SOD 10.00
.500 11300 15.00 Z
OVER 1000 20.00 L7
M.G. SET/FREQ. CHANGER-HP (Y
WELDERS.AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA -
TEMP. MOTORS (75% OF ORIG.)
M13VEP MOTORS (75% OF DRIB.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT.' DATE INSPECTORIS NAME
WIRING $1.130 -,CONDUIT 1, 92. /-!A,
I I L/(i•2 eve
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO.NOTIFIED to �- I
FINAL Q3. 11. . .E �J�'`
DBS-5A a-ss APPLICATION FOR ELECTRIC PERMIT Z
Des-sw
DMSION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
WM.J. FOX.COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING A'P
LOCALITY l�•�
FOR APPLICANT TO FILL IN NEAREST �1 'F
PERMIT FEES CROSS ST. a%!�
NUMBER EACH FEE
OWNER
LIGHTOUTLETS L�IJY• y/J��,.,���
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES woojD47 41
!
TOTAL OUTLETS 5¢ $ CITY / e w�'/I EL.N
ItLEC.RANGES' 25 ELECTRICIAN
_ELEC.HEATERS 25 ADDRESS
KW EA CITY TEL.NO.
FIXTURES 5 to LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GR,9UP I �p E READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS dn/1
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
1h&LESS $ .25
1h 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00 G,' A� .r
MISC.
NO.SIGNS NO.TRANS. `�����
NO.SIGNS NO.LAMPS & TFJ/L F6 e. (s I )I a
FOR EACH PERMIT, �,lJ
ry-I L r /46620 Q^Z
WIRING $1.00 V��J pW� /�
FIXTURES $1.00 0 P0PMAr4r !r rmfjo
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ION CONDUIT r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES G;7 Iil%AAfll I
ov
LICENSED AS REQUIRED, BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER. OF THE ABOVE POWER
DESCRIBED RESIDENTI PROPERTY�e
SIGNATURE f UTILITY CO.NOTIFIED I _
OF PERMITTEE , � FINAL r IV" 111'=wl? L'
WILLIAM J.FOX,COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR
_____ L AC,02 3 3 JAN 30 2 2.90 In
76A669 DBS SA It-so APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND'SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN .4 113 3
iCEIVED BY READY FOR DATE-ISSUED
•
ADDRESS Q J 7S 8-1-A A'11..Z / FIRST INSPECTION
q I fffiii /�
CITY TEL. NO.6Ct 0
UILDING
COUNTY LICENSE NO. % I• EXPIRES' f-IO.[�-'C- ADDRESS� -$
PERMIT FEES
FEE
NUMBER EACH LOCALITY iCM.✓Ia/U,.-
LIGHT OUTLETS NEAREST V,'
CROSS ST. or,4
RECEPTACLES
WALL SWITCHES OWNER
se, TOTAL OUTLETS a 5C $ 31do MAIL r
.ELEC. RANGES 85- ADDRESS
'ELEC. HEATERS 25
/-
-S-
� S CITY TEL. NO,
7 FIXTURES '
I HEREBY ACKNOWLEDGE THAT I 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 LAWS REGULATING ELECTRICAL WIRING..
MOTORS I CERTIFY THAT I POSSESS THE ABOVE'VALID LOS
NUMBER HORSEPOWER - ANGELES COUNTY LICENSE, OR I AM THE -LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MVD. HP OVER I INC. EACH -
1/z aLEGS $ .213 4 'SIGNATURE OF�(
SO PERMITTEk. �, /
1/2 2
All/
2 5 1.00 INSPECTION RECORD
5 15 1 1.50 -
15 50 2.50
50 200 . 5.00
200 500 10.00
500 1000 15.00 Z
OVER 1000 20.00 ' / G r ('
M. G. SET/FREQ. CHANGER-HP (T'� W I'IR;W A I FiD' O
WELDERS:AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS,(75%OF ORIG.) ,
MOVED MOTORS (75%OF6RIG.)
MISC.
SIGNS
NO. NO.TRANS.
NO. NO. LAMPS I APPROVALS
DATE INSPECTOR'S NAME
FOR EACH PERMIT.,
WIRING $1.00 I Q CONDUIT y
�y
FIXTURES '$1.00 00 WIRING J
SUPPLEMENTARY .50 FIXTURES
. POWER ^^1
TOTAL FEE ffi UTILITY CO. NOTIFIED
.,I,
®
'00
FINAL
b• Z'
WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT
I here, ffirm that I have a certificate of consent to self i CE-806G
unsure?or a certificate of Workers'Compensation Insurance, I COUNTY OF LOS ANGELES BUILDING AND SAFETY
off'a certified copy thereof(Sec. 3800, Lab. C.)
Policy No. Company I FOR APPLICANT TO FILL IN JOB �F
Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS JLC
om X7,
❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY �OV Ellf
tion department. Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools CROSS ST.
Date Applicant OWNER OR
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL
COMPENSATION INSURANCE ADDRESS
s section need not be completed if the work Involved b First 20
(Thip Y Total No. Additional ClT Tel. No. f¢
the permit is for one hundred dollars($100)or less.) '
I certify that in the performance of the work for which this I PLANA CHECK
11
permit 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
�y Total No. Additional CITY Tel. No.
Date l�—/ Applicant /H� IAA� 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' Range_ Heater—U.W. —
Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS
with comply with such provisions or this permit shall be Top _ FAU —W.H. —
deemed revoked. Hood _ Fan _Of her— 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. PRO ED BY
and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances
Size&Type HP, KW, KVA, or KVAR U
License Number Lic. Class Up to 1 Incl. FINAL u
Over 1 to 10 Incl. DATE r — VAUDA04N
Contractor Date Over 10 to 50 Incl.
FINAL V
❑ I am exempt under Sec. Over 50 to 100 Inc. BY 1°
B.&P.C. for this reason Over 100
Date: Services, Swbd., MCC&Panelboards
0 -200 Amp. Under 600 V U(!
Signature 201 - 1000 Amp. Under 600 V
❑ Exemption for Reg. Mainf. Elect. Over 1000 Amp. or Over 600 V
SINGLE FAMILY Temp. Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ; •,
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits
Professions Code):
❑ Misc. Conduits 8 Conductors
1, as owner of the property, will do the work and the \
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ` 1 n c
7044,Business and Professions Code). ® v
CONSTRUCTION LENDING AGENCY ;9081L 1 A
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) Al 0 0 0 0 0
(Sec. 3097, Civ. C.). I o - 2550 2 5 5 Q
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE Ji 0 0 0 2.5 5 C'5
Lender's Address `
I certify that I have read this application and state that the TOTAL FEE as� ( 0,09-84
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 inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Abi
Signature of ermittee Date I
j
• v
• :yF•1 :'.WORKERS'COMPENSATION DECLARATION 7BA863 10/81 APPLICATION7013 ELECTRICAL PERMIT
I;hereby affirm that I have a certificate of consent to self.insure,
CE-808G
8r,a.certificate of Workers' Compensation Insurance, or a certified +, COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec..3600,Lab.C.)
Policy 140• Company 1=-0 IJt> FOR APPLICANT TO FILL IN JOB
ADDRESS
Oertified copy is hereby furnished. New Residential Bldga.&Pools EACH NO. FEE
$Ff. $ LOCALITY
S% . —
Certified copy is filed with the county building inspection 1 &2-Family, _
department Multi-family Sq:Ft. NEAREST
CROSS ST
Date Applicant�a��1` 11 OEMG 111 Residential Swimming Pools 'OWNER OR }9 `
FIRM NAME. 1 1 J
CERTIFICATE-OF EXEMPTION FROM WORKERS' � �. Q
y Outlets:Rec Light t 2 /Ki ADDRESS' y
AIL
COMPENSATION INSURANCE
This section need not be com leted.if the work Involved by the First 20
( P CIT Tel.No.:
permit is.for one hundred dollars($.100)or.less.) Total No. Additional C+_ I
1 certify that in the performance of the work for which this permit APPVCq�K 4—CJ r^
( is Issued, 1 shall not employ any person in any manner so as to
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
' Additional � C
Total No. CITY , Tel.No
Date Applicant Fixed Appliances Not Over 1 HP
NOTICE TO APPLICANT: If, after making this Certificate of , PERMIT
Exemption,you should.become subject to the Workers'Compensation Rar nge_ Heater D.W. — PERMIT—APPLICANT
provisions of the Labor Code,you must forthwith comply,with.such Oven — Dryer_ W.M._ ADDRESS r
I . provisions or.this permit.shall be deemed revoked. Top _ FAU' _ W.H. _ CITY Tel.No.
LICENSEDCONTRACTORS DECLARATION Hood — Fan _ Other_
I hereby affirm that I 'am licensed under provisions,of Chapter 9 LICENSE OR
(commencing with Section 7000)of Division 3 of the Business and Disp. Room Air Cond. REG..NUMBER Z Class.��j"•
Professions Code;and my license is in full force and effect. DISTRICT.NO. PROOE ED BY
Power,Apparatus&Large Appliances ,
Size&Type HP,.KW,KVA,or KVAR 13 E V
f License.Number Lic.Class �^.% Up to 1 Incl. FINAL
I no
Over 1 to 10 Incl.. DATE .+ f 17
VALIDATION U
Contraetor � l►7 Date Over'10 to 50 Incl. /Z
FINAL❑ I am exempt under Sec. Over 50 to 100 Inc. BY W 0.
Over 100
B.&P.C.for this reason '
Z
Services,Swbd.,MCC&Panelboards
D e: 0-200 Amp,Under 600 V
pop-
Signature _ - - 201 - 1000 Amp:Under 600 VIF '
❑ Over 1000 Amp.or Over 600 V
Exemption for Reg.Maint.Elect.
SINGLE FAMILY Temp,Power Pole&Appurtenances 2
HOME OWNER-BUILDER DECLARATION Sigmwith One Branch Circuit ACCT-
�/v� �
Thereby affirm that I ani exempt,from the Contractor's License Law jttCCT-a4
for the following reason(.Section 7.031.5,Business and Professions , Additional.Sign Branch Circuits 3 a
Code): 307
00
❑. Misc.Conduits&Conductors 1 ITUIIS
I,as owner of the property,will do the work and the structure Other(See.Complete Fee Schedule)
is not intended or offered for sale (Section 7044, Business pop. TOTAL. 29 a CDC
and Professions Code).
CONSTRUCTION LENDING:AGENCY CEC► 29°00
1 hereby affirm that there is a construction lending agency for theOriperformance of the work for which this permit is issued(Sec.3097, PERMIT FEE. (Sub-Total) Aq cr. a
Civ.C.).
' PLAN CHECKING FEE
Lender's Name / MM—CMI br 2/89
PERMIT ISSUING FEE. G D 3732, 1 AN 88022
Lender's Address //� ,
1 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
and State laws regulating Electrical wiring, and hereby authorize.'
representatives of this County to enter Upon the above-mentioned'
property for inspection purposes. I
I SEE REVERSE FOR EXPLANATORY LANGUAGE
e—
Dafe If
'