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Home My Public Portal About10127 OLIVE ST_Electrical__ D8S-3A i4�P�ICATI N FOR EL C IC PER IT 1 DBS-SA ifId -99 DIVISION OF BUitMMG AND SAFETY Deportment of County Engineer ',BUILDING County of LOB Angeles ADDRESS v JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERW FEES CROSS ST. NUMBERI OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TEL.NO. 2- TOTAL OUTLETS 0 S¢ $ O ELECTRICIAN ELEC.RANGES 26 Oe ELEC.HEATERS 23 ADDRESS - KW CITY TEL. P EA STATE FIXTURES g LICENSE NO. MOTORS DISTRIC O. I GROUP I ZQNE- I READY FOR INSPECTION - NUMBER HORSEPOWER FEE A (/ _ NEW MVD. HP OVER INC. EACH � @ LEBB ,'L$ DWON RECORD 11 2 .g0 2 g 1.00 f g 1B 1.80 !S g0 2.50 �f gC 200 6.00 MISC. A 00 NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.0019 to FIXTURES $1.00 I SUPPLEMENTARY •80AWROVAM TOTAL FEE Is ® DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ,,,,p.t• �* _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �� 3✓�s / i etq. � ELECTRICAL WIRING. WIRINGI HEREBY CERTIFY THAT I AM REGISTERED s LICENSED AS REQUIRED BY LOS*ANGELESPROPERLY COUNTY AND STATE/OR OF '. FIXTURES CALIFORNIA OR THAT 1 A THE LEGAL,OWfAR OF THE ABOVE POWER DESCRIBED RESIDENTIAL P ER SIGNATURE UTILITY CO.NOTIFIED OF P$RMITTEE FINAL C�ifffiGiSe'2'i JOHN A.LAMBIE.COUNTY ENGINEER VALIDA ARTHUR C.VEIT,CHIEF ELECT.INSPECTOR CK MO CASH �. 2 4 2 3 U to 16 2 1.10. II, zcy : 76AG63-CESOG 4-68 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS D%�•7 D L/ TeA9eL.e Gli JOHN A. LAMBIE. COUNTY ENGINEER _ COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST w ! FOR APPLICANT TO FILL IN CROSS ST. I� L/O I A. . NO. AC FEE RECEPT,_ $ $ OWNER lox e MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS /01' 6/ 7 a SWITCH _� OVER 20 .10 CITY �� e/ EL. NO. PLAN CHECK LIGHTING )mr-ioI-VER FRST 20 .20 APPLICANT FIXTURES 20 .10 ADDRESS RANGE—DRYER_WTR.HTR._ CITY TEL. NO. STA.COOK_DISP._F.A.U._ COiJTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH._ CITY & .l TEL. NO,. 'L,& �a FAN—OTHER 1.00 LICENSE 1,10. / CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 0 - 1.00 ELECTRICAL WIRING. 1 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REOUIRED BY LOS ANGELES•COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 - 50 5.00 RESIDE IN, THE ABOV DESCRI ED RESIDENTIAL ROPERTY. C7 C.) 50 - 100 10.001 SIGNATUREVol OF PERMITTE • O 100 - 500 15.001- SIGN,Gas DISTRIC NO UP N PR SSlED B w TUBE, OR SIGN AND ONE CIRCUIT 3.00 s Q / P N 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 APPRGVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT 7 / 1 PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00• FINAL TOTAL.FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH .E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE )BS-SA f 1•SB APPLICATION FOR ELECTRIC PERMIT DMSION OF BUILDING AND SAFETY Department Of County Engineer BUILDING 104 ('r011tp Of AnglADDRESS ~ JOHN A.LAntMTBIS.LOS COUNTYeEesNGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CEA .RET NEAREST r' PERM FEES NUMBER OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TEL.NO. d TOTAL OUTLETS 5¢ $ ELECTRICIAN - ELEC.RANGES 25 ELEC.HEATERS 25 ADDRESS o i KW CITY TEL•. STATE FIXTURES I LICENSE NO. d MOTORS DIST T NO. GROUP Z � �Q E READY FOR INSPECTION ` NUMBER HORSEPOWER FEE � I NEW MVD. HP OVER DNC. EACH �SPECTION •I /CO� . ]fj&LESS $ .25 - 2 .50 2 5 1.00 5 i5 1.50 15 50 2.50 50 200 5.00 MISC. ;A-A 1141 NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 �® FIXTURES $1.00 10 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ICATION ' AND STATE. THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING {17 'I Lt'ri In 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIA RO RTY SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL 'OHN A.LAMBIE.COUNTY ENGINEER VALIDA ARTHUR C.VEIT.CHIEF ELECT.'INSPECTOR CK N t,., 1 5 9 611, MT Z37-.80 p r WORKER'S COMPENSATION DECLARATION 9 DPW(t2-91) 76A66APPLICATION FOR ELECTRICAL PERMIT 76A663 1 hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ❑ ADDRESS► c'J62 7 F Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ❑ — $ $ LOCALITY Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. department. Multi-family S NEAREST -q�Ft. I CROSS ST. � /N , Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Li ht Sw. OWNER OR COMPENSATION INSURANCE g FIRM NAME Adl (This section need not be completed if the work Involved by the First 20 MAIL permit is for one hundred dollars($100)or less.) Total No. Additional ADDRESS I certify that in the performance of the work for which this permit CITY Tel.No,f(,f V,2 ✓ a is issued, I shall not employ any person in any manner so as to O / CHECKPLAN become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption, you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. Over 50 to 100 Incl. LICENSE OR Class. } REG.NUMBER a License Number Lic.Gass Over 100 DISTRICT NO. PR C SED BY O Services,Swbd.,MC r&�Can (board , G U � �s�-<� Contractor Date 0-399 Amp.Un err �� FINAL DATE 0 I am exempt under Sec. 400-1000 Amp.Under 600 V [p/ L `/ G H Over 1000 Amp.or Over 600 V FINAL '�— VALIDATION W B.&P.C.for this reason BRANCH CIRCUIT FEES By Date: 15A,or 20A,120V,Lighting or Recept. Z _ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 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 Professions Additional Sign Branch Circuits Code): ® 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 IS Complete Fee Schedule) ► 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. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address v I certify that I have read this application and under penalty of purjury state TOTAL FEE '0Q that the 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%-TUSEE REVERSE FOR EXPLANATORY LANGUAGE DATE