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HomeMy Public PortalAbout10215 OLIVE ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1 DIVISION OF BUILDING & SAFETY WII.i.IAM 1. FOR. COUNTY ENGINM FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN —/ 'ek/ o o ADDRESS 2. -S' L/ V G RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION CITY Cc L - TEL. NO. 2 COUNTY LICENSE NO. EXPIRES BUILDING /// PERMIT FEES ADDRESS I U 2- W LI E 0 FEE �— NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST // ,74 D W / RECEPTACLES / WALL SWITCHES OWNER 1-� �L/ s TOTAL OUTLETS Sc MAIL ELEC. RANGES 25 ADDRESS I Q 2- ELEC. ELEC. HEATERS 25 �_^ ^ FIXTURES 5 CITY�� �G E ?�I TEL. NO.)*A0 j d S� MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITIt AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NuMB6R HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER Flew MVD. HP OVER INC. OF THE RESIDENTIAL PROBERTY DESCRIBED �VSE. +/$a Lasa $ 25 SIGNATURE OFy QIJ� � / Vs 2 SO PERMITT -/ tef, 2 s 1.00 INSPECTION RECORD s is 1.50 is I to 2.50 ~ so 200 5.00 200 Boo 10.00 .J Boo 1000 15.00 a Z OVER 1000 .20.00 13 M.G. SET/FREQ. CHANGER-HP 0; WELDERS: AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75% of ostia.) MOVED MOTORS (75% OF CRIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO NO. LAMPS 1, FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 (�(� WIRING ,/R-/�V 'S5 C V/1`Ayu �. FIXTURES %�l ��l r�1., t i�.wt L SUPPLEMENTARY .50 _ POWER TOTAL FEE $ 10 rUTILITY CO. NOTIFIED FINAL ,/ f/ /�'f 113 f- �i:�sLti+.t✓e+r ,, 76A 1363 DBg# SA. 492 � �N.J rLr• ./P A.r -.� 'BA883iGE-e06(8/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FORAPPLICANTTO FILL IN JOB New Residential Bldgs.&Pools EACH - NO. FEE ADDRESS Z/J O�V e S 1 &2-Family,-Sq..Ft. $ .025 — $ LOCALITY P . n Multi-family Sq.Ft. 02 CROSS ST. /-Iqa/!✓ Residential Swimming Pools 25.00 OWNER OR FIRM NAME 7ISZ�J Outlets:Rec---,/*--Light Sw. MAIL r First 20 •50 ADDRESS Total No._ Additional .30 CIT=.- C- Tel.No-- (�.-l� PLAN CHCK APPLICANT Lighting.Fixtures First 20 •50 ADDRESS Additional .30 Total No. _CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT Range_Heater_D.W._ APPLICANT Oven_Dryer_W.-M.— ADDRESS Top _FAU —W.H._ CITY Tel.No. Hood_Fan _Other_ Dis 2.50 LICENSE OR p.J-Room Air Cond. REG.NUMBER Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL'ICA- Power Apparatus&Large.Appliances TION AND STATE THAT.T.HE ABOVE IS CORRECT AND AGREE TO Size&T e HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS pe REGULATING ELECTRICAL WIRING, Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 Over 1 f 10 Incl. 5.00 LICENSED AS REQUIRED.BY LOS ANGELES COUNTY AND STATE OF 40 Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT 1 THE LEGAL OWNER OF THE ABOVE ad Over 50 to 100 Inc. 25,00 DESCRIBED RESIDENTI P E 0 Over 100 40.00 PERMITEE SIGNATURE (Services DISTRICT NO. SED BY 0.200 Amp.Under 600 V 12.50 � a 201-1000 Amp.Under 600 V 25'•00 Over 1000 Amp.or Over 600 V 50.00 Z O Temp.Power Pole&Appurtenances 1.0.00 Q Sign with One Branch Circuit 10.00 C 'Additional Sign Branch Circuits 2'00 INSPECTION > to.00 INFORMATION W Misc.Conduits&Conductors ON REVERSE x 4 1 2 4.A Other(See Complete Fee Schedulel SIDE v Zy000002 g d 20 01 1;500 PERMIT FEE (Sub-Totall o o c 1 1. J w PLAN CHECKING FEE (One-Fourth Permit Feel. O. 0501,0 ` %9 PERMIT ISSUING FEE $7.00 0 TOTAL FEE > _t INSPECHO FINALED date: �f //� By /CG��.� �L— W ®s 4` ul COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUMDING& SAFETY ELECTRIC 1 WMLIAM 1. FOX COUNTY ENGMM FOR APPLICANT TO FILL IN 7DISTRICTNO. GROUP ZONE PERMIT NO. ELECTRICIAN r+ '/ 0OADDRESS L/ VG BY READY FOR DATE ISSUED - lFIRSTIN8PECT10NCITY LC/ L � TEL. NO. 2� 4(lP� yf COUNTY LICENSE NO. EXPIRES BUILDING /, PERMIT FEF ADDRESS IU 2.J CSA./ E NUMBER EACH FEE LOCALITYLny LIGHT OUTLETS NEAREST RECEPTACLES T / /-D GeJ /A) WALL SWITCHES OWNER L e..v-reit) TOTAL OUTLETS I Sc S MAIL ELEC. RANGES 2S ADDRESS /0 2 HEATERS 25 FIXTURES CITY/L �G E (� ,1.1� TEL. NO. FIXTURES S MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LF�GAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED OVE. _ V2 a LESS S .25 SIGNATURE OF / �/ V2 2 .SO PERMITTE -�✓�S.f eifi.;.�.. 2 5 1.00 SPECTION RECORD s 1s 1.50 Is 50 2.50 so 200 5.00 200 Boo 10.00 J Boo 1000 IS.00 a OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP R' WELDERS: AC-KVA O GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO NO. LAMPS 1 FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING i SUPPLEMENTARY .50 FIXTURES �� ��� �''•.{.+.blas-r POWER TOTAL FEE S —POWER CO. NOTIFIED FINAL /,'-7 i.-- -7,i w `•3.`. SGA 663 DmS# SA. 4-52 76A663-CI?6d'o iQ,72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB ^ r' BUILDING AND SAFETY DIVISION ADDRESS LOCALITY PCE �C NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS N0. EACH FEE OWNER OR f�}RM'#J4ME � RECEPT.7 $ $ MAIL LIGHT_ TOTAL FIRST 20 25 ADDRESS SWITCH OVER 20 CITY TEL. NOZ`� ,10 _ PLAN CHECK LIGHTING lTOTAL FIRST 20 2-1 .25 APPLICANT FIXTURES � .,0 )} OVER 20 1 1 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER 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. SIZE & TYPE OVER TO I HEREBY CERTIFY. THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIR Y LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THA I AM THE LEGAL OWNER OF THE ABOVE a I - 10 3:00 DESCRIBED REBID TIA PROPERTY: C G: PERMITEE 10 — 50 5.00 SIGNATURE O 50 — 100 ,0,00 ci DISTRICT NO. PROCESSED BY a 100 — 500 15.00 D o co: SIGN, GASSIGN AND'ONE CIRCUIT 5.00 APPROVALS DATE INSPECTORS SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE - SERVICENOTOVER 600VOLTS OR200AMP / 3.00 UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH'CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL l PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 a TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA 1 ATION cK: M.O. CASH ( f' i9987'3 JUL 2 D 9,50 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663 DBS SA 3-50 I APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES OE L E C TAR 11"; I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZINE 1 PERMIT NO ELECTRICIAN > - d ) 4444' E ISSUED ADDRESS ,� s s��� ^R��E)CEIVED BY FIRST INSPECTION /DY FOR T/ a CITY �A i. a� TEL.No.A4 6 e COUNTY LICENSE NO. a� EXPIRES BUILDINGI,.7 PERMIT FEE ADDRESS -��- NUMBER EACH FEE LOCALITYZell LIGHT OUTLETS NEAREST -". RECEPTACLES CROSS ST. WALL SWITCHES DWNER �//. -4 /' ���i'•'i f' i e---n- � TOTAL OUTLETS 50 $ MAIL ELEC. RANGES 85 ADDRESS c ELEC. HEATERS 25 CITY TEL NO. FIXTURES B AM 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS g/ AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSE88 THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EADN OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. A LESS S .25 SIGNATURE OF I l I/a 2 .50 PERMITTE 2 5 1.130 INSPECTIO14 RECORD 5 15 1.50 _ 15 50 2.50 .] / �'.�(.�.k�-�)►:ti. G du�� tee.• 50 200 5.130 200 500 10.00 500 1000 15.00 Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP Q' WELDERS=AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% of ORIS•) MOVED MOTORS (75% OF GRID.) MISC. SIGNS L103. N0.TRANS. NO.LAMPS APPROVALS FOR EACH PERMITC DATE INSPECTOR'S NAME WIRING $1.170 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE CI o UTILITY CO.NOTIFIED /1 FINAL -"'� 11 WORKERS'COMPENSATION DECLARATION 20.0019 DPW 3/87 O `I he�eSy afi'irm that I have a certificate of consent to self 7 APPLICATION FOR ELECTRICAL PERMIT .NInsure,,or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or d co y t reof(Sec. 3800,L . C.) Po icy ' .1 � Company rrResidential FOR APPLICANT TO FILL IN JOB. 6 !f Certified co is hereby furnished. EACH NO. FEE ADDRESS' PY Y Bldgs. &Pools LOCALITY Certified copy is filed with the county building inspec- Sq. Ft. $ $*Dt ' n de artment: 8 NEAREST P q. Ft. esientiawimming Pools CROSS ST. LTJ//L1 ��� Applicant '•• oo ,• , ORM NAME /� .!T ��v WNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light_J___Sw.j- MAIL bb COMPENSATION INSURANCE ADDRESS O oZ S K (This section need not be completed.if the work involved by First 20 CITY Tel No. the permit is for one hundred dollars($100)or less.) Total No. Additional h I certify that in the performance of the work for which this PLAN CHECKAPPLICANT 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 Additional Date Applicant Total No. CITY Tel. N9. Fixed Appliances Not Over 1 HP PERMIT NOTICE tO APPLICANT: If, after making this Certificate of APPLICATION gl/(J/f1®Nt Jl d.R/ Exemption, you should become subject to the Workers' Range— Heater—D.W. _ Dt 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 T–W.H. — / deemed revoked. CITY !t= �lr' Tel. No. LICENSED CONTRACTORS DECLARATION Hood — Fan —Other— Disp. _ Room Air Cond. — LICENSE OR O Class SK I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBER 7,a (commencing with Section 7000):6f Division.3 of the Business Power Apparatus&Large Appliances DISTRICT NO.. PROCES D.BY and—Profession Code;and my license is in.full force and effect. E Size&Type HP, KW, KVA,.or WAR Q License Number -Vol 15 Lic. Class . Up to 1 Incl. FINAL U Over 1 to 10 Incl. cc Cont'ractordDAM& Ak Date (1-30-TrDATE VAL ATION O ❑ Over 10 to 50 Incl.. FI I am exempt under Sec. Over 50 to 100 Inc. U W Over 100 B.&P.C. for this reason IL Services, Swbd., MCC&Panelboards CO Date:. 0-200 Amp. Under 600 V Z Signature ' 201'- 1000 Amp. Under 600 V Over 1000 Amp: or Over 600 V ❑ Exemption for Reg. Maint. Elect. a:o SINGLE FAMILY Tem Power Pole&Appurtenances x. HOME OWNER=BUILDER DECLARATION p' pp o o 0 2 2,5 O v. 1 hereby affirm-that.I am exempt from the Contractor's-License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and 11 Additional Sign Branch.Circuitsi 12 O'� '`�88 Professions Code): Ell, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ 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.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE 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 thove- entioned pr_o r inspection rpose . ; SEE REVERSE FOR EXPLANATORY LANGUAGE /'1 Signature of Permittee ate ®'