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 ®'