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HomeMy Public PortalAbout10226 OLIVE ST_Electrical__ B DBS-VA 11.89 APPLICATION FOR ELECTRIC PERMIT BS-VA DIVISION OF BUII ING AND SA= Department Of County Engineer BUILDING F County Of Los Angeles ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PEUM EM CROSS ST. NUMBER e �- OWN LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TEL.NO. i TOTAL OUTLETS @ $ ELECTRICIAN e ELEC.RANGES 25 - ADDRESS ELEC.HEATERS 25 KW EA CITY ,NO. STATE Jr FIXTURES B LICENSE NO. MOTORS DISTRICT NO. GROUP I ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE so, rj*"e t NEW MVD. HP OVER INC. EACH iLVSiLV�ON RECORD i &LESS $' .25 �2 2 .SO.000 2 B 1.00 /jwg � 0g2` 18 80 2.50 o SS �/ ,e �.' �'j/. /cL/l ISO 200 5.00m'I 5 ' M ISC. NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES :r. - CALIFORNIA .00 SUPPLEMENTARY .SO APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT ITHIS AP LICATION AND STATE THAT THE ABOVE IS COAGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES LAWS REGULATING WIRING f rl ,. ELECTRICAL WIRING. v I HEREBY CERTIFY THAT I AM PGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANTY AND STATE OF NIA ORTHAT�1��Ec:p"WNER OF THE ABOVE POWER DESCRIBED RESIDE _u UTILITY CO.NOTIFIEDSIGNATURE OFP1 RMITPEE FINAL o S{g--3 / � t IOHN A.LAMBIE CouNTY ENG VALIDA ARTHUR C.VEIT,CHIEF ELECT.INSPECTOR CK MOCASH M413 3 9., APR 6 2 4.6 5 �J SfOF6CER'S COMPENSATION DECLARATION 20.0019 DPW(12-91)76AAPPLICATION FOR ELECTRICAL PERMIT 3 v u 20-OW I herebWaf.hrm-that I have a certificate of consent to self insure, or a certificfto of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copythe 3800 Lab.C.) h r^ m Po icy No. I Compan Ih a. FOR APPLICANT TO FILL IN JOB �^� � ADDRESS V L t V [- (� Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY ❑ 1 &2-Family,Sq.Ft. —1$ $ Certliied copy is filed with the unty building inspection — NEAREST depa ent. � Multi-family Sq.Ft. CROSS ST. Date Applicant - Residential Swimming Pools ASSESSOR p /9y7� /� '•_ MAP BOOK ��p,',j PAGE'`•` / PARCEIIP CERTIFICATE OF EXEMPTI FROM WORK OWNER OR Outlets:Re Light Sw, p ' COMPENSATION INSURANCE FIRM NAME l�d D e� First 20 MAIL permit Is fon need not be completed 0 the work involved by the !Total No. Additional ADDRESS S permit is for one hundred dollars($100)or less.) certify that in.the'performance of the work for which this permit CITY -Rmkt Tel.No. is issued, (shall not employ any person in any manner so as to PLAN CHECK become su_b)egt to the Workers.'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. 47-160 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 provision's or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT � LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS D I.hereby affirm that I'am'licensed under provisions of Chapter 9 IP*� (commencing with Section 7000) of Division 3 of the Business and Over 3 to 10 Incl. CIN 1✓ Tel.No.l Ml Professions Code,and my license is in full force and effect: Over 10 to 50 Incl. >- LICENSE OR Over 5U to 100.Incl. REG.NUMBER 0 6 Class. 10 0 Qb1 GL� Over 100 _ DISTRICT NO. ESSED BY License Number Lic:Class A p ) U Servi/ges. Swbd MCC anelbo s V 6 C �(1 Q Z / 9�9tA� nde FINAL Contractor Date DATE I" ❑ , ' 400-1000 Amp.Under 600 V VALIDATION V I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL n. -B.&P.C.for this reason BRANCH CIRCUIT FEES BY � Date: 15A,or 20A,12OV,Lighting.or Recept. _ 1 To'.10 BranchCircuits Signature 11 To 40 Branch Circuits ❑, 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 154,20A,20 VV To 277V Lighting Sr.Circuits ANT SINGLE FAMILY Temp.Power Pole&Appurtenances i-e�.fit•�z•a• HOME OWNER-BUILDER DECLARATION. Sign'with One Branch Circuit ;-? ''{�:e "' I hereby affirm that I am exempt from the Contractor's. License Law u0(•j 5 i__.75 for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): l `t ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 4 OTAL 252 m 75 Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) I 2�., r and Professions Code). , CHECK 52.7•: CONSTRUCTION LENDING AGENCY CHANGE 0130 I hereby affirm that there ie a construction lending agency for-the performance.of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) . Civ.c:). 3 )-9t0(070001 8I26f PLAN CHECKING'FEE Lender's Name "' �5-3 1 AM i e 11r PERMIT ISSUING FEE i=•"`r I , Lender's Address I certify that I have read this application and under penalty of purjury.state TOTAL FEE. p( that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives f this County to enter upon the above-mentioned property for i pect(on p ose` SEE REVERSE FOR EXPLANATORY LANGUAGE DATESER ITTEE - IGN U OF P ! WORKER'S COMPENSATION DECLARATION 720- DPW(12.91) APPLICATION FOR ELECTRICAL PERMIT I hereby affil& that I have a certificate of consent to self insure, ' or arertificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3600 Lab.C.) _ Policy No. Compan FOR APPLICANT TO FILL IN JOB I ADDRESS Poli Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY I &2-Family,Sq.Ft. — $ $ �}'y Certified copy is filed with the c unty buil ' g inspection _ NEAREST f dep me t. _ Multi-family Sq.Ft. CROSS ST. Date b Applicant Residential Swimming Pools ASSESSOR (� MAP BOOK P PARCEL CERTIFICATE OF EXEMPTI FROM WORKERS' Outlets:Ree._Light Sw. /d FIRM NAME COMPENSATION I SURANCE First 20 (This section need not be completed if the work Involved by the /sem ADDRESS 13 Z� permit Is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CITY �� Tel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL A IANC5NOO�P. NOTICE TO APPLICANT: If, after making this Certificate of /7y� CITY Tel.No. PLI Exemption,you should become subject to the Workers'Compensation OTHE E-ANCES Nl7T E 3 provisions of the Labor Code,you must forthwith comp Iy with such PERMIT a i Power Apparatus&Large Appliances APPLICANT t r provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS . UN'11L I I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. OITY n 1��C Tel.Na (commencing with Section 7000)of Division 3 of the Business and Over 10 to 50 Incl. Lt"11 Professions Code,and my license is in full force and effect. LICENSt OR >_Over 50 to 100 Incl. REG.NUMBER V Class. G a [' Over 100 DISTRICT NO. P SED BY 0 License Number Lic.Class v 1 p� 0 J Services,Swbd.,MCC&Panelboards 0 W. 0-399 Amp.Under 600 V FINAL 0 ContfactOr Date DATE 400-1000 Amp.Under 600 V F1 I am exempt under Sec. � Over 1000 Amp,or Over 600 V FINAL Over W B.&P.C.for this reasonBRANCH CIRCUIT FEES BY (n 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 ;{I s_{,® I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits _.64h; Code) I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors s d I-1 , is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ' -f{3 n1 _ 's �a 9 and Professions Code). CHECK 49.95 CONSTRUCTION LENDING AGENCY �3 I hereby affirm that there is a construction lending agency for the CHAI!GL .0-D, performance of the work for which this permit is Issued(Sec.3097, PERMIT FEE (Sub-Total) 09 Civ.C.) PLAN CHECKING FEE // 1?1]E?i,'-13 i t j 110/ 4 x'7•-. Lender's Name PERMIT ISSUING FEE (p 2238 j illi :�_],t Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize repre entatives o this County to enter upon the above-mentioned property for I action p as. t4t SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNA/ 'F PERMI EE + ��~ oat , •' WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) Ll I hereby/affirm tftat I have a certificate of consent to self insure, 76A663 APPLICATION FOR ELECTRICAL PERMIT or a certific4te of W%rker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy there*(Secc..�38000jLab.C.) A v�• j . om Policy No/t/ Cpany FOR APPLICANT TO FILL IN JOB 1' CJ ADDRESS ��Z Q ❑ Certified copy is hereby furnished. � New Residential Bldgs.&Pools NO. EACH FEE $ $ LOCALITY G� Certified co is filed with the c unt buildin inspection 1 &2-Family,Sq.Ft. PY Y P NEAREST f� departm nt. Multi-family Sq.Ft. CROSS ST. V Residential Swimming Pools ASSESSOR ` Date Applicant MAP BOOK � � PAGE DD PARCELP-•J CERTIFICATE OF EXEMPT[ FROM WORKERS' Outlets:Rec._Light Sw. OWNER OR COMPENSATION I SURANCE FIRM NAME y First 20 MAIL (This section need not be completed If the work Involved by the Total No. Additional ADDRESS Q Z 1 permit Is for one hundred dollars($100)or less.) In I certify that in the performance of the work for which this permit CITY 1� GV� Tel.No is issued, I shall not employ any person in any manner so as to PLAN CHECK 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.Na. 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 /,�t P Y P Y Power Apparatus&Large Appliances APPLICANT f�1C ti provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Ty�P,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. n11� (commencing with Section 7000)of Division 3 of.the Business and Over 10 to 50 Incl: CI 0� v(/fTA Tel.No.) Professions Code,and my license is in full force and effect. LICENSE ORCless. d Over 50 to 100 Incl. REG.NUMBER Q� 0 CID License Number Over 100 DISTRICT NO. PROCESSED BY Lie.Class V 1 (� l Servic wbd.,MQCPan board Contractor , `C' Date t,0 X` 0.399 cAmmp.UUnnder 600 I DATE O ❑ 400-1000 Amp.Undet 600 V Q r q_� I am exempt under Sec. VALIDATION W Over 1000 Amp.or Over 600 V FINAL 11 B.&P.C.for this reason BRANCHCIRCUIT FEES BY (n Date: ISA, 20A,120V,Lighting or Recept. /` z 1 To 10 Branch Circuits (p Signature — 11 To 40 Branch Circuits .- ❑ Al Or More Branch Circuits -•�•- Exemption f Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits :i:•t•s e a SINGLE FAMILY Temp.Power Pole&Appurtenances `L=1._ a 11 a (s HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law T T EM= for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 1 O T IAL 1:31-70 I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors _3 `. is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) �t and Professions Code). CHANGE y�i CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the 0000-1131 ts`.j1 ''= performance of the work for which this permit isAssued(Sec. 3097, PERMIT FEE (Sub-Total) Civ.C. r -sU a o L,ri PLAN CHECKING FEE 2078 2 AM 7:15121 Lender's Name PERMIT ISSUING FEE a� Lender's Address I certify that I.have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representativ of this County to enter upon the above-mentioned property for Inspectio rposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 6( el RE OF AT WORKERS'COMPENSACE.BWTION DECLARATION 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that'I have a certificate of consent to self CE-t106G �j insure, gr a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY Iuf or a certified copy thereof„(Sec. 3800, Lab. C. &U M gar-14961" t ,_ Poly icy No. Company- n �(J�I�A FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. ` New Residential Bldgs. &Pools EACH NO. FEE ADDRESS (®ZZ�p BVLJ� Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY T�VT le tion department. - i C� Multi-family Sq. Ft. — NEAREST Date 1_6_"O LA �' 1,Z; Residential Swimming Pools OWNER OSSST. Applicant FIRM NAME 4e0Ar CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE First 20 ADDRESS 602r7—(a 04tt)ile (This section need not be completed If the work Involved by Total No. Additional CITY ��y� t� Tel. No. the permit Is for one hundred dollars($100)or less.) CLAN CHECK N It I certify that in the performance of the work for which this APPLICANT 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 Total No. Additional i Date— Applicant CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' Range_ Heater_D.W. _ APPLICANT QG124ALA &,&G •2LG Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS I2�S ` (ltJ l�,►D� with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. CITY ..Q Tel. No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ Disp. _ Room Air Cond. LICENSE M Class. BO MBER iS0 (y G (commencing with Section 7000) of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PR ED BY a, and Professions Code,and my license is in full force and effect. 0 Size&Type HP, KW, KVA, or KVAR 0 License Number Z YCE Lic. Class 4=-1 0 Up to 1 Incl. FINAL 0: e�dw �� v "7 Over Over 1 to 10 Incl. DATE / LIDATION Contractor Date Over 10 to 50 Incl. b W ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY p.' B.&P.C. for this reason Over 100 I � Date: Services, Swbd., MCC&Panelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V 4 9 7.2 A ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V # 0 0 0 0 0 2 SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ) o 0 2 S 5 O I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits o 0 0 Law for the following reason (Section 7031.5, Business and 2 S 5 Q c=i Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors 07.08-86 structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, 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 I 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 1 hereby authorize representatives of this County to enter upon the ab e-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si ature l Permittee Date ;I WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT ;,3 I.hereby Affirm that. I have a certificate of-consent to self CE-806G insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.). Policy No. Company FOR APPLICANT TO FILL IN JOB a� Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS (� ' Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. Date Applicant ,•OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' _ FIRM NAME Outlets: Rec Light Sw._•� � � MAIL � � COMPENSATION INSURANCE ADDRESS (This'section need not be completed If the work Involved by First 20 Total No. Additional CIT Tel. No. the permit is for one hundred dollars($100)or less.) ' PLAN CHECK t I certify that in the performance of the work for which this APPLICANT 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 Total'No. Additional �D CITY T � Tel. N . Date / Applica. Fixed Appliances'•Not Over 1 HP PERMIT NOTICE O APPLICANT: If, after making this Certifi to of APPLICANT e' Exemption, you should become subject to. the Workers' i Range_ Heaters D.W. T`e 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. CITY Tel. Nq� 1 LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ pisp. _ Room Air Cond. LICE E R. Class {� (hereby affirm that I am licensed under provisions of Chapter 9' y REG..NUMBER 1 (/ (commencing with Section 7000)of Division 3 of the Business. Power Apparatus 8 Large Appliances DISTRICT NO. PROCESS BY and Professions Code,and my license is in full force and effect. r� 0 J {� © Size&.Type H KW, KVA r R' ` `� 0 License Number"/�GL�® Lic. Class c '� FINAL 1% 71 DATE J Over 1 to 10 I I. VALID TION Contracto Date ' Over 10 to 50 Incl. F S C.7 ❑ F.INA W' I am exempt under Sec. Over 50 to 100 Inc. BY n Over 100 B.&P.C. for this reason Date: Services, Swbd., MCC&Panelboards 0 -200 Amp. Under 600 V Signature 201 :1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. ,Over 1000 Amp, or Over 600 V SINGLEFAMILY Tem Power Pole&Appurtenances ppurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits —44869A Law for the following reason (Section 7031.5,• Business and Professions Code): # 0 0 0 0 0 2 ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)— 00 ' ° o17.50 704.4, Business and Professions Code). 0 0 0 1 7 5 Q CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 0623t86 ' the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) '�a (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name �1 PERMIT ISSUING FEE 6) 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 i ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the ove-mentione-d property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE QF Signature of Per Dfite