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Home My Public Portal About10231 OLIVE ST_Electrical__ 76AG63-CEBOG_6•97 APPLICATION- FOIA--ELECTRIC PERMITi •1;� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �� f diL'luC�. BUILDING AND SAFETY DIVISIONEME ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER q CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY g / NEAREST FOR APPLICANTRTO+SFILL IN CROSS ST. AL OWNER M/ LIGHTS RECEPTACLES SWITCHES - NUMBER ITEM EACH FEE MAIL y d ADDRESS G� G / TOTAL OUTLETS $, Ao $ / " ELEC. RANGES, WATER HEATERS, 'CITY' TEL.NO..ELEC. S DRYERS .s0 ,ELECTRICIAN ELEC.SPACE HEATERS,STAT-Y. COOK- e ING UNITS, GARBAGE DISPOSERS. AUTO WASHERS, DISHWASHER ,2$• 'ADDRESS e 30 / ��2 LIGHTING FIXTURES .10 d CITY Q/{/ TEL.NO. �.W/RSM• MOTORS STATE y t, � LICENSE NO. /-6 -0 L►/ HORSEPOWER H.Pr OVER INC. DISTRICT N GR [[[��!E. READY PON INSPECTION- /Va&LESS .2$ is .so $ t.00 C}'_. INSPECTION RECORD r s — 1$ i.sa N 1� a 1$ — so 2.50 , /L/ 1 �/� y,..•�f'� 80 — •200 $:Oa -• r ' � AG C v�. SIGNg'. NO.'TRANS � e �' . x NO.LAMPS lilt SERVICE O-600V 1.00 SERVICE OVER SOOV $.00 WIRING PERMIT 1.00 t� FIXTURE PERMIT 1.00 O D SUPPLEMENTARY PERMIT .90 APPROVALS TOTAL FEE TI DATE INSPECTOR'S SIGNATURE ! 'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ' ELECTRICAL WIRING. WIRING 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES ��^/.� 1",Lt�_!.I_ a,t„•� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND. STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TH• ABOVE POWER ' DESCRIBED RESIDENTIAROP• TY. ' SIGNATURE UTILITY CO.NOTIFIED ' OF.PERMITTE � FIN . IOHN A LAMBIE. VALIDA N: ARTHUR C.VETT, r .OUNTYVNGINEER CK MC SUPERVISING ELECTRiCAL ENGINEER - LACo 2 44 4D; SEP 19 2 2.80 � Tilkg 1 DBS SA 0-4994D APPLICATION FOR PEMT DEPARTYENT OF BUA.DING AND SAFETY COUNTY OF LOS ANGELES. ELECTRIC' ' 1 WILLIAM J. FOX. CHIEF ENGINEER �,� FOR AP LICANT TO ILL IN DISTRICT NO. GROUP ZONE PERMIT NO. - ELECTRICIAN RECEIVE READY FOR DATE ISSUED ADDRESSAlf FIRST INSPECTION CITY. r TEL. NO. q COUNTY LICENSE NO. 1% EXPIRES BUILDING •�7'0 �0 ��l d� n PERMT FEE$•- _ NUMBER OUTLETS EACH FEE LOCALITY !/ 44 Paz- LIGHTS a� LIGHTS Sc $ !}O NEAREST CROSS ST. RECEPTACLES 5 e ��E f FIXTURES 5 116 J OWNER ®®®, oS ✓ WALL SWITCHES S �/1U MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 r CITY l e . "saB U TEL. NO. MISC." NUMBER'OF.CIRCUITS INSTALLED: I ' HEREBY ,ACKNOWLEDGE' THAT 1 HAVE READ THIS APPLICATION AND. STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO 'COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWER 1 CERTIFY THAT I POSSESS THE ABOVE VALID •LOS FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EAGH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. V2 a LESS S .2S - V2 2 .50 SIGNATURE OF PERMITTE 2 S � 1.00 s is 1.so INSPECTIO14 RECORD 15 50 2.50 50 200 -5.00 200 500 10.00 500 1000 15.00 `1 OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA 0 GENERATORS - 'KW TRANSFORMERS - KVA TEMP. MOTORS (75% of cm.) MOVED MOTORS 75% OF oma.) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: DATEINSPECTOR'S NAME - WIRING $1.00 CONDUIT FIXTURES 51:00 WIRING SUPPLEMENTARY 5O f FIXTURES L y r � L POWER TOTAL FEE $ I�j/ ) UTILITY CO: NOTIFIED .�/ ,//y�l ) ��+./�=•• " (p FINAL n .eG�ly{f•:;.a.� 'Grp 7 �1� I "WORKERS'COMPEfJSATION DECLARATIONI 720-0019 M60 I ' DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O } Pl,y affirm that I have a certificate of consent to self 76Aa63 t,insu 'ora certificate of Workers'Compensation Insurance, I COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a cQQifled copy thereof(Sdc. 3800, Lab. C.) i � 9 Policy7N*J. Company FOR APPLICANT TO FILL IN JOB n y �✓'� R-Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS 031 of!V f, .� / ��' 0 Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. LOCALITY$ — $ L tion department. Multi-family Sq. Ft. NEAREST IFCC G Residential Swimming Pools CROSS ST. OWNER OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ AMAIL DDRESS 8 ;0-4/;-*;0-4/;-*Sr COMPENSATION INSURANCE � First 20 ADD (This section need not be completed if the work Involved by Total No. Additional CITY ALh/��yl Tel. NrS�'� -2 yy/ the permit is for one hundred dollars($100)or less.) I PLAN CHECK I certify that in the performance of the work for which this APPLICANT 0 A/�. 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 qyfj. &.4ftplj �/ Date 7-11`11 K �,p Total No. Additional CITY Tel. No. Applicant NOTICE TO APPLICANT: If, after malifing this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION NE [.t+ Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS 9 1! Z-- &IM with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY '4ACAD4 Tel. Na.1117-7540 LICENSED CONTRACTORS DECLARATION Disp. — Room Air Cond. — LICENSE OR _ I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUM (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY a and Professions Code,and my license is in full force and effect. Size 8 Type HP, KW, KVA, or KVAR ,O� � O License Nu - lc-'Class Up to 1 Incl. FINAL r Over 1 to 10 Incl. ct Contraor - 4 DATE O� /1 VALIDATION 0 ❑ r Over 10 to 50 Incl. 4BY INAL F- I I am exempt under Sec. I Over 50 to 100 Inc. W B.&P.C. for this reason Over 100 '� lL Services, Swbd., MCC&Ponelboords Z Z Date: 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 SINGLE FAMILY Temp. Power Pole&Appurtenances i k HOME OWNER-BUILDER DECLARATION I 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 Additional Sign Branch Circuits -- Professions Code): I, as owner of the property, will do the work and the Misc. Conduits&Conductors - 01 f� structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ - v 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.). f_ PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE r3 _-�� _ rt;" _.;11 _ Lender's Address ' I certify that I have read this application and state that the TOTAL FEE 33 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-mentio ed r r for' pection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig re o Permittee Date ®' WORKER'S COMPENSATION DECLARATION 200019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A663 I hereby affirm that I have a-certificate�of consent to self insure, or atpertificate of Worker's compensation Insurance,or a certified COUNTY-017 LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. dopy thereof(Sec.3800 Lab.C.) tt Policy No. Company FOR APZLICAwr TdFILL IN NOEACH FEE ADDRESS Certified copy Is hereby furnished. New Residential Bldgs.&Pools . $ LOCALITY $ ❑ Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. �� _ NEAREST •� department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR ��670 COMPENSATION INSURANCE Outlets:Rec. Light Sw. .00 FIRM NAME First 20 MAIL (This section need not be completed the work Involved by the Total No. Additional ADDRESS & permit Is for one hundred dollars($1000)or less.) I certify that in the performance of the work for which this permit CITYTel.No. a-0 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 a PLAN CHECK CK Total No. Additional ADDRESS ``a Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP. CITYG T.I.No ��"Pt& ^ 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 �sL provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT �j LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS/' S 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* VZ E• Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. >_ LICENSE Class Over 50 t0 100 Incl. REG.NUMBER .ER O Over 100 DISTRICT NO. P OCESSED BY U License Number L(c.Class �/ Services,Swbd.,MCC&PanelboardsQ 0-399 Am Under 600 V FINAL Contractor Date p' DATE <❑ -7 F- 400-1000 Amp.Under 600 V 5-L3�� VALIDATION V I am exempt under Sec: W Over 1000 Amp.or Over 600 V FINAL 0_ B.&P.C.for this reasonBY Z BRANCH CIRCUIT FEES Date: ; 15A,or 20A,120V,Lighting or Recept. — 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 3303 41.30 SINGLE FAMILY Temp.Power Pole&Appurtenances 1 ITEMS OWNER-BUILDER DECLARATION n with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Sig41.30 for the following reason.(Section 7031.5, Business and Professions Additional Sign Branch Circuits TOTAL Code): CHECK �, 41.30 I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors HS "30 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , and Professions Code). • CONSTRUCTION LENDING AGENCY 4/24/96 1 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) 6034 1 AM 9"-07 Civ.Ca f LAN CHECKING FEE Lender's Name /� PERMIT ISSUING FEE pl 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 representat' of this County to enter upon the above-mentioned property �SNATU..ctior'purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE R.ITTEE DATE' t"•".' 76-663 WORKERS'COMPENSATION DECLARATION I W19DPW 3/87 IrAPPLICATION FOR ELECTRICAL PERMIT k ee , 76 O 1 P�ereby`affirmt , hat I have a certificate of consent to self CE-805Gins or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or cy,'tified copy thereof(Sec. 3800, Lab. C.) Policy IOb. Company FOR APPLICANT TO FILL IN JOB yrs�� O ' v LJ Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS (1 r_1 Certified copy is filed with.the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALIT /� / tion department. Multi-family Sq. Ft. -- NEAREST Residential Swimming Pools CROSS ST. Aft4iV� Date Applicant OWNER OR r+��,, ''��''''�� FIRM NAME IiCJ N CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light�Sw. i MAIL COMPENSATIONINSURANCE First 20 ADDRESS 3 (? +/A,0 (This section need not be completed if the work Involved,by Total No. tl o Additional, r A,D v CITY f 4 Tel. No. IM-39-0 the permit is for one hundred dollars($100)or less.) PLAN CHEK I certify that in the performance of the work for which this APPLICANTC (. F3AA permit is issued, I shall not employ any person in any manner so as.to become subject to the Wqrkers'Compen tion Laws. Lighting Fixtures First 20 o I /,P GQ ADDRESS I? f,, Additional •b Total No. Z Date 7 f�S� Applicant CITY f• Tel. No. 9 NOTICE TO APPLICANT: If, after ma g this Certificate'of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become �ject. to the Workers' Range— Heater—D.W. — APPLICATION al�1' Compensation provisions of the Labor Code, you must forth- Oven.—. Dryer —W.M.— ADDRESS V/ �♦ with comply with such provisions or this permit shall be Top FAU �W.H'. — deemed revoked. CITY A Tel. No.9f Hood Fan —Other— ! / 3Q� LICENSED CONTRACTORS DECLARATION ABLICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond.. — REG.NUMBER Class. (commencing-with.Section 7000)of.D4v,ision 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. P O 5SED BY ct >- and Professions Code and my license is in full.force ffe . �•-i- Size&Type HP, KW, KVA, or KVAR 4 .�� Q License Numb Lic. Class I Up to 1 Incl. FINAL U Contracto ate CA Over 1 to 10 Incl. DATE. O f VALIDATION C F-1 Over 10 to 50 Incl. FINAL I am ex mpt under Sec. Over 50 to 100 Inc. gY U W B.&P.C. for this reason Over 100 a- ' Date: .t Services, Swbd.:, MCC&Panelboards PO Z 0-200 Amp. Under 600 V , Signature 201 -1000 Amp. Under 600 V ❑ Over 1000 Amp, or Over 600 V ` _ & Exemption for Reg aint. Elect. r SINGLE FAMILY t t r'C a G.$ HOME OWNER;BUILDER DECLARATIONTemp. Power Pole&Appurtenances 3,313 135, O I hereby affirm that I am exempt from the Contractor's Licer('se Sign with One Branch Circuit _ Law for the following reason (Section 7031.5, Business and Additional Sign.Branch.Circuits tIl := Professions Code): TOTAL 135-613 35-613 ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors I C 113 r, Other See Complete Fee'Schedulef`• 3�e�1,re:! structure is not intended or offered for sale(Section 7044, ( P )— Business and Professions Code). ® t:HANIGE •I;I� CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency fbr the performance of the.work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE O u 6 u' y fill 10 14 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 Courity ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the abo e-mention�prop.errr insp coon purp ses. 5 SEE.REVERSE FOR EXPLANATORY LANGUAGE Sign afu of ®s Permittee Date