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HomeMy Public PortalAbout10232 OLIVE ST_Electrical__ 7BA$G; I�eD�46s APPLICATION FOR ELECTRICAL P MIT .~COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY _ NEAREST FOR APPLICANT TO FILL IN CROSS ST. . NO. EAC FEE RECEPT._ $ s OWNER vz f: L' MAIL LIGHT TOTAL FIRST 20 .20 �� ADDRESS //t� � . SWITCH, `� OVER 20 .10 CITY C)L( 4F C� TEL. NO. "� I PLAN CHECK LIGHTING �.TOTAL FIRST 20 20 �� APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK_DISP.—F.A.U._ •CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHW.ASH._ CITY TEL. NO. FAN—OTHER i.-Ool LICENSE IJO. CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. 1 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 1.00 ELECTRICAL WIRING. ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 1 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM:THE LEGAL OWNER OF TEND TO 10 - 50 5.00 RESIDE IN, T DESCRIBED AEI TIAL P PERTY. 50 - 100 10.00 SIGNATURE' J/ 0 OF PERMIT E Ld s V 100 - 500 15.00 DIS IC O. GROUP N� PROCESSED Y o TUBE, OR SIGN AND ONE CIRCUIT 3.00 SIGN,GAS [ V W MARQUEE ADDITIONAL CIRCUITS 1.00 NOT S• nj SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 v O Z SERVICE OVER 600 VOLTS OR 200 AMP 5.00zda or_ & TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DARE INSPECTOR'S SIGNATURE \" 9/1 TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) rFIXTURES PLAN CHECK FEE (50% PERMIT FEE) THORIZED PERMIT ISSUING FEE 2.00 00O.NOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE 1.00 VEX 90%0� TOTAL FEE ,� JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. rises ca IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE c u� 76A683-CEL0610/76 APPLICATIO FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES +' ,bEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS LOCALITY >� NEAREST FOR APPLICANT TO FILL IN CROSS ST 17114, �+ OUTLETS NO. EACH FEE OWNER OR FIRM NAM RECEP S $ MAIL FIRST 20 25 ADDRESS LIGHT TOTAL SWITCH OVER 20 10 r CITY TEL. NO. {� PLAN CHECK LIGHTING FIRST 20 .25 APPLICANT 000,TOTAL FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. RANGE�` O DRYER�WTR. HTR. �� PERMIT ' APPLICANT STA. COOK W0 DISP.flip F.A.U.WD ADDRESS a rR f SPACE HTR AIR COND. CITY 1 f C'r TEL. NO.fj 9-636 CLOTHES WASH. " DISHWASH. LICENSE OR REG. NUMBER CLASS. FAN WV OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 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 IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA THAT 1 AM THE LEGAL OWNER OF THE ABbVE 1 — 10 3.00 DESCRIBED E DENT AL PR TY. p V 10 - 50 5.00 PERMITEE SIGNATOR CD F-� 50 - 100 10.00 8 DISTRICT NO. _ SED BY LLI Ci.. 100 - 500 15.00 ItZ SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPE R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER 600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT, SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED n FINAL 6-3-77 PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.001 zfb—D TOTAL FEE PLAN CHECK VALIDATION eK. m. CASH PERMIT VALIDATION cK. M.O. CASK i 4.7 6 tiN-0V —26 2 D 1 8.8 0 AL* SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76ABBS DBS SA I1-60 APPLICATION FOR PERNIIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN cc R CEIVED BY READY FOR DATE ISSUED ADDRESS L� FIRST INSPECTION CITY w TEL NO. 9 COUNTY LICENSE NO. b EXPIRES. ADDRESS 623 6� ( PERMIT FEES FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS S'1. °�hC RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS Sc 5 1p MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. i FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPER -DESCRIBED ABOVE. NEW MVD. HP OVER INC. EACH �f I/2 6 LESS 5 .25 SIGNATURE OF, I/2 2 .50 PERMITTEE 2 s 1.00 INSPECTION RECORD 5 1s 1.50 15 50 2.50 50 200 5 00 200 500 10.00 J SOO 1000 15.00 Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP (� WELDERS:AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OFORIG.) MISC. SIGNS NO. NO.TRANS. I- I APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 l tr/C CONDUIT FIXTURES $1.00 WIRING 2+ `1 3 -tiZ v-411 SUPPLEMENTARY .50 FIXTURES �y POWER. TOTAL FEE 5 t 0 UTILITYCO. NOTIFIED ® FINAL WORKERS'COMPENSATION DECLARATION 76A663 10481 I herqb affirm that :1 have 6 certificate of consent to self I CE-80613 APPLICATION FOR .ELECTRICAL PERMIT .Y insure�iror a certtfficate of Workers'Compensation Insurance, I, COUNTY OF LOS'ANGELES BUILDING AND SAFETY r..1'certified copy thereof.(Sec. 3800, Lab. C:) Policy No: Company i, 'FOR APPLICANT.TO PILL IN JOB /v� 7%j Is- Certified'copy is hereby furnished. New Residential'Bldgs, &Pools EACH NO. FEE ADDRESS 1C�2- 2 V I. ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. .... $ — $ -LO CALITY•r,Cyr QL;� ;CiTY. tion departmNEARESTent. Multi-family Sq. Ft. GROSS ST. Date A licant Residential Swimming Pools -•� OWNER OR Pp I• p5Q FIRM NAME ifo"N lir CERTIFICATE OF EXEMPTION.FROM WORKERS' I' Outlets:Re..cj_LIght�.S ._ MAIL , COMPENSATION INSURANCE DDR . : • � . f la` - F First 20 ESS ' This section need not'be.0ompleted If the.work involved by CITY ( Total.No. Additional L Tel.'No. � -�(p�(eJ the permit.is for.one hundred dollars($100)or less..) PLAN CHECK I certify that in the performance of the.work forwhich this -APPLICANT permit is issued, I shall not employ any person in any manner I' so as to become subject to the. rkers.'Compe. tion Laws. Lighting Fixtures Firpt 20 -ADDRESS Additional Date�5'��-" licant ' � r Total No. Add CITY Tel No PP- i t Over 1 :HP Fixed Appliances No PERMIT NOTICE. TO APPLICANT: If, after, making. this Certificate of Exemption, you should 'become subject to the Workers' F Range_.Heoterv_D.W. APPLICANT ' Compensation.prol.isions of the Labor Code, you must forth- Oven _Dryer' —W.M.— ADDRESS with comply with such .provisions 'or this: permit .shall beI• Top _ FAU —W.H.._ CITY Tel. No: ' deemed.revoked. Good — Fan _Other_, LICENSED CONTRACTORS DECLARATIONLICENSE OR I hereby affirm that l am.licensed under provisions of,Chapter 9 I Disp _ Room Air Cond. REG.NUMBER ��D" Cass. (commencing with Section 7000).of Division 8'of the Business DISTRICT NO: 5 PROLES DIBIr• and Professions: y Code;and m. license is'In full force and effect. Power Apparatus&Large Appliances' a _ ! Q Size&Type HP, kW, KVA,or KVAR.' d� License Nu ber ddb i Lic. Class FINAL Up#0 1 Incl. a. r Over 1..to 10'Incl. DATE � ad Date cSV i�-'92� � VALIDATION O Contracto Over 10 to 50 Inc.I. FINAL ❑ I.am.exempt under Sec. Over 50 to 100 Inc. BY L j ~ B.&P.C. for this reason I Over 1.00 PA Services; SWbd., MCC&Panel.boards Date; 0 -.2 p. Under 600'V Signature. . I 2 10 1.000 Amp. Under 600 V El 'Exemption. 1000 Amp. or Over 600 V' Exemption.for Reg. Maint.'Elect. SI.NGLE'FAMILY r -HOMETemp. Power Pole&Appurtenances OWNER-BUILDER DECLARATION Sign with One Branch Circuit _ I hereby affirm that I'am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and i Professions Code):. c o c o a ❑ M`isc. Conduits&Conductors I, as owner t .of' he property,: will do the work and the - structure is not intended or offered for sale (Secttoh Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I < r, r I hereby-affirm that there is.a construction.lending agency for f' c• ) _n the performance of.the work for which this permit.-is issued PERMIT FEE (Sub Total) (Sec..300, Civ. C.). PLAN'CHECKING FEE Lender's Name I , PERMIT ISSUING FEE Lender's Address I certify that I have read this application and.state that the TOTAL FEE �� �d above information is correct. I agree to comply with all County ordinances and State -laws regulating Electrical wiring, and hereby. outhorize representatives of this County to enter upon , he above-.mention property for inspection.purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date