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Home My Public Portal About10332 OLIVE ST_Electrical__ CUTY 11 OF c At 76A669-CE806 3-64 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF. COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS OL�v� JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROBB ST. 1221l RECEPT. ,�! TOTAL NO. EACH FEE OUTLETS FIRST 20 t7 E.20 S Ob' OWNER' !idW��"2✓G�' LIGHT ��jIy�/Jy MAIL SWITCH. ��` -J.L- OVER 20 .10 � ADDRESS LIGHTING TOTAL FIRST 20 .80 1.90 CITY TEL.NO. l FIXTURES 1 ovoe'L •1C ELECTRICIAN c�aTMJ RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS�l0D-.+ A/, tf� ,wc ASR Aae GARB.DISP./ STA.COOK CITY CO AJ/;,1.4 TEL NO. �' Zya� DISHWASH. AUTO.•WASN.l STATE fdd - P,4i4s LICENSE NO. 6 SPACE HTRS. -1 STA.APP._N.P.MAX.) -so MOTORSm OVER NOT OVER H.P. DISTRI T tip GROUP ZONE P OFESSED.,BY O 1 1.00 �j ✓ � 1 s 1.50 INSPECTION REC RD a a a 2.00 h —'3 —(2S S 10 Ce l� C. r 0 8 1S 2.50 q' .o, t.A V .OA(o n(J ' O 1s so a.00. qq`YPE Or- PL ' Q C M 'a 0 C'.AI so 100 5.00 �S W '' a NO.TRANS- INAV A34� k� o Z SIGN$s NO.LAMPS SERVICE O•SOOV•Nar OVER 200A 1.00 D D L POLE. 0- SERVICE SERVICE O•SOOV-OVER 200 A. 2:00 L� SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 Ub SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE !�/Q 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. // WIRING' , f CLCm.--p-A �-�}•i• 1 HEREBY CERTIFY THAT I AM PROPERLY RE0119MREL AND/OR _ � �` LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANIS STATE OF FIRTUREB Gl .� Jf3s�/-YV�J/� CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE >(y Y DESCRIBED RESIDENTIAL-PROPS POWER SIGNATURE 4 ' UTILITY CO.NOTIFIED !y�,'0� '�� _ OF PERMITTEE ' /�F=' FINAL. ��!$Ia- �' LIDATION ART=HUR C. VEIT— CK MIO CASH SUPERVISING ELECTRICAL ENGINEER LALO 0 1 4 0 Q NAR 31 2 n - 14.4 ON WORKERS'COMPENSATION DECLARATION 10/8 CE-806G APPLICATION FOR ELECTRICAL PERMIT CE-806 I hereby affirm that I have a certificate of consent to self > insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELESBUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) ', O Policy No. Company FOR APPLICANT TO FILL IN JOB EACH NO. FEE ADDRESS fiij Certified copy is hereby furnished. New Residential Bldgs. &Pools. $ _ $ LOCALITY `T 0 Certified copy is filed with the county building inspec- 1 &2-Family, Sq.. Ft. NEAREST tion department. Multi-family Sq. Ft. CROSS ST. Date Applicant Residential Swimming.Pools OWNER RM NAME CERTIFICATE OF.EXEMPTION FROM WORKERS' Outlets: Rec.�L.ight�Sw. R MA COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by First 20INk the permit is for one hundred dollars:(;100)or less.) CITY Total No. Additional I certify that in the performance of the work for which this PLAN CHECK ' permit is issued,I shall not employ any person' any anner APPLICANT d ' so as to become subject To the Workers'Co s o L ws. Lighting Fixtures First 20 �/ ADDRESS` 04-It� I Additional Total No. CITY I. No. Date licant ' Fixed Appliances Not Over 1 HP PERMIT NOTICE T6 APPL CANT: If, after making this Certificillte of41 APPLICANT " Exemption, you should become subject to the W Range_ Heater_D.W. Compensation. provisions of the Labor Code, you must forth- l Oven —Dryer —W.M.— ADDRESS L with comply with such provisions or this permit shall be I Top _ FAU — CIT ' Tel. No ,- deemed revoked.ked. _ Fan _Other_ P LICENSED CONTRACTORS DECLARATION I LICENSE OR • I hereby affirm that I am licensed under provisions of Chapter 9 1 Disp. _ Room Air Cond. REG.NUMBER Class. (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCES D B* and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances Size&Type HP, KW, KVA, or KVAR- �/oi, License Number Lic. Class Up to 1 Incl. FINAL29 Over) to 10 Incl. DATE ' '"�° VALIDATION ContractorDate Over 10 to 50 Incl. (� ❑ FINAL I am exempt under Sec. Over 50 to 100'Inc. BY LU4 BAP.C. for-this reason a Services, Swbd.,MCC&Ponelboards Date: - 00 Amp. Under 600 V Signature 201 - 1000 Amp. n er ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances 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 Law for the following reason (Section 7031.5, Business and pp Profpssions Code): 10 I, as owner of the property, will do the work,and the Misc. Conduits&Conductors 15r-. 2.o o It 27" structure is not intended or offered for sale (Section Other'(See Complete Fee Schedule)_ ► o o o U 27 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 1222-92 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- ..",kender's Name PERMIT ISSUING FEE /0 56 Lender's Address 1 certify that I have read this application and state that the TOTAL FEE r above information is correct. I agree to comply with all County -- ordinances and State laws regulating Electrical wiring, and hereby auth 'ze r sentatives of this County to enter upon the a ov e ic perty for inspection pur oses. I + SEE REVERSE FOR EXPLANATORY LANGUAGEa A I( , Signature of Permittee ate � • I WORKERS'COMPENSATION DECLARATION '176A663E-806 ,D,B, CE-8o8G APPLICATION FOR ELECTRICAL PERMIT {� I hQgby affirm that I have a certificate of consent to self insure, LJ or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thefeof(Sec.3800,Lab.C.) w, FOR APPLICANT TO FILL IN JOB ®-) j r 9 ya Policy Nod Company ADDRESS fL/l f/ /-- ❑ Certified copy is he furnished. New Residential Bldgs.&Pools EACH NO. FEE F1 Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ _ _ $ LOCALIT department. Multi-family Sq.Ft. NEAREST CROSS ST. 14 /7 Residential Swimming Pools OWNER OR Date Applicant OR NAME 14, • ® 44 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec-Light-Sw._ MAIL COMPENSATION INSURANCE ADDRESS ® aV This section need not be completed If the work involved First 20 ( b P Y the CIT Tel.NY V 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 PLAN CHECK is issued, I shall not employ any person In any manner so as to APPLICANT become subject to the Workers'Compensation Lighting Fixtures First 20 ADDRESS o t WP . 0 Additional T� Total No. CITE Te Date < Applicant ` NOTICE TO APPLICANT: If, after making thistCensation o Fixed Appliances Not Over 1 HP PERMIT Exemption,you should become subject to the WorkeRange_ HeaterD.W. APPLICANTprovisions of the Labor Code, you must forthwith cOven _ Dryer_ W.M._ ADDRES e a provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. _ CIT .- &/rV Tel. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. UC NSE (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER ER Class. Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT s rJ ESSED Y I Size&Type HP,KW,KVA,or KVAR (�J( License Number Lic.Class Up to 1 Incl. FINAL j Over 1 to 10 Incl. DATE d �`'9 S VALIDATION 0 Contractor Date Over 10 to 50 Incl. 6 U BY NAL❑ I am exempt under Sec. Over 50 to 100 Inc. FIFI Over 100 C� W B.&P.C.for this reason �f N Services,Swbd.,MCC&Panelboards , "MDate: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits A'CT0Ta for the following reason(Section 7031.5,Business and Professions Code): 3307 25.' I,as owner•of the property,will do the work and the structure Misc.Conduits&Conductors 1 ITFA 3 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ ® TOTAL and Professions Code). CK CONSTRUCTION LENDING AGENCY �� O5 I hereby affirm that there is a construction lending agency for the CRAP performance of the work for which this permit is issued(Sec.3097, 'PERMIT FEE (Sub-Total) ° Civ.C.). Lender's Name PLAN CHECKING FEE 0000—M.)1 9/ 7/0 �°u PERMIT ISSUING FEE Lender's Address 5567 MOW I certify that I have read this application and state that the above TOTAL FEE J� I information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize i representeOfiSU to enter upon the above-mentioned propert r s i SEE REVERSE FOR EXPLANATORY LANGUAGE .. ignature Date