Loading...
HomeMy Public PortalAbout10409 OLIVE ST_Electrical__ FGA663-CESOB.7 APPLICATION FOR ELECTRIC PERMIT BO i!6G AND SAFETY DIVISION Department of County Engineer BUILDING w County of LDs Angeles ADDRES8 D D ef JOHN A.LAM131E. COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. _ PERM FEES [NUMBER OWNERLIGHT OUTLETS MAIL ADDRESS RECEPTACLES WALL SWITCHES FEE CITY TEL.NO. TOTAL OUTLETS 0 5¢ $ ELECTRICIAN ELEC.RANGES 25 ADDRESS ELEC.HEATERS 25CITY TEL.NO. KW EA STATE FIXTURES 5 LICENSE NO. MOTORS DISTRICT NO. GRQUP ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE _ I I / NEW MVD. HP OVER INC. EACH &LESS $ .25 INSPECTION RECORD lh 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MI NO.SIGNS NO.TRANS. ; NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 4'O FIXTURE PERMIT $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE DATE INSPECTORS SIGNATURE IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT I AM THE EG NER OF THE ABOVE DESCRIBED RESIDENTIA OP UTILITY CO.NOTIFIED SIGNATURE OF PERM TTE FINAL - 7 7. y J ?/! !'L:! ..� IOUN A.LGINEER .IDATION ARTHUR C.VETT. BOUNTY ENGINEER �j SUPERVISING ELECTRICAL ENGINEER CK MO CASH ;_� FSACO.CE608.•10.55 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING,AND SAFETY DMSION Deportment of County Engineer BUILDING r County of LOS Angeles ADDRESS JOHN A.LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN.SUP'T OF BUILDING LOCALITY t 40 NEAREST 7LLIGHTS OR APPLICANT TO FILL IN CROSS T PERMIT FEES OWNER RECEPTACLES SWITCHES 1 T E M EACH FEE MAIL ADDRESS OUTLETS $ ,10 S �' ELEC. RANGES, WATER HEATERS, CITY NO' CLOTHES DRYERS .50 ELEC. SPACE HEATERS,'STAT•Y. COOK- ELECTRICIAN r '� INS. UNITS, GARBAGE DISPOSERSK ADDRES S QQQ AUTO WASHERS, DISHWASHER :25 LIGHTING FIXTURES 10CITY TEL.NO MOTORS STATE LICENSE NO. fP HORSEPOWER H.P: OVER INC. DISTRIC O. GR ZONE. READY FOR INSPECTION Va&LESS .25 t4- / 14 - 2 . .50 7`JO INSPECTION RECORD 2 S 1.00 5 /'.0f15 1.50 "➢� .f. �/- ///I 1S 50 2.50 4" /Y 50 200 5.00 MIBC. SIGNS I NO.TRANS NO.LAMPS SERVICE O-GOOV 1.00 SERVICE OVER 500V 5.00 WIRING PERMIT 1.00 d FIXTURE PERMIT 1.00 Q 0 SUPPLEMENTARY PERMIT 50 TOTAL FEE 8 APPROVALS ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP CATION DATE INSPECTOR'S SIGNATU AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING :�L_ ELECTRICAL WIRING. WIRING 7-'1/ (/LC 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES o LICENSED AS REQUIRED BY LOS 6AGELES COUNTY AND STATE OF CALIFORNIA OR THA T L OWNER OF THE ABOVI POWER DESCRIBED RES, S16NATURB UTILITY CO.NOTIFIED_ /0/'+ OF PERMITTE / y:y FINAL 6.�wLd+.� IOHN A.._LAMBIE. VALIDATION ARTHUR C.VETT. .OYNTY NGINEER CK No CASH SUPERVISING ELECTRICAL ENGINEER 76A66C-CE#806 5.61 APPLICATION FOR ELECTRICAL PE IT COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING / BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNER 1 T E M NUMBER EACH FEE MAIL OUTLET S S ADDRESS LIGHTS RECEPT. SW. .1O D CITY , NOIg . LIGHTING FIXTURES 10 D ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS ,25 LICENSE NO. Z 3 MOTORS: OVER INC. H.P. DISTRICT N G Z NE/ P O— '/Z .25 J I 1/a— 2 450 INSPECTION RECORD 2— 5 1.00 �. S— 15 1.50 V Is— 50 2.50 OG SO— 200 5.00 U SIGNS: NO TRANS. H NO.LAMPS ..e SERVICE 0-60OV 1.00 SERVICE OVER 600V 5.00 MISC. �. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 ov SUPPLEMENTARY PERMIT 50 TOTAL FEE S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. G WIRING J m ) 10JJr' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF x: FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED REBID EN OPERTY. ;' POWER SIGNATURE fi' UTILITY CO.NOTIFIED OF PERMITTEE ` FINAL /6 '�te- 7•' 1 VALIDATI ARTHUR C. VEIT CK Mo cash SUPERVISING ELECTRICAL ENGINEER 1- 6 U 3 .75 5 t . J V N.r 'COMPENSATION DECLARATION j, 76-683 10/81 APPLICATION FOR ELECTRICAL PERMIT hereby aff'irrri zt 1 have a certificate of consent to self insure, {. CE-806C3 or a cVificate of Workers' Compensation Insurance, or a.certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof.(Sec.3800,Lab.C.) ! I Policy No. Company FOR APPLICANT TO FILL IN JOB r ❑ Certified copy is hereby furnished: EACH NO. FEE ADDRESS � New Residential Bldgs.&Pools ❑ 1 &2-Family,Sq.Ft. $ — $ LOCALITY Certified .copy is -filed with the county building inspection _ department. Multi-family Sq.Ft. NEAREST CROSS Date Applicant j Residential Swimming Pools OWNER OR I e FIRM NAME ` CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rao Light—Sw._ MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the.work involved Eby the First 20 permit Is for one hundred dollars($100)or less.) „ Total No. Additional CITY Tel,.No. I certify that in the performance of the work for which this,.permit PLANra HECK APPLICANT 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 Total No. CITY Tel.No. Date. 37dApplica k I Fixed Appliances Not Over 1 HP NOT T APPLICANT: If, after making this Certificate Of PERMIT Exemption,you should become subject to the Workers'Compensation. Range_ Heater_ D.W. APPLICA. provisions,of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS -r provisions or this permit shall be deemed-revoked. Top _ FAU _ W.H. _ LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_' '. CITY Tel.N 1 hereby affirm that I am Licensed under provisions of Chapter .9.. Disp. — Room Air`Cond. LICENSE OR s, (commencing with Section 700Q)of Division 3 of the Business andr. REG.NUMBER ,� Professions Code,and my license is in.full force and effect. ! DISTRICT NO. PROC SSE � Power Apparatus&Large Appliances ' p� Size&Type HP,KW,KVA,or KVAR O License Numbe�yf7 �2 -Licc.Class C.��IG� Up to 1 Incl. FINAL Over 1'to 10 Incl. DATE &11h�, VALIDATION GContrac}� �-""TDateOver 10 to 50 Incl. FINAL �j ❑ I am exempt under Sec: b Over 50 to 100 Inc. BY B.&P.C.for this reason Over 100 f . vTT N Services,Swbd.;MCC&Panelboards Date: 0 200 Amp.Under 600'V Signature ' / %' 201 - 1000 Amp.Under 600 V f' Over 1000 Amp:or-Over 600 V r ❑ Exemption for Reg.Majnt.Elect 2 SINGLE AMILY Temp.Power Pole&Appurtenances ;( °v HOME OWNER- ,ILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am mpt from the-Contractor's License Law. '73 7 �:' for-the following reason action 7031.5,Business and Professions Additional Sign Branch Circuits J'i Code): 1 ITEMS ❑ e Misc.Conduits&.Conductors TOTAL' 40 m 0C) I,as owns f the property,Will do the work and the structure l is not 1 nded or offered for sale (Section 7044,:Business Other(See Complete Fee Schedule) and P essions Code). ® '+HECK �rq°QO CONSTRUCTION LENDING AGENCY # I CHANGE I hereby affilm that there is a construction lending agency for the i perform nce of the work for which this permit is issued.(Sec.3097, PERMIT FEE p (Sub-Total) Civ,C.). 0 4�—fl1301 4/ 4/90 • PLAN CHECKING FEE I Lender's.Name � E 9896 1 AM 7°411 PERMIT ISSUING FEE Lender's Address I certify that.I,have read this application and state that.the abode TOTAL'FEE information Is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize. representativei of this County to enter upon the above-mentioned property or�� CL mapsction pd-� %T�/\/ SEE REVERSE FOR EXPLANATORY LANGUAGE , C 9 / V Signature of Permittee Date