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Home My Public Portal About10412 OLIVE ST_Electrical__ 76A663-CE606 11/70 APPLICATION FOR ELECTRICAL PERMIT LJ COUNTY OF LOS ANGELES r DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION ER BUILDING /J , i/k s� ADDRESS COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING LOCALITY G+ NEAREST FOR APPLICANT TO FILL'IN CROSS ST. L/ OUTLETS NO. EACH FEE $ OWNER J i MAIL RECEPT._ ADDRESS (, 17'LIGHT TOTAL FIRST 20 25 CITY' g TEL. NO.g-7 9 GL� SWITCH OVER 20 .10 PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 •10 ADDRESS APPLIANCES CITY TEL. No. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR'COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM T HE LEGAL OWNER OF, AND INTEND TO }• 1 — 10 3,00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O 10 — 50 5.00 SIGNATURE � V OF PERMITTEE �liL�a� /ff/YWr� 50 — 100 10.00 O DISTRICTNO CLASS ZON 100 - 500 15.00 �!�d wn. SIGN, GASSIGN AND ONE.CIRCUIT 5.60 NOTES: h Z TUBE, OR — MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 �3 Qv SERVICEOVER600VOLTSOR200AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVI CE,POLE,&APPU RTENAN CES 5.00 TEMP LIGHT OR RECEPT, SYSTEM 3.00 UNOERSLAB WORK ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORI71ED 3 � 7 Z UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 JOSEPH C. ROOFIAN . TOTAL FEE &-o SUPERVISING E ECT •CAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. . CASH PERMIT VALIDATION CK. 1 M.O. CASH L, Go 4 8 2 2 N PAR 9 2 D 6,Q QN c: SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ i r '6A6.63-CE606 8-62 APPLICATION FOR ELECTReC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FABR' NG BUILDING AND SAFETY DIVISION S JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT oR BUILDING TY J `✓! FOR APPLICANT'TO FILL IN ST.. _ l •RECEPT, TOTAL NO. EACH FEE OUTLETS IRST 20 .20 $ OWNER' LIGHT MAIL i4DD'L 10 ADDRESS SWITCH. OVER 20 . CITY TEL':NO LIGHTING TOTAL l FIRST 20 .20 • FIXTURES 1 OV ADD'L R 0 tp ELECTRICIAN 2 o®� RANGES CLO.DRYERS WTR.HTRS. 1.Oo ADDRESS I" POE GARB.DISP. ' STA.COOK ..CITY TEL.NJE DISHWASH. AUTO.-WASH. STATE � ) SPACE HTRS. STA.:APP.(Vs H.P.MAX.) .50 ICENSE'NO.. / MOTORS: :OVgR NOT OVER H.P. SEED BY . DISTRICT NO. G} QUP NE• PR 1 1.00 1 31.so �� f IN8P�CTION RECORD 9 S 2.00 :1�l '� 1�1r+✓?�:Cf� /' 1° i J...J r-'^1f�.�� • s ' � is i.50. . 15 so 3.00. �- " d S0 100 '5.00 CI U. SIGNS: NO.TRANS. ad NO.LAMPS - - �0 SERVICE.O.600V-NoTovaIt:200A 1.00 W SERVICE 0.600V-OVER 200 A. 2.00 N SERVICE OVER 600V 5.00: ? 'MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING.FEE 11.00 TOTAL FEE $ I I HEREBY ACKNOWLEDGE THAT 1 HAVE'READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE C AND STATE.THAT THE ABOVE IS ORRECT AND AGREE TO COMPLY .CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. �• WIRING 1 HEREBY CEZTHAETI PROPERLY EGISTERED AND/ORLICENSED•AS ANGELES' MTV AND.STATE OF FIXTURES CALIFORNIA OE LE L ER F THE ABOVE DESCRIBED RESTY. POWERSIGNATURE 6TILITY:CO.NOTIFIED OF PERMITT FINAL' �� IDATION.."'. ARTHUR C:VEIT CK MO ' CASH SUPERVISING ELECTRICAL ENGINEER 5 4 0 3 2 9 ? D 15,0 nN * 4 • WORKERS'COIVLPENSATION DECLARiiTICFJ 76AW w3�s� ' APPLICATION �CIR ELECTRICAL PERMIT Q '1 it oVirm that I have a certificate of consent to self/": cE t 6G � �e „nsure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof(Sec. 3800, Lab. C.) _ • JOBffr�y /� No. FOR APPLICANT TO FILL IN Company ADDRESS V v ' Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO FEE Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ = $ LOCALITY 7--ex, tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST. Date Applicant OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' no /r/ / ) FMAIL q IRM NAME ^^�� !t/rl37. COMPENSATION INSURANCE Outlets: Rec Light F Sw. 2-0 15 _ADDRESS G_ �' ��'� First 20 uu (This section need not be completed If the work Involved by Total No. Additional CITY r �`�[` T.I. No.l! the permit is for one hundred dollars($100)or less.) PLAN CHECK 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 FixturesFirst 20 ADDRESS �f p Total No.� Additional CITY Tel. No. No Date -�- Applicant "v G L Fixed Appliances t Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of ` n - Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS tfq �P with comply with such provisions or this permit shall be Top — FAU —W.H. — / _ deemed revoked. CITY C0 Vi-LC Tel. No. Hood — Fan —Other— LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. — Room Air Cond. — Class. 1 I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER n L L (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT PR SSED BY d and Professions Code,and my license is in full force and effect. Size&Type HP, KW, KVA, or KVAR V i O License Number .�I �919 S— Lic. Class !y Up to 1 Incl. FINAL V DATE RW ��, Over 1 to 10 Incl. VALIDATION O Contractorr•d1 R`•`•j- Date ��,G ❑ Over 10 to 50 Incl. FINAL Z U I am exempt under Sec. T— Over 50 to 100 Inc. BY Z B.&P.C. for this reason Over 100 Z�L ` d Services, Swbd., MCC&Ponelboards �f1•® Z Date: it,Jl 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V El �3 Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V Z. SINGLE FAMILY Temp. Power Pole&Appurtenances ��'i°� HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit �3�1% 59.01-1, Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): 1 T T ME ElConduits&Conductors TOM- I, as owner of the property, will do the work and the Misc. ® _s9 o 00 structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ Business and Professions Code). CECK 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.). aaIII 0-Ficc.I I1! 6,'.=9 PLAN CHECKING FEE Lender's Name 6573 1 AN �is PERMIT ISSUING FEE Lender's Address TOTAL FEE I certify that I have read this application and state that the '00 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-me tioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date