The URL can be used to link to this page

Home My Public Portal About10543 OLIVE ST_Electrical__ 76A669-C680610174 APPLICATIO . FOR EL rCTRICAL PERMIT a5 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS /Osy BUILDING AND SAFETY DIVISION LOCALITY QIf� NEAREST FOR APPLICANT TO FILL IN CROSS ST, p OUTLETS NO. EACH FEE OWNER OR t FIRM NAME RECEPT. $ Is ADAIL DRESS LIGHT TOTAL FIRST 20 O SWITCH 12- .10 OVER 20 CITY .�CHECK G� TEL. NO. LIGHTING TOTAL PLAN FIRST 20 APPLICANT FIXTURES J . �+ OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY r TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT LL6 ?/ G(' STA. COOK DISP. F.A.U. ADDRESS,94's—s- - e SPACE HTR. AIR COND. CITY ' CM TEL. NO..2 -07d9 CLOTHES WASH. DISHWASH. REG. NUMBER .S/ CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF } CALIFORNIA OR THAI' I AM THE LEGAL OWNER OF THE ABOVE O 1 - 10 3.00 DESCRIBED RESIDENTIAL PROPERTY. V PERMITEE _ 10 - 50 5.00 SIGNATURE Fes.. C.3 50 - 100 10A0 LLI DISTRICT NO. P SED BY ti 100 - 500 15.00 S Z SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC 'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.001 1 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED / FINAL / -29-77 PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 9 4 6 1rZQIDT 26 :2 D 1 1_3 0 ,&,46 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE V V url SA665_CE806 9-52 APPLICATION- FOR ELECTRICAL PERMIT Io ,5*3 COUNTY OF LOS ANGELES' ' DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY Te o A ��T NEAREST y,,11 FOR APPLICANT'TO FILL IN CROSS.ST. RECEPT. TOTAL NO. EACH FEE . D OUTLETS FIRST 2.0 >$2O V. P MWNER 1- T L L b LIGHT ADD+L fo ADDRESS SWITCH. /f ' OVER 20 TOTAL CITY TEL.NO. LIGHTING 1 FIRST 20 /p .20 � oO FIXTURES 1 /Q pADR 20 1O ELECTRICIAN RANGES CLO.DRYERS WTI.HTRS. 1.00 1 ADDRESS / 10 GARB.DISP. I BTA.COOK CITY oAl? �a TEL.NO. V. it 6 DISHWASH. AUTO.-WASH. STATE y LICENSE NO. x ZD SPACE XTRS. /BTA.APP.(+/a HM.MAX:) � .50 � DO MOTORS, OVER NOT OVER H.P. filqTRI, T O. GROUP ONE PROCESSED Y 0 1 1.001. 1 5 1.50 INSPECTION RECORD 4 5 e 2.00 .- 8 is 2.50 / ' �� % d O 1s so 5.00 , ® V 50 100 5.00 , ✓� O SIGNS: NO.TRANS. CJ I NO.LAMPS a SERVICE O•SOOV•NOT OVER 20OA 1.00 01D . Z SERVICE O-sOOV•OVER 200 A. 2.00 1-64 SERVICE OVER SOOV 5.00 W MISC. H' PERMIT ISSUING FEE 2.00 49 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE a /z , 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE' ANO STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE. ABOVE , DESCRIBED RESIDENTIA ROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITT FINAL IDATION ARTHUR C. VEIT SUPERVISING ELECTRICAL ENGINEER OIcCK MOCASH Li,i o 5 0 2 2 a OCT 19 2 D 1 2.5 0- y , J O WORKERS'COMPENSATION DECLARATION 20-0019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self ce�803aa insure,-or•o certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a cert figd c�ypy here�c)f(Spy 3800, Lab. C.) Poli No.fJ L�'� �omapany uKaw it � _ FOR APPLICANT TO FILL IN JOB ADDRESS Q Certified copy is hereby furnished. Jq�f New Residential Bldgs. &Pools EACH NO. FEE ` ❑ ZJ we Certified co is filed with the count building inv s ec- 1 &2-Family, S Ft. $ _ $ LOCALITY PY Y 9 P Y= q• tion department. Multi-family Sq. Ft. CROSS NEAREST T. Date Applicant s zb&w Ae Residential Swimming Pools pWtJERSOR 2 FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' —a�- � MAIL ' COMPENSATION INSURANCE Outlets: Rec Light Sw. o ADDRESS OrX first 20 � (This section need not be completed if the work Involved by Total No. Additional CITY Tel. No. the permit is for one hundred dollars($100)or less.) yy'' 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 Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU W.H. — deemed revoked. Hood — Fan Other— CITY Tel. NO. LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. — Room Air Cond. — Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY >_ and Professions Code,and my license is in full force and effect. O Size&Type HP, KW, KVA, or KVAR d, License Number 4-571 f l9k Lic. Class Up to 1 Incl. FINAL 0 �•- �gs,,,� v�� Over 1 to 10 Incl. DATELIZ ow 0 VALIDATION Contractor Lr . �La �e &� ate ❑ Over 10 to 50 Incl. FINAL _ F- F-1 I am exempt under Sec. Over 50 to 100 Inc. BY LLI B.&P.C. for this reason Over 100 a- Date: Services, Swbd.,MCC&Panelboards ® Z 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Mains. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole&Appurtenances y HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I.hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits _ Professions Code): ~r- ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for / ifJ it~ 1vz °fll the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE DO ;y_=�_ - �. _ e Lender's Address `'=T A Al'IT' I certify t I ave rea this ap !cation and state that the TOTAL FEE Lordin e i ormati is car, ct. I agr to comply with all County ces andtote s regul Ing Electrical wiring, and a tatives this County to enter upona o e-me ort P_ ;rty spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Dat ®a