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Home My Public Portal About10616 OLIVE ST_Electrical__ TEMP , ` °A °E80B10-6° APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING f BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PEMT FEES CROSS ST loop- ITEM NUMEMR.1 EACH FEE OWNER OUTLE MAIL LIGHTS, RECE SW. ,1O ADDRESS (p �r- LIGHTING FIXTU S 10 CITY ELEC.RANGES CLO.DRYERS 'ELECTRICIAN WATER HEATERS .50 ADDRESS ollf ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. `DISTRIC�NO. UP ZONE I PR CESS D'B 0— 1/2 .25 y_10 1/2— 2 .50 INSPECTION RECORD 2— s 1.00 / /pA..} /f q 18— SO 2.50 /'A.•F'_, c .s"�-'/� k'�i�/� �Ar£.+ �l?� J 50-200 5.00 SIGNS: NO.TRANS. �`f'��` •`?, f�1t'JI aLFT L. —�°' NO.LAMPS t SERVICED-600V 1.00 � ' A ,a-r SERVICE OVER 600V 5.00 � �A MISC. Yc1 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 50 TOTAL FEE S� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS _ DATE INSPECTOR'S SIGNATURE LCALIFORNIA TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY L COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT AL WIRING. BY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING N AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES IA OR THAT 1 AM THE LEGAL OWNER OF HE ABOVE D RESIDENT AL PROPERTY. POWER RE ILITYCO.NOTIFIED RMITTE n' FINALe`1✓��•�1� k��– �./ VALIDATION ARTHUR CK NO CASH' C.VETT, SUPERVISIfVG ELECTRICAL ENGINEER U,JU n r .> �'! ♦J OCT ' 5 S 2 D 2._-3) '-'- �. 7BABB8 APPLICATION FOR ELECTRIC PERMIT DBS.BA 11.88 DIVISION OF BUILD= AND SMM- yE Department of County Engineer BUILDING • County of Los Angeles ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY FOR APPLICANTTO FILL IN NEAREsr PEUM FUS c oss sr.. NUMBER OWNER Agf LIGHT OUTLETS MAIL �..r RECEPTACLES ADDRESS WALL SWITCHES FEE �— - CITY N TOTAL OUTLETS ® s¢ $ ELECTRICIAN ELEC.RANGES 25 ADDRESS ELEC.HEATERS 25 dr KW EA CITY TEL.NO. STATE FIXTURES S LICENSE NO. MOTORS DISTRICT GROU ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE • I )I Z�. NEW MVD. HP OVER INC. EACH - •[+ %&LESS 8-25 INSPECTION RECORD % a .so 2 S 1.00 5 Is 1.60 1S so 2.50 so 200 6.00 MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1'.CO FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I. HAVE READ THIS APgIONAND STATE THAT THE ABOVE.IS CORRECT AND.AGREE TCONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. �r I HEREBY CERTIFY THAT i AE PROPERLY REGI RED AHD/OR FIXTURES �7 li4ir LICENSED AS REQUIRa ANGELES COU ND STATE OF' CALIFORNIA OR THATE L 0 R THE ABOVE POWER DESCRIBED RESIDENTITY. UTIt.1TY CO.NOTIFIED -� �/ SIGNATURE fl OF PERMITTEE FINAL IOHN A.LAMBIE,CoU ENGINEERATION ARTHUR.C.VEIT.CHIEF ELECT.INSPECTOR CK LMOO CASH ,�&6 7 3 £N ALU 7 2 5.9 0 e . WORKERS'COMPENSATIONDECLARATION I APPLICATION FOR ELECTRICAL PERMIT �; CE-806G 12-80� I hereby affirm that I have a certificate of consent to self I COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or , a certified copy thereof(Sec.3800,Lab..C.) Policy �'. Company— FOR APPLICANT TO FILL IN JOB EACH. NO. FEE ADDRESS 0L_%Vt� yy�� New Residential Bldgs.&Pools ��p� Certified copy is hereby furnished. i 1 &2-Family,Sq.Ft. $ — $- LOCALITY T (� Ft. NEARES CROSS ST dprIC— ed copy is filed with the county building inspection l Swimming departpart ment. esidentiaPoo s OWNER OR FIRM NAME A n 1T0 Q Date ��ra —Applicant Outlets.: Rec.—Light Sw. ADDRESS dl.W� First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' } Total No. Additional CITYf Tel No. COMPENSATION INSURANCE ` C't �� • PLAN CHECK d APPLICANT A. fL (This section need not be completed if the work involved �µ U by the permit4s for one hundred dollus• ($100) or less.) . Lighting FixturesFirst Additional ADDRESS �tI� 4, b, • o I certify that in the performance of the work for which this Total No. �S` CITY _ e. Tel No. 0 Fixed Appliances Not Over 1 HP C9@M� � V permit is issued, I shall not employ any person in any manner PERMIT � _` Pofl� W so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT f; _" d oven, Dryer_•W.M._ ADDRESSg g U) Date Applicant Top _.FAU _W.H. — Hood. _Fan _Other= CITY Go�or��,1 Tel No. Ztiff.1� NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond._, LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER 1�5�e'C Class G Compensation provisions of the Labor Code,.you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions. or this permit, shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR O Up to 1 Incl. FINAL Over Tto 1.0 Incl. DATE / y LICENSED CONTRACTORS DECLARATIONOver 10 to 50 Incl. ` �v VALI DATION I hereby affirm that I am licensed under provisions of Chapter Oder 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of thb Busi- Over 100 BY ness and Professions.Code,and my'license is in full force and _ effect. �r'�r w' Services License Number As�1� Lic.Class ~S � 0-2.00 Amp.Under 600 V l � 201-1000 Amp.Under 600 V Contractoz� 9d41/rs Date Over 1000 Amp.or Over•600 V HOME OWNER BUILDER DECLARATION Temp.Power Pole&Appurtenances is I hereby affirm that I am exempt from the Contractor's Sign-with One Branch Circuit License Law for the following reason (Section 7031.5., Busi- Additional Sign Branch Circuits nest and Professions Cdde): ' Misc:Conduits&Conductors f •0 0 0 0 0 I; El I, as owner of the property, will do the work and the 'Other(See Complete Fee Schedule)— ' structure is not intended or offered for sale (Sectionu 0 3`1 50 704.4,Business and.Professions Code). CONSTRUCTION LENDING AGENCYo 0 o z :• T I hereby affirm that there is 'a construction lending agency v,�, ' for the performance of the.work for which this permit is PERMIT FEE issued(Sec.30979 Civ.C.). (Sub-Total) 7, �6.—Qi 2 Lender's NamePLAN CHECKING FEE (One-Fourth Permit Fee) ' Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the L TOTAL FEE above information is correct.I agree to comply with all County ordinance and State laws regulating Electrical wiring, and hereby a oriza repress tives of this County to enter upon ') the a entio pro rty for inspection purp es. SEE'REVERSE FOR EXPLANATORY LANGUAGE 0%9Igna re•of erinittee Day WORKERS'COMPENSATION DECLARATION '76A66310/81 1 heby affirm that l.,have.,p certificate of consent to self CE-806G APPLICATION FOR ELECTRICAL PERMIT 4• insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certifibd copy Xereof (Sec. 3800, Lab. C.) -Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE 1 &2=Famil S Ft. $ _ $ LOCALITY Certified copy is filed with the county building inspec-. y q• NEAREST tion department. Multi-family Sq. Ft. CROSS ST. Residential Swimming PoolsF. OWNER OR Date Applicant �- FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' OutletsYRec4 Light Sw.jL MAIL COMPENSATION INSURANCE 20 ADDRESS tThis section need not be completed if the work Involved b First ti he permit is for one hundred dollars(;100)or less.) 1/ Total No. Additional CITY Tel. No I certify that in the performance o hick this PLAN CHECK permit is issued,I shall not empl ers an manner APPLICANT so as m�toiissued, me subject t the r er a n Laws. Lighting Fixtut First 20 ADDRESS Additional I Total No. CITY I. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, aft i this Certificate of I APPLICANT Exemption, you should beco s b' ct to the Workers' Range_ Heater—D.W. Compensation provisions of the ode; you must forth- Oven _Dryer _W.M.— ADDRESS with comply with such provisions or this permit shall. be Top — FAL, —W.H. — ' deemed revoked. Hood =Fan _Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR ['hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond: REG.NUMBER Class. (commencing with Section 7000)of Division 3.of the Business DISTRICT NO. PROCES Y Power Apparatus&Large Appliances L- and Professions Code,and my license is in full force and effect. 5 c � Size&Type HP, KW, KVA, or KVAR' O License Number Lic. Class Up to 1 Incl. FINAL. ; V ( Over 1 to 10'Incl. DATE ` VA ATION 0 Contractor Date Over 10 to 50 Incl. FINAL ' A I am exempt under Sec. Over 50 to 100'Inc. oil BY BAP.C. for this reason Over 100 H ' Services, Swbd., MCC&Panelboards , Date: 0 -200 Amp. Under 600 V Signature 201 - 1.000'Amp. Under 600 V ❑ 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 ;2246 1 A 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 # o o 0 0 0 'z irstructure sions Code):I, as owner of the property, will do the work and the Mise. Conduits&Conductors o o 3QQQ is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 0 0 0 30,005 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY j a 7,l 6-85 1 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 Lender's Name PERMIT ISSUING FEE I Lender's Address I certify that I have read this application and state that the TOTAL FEE i + above infor is correct. I agree to comply with all County nd St a laws regulating Electrical wiring, and ' V re resentatives of this County to enter upon t+ ne property for iN;F SEE REVERSE FOR EXPLANATORY LANGUAGE Permittee