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HomeMy Public PortalAbout10643 OLIVE ST_Electrical__ CITY, IAGSS-CESCS 10-61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER F LDING BUILDING AND SAFETY DIVISION ADDRESS."m .8 �. JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING ALITY REST FOR APPLICANT TO FILL IN SS ST. _ I T E M NO. EACH FEE - oUTLE'1S (FIRST 20) 3 '$ $ OWNER' LIGHTS RECEPT. SW. •2O O MAIL - -- -- OUTLETS: (ADD'L UNITS) 1O ADDRESS LIGHTS RECEPT. SW. , LIGHTING FIXTURES. (FIRST 20) tPO CIT ++ TEL.NO. LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN Co s�f� RANGES CLO.DRYERS WTR:HTRS. 1.00 ADDRES, V��• GARB.DISP. STA.COOK Cl TEL.NO. O DISHWASH. AUTO.-WASH. STATE / O j SPACE HTRS. STA.APP.(Va'H:P.MAX.)' .50 LICENSE NO. 10 / MOTORS: OVER NOT OVER H.P. DISICT NO. GROUP Z NE PR ESSED Y O 1 1:00 - 1 5 1.50 INSPEC .1 15ECO.RD S 8 2.00 a 8' 15 .2.50 U 1550 5.00 ahs 1 Aw"." .r4rr !/ _ s0 100 1 jr,.00 ► f�/` �.. I'/#-. •�'� f/ I fir' Ir" /a D. SIGNS: NO.TRANS. NO.LAMPS i' .rte✓i r . SERVICE 0.000V-NOT OVER 200A 1.00 1 rY•G.' °3-4 4`t�:t'�1 I/'n" - SERVICE 0-600V-OVER 200 A. 2.00 `_. �}- e` V- i'' °G'Gs' 2:�• /_,w'A<3 •& SERVICE OVER 600V 5.00. N 21t. misc. v PERMIT ISSUING FEE 2.00duo SUPPLEMENTARY jPERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 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 n ELECTRICAL WIRING. WIRING �✓/ Y I HEREBY CERTIFY THAT 1 AM PROPERLY. REGISTERED AND/OR LICENSED AS REQUIRED 13Y LOS ANGELES COUNTY AND'STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIOENTI ROPERTY. POWER _ SIGNATURE • UTILITY CO.NOTIFIED OF PERM[TTE FINAL OLIDATION ARTHUR C. VETT r KMO CASH SUPERVISING ELECTRICAL ENGINEER - Li Uo 8124(- DEC 7 2:p 4.20- �. F `T­cMPLGet�'. 16AS63-CES06 6-62 APPLICATION FOR ELECTRICAL PERMrT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS: C� JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALIT ode 1 - NEAREST Ll FOR APPLICANT TO FILL IN CROSS ST. L /u-0'v i.6 A w� RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 ffi 2O ffi OWNER LIGHT MAIL g ADO'L 10 ADDSEB C. SWITCH. OVER 20 CI TEL.NO. '� Q LIGHTING TOTAL l FIRST 20 .20 FIXTURES 1 ADO'L �p ELECTRICIAN OV9R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRES .:r o GARB.DISPJ,-'O' STA.COOK CITY TEL.NO. O O DISHWASH. AUTO.-WASH. STATE G/ 81-ACE HTRS. BTA.APP (V=X.P.MAX.) .50 LICENSE.NO. Q MOTORSs OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED BY 0 1 .1.00 08 A - f eleD10 1 3 1.so INSPECTION RECORD. s a 2.00 a to 2.50 15 so 3.00 a so 100 5.00 0 SIGNSs NO.TRANS. cc NO.LAMPS Q SERVICE 0.600V-NOT OVER 200A 1.00 Lli b SERVICE 0.600V-OVER 200 A. 2.00 N SERVICE OVER 600V 5.00 ? MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE ffi I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INWRCTOR'B 610MATURE - AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT / a WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY L06 ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL ROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL /lY�n J �'r%sv _%`s ✓� �LI ARTHUR C. VETT - C MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER L jUo 4 2 5 G'ia' i:Ay 3 2 D 2.5 0 '°"°°'`e °°°R,°''' APPLICATION F R ELk7RICAL PERMIT ,1Ol7NTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB / t j BUILDING AND SAFETY DIVISION ADDRESS V 3 OU FOR APPLICANT TO FILL IN LOCALITY LI New Residential Bldgs.&Pools EACH NO. FEE NEAREST $ — 1 &2-Family,Sq.Ft. 4 025 $ CROSS ST. OWNER OR Multi-family Sq.Ft. 02 — FIRM.NAME Residential Swimming Pools 25.00 DDRESS L (� Outlets:Rec��LightvSw.-7-- CITY Tel'.No. First 20 •50 PLAN.CHE K Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CIfiY Tel.No. Additional .30 PERMIT Total NO. �_ APPLICANT Fixed Appliances Not Over 1 HP 'ADDRESS Range_Heater_D.W. CITY Oven—Dryer�W.M.J� LICENSE OR Top —FAU —W.H._ REG.NUMBER Class. Hood_Fan _Other- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE Disp. _Room Air Cond. .2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP,KW,KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABCRIBED RESIDENT PROPERTY: C Over 1 to 101ncl. 5.00 Over 10 to 50 Incl. 12.50 PERMITTEE c Over 50 to 100 Inc. 25.00 SIGNATURE. b Over 100 40.00 DISTRICT NO. P ESS BY H Services 200 Amp Under'600 V 12.50 APPROVALS ISIGNATURE NSPECTOR'S201-1000 Amp.Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE Temp.Power Pole&Appurtenances , 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT 2.00 WIRING Additional Sign Branch Circuits Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Schedule! POWER AUTHORIZED �f UTILITY CO.NOTIFIED FIAL PERMIT FEE (Sub-Total! NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIPISSUING FEE $7.00 7 TOTAL FEE L3 PLAN CHECK VALIDATION CK. M.O. CASH gEVALIDATION CK: M.O. CASH .' R:�N 0 3 8.5 a SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE )r WORKERS'COMPENSATION DECLARATION 1 76AB83 10181 h'fiereby 1Ilfirm' that I have a certificate of consent to self insure, CE-806.131 ARPUCATION FOR ELECTRICAL PERMIT oP a certificate of Workers'Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy No. Companl FOR APPLICANT TO FILL IN JOB �/ ❑ EACH NO. FEE ADDRESS (� Certified copy is hereby fyrnlshed. New Residential Bldgs.&Pools ❑ FilSFt 1 &2-Family, q. . $ — $ LOCALITY Certified copy is filed'with the county building inspection department. Multi-family Sq.Ft. NEAREST CROSS ST: Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Rec Light Sw. y�_ MAIL. J COMPENSATION INSURANCE Outlets: / ADDRESS. e (This section need not be completed If the work Involved by theFirst 20 permit is for one hundred dollars($100)or less.) Total No. Addi4tional CITY C , Tel.No. I certify that in the performance of'the work for which this permit PLAN CHECK is issued,.) shall riotemploy any person in any manner so as to APPLICANT' , become subject to the Workers'Compensation:Laws. Lighting Fixtures First 20 ADDRESS Additional 1 Total No.�'� CITY Tel No. Date Applicant Fixed Appliances Not Over 1 HP. , NOTICE TO,APPLICANT: If, after making this Certificate ofPERMIT APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. provisions of the Labor Code,you must forthwith comply with such Oven — Dryer_ W.M._ ADDRESS provisions or this,permit shall be.deemed revoked. Top FAU' ._ W.H. _ , ., LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY Tel..-No. I hereby affirm,that I am,licensed under provisions, of Chapter 9 LICENSE OR (commencing,with Section 7000)of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER Class' Professions Code,and.my license is in full force and effect. DISTRICT No. PROCESSED BY Power Apparatus&Large Appliances _ License Number —Lir-Class Size&Type HP,KW,KVA,or KVAR �O n Up to'1'Inc]. FINAL Over 1 to 10 Incl. DATE v VALIDATION �. Contractor Date Over 10 to 50 Iricl. FINAL ❑ I am exempt under Sec. Over 50'to 100 Inc. BY W BAP.C.for this reason Over 1.00 NI 'Services,Swbd.,MCC&Panelboards Z Date: 0-200 Amp.Under 600 V Signature 20.1 1000 Amp.Under 600 V Over 1000 Amp.or Over 800 V ❑ Exemption for Reg.Maint.Elect. SINGLE FAMILY Temri,Power Pole&Appurtenances , HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit _ I hereby affirm that I am exempt'from the Contractor's License taw Additional Sign Branch Circuits for the following reason.(Section 7031.5,Business and Professions Come): 329'17 I,as owner of the property,wMisc.Conduits&Conductors is do the work and the structure is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ and Professions.Code). ►, H 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(Sec,-3097, PERMIT FEE• (Sub Total) '� Etr:'3� _'-' Civ.C.). PLAN CHECKING FEE i1LLIJ.�Vv'1�.,1 lir' F�r"i=. Lender's Name PERMIT ISSUING FEE Lender's Address Joe'. I certify that I have read this.application and state that the above TOTAL FEE; �Q information is correct.I.agree•to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of his County toe r upon the above-mentioned propert for l e ion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE $lg ure o Permittee ttat -14e ,