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Home My Public Portal About9077 OLIVE ST_Electrical__ 76A653-CEB'O6 Z2-65 APPLICATION FOR ELECT ICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS b7 CIL ST JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING. LOCALITY 7' T<5 . NEAREST FOR APPLICANT TO FILL IN CROSS ST. _FL)C.rpqpjq RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 .20 S OWNER l LIGHT MAIL SWITCH r ADD'L 10 ADDRESS 7, �. � sr OVER.20 TOTAL FIRST 2020 CITY g'GS TEL.NO. /S LIGHTING 1_1ADDI FIXTURESFIXTURES 10CONTRACTOR �I OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARS.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE ' SPACE HTRS. STA. APPL. .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. GUQUP I Z E_ PROC SED BY ` O 1 ' .1.00 f D �r O .J` / ' > 1 s 1.50 INSPECTION RECORD n. O S S 2.00 U m e Is 0.50 O 1s so 3.00 b o. SO. 100 5.00 Z SIGNS: NO.TRANS. NO.LAMPS SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0.60OV-OvER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) IjQ I' ./iLl f r PERMIT ISSUING FEE 2.00 6v SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE UTILITY CO.NOTIFIED Ztaa OF PERMITTEE FINAL LIDATION JOSEPH C. ROOHAN (:CK MO CASH SUPERVISING ELECTRICAL ENGINEER -ACo 2 4 6 4ZISO JUN 2 2 D 4.6 0- . 76AS63-CEBOS 10/74 APPLICAT R ELECTkICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION ER ADDRESS E. Olive St. LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. SU.1 ana OUTLETS N0. EACHFEE OWNER OR FIRM NAME Rolf L. Henriks RECEPT.,W S $ MAIL T+ LIGHT TOTAL FIRST 20 �d ADDRESS 9077,[E. Olive St. SWITCH //yyJJ_ OVER 20 CITY Tem le vitt TEL. N0285-8406 PLAN CHECK LIGHTING � FIRST 20 ,25 tl. APPLICANT Owner TOTAL OVER 20 Q FIXTURES a- .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER yWTR. HTR. APPLICANT Owner STA, COOK DI SP. . F.A.I.J. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. 3-' OISHWASH. 6� RELICENSE NNUMBER CLASS. FAN V OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I 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 S 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 THAI' I AM THE LEGAL OWNER OF THE ABOVE a 1 - 10 3.00 DESCRIBED REf�NT1A PROPERT`. CD. 10 - 50 5.00 PERMITEESIGNATURE CD H 50 - 100 10.00 W DISTRICT NO. �i P ED BY . Cl- 100 100 - 500 15.00 .5 1 SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC RIS SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOT OVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT A TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL 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 • 904�DCT 22 2 D 20.25 '&; SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE FSA668-CEBOG 10-62 APPLICATION FOR EL • CTRICAL PER • IT COUNTY OF LOS ANGELES DEPARTMENT BUILD NG AND SA ETY DIVISION OF COUNTY ER ADDRESS p JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. -sol-7-44m RECEPT. TOTAL NO. IEACH FEE - OUTLETS FIRST 20 $1.20 111OWNER , 2 LIGHT l(o aDD'L MAIL SWITCH. Z ��1/ OVER 20 .10 ADDR�ES}S. LIGHTING TOTAL FIRST 20 .20 CITY /C� TEL.NO. /S FIXTURES ADD'L OVER 20 .10 ELECTRICIAN RANGES CLO.DRYERS WTR.MRS. 1.00 ADDRESS GARB.DISP. STA.COOK • CITY EL.NO. DISHWASH. AUTO.-WASH. STATE SPACE MRS. STA.APP.(Va H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRLCT NO. �Cl�OUP NE P EBBED BY O 1 11.00 1 8 1.50 INSPECTION RECORD 1 s 8 2.00 8 1 S 2.50 8 15 50 8.00 W 50 .00 100 5 d SIGNS? NO.TRANS. NO.LAMPS SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE , 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE ffi 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 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 1 AM THE LEGAL OWNER OF THE ABOVE ^ DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE / /q UTILITY CO.NOTIFIED ♦ OF PERMITTEE S✓ �✓ p-Nol FINAL J VALIDATIO ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LK900 $ 0% JUN15 20 3.20- Q 78A889 CE 8061t 10n7 APPLICATION FOR ELECTRICAL PERMIT COUNTY 012 LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB . BUILDING AND SAFETY DIVISION ADDRESS Q _F 1_ ic+ Q� I FOR'APPLICANTTO FILL IN LOCALITY New Residential Bldgs.&Pools EACH NO.. FEE NEAREST G A $ 025 — $ '"CROSS ST. Ji>l. .Fr 1 &2-Family,Sq.Ft. OWNER OR / Multi-family Sq.Ft. •02 — FIRM NAME Residential Swimming Pools 25.00 MAIL ADDRESS-0-77 �L�✓JC % Outlets:Rec Lightj—Sw. CITY 1 l (T Tel.No. First 20 •50 PLAN-CHECK Total N0. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 M CITY Tel.No. Total No._I Additional 30 APERMIT LICANT L 7 !u K$ Fixed Appliances Not Over 1 HP ADDRESS Range_Heater_D.W._ CITY Tel.No. Oven_Dryer M. LICENSE OR Top —FA U W.H._ REG.NUMBER Class. Hood—Fon _Other_ I HEREBY ACKNOWLEDGE THAT I 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 LAWSAEGULATING 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 2.50 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM ' Up t0 1 I ntl. THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, — C:) Over 1 to 10 Incl. 5.00 ca Over 10 to 50 Incl. 12.50 PERMITTEE c Over 50 to 100 Inc. 25.00 SIGNATURE Over 100 40.00 DISTRICT NO. CES D BY a Services 0:.200 Amp.Under 600 V 12:50 . IN OR'S 201.1000 Amp.Under 600'V 25:00 APPROVALS DATE S NATURE Over 1000 Amp.or Over-600 V 50.00. TEMP.POWER POLE UNDERSLAB WORK Temp.Power Pole&Appurtenances 10.00 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 UTILITY CO.NOTIFIED FINAL �'�'p V PERMIT TEE (Sub total) NOTES PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE $7.00 TOTAL FEE aL PLAN CHECK VALIDATION CK. { M.O. H PERMITVALIbATION CK. M.O. CASH N o 0 0 O. 0 .O ST o }a --T O O o N .00 O O N p SEE BACK OF APPLICATION FOR COMPLETE SCHEDULETIL { thatCOMaP�Ee SaACeON'Date ofcolOent to self &MG APPLICATION FOR ELECTRICAL PERMIT , � . 1r ,ora certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) PolicyNo. Company FOR APPLICANT TO FILL IN JOB ❑ �.iJ.�J /�` ! ! v Certified copy is hereby furnished. New Residential Bldgs. &Pools $ EACH NO. $ LOCALITY FEE ADDRESS V s ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. tion department. Multi-family Sq. Ft. NEAREST G .��//��!!jA Date AlicanT Residential Swimming Pools CROSS ST. J�� e6. FP OWNER OR FIRM NAME T /V I_A5, / l , CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec2�_LIght L2 Sw.L6- MAIL COMPENSATION INSURANCE ADDRESS ®LJ�/�. First 20 � �� i (This section need not be completed If the work.Involved by Total No. Additional CITY C Tel. No. _M010 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 Fixtures First 20 ADDRESS Total-No. Additional T_ % CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT n NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT r 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. — CIT &.1 L Hood Fan —Other— r� Tel. deemed revoked. fi J — LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. t Room Air Cond. REG.NUMBER Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCE BY >, and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances � `or Size&Type HP, KW, KVA, or KVAR (J O License Number Lic. Class FINAL V Up to 1 Incl. DATE Over 1 to 10 Incl. _�r VALIDA ON Contractor Date FINAL V ❑ Over 10 to 50 Incl. ' I am exempt under Sec. Over 50 to 100 Inc. BYIL IL Over 100 B.&P.C. for this reason. Date: Services, Swbd., MCC 8 Panelboardspol- 0 -200 Amp. Under 600 V ;91 5 a 8 A Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V # 0 0 0 0 0 2 Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances - 47.00 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit x I hereby affirm that I am exempt from the Contractor's License 0 0 0 4 7.0 0 6 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): 0 2 25r-8 Jr ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)- 7044, Business and Professions Code). 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.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address 1 certify that I have read this application and state that the TOTAL FEE 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-mention roperty f r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature P rmittee Date o WORKERS'COMPENSATION DfiCLARATfON 76A663 io/tl _ ' r., I hereby affirm that I 'have a certificate of corise1,1,1ovs@ji' CE-80613 - APPLICATION FOR. ELECTRICAL PERMIT insure, or'a certificate of Workers'Compensa'trun Insufancer "COUNTY'OF LOS ANGELES /a BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) . q Policy No. Company FOR APPLICANT TO FILL 1N juts ADDRESS / D L^��` 57-i Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE F1 Certified co is filed'with the count building ec- 1 &2-Family, Sq. Ft. $ — $ LOCALITYH104-a-1 �)7' copy� y g insp tion department. Multi-family Sq. Ft. 'NEAREST_ CROSS ST. 60i.-M.44 Residential Swimming Pools OWNER OR. O Date Applicant FIRM NAME F + L CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Li ht 2 Sw. .2 COMPENSATION INSURANCE g First 20 ADDRESS ! 7 7 D LO Sir (This section need not be completed If the work involved by Total No. ( � Additional CITY'� (6 6 J-7- Tel. No. � 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 a. so as to b com subject to the Wor s' .o pensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date 5/ bh pplicant Fixed Appliances Not Over 1 HP PERMIT NOTICE OAPPLICANT: If; after making this Certificate of APPLICANT !/ 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 O-17 D�'/✓� �T, with comply with such provisions or this permit shall be Top _ FAU —W.H. — CITY p4, 1 Tel. IVo.Z1sIILL deemed revoked. -i�IF & ry 7% LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ LICENSE OR 1 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 BY and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances G r� Size 8 Type HP, KW, KVA, or KVAR' / A License Number Lic. Class Up to 1 Incl. FINAL U 929 Contractor Date Over 1 .to 10 Incl. DATE '7 . VALIDATION Over 10 to 50 Incl. FINAL C� I am exempt under Sec. Over 50 to 1'00 Inc. BY B.&P.C. for this reason Over 100 Date: Services; Swbd., MCC&Ponelboards ► 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. IVlaint. Elect. Over 1000 Amp. or Over 600 V 0 C 1 3 A SINGLE FAMILY Temp. Power Pole&Appurtenances ` a o to o 'o 2 .HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit a a ^ r.2 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 r a , n _ Professions Code): - -� Misc. .Conduits&Conductors I, as owner of the property, will do the work and the- 12-r C 6 -,Q.4 structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_, , 7044, Business and Professions Code). 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.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE V J Lender's Address I certify that I have read this application and state that the TOTAL FEE , 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-mentioned property for inspection purposes... SEE REVERSE FOR EXPLANATORY LANGUAGE • Iii¢ Ja Signature of Permittee