HomeMy Public PortalAbout9155 OLIVE ST_Electrical__ 76A663C- CG86613 I2/76 APPLICATION FOk ELECTRICAL PERMIT
I
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO RILL IN
New Residential Bldgs:&Pools
EACH NO; FEE ADDRESS, 15 67 OLIVE S7_
1 &2 Finaily.Sq'. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. CROSS ST. N C T/4 S
ni/
Residential Swimming Pools OWNER OR �1 1
FIRM NAME Iti1
Outlets: Light,Switch&Receptacle ADDRESS VS L L/ I/ir S%
First 20
Addltibn;31 CITY/ �/nCST TeL.No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel.No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater_ D.W. — ADDRESS
Oven _ Dryer _ W.M. p�
Top _ FAU _ W.H. _ CITY V' Tei.No. �.
Hood _ Fan LICENSE.OR
v
Disp. _ A.C. REG. NUMBER Class.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 0
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W
Size&Type HP, KW,KVA,or KVAR ELECTRICAL WIRING.
N
Up to 1 Incl. Z
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND'STATE OF
CA LIPORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDE7.N�T-IAL_PR,Pfi RTY r
Over 50 to'100 Incl. PERMITEE 9
Over 100 SIGNATURE
Services
DISTRICT NO. P CEEe9D BY
� 00
0.200 Amp. Under 600 V
201 -1000 Amp. Under,600 V APPROVALS E INSPECTOR'S
Over 1000 Amp.or Over 600 V
SIGNATURE
TEMP.POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign.with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) IF
TILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) NALPERMIT ISSUING FEETOTAL.FEE OTES
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALI A ON K. M.O. CASH .
I
6.10 ° `
76A889C1-CE80661 1278 APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION r !' J ] y C
FOR APPLICANT TO FILL 1N ADDRESS S 'L': V/�1 vG c/
New.Residential Bldgs.&Pools EACH NO. FEE n
1 &2 Finaily Sq. Ft. $ — $ LOCALITY 101-E C/nn
Multi-family Sq. Ft. NEAOSS ST .TN C/N /%rT '
Residential Swimming Pools. OWNER OR //yy�I
FIRM NAME
� I CHOE1 E . QICO_r
Outlets: Light,Switch&Receptacle ADDR }M ESS !/,S yl VF 57
First 20
Additional CITY / G�—�IV/OLE CILZ Tel. N..)."-7636
PLAN CHECK
APPLICANT
Lighting Fixtures
First 20 ADDRESS
Additional
CITY Tel.No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range Heater_ D.W. ADDRESS
Oven _ Dryer _ W.M.
ow I
Top _ FAU _ W:H. CITY Tel.No.
Hood Fan LICENSE OR
5-0 REG.NUMBER. Class. p
Disp. A.C.
I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TMS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING O
Size&Type HP,KW,KVA,or K)/AR ELECTRICAL WIRING, 23
�
Up to 1 Incl. I HEREBY CERTIFY THAT. I AM PROPERLY REGISTERED AND/OR Z
Over 1 tO 10 Incl. LICENSED AS REO UIRED BY LOS ANGELES COUNTY AND STATE OP
CALIFORNIA_ OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PR PERT
Over 50 to 100 Incl. PERMITEE
Over 100 ' SIGNATURES
Services
DISTRICT NO.0 45
P CESSE Y
I,
0-200 Amp. Under 600 V '
201 -1000 Amp. Under 600 V APPROVALS ICYE INSPECTOR'S
Over 1000 Amp.or Over 600 V SIGNATURE
fF
POWER POLE
Temp. Power Pole&Appurtenances RSLAB WORK
Sign with One Branch Circuit Additional Sign Branch CircuitsH CONDUIT
(Other) G
RES
R AUTHORIZED
PERMIT FEE (Sub-Total) • TY CO.NOTIFIEDPLAN CHECKING FEE (One-Fourth Permit Fee)PERMIT ISSUING FEE.TOTAL FEES
PLAN CHECK VALIDATION CK. M.O. CASH I PERMIT VALIDATION CK. M.O. CASH
76A663-CE 806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION rADDRE68
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY / G
FOR APPLICANT TO FILL i d Oss68r.. /All Tom'
R::RECEPT. TOTAL NO. EACH FEE '
1,qOUTLETS FIRST 2Q /5 .$20 $ ��.OWNER
/ vADO'L
ER2AIL
v ADDR
SWITCH. OVER 20 •�� BOB
'Q�
LIGHTING FIRST 20 20
TOTAL CITY TEL.NO.
. � /��
FIXTURES L Ove 20 10 ELECTRICIAN �_ �< '2"
RANGES CLO.DRYERS WTR.HTRS. 1.00 1 ADDRESS a /
GARB.DISP. / STA.COOK CITY -'6.-.'-:/TEL.NO.
DISHWASH. AUTO.-WASH. STATE J�`�(���I
SPACE HTRS. STA.APP.(IA H.P.MAX.) .50 2 LICENSE NO. / J
MOTOR8m OVER NOT OVER H.P. DISTRICT . I GR P Z ED
O 1 1.00
1 V 1 a 1.50 INSPECTION REC RD
5 S 2.00
8 15 2.50
15 50 5.00 }
r O.
SO 100 5.00 1 V
SIGNS: NO.TRANS: u
NO.LAMPS
0
SERVICE 0-60OV-Nor ovER.200A 1.00 G
W
SERVICE 0-600V-OVER 200 A. 2.00 I• N
SERVICE OVER 600V 5.00 Z
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS. DATE INSP/ECTOW8•11IGNATURB
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL •COUNTY ORDINANCES.AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING •�.G/r-'��' � .�,�.�`rt<:•4
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT M THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT PROPERTY. _ POWER
SIGNATURE. UTILITY CO.NOTIFIED r7 /.
OF PERMITTE
FINAL /
VA IDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L�0 3 2 7 6t2 DEC 9 2 0 1 5.9 0��
WORKERS'COMPENSATIONDECLARATION CE.806 APPLICATION FOR ELECTRICAL PERMIT
I herebyA.affirm- that I have a certificate of consent to self COUNTY OF LOS NGEL '/� 'BC1tDING AND SAFETY
insure, e c py there (Workers'Compensation Insurance,or d1A
a certified copy thereof(Sec.3800,Lab.C.)
FOR APPLICANT TO FILL IN Jp 6L JLE 17F
Policy No. Company New esidential Bldgs.&Pools EACH N FEE A RESS J
Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — $ LOCALITY 7_f07,4kE Cl Ty
Mufti-family Sq.Ft. — NEAREST
aCertified copy is filed with the county building inspection CROSS STSG
department. Residential Swimming Pools OWNER OR
FIRM NAME �JC14EG E/ DJGUS
Date Applicant OutlRec.j Light d Sw. / MAIL 9 1 SS OL Y,
First
A ADDRESS / ` �• `SJ
CERTIFICATE OF EXEMPTION FROM WORKERSt Total No. 'Additional _ CITYj�/lJ�i E'car -TaI N.o..�$7 7�3� }
COMPENSATION INSURANCE PLAN CHECK a
APPLICANT 0
(This section need not be completed if the work' involved Lighting Fixtures First 20 0
by the permit is for one hundred dollars ($100) or less.) Additional ADDRESS Ir
I certify that in the.performance of the work for which this. Total No. c CITY Tel NO.
V
Fixed Appliances.Not Over 1'HP
permit is issued, I shall not employ any person in any manned PERMIT D ' LL
so as to become subject to.the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT a
Oven _ Dryer_W.M._ ADDRESS
Date Applicant Top _ FAU _W.H.•_
Hood _ Fan _Other— CITY Tel No.
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 Class
Compensation provisions of-the Labor Code, you must forth- Power'Apparatus&Large Appliances DISTRICT NO. PRO BY
•with comply with such provisions or this permit shall be. Size&Type HP,KW,KVA,or KVAR
deemed revoked. - �
Up to 1 Incl. FINAL
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE 57 Over 10 to 50 Incl. ZD—Ke VALA DATA N
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL /
9 (commencing with Section. 7000)of Division. 3-of the Busi- Over 1.00 BYF-�—
ness and Professions.Code, and my license is in full force and
effect. Services
License Number Lic.Class 0-200 Amp;Under 600 V
201-1000 Amp.Under 600 V
Contractor Date Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
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 '
ness and Professions Code): I
Misc.Conduits&Conductors ' :`�4 9 6 h A
I, as owner of the property, will do the work and the Other(See Complete Fee Schedule(= r
structure is not intended or offered-for sale (Section f o v o 0 o 2
7044,Business and Professions Code).
CONSTRUCTION LENDING AGENCY 2 0 ,0 09.00
I hereby affirm .that there is a construction lending agency
for the performance of the work for which this permit is PERMIT FEE (Sub-Total) o n o
issued(Sec.3097,Civ.C.),
.Lender's.Name PLAN CHECKING FEE (One-Fourth Permit Fee)
- 04,27-81
Lender's Address PERMIT ISSUING•FEE ,
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 reprentatives of this County to enter upon
the above-sten Toned arty for inspection purposes. SI;E'REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
I' {I
I ` WOthat I have a certificate
DECLARATION ; �6A6°63 DPW 9/69 APPLICATION FOR ELECTRICAL PERMIT u
I hereby affirm that I have a certificate of consent to self insure,
or a certificate of Worker's Compensation Insurance, or.a certifledi COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec.3800 Lab.C.)
:Policy No... Company FOR APPLICANT TO FILL IN JOB J J �Y .p-
ADDRESS S E I
Certified copy is hereby furnished. New Residential Bldgs.&'Pools EACH NO. FEE LOCALITY
$Ft $
Sq. . _
❑ Certified copy is filed with the county building inspection 1&2-Family,
_ NEAREST
department. Multi-family Sq.Ft. CROSS ST.
Date Applicant Residential Swimming Pools ASSESSOR
p -1 MAP BOOK pAG '' PARC /
CERTIFICATE OF EXEMPTION FROM WORKERS' / � b- OWNER OR ;,v1
COMPENSATION INSURANCE Outlets:Rec._Light Sw: FIRM NAME r•l I �T/s�� C✓S
(This section need not be completed if the work Involved by the First � '� MAIL (� 7"
permit is for one!hundred dollars(000)or.less.) Total No. Additional ADDRESS '71,95- .
I certify that in the performance of the work for which this permit CITY +rf'1q1Lf C/T- Cf} T.I.No. �
Is issued, I shall not employ any person in any manner so as to I; PLAN CHECK
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20APPLICANT
Total No. Additional ' 0
• ADDRESS
Date Applicant 15 OR 20A,120V BRANCH CIRCUITS
NOTICE TO APPLICANT: If., after making this Certificate of' CITY Tel.No.
Exemption,you should become subject to the Workers'Compensation , 1 TO 10 INCLUSIVE'EACH
provisions of the Labor Code,you must forthwith comply.with such 11 TO.40 INCLUSIVE !APPLICANT
cUJ
provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH
LICENSED CONTRACTORS DECLARATION 'ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH CL
( commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. V
Professions Code,and my license Is in full force and effect. RESIDENTIAL APPLIANCES.UP TO 3HP LICENSE OR..
Power Apparatus&Large Appliances :REG.NUMBER CIS• Q
License Number Llc.Class Size&Type HP,KW,KVA,or KVAR DISTRICT NO. PROCESSWJY
AV
i Up to 3 Incl.
Contractor Date Over.3 to 10 Incl. FINAL a
Over 10 to 50 Incl. DATE Z
E] cl
I am exempt under Sec. I Over 50 to 100•In . VALIDATION_
;FINAL (. r
B.&P.C.for this reason ! Over 100 ,BY
Services,.Swbd.,MCC&Panelboards
Date: 0-200 Amp.Under 600 V
Signature 201-1000 Amp.Under 600 V
Over 1000.Amp.or Over 600 V
Exemption for Reg.Maint.Elect.
SINGLE FAMILY Temp.Power Pole&Appurtenances L
HOME OWNER-BUILDER DECLARATIONSign with One Branch Circuit ^+ ' ACC.Te4
I,hereby affirm that I am exempt from the Contractor's License Law
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 3307 85.11
Code): I
E] 1, Conduits&Conductors I 1 ITEMS
I,As owner of the,property,will-do the work and the structure
Is not intended of offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , TOTAL 85. IS
and Professions Code). 10. CHECK 85.18
CONSTRUCTION LENDING AGENCY
I hereby affirm that.there is a construction lending agency for the CHANGE o00
performance of the work for which this permit is issued (Sec.3097, PERMIT FEE .(Sub-Total) ,2gs
Giv.C.)
PLAN CHECKING FEE ' • _ (]0j]Q-0001 9/21/052
Lender's Name PERMIT ISSUING FEE ! } 1j{'j ;4l
Lender's Address 1 b
1 certify that I have read this application and state that the above TOTAL FEE �. t. /d
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 pection � SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGNATURE OF APPLICANT OR AGENT DATE I f
WORKER*%COMPENSATION DECLARATION 20.019 DPW 9/89
I
I hereby affirm that:l have a certificate of consent to self Insure, SAM APPLICATION FOR ELECTRICAL PERMIT
or a,certificate of Worker's Compensation Insurance,or a certified. i . COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sed.3800 Lab.C.)
Policy No. P C:9 4 3 21 Company R IA t)I f h 1 i r. , FOR APPLICANT TO FILL IN
❑ D
Cerdfled'copy Is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE JOB
^ �1
$ _ $ LOCALITY J—
Certified copy is filed witli the county building Inspection 1&2=Family,Sq.Ft.
NEAREST
department. Muld4amlly Sq.Ft.
— CROSS ST.
Date 11/01/93 ApplicantAir Tro, Inc. Residential Swimming Pools ASSESSOR T
MAP BOOK PAG PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:R 1 OWNER OR
COMPENSATION INSURANCE Rec. Light Sw... / / FIRM NAME
(This section.need not be.completed If the work Involved by the First 20 'MAIL
permit Is for one hundred dollars($100)or less.) I Total No. Additional ADDRESS
I•certify that in the performance of the work for which this permit I CITY Tel.No.
is Issued, I shall not employ any person in any manner so as to 1 PLAN CHECK
become subject to the Workers'Compensation Laws. I Lighting Fixtures First 20 APPLICANT AC,
J Total No. Additional or
ADDRESS
Date - Appa 15 OR 20A120V BRANCH CIRCUITS
' NOTICE TO APPLICANT: Iff,, after
,ter making this Certificate of CITY
Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH 1
provisions of the Labor Code,you must forthwith comply with such 11 TO 40 INCLUSIVE EACH ERmrr
provisions.or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH y
CANT
LICENSED CONTRACTORS DECLARATION ADDRESS D.
I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 2DA,208V TO 277V LIGHTING EACH O
(commencing with Section 7000),of Division 3 of the Business and CITY Tel.No. V
Professions Code,and my license is in full force and effect. I RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR jY
Power Apparatus&Large Appliances REG.NUMBER Class. O
License Number 25828 Lic.Clear C20 i Size&Type HP,KW,KVA;or KVAR.. :DISTRICT No. D !?, C SED BY00,
V
Up to 3 Incl. i ff p s 4 a
Contractor A i r T r , Inc- Date 12131 193 ! Over 3 to 10 Incl. FDIAN EL. Cl)
❑Over 10 to 50 Incl. J) /Q Z
I am exempt under Sec. Over 60 to 100 Incl. ( I - Fj VALIDATION
B.&P.C.for fllis reason I Over 100 FBY
INAL -
Services,Swbd.,MCC&Panelboards '
Date: I0-200 Amp.Under 600 V
Signature 201-1000 Amp.Under 600 V
Over 1000 Amp.or Over 600 V
El Exemption for Reg.Maint.Elect.
.SINGLE FAMILY Temp.Power Pole&Appurtenances t't44TAJL
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit -�1 1
I hereby affirm that I am exempt from the Contractor's License Law .Sign
a
for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code): 1 ITEMS
❑ I,as owner of the property,,will do the work and thestructure iM.isc.Conduits&Conductors +�-
TOTAL 34S® 1
is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule)
and Professions Code). CHECK 360 13
CONSTRUCTION LENDING AGENCY CRAKE .00
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit is Issued (Seo.3097, PERMIT FEE (Sub-Total)
Civ.C.) I PLAN CHECKING FEE 0000-0001 11/12/92
Lender's Name 6457 1 FM12.03
'PERMIT ISSUING FEE J/ +
Lender's Address ` / 3 I
I certify that I have read this.application and state that the above TOTAL FEE �
information is correct. I agree to comply with all County ordinances i
and State laws regulating Electrical wiring, and hereby authorize
representativ this County to enter upon the above-mentioned
propert Ins Ion, r ose qq SEE REVERSE FOR EXPLANATORY LANGUAGE
.BNATU E O PPXICANT OR AGE DA