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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