The URL can be used to link to this page

Home My Public Portal About9212 OLIVE ST_Electrical__ 76AS66-CS806 =1-7t-- APPLICATION FOR ELECTRICAL PERMIT LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER f UILDING BUILDING AND SAFETY DIVISION DDRESS OCALITY J EARESTFOR APPLICANT TO FILL IN ROSS ST. 0 TLETS NO. EACH FEE OWNER 90 - D• � RECEPT. $ $ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS �,/ 2 CITY TEL. N0. SWITCH OVER 20 .10 PLAN C K LIGHT( FIRST 20 25 _ APPLICAN TOTAL FIXTURES OVER 20 10 ADDRESS RESIDEN AL APPLIANCES CITY TEL. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN ' OTHER1.00 .) 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 6 TYPE OVER TO I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR O — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO 1 — 10 3.00 RESIDE IN, THE OVE DESCRIBE R NTI L PROPERTY. Q U SIGNATURE — CC 10 — 50 5.00 OF PERM ITT 50 — 100 10.00 Aol fl 0 O DISrT`RICT NO. CLASS E PRO SED B iU 100 - S00 15.00 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEM P S ERVI CE,POL E,&APPU RTENAN CES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED. PLAN CHECK FEE y FINAL 7 7 PERMIT ISSUING FEE 9.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH ERMIT DATION CM.O. CASH- 7G 2 D 13.7 5 A .SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 17GA6163-CE86W.1 0/72 APPLICATION FOR ELECTRICAL PERMIT � 1 COUNTY OF LOS ANGELES r DEPARTMENT OF COUNTY ENGINEER JOB Q BUILDING AND SAFETY DIVISION ADDRESS G� LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. i OUTLETS NO. EACH FEE OWNER OR $ $ _ FIRM NAME RECEPT._ MAIL FIRST 20 ADDRESS 2 LIGHT TOTAL 25 CITY � TEL. NO.� SWITCH OVER 20' f0 PLAN CK LIGHTING TOTAL FIRST 20 .25 APPLICA FIXTURES OVER 20 •10 ADDRESS RESIDENTIAL APPLIANCES CITY T NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U.. ADDRESS SPACE HTR.�AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER CLASS. FAN OTHER1.00 O 1 HEREBY ACKNOWLEDGE THAT 1 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 & TYPE OVER TO _ 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0.- 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE y„ 1 - 10 3.00 DESCRIBED RESID TIA PROPER Y. O.. O PE SCRIBED v 10 — 50 5.00 SIGNATU Q/ O 50 — 100 10.00 v DISTRICT N0. ^OC96ED BY yJ 100 — 500 15.00 /1 1- cn ,-5 , 46 E�a-c- SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPE R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAS WORK SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL 3 PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 evi TOTAL FEE 0 PLAN CHECK VALIDATION CK. 01. CASH PERMIT VALIDATION M.O. CASH ,err 2 4 7 373 JUL 27 2 D 4.0 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ^ nBssA-,a-sa- APPLICATION FOR ELECTRIC PERMIT 1 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Las Angeles BUILDING WM.J.FOX, COUNTY ENGINEER ADDRESS ( i CASSATT D.GRIFFIN,SUPT OF BUILDING FOR APPLICANT TO FILL IN LOCALITY - PEMWT FEES NEAREST CROSS FEE NUMBER .EACH. LIGHT OUTLETS OWNER / t RECEPTACLES MAIL y ADDRESS 1• WALL SWITCHES Q-P TOTAL OUTLETS 5¢ $ L+9.� CITY TEL.NO.o75 -.r3 o ELEC. RANGES 25 ELECTRICIAN ELEC.HEATERS 25 ADDRES KW EA - p CITY - ��.r�,7C4""; / I TEL. NO. I d O FIXTURES 5 LICENSE NO. /#0 ` P_ NUMBER OF LIGHT CIRCUITS OF RECEPTACLE CIRCUITS DISTRICT NO. 1GNUMBER RO P ( �E READY FOR INSPECTION Ial�1kO MOTORS `'S .' NUMBER HORSEPOWER FEE INSPECTION - ORD NEW MVD. HP OVER INC.- EACH V2 Sc LESS $ .25 •� f 7 , �2 2 .50 2 5 _;1.00 5 15 1.50 r 15 50 2.50 50 200 5.00 MISC. NO.SIGNS. NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY ..50 APPROVALS TOTAL FEE $ DATE INSPE'CTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDISTATE OF POWER CALIFORNIA OR THAT I AM THE7 LEGAL OWNER THE ABO Y DESCRIBED RESIDENTIAL ;Pp RTY. UTILITY CO.NOTIFIED SIGNATURE. r OF PERMITTEE ✓•'�" � FINAL WILLIAM J.FOX,COUNTY ENGINEERV VALIDATION ~_ U07 6 5 i ,u; SEP 2 1 .6 In BY ® DEPUTY ' Vf9 y(XI/ 6� 76A663A-CE808A 4/72 APPLICATIO s FOR LECTR AL PERMIT M COUNTY OF LOS ANGELES • DEPARTMENT OF COUNTY ENGINEER BUILDING2 2 BUILDING AND SAFETY DIVISION ADDRESS .e LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE $ $ OWNER c.trrec,�1 RECEPT._ MAIL 00 FIRST 20 ADDRESS LIGHT TOTAL CITY TEL. NO 6-,3J3 SWITCH_ OVER 20 PLAN CHECK LIGHTING 1 TOTAL FIRST 20 APPLICANT J} FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT 415W � STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY /,� TEL. NO. �Z7S CLOTHES WASH. DISHWASH. LICENSE NO. 2. CLASS.`-21& FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY p MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING v IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. w SIZE IN TYPE OVER TO C I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I.- O - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W CALIFORNIA OR THAT 1 AM THE LEGAL NER OF, AND INTEND TO •� RESIDE IN, THE' ABOVE�.Ftii�S D RESIDENTIAL PROPERTY. y / 1 - 10 10 - 50 SIGNATURE OF PERMITTEE 50 - 100 DISTRAT NO. CLASS Z EBBED BY 100 - 500s *L( SIGN, GAS SIGN AND ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERV I CE NOT OV ER 600 VOLTS OR 200 AM P APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM ROUGH CONDI UT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL � d74 PERMIT ISSUING FEE I t6 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH 4 1 7 NtCi 2.9 2 . 0.5 0 VP + ►SA66,9:CE1306 Y:SS APPLICATION FOR ELECTRIC PERMIT .� COUNTY OF LOS ANGELES DEPARTMENT OF�OUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBI.E, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARESTlooll PEMWr SES cRoss ST.. _ I T E M NUMBERI EACH FEE OWNER OUTLET $ $ MAIL ESS L� LIGHTS RECEPT. SW. .10 y�� ADDROr l LIGHTING FIXTURES .10 ` d CITY EL. NO. ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER H EATERS •5O ADDRESS y'.$3 ELEC.SPACE HTRS. DISHWASHERS CITY ro'� TEL. NO. �r GARBAGE DISPOSERS AUTO.- STATE / WASHERS STA. COOKING UNITS .25 LICENSE NO. l MOTORS: OVER INC. H.P. DISTRICT O. OU ZONE PR ESSED BY 0— +/a, .25 +/g— i .so RECORD 2— 5 1.00 8— 18 1.50 J 15 50 2.50 50-200 5.00 NO. TRANS. 'I .�? SIGNS: NO. LAMPS `. vy SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 r Y MISC. / i / m WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 8 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ APPROVAL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE6 INSPECTCWA SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 4:4 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT. ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES'COUNTY AND STATE OF' FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNETHE ABOVE DESCRIBED'RESIDENTIA ROPERTY. R, -00 POWER ` SIGNATURE UTILITY CO.,NOTIFIED OF PERMITTEE ' 6wa n MINE FI NAL �— ON SARTHUR C. I SUPERVISING ELECTRICAL ENGINEER CIC MQ CASH 03383n PAR 12 , 2 A .2..80 a 1h WORKERS'COMPENSATION DECLARATION 76AM3 10/81 APPLICATION FOR ELECTRICAL PERMIT f „ I-hereby atffirrr('that I have a certificate of consent to self CE-806G insure,br a certificate-of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY C+ or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN. JOB — Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS 2 Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ S LOCALITY tion department. Multi-family Sq. Ft. NEAREST _ Residential Swimming Pools CROSS ST. Date Applicant OWNER OR f s, n FIRM,NAME t CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec-LLight�Sw.� MAIL _ COMPENSATION INSURANCE r First 20 V ADDRESS )- k;_ (This section need not be completed if the work involved by Total.No. Additional CITY l _ [7L 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 so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS in Total No. 2, _ Additional CITY Tel. No Date �S pplicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after makITO 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 with comply with such. provisions or this permit shall be Top FAU —W.H. — CITYTel. No. deemed revoked. Hood — Fan —Other_ " LICENSED CONTRACTORS DECLARATION LICENSE OR Room Air Cond. I hereby affirm that I am licensed under.provisions of Chapter 9 Disp. _ REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the BusinessDISTRICT NO. PR ED BY and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances Size&'Type HP, KW, KVA, or KVAR (�t O License Number Lic. Class Up to 1 Incl. FINAL _ %P DATE09 Over 1 td 10 Incl. `� VALID ON Contractor Date Over 10 to 50 Incl. V ElFINA . I am exempt under Sec. Over 50 to 100 Inc. BY Over 100 BAP.C. for this reason Date: Services, Swbd., MCC&Ponelboards 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 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ;P 2 2 9 0 A I hereby affirm that I am exempt from the'Contractor's License ` Additional Sign Branch Circuits o a o 0 0 Law for the following reason (Section 7031.5, Business and, � 2 Prof ions Code): ' .lam{ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors I o 0 1 9.50 structure is not intended or offered.for sale .(Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). o o o 1 Q,5 0 5 CONSTRUCTION LENDING AGENCY 06, 19-85 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 �p PERMIT ISSUING FEE (/ .Lender's Address C O I certify that I have.read this application and state that the TOTAL FEE J 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 Alob roperty for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE le Date