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Home My Public Portal About9308 OLIVE ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING IS SAFETY ELECTRIC 1 WILIJAM.1. FOS, COUNTY ENGINM FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN 15— o4'/ 7?/�2 ADDRESS 00-0 RECEIVED BY READY FOR DATE ISSUED r CITY TE //C �� FIRST INSPECTION � /1! �I�' TEL. NO. COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS • �D NUMBER EACH FEE LOCALITY ✓l�GL-. 7-JV LIGHT OUTLETS NEAREST RECEPTACLES p ROSS T. a V WALL SWITCHES OWNER TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 IYT FIXTURES �� 5 CITY TEL. NO. MISC. 171 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OR RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW RWrMV-D.. HP OVER INC. -CH OF THE RESIDENTIAL ROPERTY DES IBED ABOVE. • )'S)'Sj F4EJ V.8 LE88 $ .25 ` SIGNATURE OF V2 2 .50 PERMITT + 2 s 1.00 INSPECTION RECORD 5 1s 1.50 n 1s 50 2.50 so 200 3.00 �.TAcG L o G' F 1 C A GC t o 200 Boo 10.00 �&,b NWF7 ( p1b 0ILUSb''a Boo I000 Is.00 r � OVER I000 20.00 'rg gr l M.G. SET/FREQ. CHANGER-HP 3 /-A-L Lc, /Oa IGA et& WELDERS: AC-KVA- At a 61&2 O GENERATORS-KW _ S u TRANSFORMERS-KVA TEMP. MOTORS (75% OF CRIB.) Oc® Va'a ..4'pAn MOVED MOTORS (75% of Oma.) MISC. a-- SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMITS DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT -t FIXTURES $1.00 eA WIRING -/o c13 SUPPLEMENTARY .So FIXTURES POWER 1 TOTAL FEE $ r UTILITY CO. NOTIFIED r/J AA a 4 FINAL 76A 668 0138# 8A. 4-02 �� COUNTY OF LOS ANGELES APPLICATION FOR PERM DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING & SAFETY ELECTRIC 1 WMLIAM 1. FOX COUNTY ENGINM FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN T!/✓ ✓ /T ADDRESS / C /j1-C,' -tL RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION CITY —q _1 f,:-1— TEL. NO. ��"��•�j�1,:,I.� COUNTY LICENSE NO. U EXPIRES BUILDING PERI=FUS ' ADDRESS NUMBER EACH FEE LOCALITY rY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER �J'VG- TOTAL OUTLETS v MAIL ELEC. RANGES 28 ADDRESS ELEC. HEATERS 25 ' FIXTURES 8 CITY TEL. NO. , MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. NJWORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER ORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER New MVD. H1� OVER INC. EACH OF THE RESIDENTIAL'PROPERTY DESC IBRD ABOVE. _ V.8 LE88 $ 28 SIGNATURE OFJ �i�Zly `i V2 2 .50 PERMITT ' z s 1.00. INSPECTION RD 5 Is 1.50 Is so 2.50 so 200 5.00 200 800 10.00 .J BOO 1000 15.00 Z OVER1000 20.00 13 M.G. SET/FREQ. CHANGER-HP 1% WELDERS: AC-KVA O GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75% of oms.) MOVED MOTORS (75% OF DRIG.) - MISC. I C7 u T L mrr-- - I I Ca c-)L)L SIGNS NO. NO. TRANS. APPROVALS` NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1..00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY 5O FIXTURES POWER TOTAL FEE $ / (J UTILITY CO. NOTIFIED INAL G% 76A 663 DOW BA. 4-Ba i �� WORKERS'COMPENSATION DECLARATION 76A6$3 10/81 APPLICATION FOR ELECTRICAL `PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 insure, or a certificate-of Workers'Compensation Insurance, !' COUNTY .OF LOS ANGELES BUILDING AND SAFETY or a certifi d co y thereof ee,3800, Lab: C.) Policy No. Company_ftwe tl ala I�AIePlN16�; ,FOR APPLICANT TO FILL IN JOB �r E Certified copy is hereby furnished. ' EACH NO. FEE ADDRESS 930 New Residential Bldgs. &Pools dCertified copy is filed.with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY ��y� (� tion department. I Multi-family Sq. Ft. — NEAREST , � }7—)-6�p lA L,�I, Residential Swimming Pools CROSS ST. Date Applicant_�CB� "`� FIRM NAR ME L4' CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw.�, - ~ •MAIL COMPENSATION INSURANCE ADDRESS 30 j3 ®LL J e. (This section need not be completed if the work Involved by First 20 the permit is for one hundred dollars($100)or less.) Total No. Additional CITIY �'�'� (e G Tel. No. PLAN CHECK I certify that in the performance of the work for which this r 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 ' Additional Total No. CITY Tel. No. Date opplicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANTXC-R 1lL1 jL�G Exemption, you should become subject-to the Workers' I Range_ Heater—D.W. — Compensation provisions,of the Labor Code;' you must forth- Oven —Dryer _W.M._ ADDRESS with comply with such provisions, or thispermit. shall be Top _ FAU H. — deemed revoked. CITY Tel. No.i... 515-6 LICENSED CONTRACTORS DECLARATION Hood _Fan _Other_ pQcpda4 d�l�5 LICENSE OR l Disp. _ Room Air Cond. — thereby affirm that I am licensed under provisions of Chapter 9 .I REG.NUMBER 3ZSb�6 Class. oz--t O (commencing with Section 7000)of Division 3 of the Business Power Apparbtus&LAliances DISTRICT NO. PROCES and Professions Code,and my license is in full force and effect. i Large pp � �)� O Q Size A Type HP,KW, KVA, or KVAR' v (, License Number� 0i�6 Lic. Class �''�0' Up to 1 Incl, FINAL _ Contractor �p ��L Date 786 Over 1,to 10 Incl. DATE Over 10 to 50 Incl.13 ,FINAL 6 iil1 I am exempt under Sec. Over 50 to 100 Inc. BY a, B.&P.C. for this reason jl Over 100 z+ Services, Swbd., MCC&Panelboards ! ► Date: ) 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ;9 4 9 7 3 A 0i Over 1000 Amp. or Over 600 V I.0 0 0 0 0 2 Exemption for Reg.,'Maint.'Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances I 'I a o 2 5 5 0 y HOME QWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I.am exempt from the Contractor's License•1 Lawfor the following reason (Section 7031.5, Business and Additional Sign Branch.Circuits o o o 2 5,5 Q 5 Professions Code): I, as owner of the property, will do the•work and the p Misc. Conduits&.Conductors 0,08-186 structure is not intended or offered for sale (Section.i Other(See.Complete Fee Schedule)_ ; 7044, Business and Professions Code). y' CONSTRUCTION LENDING AGENCY i I hereby affirm that there Wo construction lending agency for the performance of the work for which. this permit is 'issued PERMIT FEE (Sub-Total) i (Sec. 3097, Civ. C.). i PLAN CHECKING FEE i ) Lender's Name PERMIT ISSUING FEE 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., I ordinances and State laws regulating Electrical, wiring, and hereby authorize representatives of this County to enter upon the.ab . e,mentioned property for Inspection purposes. i SEE REVERSE FOR EXPLANATORY LANGUAGE — Signature Permittee Date i WORKER'S COMPENSATION DECLARATION 20.6619 DPW c12.91, 70669 APPLICATION FOR ELECTRICAL PERMIT I hereb�affirm tf}at I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance,or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab,C.) P❑ollCY No. Company FOR APPLICANT TO FILL IN JOB Certified co is hereby furnished. NO. EACH FEE LOCALITY G PY Y New Residential Bldgs.&Pools — Certified copy is filed with.the.county building inspection 1&2-Family,Sq.Ft. $ $ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK I PAGEPARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR COMPENSATION INSURANCE Outlets:Rea._Light. Sw. RRRM NAME First 20 MAIL (This section need not be completed If the work Involved by the Total No. Additional ADDRESS 3 Q ea is for one hundred dollars(3.100)or less.) I certify that in the performance of the work for which this permit CITY =1 c Tel.No: is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked: Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&& KW;KVA,or KVAR ADDRESS I hereby affirm that I am licensed.under provisions of Chapter 9 Over 3 to 10 Incl. / (commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect: Over 10 to.50 Incl. } LICENSE.O.R Cl Over 50 t0 100 Incl: REG:NUMBER ass. I[L Over 100 DISTRICT NO. R EBBED BY License Number Lic.Class �� Services,Swbd.,MCC&Paneiboards Contractor Date 0-399 Amp'.Under 6.00 V• FINA O ❑ 400-1000 Amp.Under 600 V VALIDATION V I am exempt under Sec. Over 1000 Am or Over 600 V W P• FINAL fl B:&P.C.for this reason., BY CO ..BRANCH.CIRCUIT FEES Date: 15A,or 20A,120V,Lighting or Recept. Z 1 To 10.Branch Circuits. o Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits JL SINGLE FAMILY Temp.Power Pole&Appurtenances ACCT=v .HOME OWNER-BUILDER DECLARATION Sign with One Branch.Circuit jQ I hereby affirm that I am.exempt from the Contractor's License Law 2-0 for the following-reason(Section 7031.5, Business and Professions " Additional Sign Branch Circuits ITEMS 1;,ae owner of.the property,will do the work and the structure Misc.Conduits&Conductors TOTAL, 63.80 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) � b3e$0 and Professions CHECK Code). , CONSTRUCTION.LENDING AGENCY CHANGE .00 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) Civ.C.) 0000-0001 6/27/96 PLAN CHECKING FEE 7149 1 AM $'e 11 Lender's Name PERMIT ISSUING FEE �. Lender's Address I certify'that I have read this application and under penalty of purjury state TOTAL FEE that the 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 d2 SIGI TUR OF PE.FjI I E -