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Home My Public Portal About9317 OLIVE ST_Electrical__ 76A66a . 4 3-So APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY CmAm COUNTY OF LOS ANGELES ELARMIRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT N.D. ELECTRICIAN _ ` �1 RECEIVED BY 14 READY FOR DATE ISSUED ADDRESS r sy�y _/i�� a' FIRST INSPECTION CITY COUNTY LICENSE NO- EXPIRES BUILDING PERMIT FEES ADDRESS l FEE NUMBER EACH -LOCALITY I LIGHT OUTLETS NEAREST RECEPTACLES CROBB BT. WALL SWITCHEB OWNER 17 TOTAL OUTLETS Be IB > MAIL ELEC. RANGES 2s _ ADDRESS ELEC. HEATERS 25 CITY TEL NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITM ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH of THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. .elAl J:• '/-fA-9i I/a & LCOS 6 .25 I-AA SIGNATURE OF V 2 .60 PERMITrE �- 2 5 1.00 INSPECTION RECORD s 1s 1.60 15 50 2.50 so-] 200 5.00 o,,ref 200 6Oo 10.00 J 500 1OOo 15.00 Z OVER IOOO 20.00 (� M.O. SET/FREQ. CHANGER-HP R� W£LDERBI AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Or Own.) MOVED MOTORS (75% DF DRIo.) MISC. SIGNS NO. NO.TRANS. NO. NO.LAMPS APPROVALS FOR EACH PERMITI DATE INBPECTOR98 NAME cr WIRING X1.00 CONDUIT + FIXTURES iB1.00 WIRING f:.",% .�Iri r -•r �. SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE S �7 UTILITY CD.NOTIFIED I FINAL < 76AS63 1389-6A 3-50 ,, APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELESwo I I WILLIAM J. FOX, CHIEF ENGINEER - FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT N.O. ELECTRICIA -' RECEIVED BY READY FOR DATE IMBUED ADDRESS '1�`�- FIRST INSPECTION Pa m CITY l TEL NO. Qg COUNTY LICENSE NO. EXPIRES ��" BUILDING BG ✓c� f PERMIT FEES o NUMBER EACH FEE LOCALITY r LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. D WALL SWITCHES OWNER TOTAL OUTLETS 5c $ MAIL ELEC. RANGES S5 ADDRESS ELEC. HEATERS 85 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITI4 ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MvD. HIS OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. & LESS 8 .85 SIGNATURE OF I/z 8 .50 PERMITTEIr ° t a e 1.00 INSPECTION RM ORD s 1B 1.50 lo so 2.50 Bo 200 5.130 200 500 10.00 A 50o 1000 15.00 Z OVER tOOO 80.00 M.G. BET/FREM. CHAN -HP WELDERSIAC-KVA O GENERATORS - TRANBFORME B - KVA TEMP. MOT B (75% OF CRIB.) MOVED MOTORS (7596 DF RID.) MISC. CiNS NO. N O.TRANS. NO. NO.LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTORIS NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES J POWER TOTAL FEE $ / I_ UTILITY Co.NOTIFIED FINAL .e.��.P s•` -.LL''' '�s TION 9NOrrp that f -hoe a cerci DECLARATION 76-663 10/81 APPLICATION FOR ELECTRICAL PERMIT I he,eby a1'fjrm that t hate a certificate of consent to self CE-&)6G Insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING.AND SAFETY or a certified copy thereof(Sec. 3800, Lob:C.) � ❑Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy.is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS. VIE • LOCALITY •Certified copy is filed with the county buildin in c- 1 &2-Family, Sq. Ft. $ _ $ E L ` T tion department. Multi-family Sq. Ft. NEAREST '_) � UAL— Od Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME p CERTIFICATE OF EXEMPTION FROM RKERS' Outlets: �Sw. MAIL ReeLtght ADDRESS COMPENSATION INSURA First 20 (This section need not be completed if the work involved by Total No.� Additional CITY Tel. No. the permit Is for one hundred dollars($100)or less.) PLAN CHECK 1 certify that in the performance of the work for which this APPLICANT 4.o,A(Z. -j '..g 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 CITY DateApplicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: 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 with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked.. Hood _ Fan _Other— CITY Tel. IVo. LICENSED CONTRACTORS DECLARATION LICENSE.OR. I hereby affirm that I•am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER �g Class. (commencing with Section 7000)of Division 3 of the Business Apparatus 8 Large App DISTRICT NO. PR SED BY and Professions Code.,and my license is in full force and effect. Power Aliances IL Size&Type HP, KW, KVA, or KVAR -08 O lass License Number �Z U.C.. ._ Up to 1 Incl. FINAL •�..�s � �— 'Over 1 to 10 Incl. DATE _ 1DATION ®' Contractor Date' Over 10 to 50 Incl. ' v a— ❑ FINAL U1 I am.exempt der Sec. Over 50.to 100 Inc. BY BAP..C. for this reason Over 100 PA Date: Services, Swbd.,.MCC&Panelboards 0 :200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600'V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V 2 5 1, 1 A' SINGLE FAMILY Temp. Power Pole.&Appurtenances # o o o 0 0 '2• HOME OWNER-BUILDER DECLARATION Sign with One Branch.Circuit I hereby affirm that I am exempt-from the Contractor's License Additional Sign Branch Circuits 1 - - 3-550 Law for the following reason (Section 7031.5, Business and Professions Code): Misc. Conduits 8 Conductors ° ° ° 3 5 50 xcv I, as owner of the property, will do the work and the • structure is not intended or offered for sale (Section Other(See.Complete Fee Schedule)— ® o7,22785 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby off irm 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. Cu). PLAN CHECKING FEE Lender's Name .O PERMIT ISSUING FEE Lender's Address r 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 pro r!y fg4rispection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ofrPeimittee Date.