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HomeMy Public PortalAbout9404 OLIVE ST_Electrical__ f 73AG63-CE000-11-37 A P P LI CATIO N FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGEMM r BUILD 1 N.G BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LANIBM County E>lginees U CASSA1T D. GBI TM,Sup t of adding LOCALITY �iLsa FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES Q y 1, ITEM____ NUMBER EACH FEE OWNER / G/ f� OUTLETS: $ $ MAIL LIGHTS RECEPT. SW. .10 ADDRESS LIGHTING FIXTURES .10 CITY TE//L.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN � .,Q+ AD w'I G WATER HEATERS .50 ELEC.SPACE HTRS. DISHWASHERS ADDRESS 7 /`/ S 1 //y GARBp+M AGE DISPOSERS AUTO._ CITY e ( ` 'TEL.NO.At ' yX•..., TAT WASHERS STA.COOKING UNITS SE 25 LICENSE NO. MOTORS: OVER INC. H.P. 0- 1/2 .25 DISTRIC O• GROLJPl ZONE READY FOR INSPECTION 1/2— 2 .50 2 - 5 1.00 INSPECTION RECORD 5 — 15 1.50 f5 J 7 " ; 1121 — 50 2.50 50 -200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER GOON 5.00 - MISC. ' 09 g- en i WIRING PERMIT 1.00 FIXTURE PERMIT 1.00Al SUPPLEMENTARY PERMIT ,50' TOTAL FEE APPR i HEREBY ACKNOWLEDGE THAT I HAVE .READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I A THE LEGAL 0 NER THE BOVE POWER DESCRIBED RESIDENTIAL P _ SIGNATURE UTILITY CO.NOTIFIED OFPERMITTE /• ~� ' FINAL YAIMATION ARTHUR C.VETT, CK MO CASH SUPERVISING ELECTRICAL ENGINEER , L&19 1 5 u; JAN 19 2 A 2.0 0 X I6A663-CES06-7.86 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION Deportment Of County Engine! BUILDING County of Los Angeles ADDRESS _ c-- J JOHN A. LAMBIE. COUNTY ENGINEER / s � � ,�� CASSATT D:GRIFFIN.SUPT OF BUILDING LOCALITY e.e FOR APPLICANT TO FILL 1N .07 COn ROSS T. 1 ,�• Gam^ PERMIT FEES NU BER OWNS _ rs^'�L �r ` v LIGHT OUTLETS MAIL Wig. ADDRESS 14 RECEPTACLESr4 �q WALL SWITCHES FEE TEL.N �6f TOTAL OUTLETS @ 5d $ ` ELECTF/i1C1AN 4. :r'"? ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL.NO. KW EA STATE FIXTURES 5 LICENSE NO. MOTORS DISTRI NO. IGTPJOWE EADY FOR INSPECTION NUMBER HORSEPOWER FEE NEW MVD. HP OVER' INC. EACH &LESS $ .25 INSPECTION RECORD I Ift 2 .50 2 5 1:00 5 15 1.50 15 50 2.50 F 50 200 5:00 M ISC. i NO.SIGNS NO.TRANS. ' NO.SIGNS NO.LAMPS FOR EACH PERMIT:' i WIRING PERMIT $1.00 FIXTURE PERMIT $1.00 SUPPLEMENTARY ' .50 APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE IHEREBY ACKNOWLEDGE THAT I 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 r ELECTRICAL WIRING. F I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY S ANGELES COUNTY ND.STATE OF- POWER CALIFORNIA OR %AT THE L7GAOWN F 7HF1.ABOVE DESCRIBED RESI PROP UTILITY CO.NOTIFIED SIGNATURE OF PERM TTf Eta FINAL 0 IOHN A.LAMBIE. ATI ARTH R C.VEIT. '.OUNTY ENGINEER CKMo cpSH SUPERVISING ELECTRICAL N6INEER LX0 6 6 6 sEL-m- APR 1 2 2.4 5 to 1 P GAGGS.CUSOG.10.56 APPLICATION FOR 'ELECTRIC PERMIT BUII.DING AM SAFETY DIVISION Deportment of Co=ty Engineer f7AI31DRESS Comtg of Los Angeles ip- JOHN A.LAMBIE.COUNTY ENGINEER e e-CASSATT D.GRIFFIN.SUPT OF BUILDING Ht FOR APPLICANT TO.FILL IN PERM FEES LIGHTS RECEPTACLES + SWITCH EB OWNER NUMBERI I T K EACH I F E MAIL ADDRESS E) as TOTAL OUTLETS $ .10 $ o ELEC. RANGES, WATER HEATERS, - CITY TEL.NO. CLOTHES DRYERS .50 r . ELEC. SPACE HEATER6•, BTAT'Y. COOK. ELECTRIC .NLa IMG UNITS, GARBAGE. DISPOSERS, ` • .AUTO WASHERS, DISHWASHER .25 ADDRESS LIGHTING FIXTURES .10 CITY we� TEL.NO. tv MOTORS STATE HORSEPOWER LICENSE NO. -H.P. OVER 'INC. DIST ,!ICT r]NO: U Z N R FOR INSRECT:ION V2 @ LESS .25 V // z So O INSPECTION RECORD 2 5 1.00 5 1S 1.5.0 IS — 50 2.50 50 200 5..00 MISC. SIGNS I NO.TRANS . NO.LAMPS SERVICE 0-600V 1..00 SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 �. SUPPLEMENTARY PERMIT 50 APPROVALS TOTAL FEE $ DAT_ E INSPECTOR'S SIGNATURE . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'CONDUIT �� —/R tet* :• i' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUIIAl.ING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED .AS REQUIRED BY LOS ANGELES C TY .A TATE OF CALIFORNIA OR. THAT I AM STH LEGAL R T VE POWER DESCRIBED RESIDENTIAL .P SIGNATURE UTILITY CO.NOTIFIED - OF PERMITTEE. FINAL OHN,A.LAMBIE. VALm ARTHUR C.VETT;. :OUNTY ENGINEER CK M. CASH SUPERVISING ELECTRICAL ENGINEER L Y;0 4, 0 8 7 JUL 2-6 2 D ,g �; WORKERS'COMPENSATION DECLARATION 76-683 10/81 CE-eoeG APPLICATION FOR ELECTRICAL PERMIT J heresy' nrmothat I hav#a certificate of consent to self insure, orAa certificate of Worke Comp sation Insurance, or a,ser�ified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy th C. Z— M&'- Policy No Co aFOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS New Residential Bldgs.&Pools ❑ 1 &2-Family,Sq.Ft. $ — $ LOCALITY Certifi copy is filed with the cou buil i pe tion defia t. Multi-family Sq.Ft. NEAREST c`.�11 Residential Swimming Pools CROSS O Date Applicant OWNER OR `A �j FIRM NAME ERTIFI ATE OF EXEMPTION FROM WORKERS' Outlets:Rec SL Light✓Sw.— MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work Involved by the CIT el.No. permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit PLAN CHECK is issued, I shall not employ any person in any manner so as to APPLICANT become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. _ f3 Additional CITYTel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. _ APPLICANT provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. _ -� CITY T.I.No.f 071- LICENSED CONTRACTORS DECLARATION Hood — Fan Other— S•� I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Class. Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESS Power Apparatus&Large Appliances ,] a Size&Type HP,KW,KVA,or KVAR (� Q License Num r Lic.Class Up to 1 Incl. FINAL 0 ION Contractor Date Over 1 to 10 Incl. DATE VA -TU Over 10 to 50 Incl. FINA ❑ I am exempt under Sec. Over 50 to 100 Inc. B717-, LLL n• B.&P.C.for this reason Over 100V1 Date Services,Swbd.,MCC&Panelboards eZ•. 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V El Exemption 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. �']0 3.2 A SINGLE FAMILY Jemp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION # 0 0 0 0 0 2 Sign with One Branch Circuit 1 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 o 0 2 1.7 5 Code): Misc.Conduits&Conductors o o o 2 1.7 5 5 ❑ I,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule) _ Is not intended or offered for sale (Section 7044, Business Q"�1 2-87 and Professions Code). CONSTRUCTION LENDING AGENCY 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.). , PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE l U Lender's Address -7� 1 certify that I have read th' plicati state that the above TOTAL FEE information is c rect.I ag -to cc y wi h all County ordinances and State s gulatIng Iii ctric wirin , and hereby authorize presen Ives Cc y to nter n the above-mentioned p for In ed to ose SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ture of Pe I ee Date