HomeMy Public PortalAbout9409 OLIVE ST_Electrical__ ieess-ceeosa-so APPLICATION FOR_ELEC RICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �j
BUILDING AND SAFETY DIVISION
fBDDRESS JOHN A.LAMBIE,COUNTY ENGINEER -WILLIAM A.JENSEN.SUPT OF BUILDING OCALITY •� -rl e l `
FOR APPLICANT TO FILL IN CROSS ST -c-
PERMIT
PERMIT FEES OWNER
ITEM NUMBER' EACH FEB Ve
MAIL -
OUTL $ it ADDRESS
LIGHTS RECEPT. SW. .10 - e
LIGHTING FIXTURES .10 CITY c TEL NO R LG
ELEC.RANGES CLO.DRYERS ELECTRIC AN Cr tc
WATER HEATERS .80 ADDRESS I -4 AA'�
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. CA t b
GARBAGE.DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .8LICENSE NO.
8
MOTORS: OVER INC. H.P. DIS'RIC T O. Zo E P OC.ESSED BY
0 — I/a .28 O P 4
Va — 2 50 INSPECTION RECORD
2 — s 1.00
S — 18 1.80 9. �� < t� �✓r.�BA�rt �V�
s�-f ¢sad �.�.A • .�.
!Y
is — s0 2.50 v O
so — zoo s.00
U
W
SIGNS: No TRANS. h
NO.LAMPS Z
SERVICE 0.800V 1.00
SERVICE OVER 600V 8,00
MISC.
i4
WIRING PERMIT 1.00 �Q
FIXTURE PERMIT 1.00 or
SUPPLEMENTARY PERMIT .50
TOTAL FEE S��j
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLJABOVS
APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO NDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU
ELECTRICAL WIRING. IRING
I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STXTURES
CALIFORNIA OR THAT I AM THE L GAL OWNER OF THEDESCRIBED REGI PROPS WER
SIGNATURE ILITY CO.NOTIFIED
OF PERMITTE NA
,, � ATION SU URC.VEiT. •
OK�Io CASH
SUPERVISIrNG ELECTRICAL ENGINEER
V � �7 i�3 3 2 3.40
WORKERS'COMPENSATION DECLARATION 1
CE-806G (2.80) APPLICATION FOR ELECTRICAL PERMIT �\
CE-806G
I hereby affirm that I have a certificate•of,consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure,or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec.3800,Lab.C.) 7�
FOR APPLICANT TO FILL IN JOB i V�
Policy No. Company New Residential Bldgs.&Pools EACH NO.1 FEE ADDRESS
Certified copy is hereby furnished. 1-&-2.Fa q, t $ -- $ LOCALITY _
Certified co is filed with the count building p - NEAREST
copy y gins inspection MIWfart►ifFt CROSS ST
department. - Residential Swimming Pools OWNER OR UAL
2 'FIRM NAME U
Date Applicant Outlets: ReclLight 3 Sw_.� / MAIL
L First 20 i a o ADDRESS 'Ll
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.-=A Additional CITY Tel No.
COMPENSATION INSURANCE d
PLAN C EC CL
v APPLICANT C.1
(This section need not be completed if the work involved
Fi
Fixtures i
htng xtures rst20
by the permit is for one hundred dollars ($100) or less.) LigADDRESS
Total No. 2 Additional O
I certify that in the performance of the work for which thisCITY Tel No. V
permit is issued I shall not em an Fixed Appliances Not Over'l HP
p employ y person in any mannerPERMIT W
21
so as to becoibe subject to the Workers'Compensation Laws. Range_Heater D.W. APPLICANT Q O.
Oven _ Dryer_W.M. U)
_ ADDRESS 2
s�
Date Applicant: - Top _FAU _W.H.. - e
Hood _ Fan _Other— CITY N0.
NOTICE TO APPLICANT: If, after making,this Certificate of- Disp. —.Room Air Cond ILICENSE 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. PROCE SED BY
with comply with such provisions or this permit shall be Size&Type HP,KW,KVA,or KVAR
deemed revoked. Q
Up to 1 Incl. ..�v
FINAL
Over 1 t0 10 Incl. DATE ` - ! r ''/ VALIDATION,
LICENSED CONTRACTORS DECLARATION Over 10 to 5G Incl. j
I hereby affirm that I am FINAL
licensed under provisions of Chapter Over 50 to 100 I^�
9 (commencing with Section 7000)of Division 3 of the Busi- Over 1'00 +� BY
j y {
ness and Professions Code, and my license is in full force and ,� 4- i
effect. Services
License Number Lic.Class 0-200 Amp.Under 600 V
201-1000 Amp.Under 600 V
Contractor Date Over 1.000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
I hereby affirm that I am ekempt from the Contractor's Sign with One Branch.Circuit
License Law for the following reason (Section 7031.5, Busi- Additional Sign Brerich Circuits
ness and Professions Code): �� Q 7 S.6
Misc.Conduits&Conductors g;- � Q, 9 p,
I, as owner of the property, will do the work and the Other(See•Complete Fee Schedule)—
structure is not intended or offered for sale (Section
7044,Business and Professions Code). y
CONSTRUCTION LENDING AGENCY D
Ihereby affirm that there is it construction lending agency
for the performance of the'work for which this permit is PERMIT FEE (Sub-Total)
issued(Sec.3097,Civ.C.).
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE
I certify that I have read .this appl.icatiori and state that the TOTAL FEE a
abovb 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 erty for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
Wrie �
atu o Permittee Date I '
D89y'A 72-44 I' AWMATIONFOR SEilKLi
SPAR COUNTY OF BUILDING
OF LOS ANGELES
SA�'EIl'S
WM. J. FOX CHIEF ENGINEER
ELECTRIC �
NAME its_ Qir DISTRICT NO. GROUP ZONE PERMIT NO.
p�P J .� ;�p9 J/��y ell /� ^y
V ADDRESS _�,7' v �� l ywe':,2 b�(i L �� `� /
t ° �elp.� •RECEIVED READY FOR DATE ISSUED
CITY ;Al'I TEL.NO. _� r �' / I FIRST INSPECTION
COtfl
UNTY
RT.NO. 4:2- EXPIRES Y ®� ��/ ®" �r� ���q R
APPLICANT FILL IN nEAiELX OUTLINED PORTION ONLY
JOB
IDESCREMON OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY ,1_.!%.r.a •x3 F'r
LOCATION BY ROOMSN REST
-
LIGHT OUTLETS SW. PLUGS IFUT CROSS ST. .n %'I�•'� !�'n• r" ��•� AL2
CIRCUIT A B C D 1 E 'F G I LSI of NAME
Z MAIL ,
ADDRESS fPrL _
O
CITY TEL.NO.
1 AM TILE LEGAL POSSESSOR OF ,ATHE ABOyE LOS
ANGELES COUNTY CERT.IF/,j9
/S1 E OFrkQUALIFICA7lPN..
v ELECTRICIAN.
AI AM TBE IyAAL OWNER OF THIO PROPZRTY DESCRIBED
OWNER.
comacriows
J
— Q
Z_
m
O
TOTAL
NO. OF OUTLETs ..(-7�� ffi J�F? APPROVALS
1 NO. OF FIXTURES ffi Q' DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT
NO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS ffi POWER
PERMIT FEE r S a r; ffi rv(
UTILITY CO.NOTIFIED / i ,
----- --- / .0 — m % __.. 2-1/c..VIA d
j DBE S-A 12-44
4- A"UCKHON FOR PERM'
DEPARTMENT OF MJIIGLOINC,-AND SAFETY: ELECTRIC COUNTY OF LOS ANGELES
W . J. FOX CHIEF.ENGINEER =
6 `' DISTRICT O. GROUP ZONE ,fJPSERMIY NO.
ADDRESS : T*L toe
1d STEL.NO. j �. REEIVED BX. READY FOR DATE-ISSUED
(� FIRST INSPECTION
W CRT.NO. EXPIRES
APPLICANT FILLWLT Vvvli%[TffwY OU'�LIlviED PORTION ONLY
JOB
i' IDEscRE T oN OF WOE ADDRESS
NUMBER OF OUTLETS ON CIRCUITS' LOCALITY
LOCATION BY ROOMS NEAREST
S, LIGHTOUTLETS SW. PLUGS Fmvtr GROSS sr.
CIRCUPI' A B C D E FJr. F1 W NAME &a�a, !
" z MAIL
3
ADDRESS,
1 CITY TEL-NO.
r 1 AM THE LEGAL POSSESSOR OF THE 'JIMS
_ewANGELES COUNTY CERTIFI OF QUALIFICORREMONS
Ai AM THE 4 e�OVYNER OF TM;PROPFJMABOVE
-
elk
/t r. \!y
— A/ ��' - z
m
Q
NO. OF OUTLETS ' E Q APPROVALS
NO. OF FIXTURES �i �.� DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT
NO.'OF SIGNS TRANS. - " $ WIRING
NO. OF•RANGES OR HEATERS. E FIXTURES 1
MISCELLANEOUS !g POWER r f
,�• PERMIT FEE �/ ? UTILITY CO.'NOTIFIE RZ
r v-
TcmAt-PE6' S _4 _Q FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY 'MA _
WILLIAM J. FOX, County Engineer LEC mis
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIANt e— lv
�y RECEIVED B READY FOR DATE IBBUED
ADDREBBNO.
CITY 72M P (_'f TEL. , FIRST INSPECTION
COUNTY LICEN8E NO. EXPIRES BUILDINQ
PERMIT FEES
ADDRESS -
� �f �I
NUMBER EACH FEE LOCALITY—A—AAM 1P (11!-
LIGHT OUTLETSC
® CROGS SST.
RECEPTACLES ®�
WALL SWITCHES � OWNER h&lkeo6 0 rI
Z
TOTAL OUTLETS 5D 111 MAIL Q�I, p� �q
ELEC. RANGES E25 ADDRESS "d i,S b moi! a�r-'. F J h Ifi? p
ELEC. HEATERS 25 cITY�M41,9 El r y TEL. NO. I¢�/ A9d���6A
FIXTURES 5 i I '
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. PPLICATION AND. STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS lrA;3 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE I
New MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY
A DESCRIBED ABOVE.
I/2 a Uses $ .25 SIGNATURE Oto/ Ar jr/ r•� rz
%z Y .60 PERMITTEE! P -1;J4 �I•P !/eAl . �i/�Gl�1�—---
a B 1.DD INSPECTION RECORD
5 75 1.60
_ 16 50 2.50
593 200 5.00 r r!'"r�y,�er�Gra6 ® L 01-1 AJ
200. 500 10.00 , v w lve.
Sao 10930 15.00 s _
I_ ti C='.:1�.'F�C�•.4 .rte`.•`.-0_
OVER lOOO 20.00 -
M.G. SET/FREq. CHANGER-HP R'
WELDERS:AC-KVA 13
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75%. OF DRIG.)
MOVED MOTORS (75% OF OHIO.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT?
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
BUPPLEMENTARY ,50 FIXTURES
(� POWER
TOTAL FEE $ UTILITY CO.NOTIFIER•
FINAL � O'1e /n,J fry/ f Lc'
76ABgS DBS*5A 4-58 I