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Home My Public Portal About9521 OLIVE ST_Electrical__ m °°°4' APPUCATI®N FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES. DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION , ., ADDRESS .- JOHN A.LAMBIR COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY 1 FOR APPLICANT TO FILL IN NEAREST CROSS ST PERMIT FEES OWNER ITEM NUMBER EACH FEE MAIL OUTLETS: ADDRESS LIGHTS RECEPT.A- SW. .10 +LU LIGHTING FIXTURES 10 CITY TEL.NO ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .90 ADDRESS V O Afy— ELEC.SPACE.HTRS. DISHWASHERS CITY TEL. GARBAGE DISPOSERS AUTO.- STATE �j.� /� WASHERS STA.COOKING UNITS .25 am LICENSE NO. V (/ T MOTORS: OVER INC. H.P. DISTRI Q U E D B 0 — 1/z .26 . Qr V2 — 2 ,60 1 PECTION RECORD 2 — B 1.00 All in a 5 — 191.50 , �`' t�{�<mU is — so 2.60 t13 9 oe O BO — 200 6.00 �j G.ca �.+a..Ake, tld w•.=— SIGNS: NO TRANS. L N NO.LAMPS �� . �Ae Z SERVICE O.sOOV 1.00 SERVICE OVER GOOV 6.00 MISC. � / WIRING PERMIT 1..00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT ,60 TOTAL FEE S I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTQR'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 1 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 OWNER OF THE ABOVE DESCRIBED RESIDENT P P R POWER I i SIGNATURE UTILITY CO.NOTIFIED f" w OF PERMITTE FINA G fR VALIDATI ARTHUR C.VEIT. CK MO CASH SUPERVISING ELECTRICAL ENGINEER Uj-,o 7 3 COT 2 D 2.2 0 t� Ad 40064 0 AP-PLICATION FOR ELECTRI AL PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEE:!M�u r BUILDING AND SAFETY DIVISION ES8 �7 ,JOHN A.LAMBIE,COUNTY ENGINEER WILLIAM A.JENSEN, SUP'TOF BUILDING LITY FOR APPLICANT TO FILL IN EST SST PERMIT FEES OWNER I TEM NUMBER EACH FEE MAIL OUTLET : s, ADDRESS LIGHTS RECEPT. SW. . r� .f0 G� LIGHTING FIXTURES A .to •Q CITY E NO ELEC.RANGES CLO.DRYERS /J ELECTRICIAN +WATER HEATERS .80 ADDRESS O ,WATER HTRS. DISHWASHERS CITY TEL.NO. GARBAGE DISPOSERS AUTO.. .. ^ STATE WASHERS STA.COOKING UNITS .219 d% LICENSE NO. MOTORS: OVER INC. H.P. DIST CT O. GR I P ESSED BY o — Y2 zs �Lrrtit� y$ — 2 ,so INSPECTION RECORD 2 — S 1.00 _ a 1.60 U 18 — So 2.60 99 SO _ 900 s.00 1 OV W SIGNS: NO TRANS. N NO.LAMPS Z SERVICE 0.600V 1.00 o — SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00JL FIXTURE PERMIT 1.00 oo SUPPLEMENTARY PERMIT ,go TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO'COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT I � ELECTRICAL WIRING. WIRING �� 7 • ._�Y/I.�� ,6 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORr . LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES �:'n/6-,CALIFORNIA t-- CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT( P PERTY POWER n SIGNATURE UTILITY CO.NOTIFIED OF FERMI! q FINA / _d��ctA r�T�JQo�W £, HC. OR Mo.(CS UPER V I SING ELECTRICAL ENGINETR 78A688-CE808 8-84 APPLICATION ELIECTRICAII PERMIT COUNTY OF LOS ANGELES D NGINEER BUILDING BUILDING AENT ND SAFETY F COUNTY DIVISION. ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER I ' + WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITYST 1 P C4�T FOR APPLICANT TO FILL IN CROSS ST. �eM cvmr t- RE.CEPT. TOTAL NO. EACH PER LIGHT OUTL�E(TS FIRST 20 R.20 R OWNER' r R �}�LIi•S�� Ou MAIL SWITCH. ,� -LL__ OVER 20 f0 ADDRESS �1•�r{ Q�if£.A X51 TOTAL CITY ` Cr TEL.NO. LIGHTING FIRST 20 .20 FIXTURES ADD'LI OVER 20 .10 ELECTRICIAN G RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS .I GARB.D18P. BTA.COOK CITY TEL.NO. 12,01 D18HWASH. AUTO.-WASH. STATE0 77 SPACE HTRB. BTA.APP.(%H.P.MAX.) .50 LICENSE NO. MOTORSS OVER NOT OVER H.P. DISTRI T O. G OUP ZONE P CESSED BY O 1 f.00 ( 1 a 1.50 INSPECTION RECORD D. s 9 2.00 u s is 2.50 Am 1s so 3.00 0 50 100 5.00 LY a N SIGNS. NO.TRANS. Z NO.LAMPS SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE O-SOOV.OVER 200 A. 2:00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTASY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIEZATION APPROVALS DATE INSPECTOR-8 SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. I HEREBY CERTIFY THAT 'I AM PROPERLY REGISTERED AND/OR WIRING LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES mm luc CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE '7• [ v •• DESCRIBED RESIDENTIAL-PROPERTY. POWER SIGNATURE Al I nA UTILITY CO.NOTIFIED A //f/ mss_ ,✓� OF PERMITTE FINAL LIDATION ARTHUR C. VEIT- CK MO CASH SUPERVISING ELECTRICAL ENGINEER LAAO 4 9 9 2% OCT 19 2 D 4.80- WORKERS'COMPENSATIONDECLARATION 76A663 CE-880606G (2.80.)' APPLICATION FOR ELECTRICAL PERMIT CE I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate df Workers'Compensation Insurance,or "fl a certified copy thereof(Sec �800,Lab.C.) ®�e�d � (� s° OW FOR APPLICANT TO FILL IN SOB c Policy N o pany ADDRESS G i New Residential.Bldgs.&Pools EACH NO. FEE Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — $ LOCALITYZe Certified co Multi-family Sq. Ft. — NEAREST ' �1 copy is filed with the county building inspection i CROSS ST "Vlt✓ department. / Residential Swimming Pools OWNER OR. ��--c��//''��y�/ y .FIRM NAME VaJ Date��_ plicant�10 0 s Outlets: Rec.--Light—Sw. MAIL First 20 ADDRESS 6,14 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional' CITY Tel No. " } COMPEN..SATION INSURANCE. a : PLAN CHECK a ' APPLICANT (This section need not be completed if the work involved. by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures- First 20 ADDRESS Total No.. Additional O I certify.that in the performance of.the work for which thisCITY Tel No: Fixed Appliances Not Over 1 HP permit is issued, I shall.not employ any person in any manner PERMIT p�/'� /� W so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT �✓IGd/�/O . Ale & � a Oven _ Dryer_W.M._ ADDR.ESS Date Applicant Top _ FAU _W.H.._ , Hood_ Fan _Other_ CITY db1&4ajW4& Tel No NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond._ LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER &V Class Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall bepower Apparatus&Large Appliances DISTRICT N P ED+BYdeemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. FINAL /�Ove�1 to 10 Incl: A) DATE3 � Z VLID LICENSED CONTRACTORS DECLARATION IM-ver 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter i Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the.Busi= BY Over 100Q-J ness and Professions,Code,and my license is in full force and effect. Services �Q 0-200'Amp.Under 600V License Numbeyrr4/ Lic.Class i.� y 201-1000 Amp.Under 600 V 4 3 104 9 AContractor G Data�-A,4 —IM Over 1000 Amp.or Over 600 V #'o o•o-o 0 2 HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances 2',- o 1 4.5 0 I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit o o o 1 4,5 0 C6 License Law for the following reason (Section 7031.5, Busi- Additional.Sign Branch Circuits ness and Professions Code): 03,01 —.8 2 Misc.Conduits 8i Conductors 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). CONSTRUC.T.ION LENDING AGENCY I hereby affirm that there is a 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) _ r Lender's.Address PERMIT ISSUING FEE 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 i hereby authorize representatives of this County to enter upon ! 'the above-mentione property for'nspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of rerditt Date