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HomeMy Public PortalAbout9563 OLIVE ST_Electrical__ 76A66TCESOB.7•96 APPLICATION FOR ELECTRIC. PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engineer BUILDING ,f County of Los Angeles ADDRESS (/ JOHN A.LAMBIE. COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING ILOCALITY FOR APPLICANT TO FILL IN CROSSST. �/ SLE / �! PERMIT FEES NUM ER OWNER le l-zl I LIGHT OUTLETS MAIL ADDRESS 0�rlt-5 S, 77 RECEPTACLES / ¢ WALL SWITCHES FEE CIT /6 e6lT .NQjFf TOTAL OUTLETS @ 5¢ $ ELECTRICIAN ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL.NO. KW EA STATE FIXTURES 5 LICENSE MOTORS DISTRICT NO. I GROL, P I ZONE READTFOR INSPECTION NUMBER HORSEPOWER FEE (J NEW I MVD. Hr OVER INC. EACH I . 1/z&LESS $ .25 1 INSPECTION RECORD Yt 2 .50 ? 9 2 5 1.00 5 15 1.50 �! 15 50 2.50 50 200 5.00 M ISC. i NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS �- FOR EACH PERMIT: WIRING PERMIT $1.00 FIXTURE PERMIT $1.00 e SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ DATE INSPECTOR.`S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APKICATIM CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING %tn q ELECTRICAL WIRING. FIXTURES 1 HEREBY CERTIFY TH i AM PR Y REGISTERED AND/OR LICENSED AS REQUIRE EL PCOU TY AND STAT POWER CALIFORNIA OR THAT TH EG OW F THE A DESCRIBED RESIDENT OPE Y. UTILITY CO.NOTIFIED A SIGNATURE OF PERMITTEE FINAL IOHN A.LAMBIE, VAIMA ARTHUR' C.VEIT. :OUNTY ENGINEER CK Mo wSH SUPERVISING ELECTRICAL NGINEER L Co 5 l 3 s v, FEB 14 2 3.1 5 m 76A668-CE806-If-WAPPLICATION FOR ELECTRIC PERMIT �. COUNTY OF LOS A'l1iGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUUDING AND SAFETY DMSION ADDRESS �+ p CAM A. QLl VE. LAD�M Comty E w LOCALITY 1 egg TT D. GSIPM,Sup t of NEAREST FOR APPLICANT THOS ILL IN CROSS ST. L V ITEM HUM131CRI EACH FEE OWNER AM i AM WAA RAUND OUTLET MAIL LIGHTS RECEPT. ' SW.91 1$ .10 $ ADDRESS ,,ryrye ' 2s . LIGHTING FIXTURES .10 CITY P CAWTEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .s0ADDRESS !• ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL.NO. WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. H.P. 0— I/2 .25 DISTRICT C7 O ZO E READY FOR INSPECTION I/2 — 2 .50 z — 5 1.00 LLmb ON RECORD _ a — is 1.50 -S is — 50 2.00 67 /7-Y 71o1 -f e ` SO— 200 5.00 I'� 0 7f C SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-000V 1.00 SERVICE OVER 500V 5.00 MISC. WIRING PERMIT 1.00 s' FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL CAION 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 AM THE -MAL OWNER OF THE ABOVE DESCRIBED RESIDENTI L R POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL t-- `Z ATION ARTHUR C.YEIT. CIC Mo CASH SUPERVISING CLECTRICAL$N6iNEER x :1060 1 211R OCT 23 2 A 3.90 78A683-cE8061.68 APPLICATION FOR ELECTRICAL PERMIT COUNTY OPLOS,ANGELES DEPARTMENT OF COUNtY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS J(p 3 cc. o L i t.'G sT, . JOHN A. LAMBIE, COUNTY ENGINEER T /� COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY ` 91^0L0F C! ry NEAREST FOR APPLICANT TO FILL IN CROSS ST. V NO. EACH FEE RECEPT._ $ $ OWNER L. S7"AC' -,S MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS 0_5 ? (; C SWITCH_ OVER 20 .10 CITY /L�yh, / l,(r TEL. NO. GL7b d p PLAN CH CK LIGHTING �TOTALIFIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE-DRYER�WTR.HTR._ CITY TEL. NO. STA.COOK_DISP.-F.A.U._ CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH._ CITY TEL. NO. FAN-OTHER 'L 1.00 v0 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 1 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d 10 - 50 5.00 RESIDE IN, THE ABOVE DESCRIBED RE DENTIAL PROPERTY. 0 SIGNATURE V 50 - 100 10.00 OF PERMITTEE 100 - 500 15.00 0 DISTRICT NO. G OUP O PR ESSED BY U TUBSIGNE, A [SIGNAND ONE CIRCUIT 3.00 CLMARQUEE DDITIONAL CIRCUITS 1.00 h NOTES: Z SERVICE NOT OVER 600 VOLTS OR 200 AMP >< 2.00 B� SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPEC UR'S SIGNATURE Jv TEMP. POWER POLE t Y UNDERSLAB WORK / ,/ 0 L ROUGH CONDUIT WIRING P PERMIT FEE (SUB TOTAL) FIXTURES P PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 �], .) �I Ct UTILITY CO.NOTIFIED C SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL fj �p JOSEPH C. ROOi4AN, rp TOTAL FEE , Ili V SUPERVISING ELECTRICAL ENn PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. LAC05 1 4 stS X21 2 0 6:OGN v EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A863 CE806 9-87If APPLICATION FOR ELECTRIC EMIT CbUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �Sj DL, vE BUILDING�ND SAFETY DIVISION ADDRESS 103 JOHN A. LAMBIE, COUNTY ENGINEER /_�7��J COLEMA>'I 1R. JENKINS, S1,IPERINTENDENT OF BUILDING LOCALITY / "I/'L 6-111 FOR APPLICANT TO FILL IN NEAREST �D CROSS ST. NO. EACH FEE $ S OWNER jf L/� L 4161, T RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS ��3 �. �L� v6 SWITCH_ OVER 20 .10 CITY 2 CE; 6ITITEL. NO. 0 (J O o LIGOTING ITOTAL, FIRST 20 .20 CONTRACTOR FIXTURES OVER 20 .10 ADDRESS RANGE-KDRYER/-WTR.HTR._ CITY TEL. NO. STA.COOK_DISP.-F.A.U._ LICENSE NO. SPACE HTR. AIR COND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN-OTHER 1.00 OC7 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOV DESCRIBED RESIDEN AL PROPERTY. SIZE & TYPE OVER TO SIGNATURE 0 - 1 1.00 OF PERMITTEE d 1 - 10 3.00 DlSgRICT NO. GRO�JP ONE PR S ED BY V 10 - 50 5.00 �O 50 - 100 10.00 NOTES: z 17t, Lu� _ G 100 - 500 15.00 /V y TUBE, A [ADDITIONAL IGN AND ONE CIRCUIT 3.00 MARQUEE CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 ®� SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT ISSUING FEE 2.00 WIRING FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL �'�lo�lrIf.." �J.olv TOTAL FEE d JOSEPH C. ROOHAN SUPERVISING ELECTRICALENGIN PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CAS . Lii,o 6 1 6 ©Z03 AW 28 2 D 6-00fly EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE Das 5-A 5-45 APPLluffirloiN blum YlimA'll'l; �,•APARfmNT OF BYJIHLDING• AND SAFETY ELECTRIC �I� COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER _a NAME DISTRICXNO. GROUP I ZONE PERMIT NO. U ADDRESS CITY U/y TEL.NO. REC IVED� READY FOR DATE ISSUED Nj COUNTY FIRST INSPECTION //�� ���417 W CERT.NO. C1 EXPIRES �� / APPIKUNT FILL IN HEAVILY OUTLINED PORTION ONLY JOB IIDESCRIPTIION OF WORD ADDRESS / F X� '• r NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMSNEAREST , LIGHT OUTLETS ISW. PLUGS n3iT CROSS ST. CIRCUIT A B C D I E F IG JH E NAME 3 ADDRESS ' O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE LROAL OWNER OL+TH6 PROPEjRTY DESCRIBED ABOVL �� j• OWNER. CORRECTIONS oe 4®9 rt CC•111 �`� A J Q - Z . 17 Q.' O TOTAL /J �1 le NO. OF OUTLETS ffi Y!7 APPROVALS NO. OF FIXTURES /�2 DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING ~�•3- NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER 1 r PERMIT FEE UTILITY CO.NOTIFIED TOTAL FEE I y �� FINAL a WORKER'S COMPENSATION DECLARATION 20.0019.DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT �. f hereby affirm that I have a certificate of consent to self insure, 78A663 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.) / Policy No. Company FOR APPLICANT TO FILL IN ADDRESS Certified cc is hereby furnished.. NO.. EACH FEE py y New Residential Bldgs.&Pools LOCALITY ❑ 1 &2-Family,Sq.Ft. — $ $ Certified copy Is filed with the county building inspection _ 40, department. Multi-family Sq.Ft. NEARESTCROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK I PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR Outlets:Rec. Light Sw. FIRM NAME First 20 COMPENSATION INSURANCE �•- MAIL (This section need-not be completed if the work Involved by the permit is for one hundred dollars($100)or less.) Total No. Additional ADDRESS 19�4 I certify that in the performance of the work for which this permit CITY Tel No. dZ40 P. 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 Q/- QTotal No. Additional ADDRESS Date L ' /'lam App _ +� 4licant �1�yJI � NOTICE TO APPLICANT: If, after making this Certificate. of RESIDENTIAL APPLIANCES NOT OVER 3 HP: CITY Tel.No. Exemption,you should.become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. A provisions of the Labor Code,you must forthwith comply with such PERMIT provisions of this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT L % • LICENSED CONTRACTORS DECLARATION Size'&Type HP,KW,KVA,or KVAR ADDRESS ��� — y lc�L�r✓ 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 �� J Tel.No. Professions Code,and my license Is in full force and effect. Over 10 to 50 Incl. LICENSE OR .J Claes. ) Over 50 to 100 Incl. REG.NUMBER 0/ , O License Number /L 1� LIc.Class '�/ Over.100 DISTRICT NO. �rD� P CESSED BY / a Services,Swbd.,MCC&Panelboards Contractor 7t_k 9MALCAI"Date '��"gG 0-389 Amp.Under 600 V FDATE F_ INAL 400-1000 Amp.Under 600 VL—Z VALIDATION V .1 am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL (L B.&P.C,for this reason BRANCH CIRCUIT FEES BY Z Date: 15A,or 20A,120V,Lighting or Recept. 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 2 SINGLE HOME OWNER-BUILDERILY DECLARATION Temp.Power Pole&Appurtenances ACCTA Ihereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits 3303 37030 Code): � 1 ITEMS ❑ 1,as owner of the property,will.do the work and the structure Misc.Conduits&Conductors _, is not intended or offered for.sale(Section 7044, Business Other(See Complete Fee Schedule) ► TOTAL :3 7 n 30 and Professions Code). I CHECK 37°30 CONSTRUCTIONLENDING 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) /D Civ.c.) 0000-0001 1/18/96 PLAN CHECKING FEE Lender's Name ( L8 1 AM 10 s 33 i 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 i pectIon purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE r SI TORE OF ERmirmt DATE i