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Home My Public Portal About9651 OLIVE ST_Electrical__ SAS16-CE13011_9457 APPLICATION FOR ELECTRIC PERMIT �. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDREss JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY ' FOR APPLICANT TO FILL IN ., CRROSS STT. PEMWT FEES I T E M NUMBFRI EACH FEE OWNER t 90 1 OUTLET$j'=. ^I' $ $ O MAIL ul LIGHTS F RECEPT. SW. / 10 O Q ADDRESS f 6,. LIGHTING FIXTURES Ism .10 s O CITY t. �" TEL.NO. ELEC:RANGES 'CLO.DRYERS O V / r _ =ELECTRICIAN WATER. HEATERISIi •SC ADDRESS' ELF=SPACE HTRS:�//DISHWASHERS GARBAGE DISPOSERS 4 AUTO.- e.n CITY TEL.NO. WASHERS STA.COOKING UNITS .2s �, 2 •STATE :LICENSE NO. MOTORS: ovER INC. H.P. 0— 1/2 25 DISTRICT NO. GROUP ZONE R9ADY FOR INSPBCTION 1%2 — 2 s 0' MEN 2 — s j 1.00 d p r )NSPECTION RECORD a.— 1s 1.50 is — so 2.130 50— 200 5.00 SIGNS: NO.TRANS. . NO.LAMPS SERVICE 0-600V 1.00 (J d SERVICE OVER GOOV 3.00 WIRING PERMIT 1.00 00 FIXTURE PERMIT 1.00 O O SUPPLEMENTARY PERMIT' .50' TOTAL FEE $ - �' APPROVALS ' 1 HEREBY ACKNOWLEDGE THAT I HAV: READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND. STATE THAT THE ABOVE IS-CORRECT AND,AGREE TO COMPLY CONDUIT / �} ELECTRICAL'CWIR G.ORDINANCES AND STATE LAWS REGULATING WIRING GCD �dI"S`F� lJI.'/ •lfrE ._. _ I HEREBY CERTIFY THAT I AM. PROPERLY REGISTERED AND/OR "✓ "- ' LICENSED AS REQUIRED BY LOS ANGELES C NTY AND STATE OF FIXTURES CALIFORNIA OR. THAT M T E EGAL NE OF THE ABOVE POWER DESCRIBED RES OP SIGNATUR t UTILITY CO.NOTIFIED OF PERMI FINAL ATION ARTHUR C.VEIT. -SUPERVISING ELECTRICAL ENGINEER ' C MO= .`CASH • 3 $ '7 �uu`14 2 w. 14.5 5 10 WORKERS'a MPErNSpiTION DECLARr4TIOM 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT . `L`al heneb�v affirm that I have a certificate of consent to self CE-8066 `%iriura'tor',certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY � • or c, ertifled copy thereof (See. 3800, Lob.-C.) Poli Noy'o- pony CIA Lo ; FOR APPLICANT TO FILL IN JOB ADDRESS F L' Certified copy is hereby furnis New Residential Bldgs. $Pools EACH NO. FEE ❑ 1 &2-Famil S Ft. $ - — $ LOCALITY Certified copy is filed with coun but n inspec- y� q NEAREST tion department. j Multi-family Sq.'F.t. CROSS ST. , Date Applic nt / Residential Swimming Pools OWNER OR .FIRM NAME CERTIFICATE OF EXEMPTI N FROM WOR S' Outlets: Rei" Light Sw. COMPENSATION INSURANCE First 20 , ADDRESS (This section need riot be completed if the k Involved by CITY Tel. No Sf/LS the permit is for one hundred dollars($10 or less.) Total No. Additional _ fy� I certifythat in the'performance of the work for which this PLAN C CK ' p ' APPLICANT M40 _ permit is issued, I shall not.employ any person in any manner so as to become subject to the Workers'CompensationLighting.Laws. 9 9Fixtures First 20 ADDRESSj� /•"'"`" .Additional bill– Date No. CITY Tel. No. Date. %►pplicant Fixed Appliances Not Over 1 HP PERMITyy�4 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. 00.LICENSED CONTRACTORS DECLARATION 'LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG.NUMBER Class. (commencing with Section 7000)of Division 3 of the BusinessDISTRICT NO. PROC SED BY and Professions Code,and my license is.in full force and effect. Power Apparatus&Large Appliances �) Site 8 Type HP, KW, KVA, or KVAR' O License Number Lic.-Class Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE / VA ATION Contractor Date Over 10 to 50 Incl. 4FIN < � ❑ I am exempt under Sec. Over 50 to.1.00 Inc. W Q., BAP.C. for this reason Over 100 Z Date: 'Services, Swbd.,MCC&Panelboards 0 -200 Amp. Under 600 V Signature 201..- 1000 Amp. Under 600 V 1 855'1000 A Over Amp. or Over 600 V Exemption for Reg. Maint. Elect. o 0 0 0 0 '2 SINGLE FAMILY Temp. Power Pole&Appurtenances HOMEOWNER-BUILDER DECLARATION Sign with One Branch Circuit I ° ° 2 7 7'S I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and o o o 2 Z 7 5= Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors [(, 6_8'5 structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)- 7044, Business and Professions Code). CONSTRUCTION LEJdDING AGENCY I hereby.affirm 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. C.). Lender's Name PLAN CHECKING FEE - PERMIT ISSUING FEE Len2:4, ' Address 1 cethat I have read this application and state that the TOTAL FEE ,7 ab formation is correct. I agree to comply with all County or in nces.and State a regulating Electrical wiring, and .ere y authorize repr ntatives of this County to enter upon th bo e- .entioned rop#rty for insPecti urposeS. SEE REVERSE'FOR EXPLANATORY LANGUAGE gnature of Permittee Date =1�It�RKERS'COMPENSATION DECLARATION 176A663 10/81 hereby affirm that I have a certificate of consent to self CE-&XG APPLICATION FOR ELECTRICAL PERMIT insure, or a certificate of Workers'Compensation Insurance, ' COUNTY OF LOS ANGELES or a certified copy thereof (Sec. 3800, Lab. C.) eBU1LDING AND SAFETY Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 19-4- Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST '�" Residential Swimming Pools CROSS ST. 1 Date Applicant O NER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light—/—Fin IL COMPENSATION INSURANCE .6 3 ADDRESS 4 (This section need not be completed if the work involved by First til CITY r the permit Is for one hundred dollars($100)or less.) Total No. AdditionaI. No. PLAN CHECK I certify that in the performance of the work for which this APPLICANT 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 Tel. No. Date tol 4196 Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this dirtificate 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_ CIN Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Dis _ Room Air Cond. — I hereby affirm that I am licensed under provisions of Chapter 9 p' � REG.NUMBER Class. (commencing with Section 7000)of Division 3 of the Businesspower Apparatus&Large Appliances DISTRICT NO. P C ED BY �- and Professions Code,and my license is in full force and effect. O Size&Type HP, KW, KVA, or WAR V License Number Lic. Class I Up to 1 Incl. FINALDATE O� O Over 1 to 10 Incl. Contractor Date. U VALIDATIO � Over 10 to 50 Incl. FINAL ID I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 2 Date: Services, Swbd., MCC&Panelboards 0 -200 Amp. Under 600V F3067A Signature 201 - 1000 Amp. Under 600 V Exemption for Reg. MainT. Elect. Over 1000 Amp. or Over 600 V # o 0 0 0 0 2 SINGLE FAMILY Temp. Power Pole&Appurtenances o 0 1 4.2 5 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License o 0 0 1 Q,2 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits I a O 4 s � Professions Code): l�Cl I, as owner of the property, will do the work and the M.sc. Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business 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 PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name O PERMIT ISSUING FEE Lender's Address 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-mentione roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of PermitteeV Date