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Home My Public Portal About9725 OLIVE ST_Electrical__ 8A889-CE808EO -10.58 APPLICATION FOR ELECTRIC PERMIT BUILDING AND SAFETY DIVISION Department of County Engineer BUILDING County Of Los Angeles ADDRESS S JOHN A.LAMUIE.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDEN0 LOCALITY NEAREST FOR APPLICANT TO FILL IN Ross T + PERM FEES OWNER LIGHTS RECEPTACLES 7 SWITCHES MAIL J NUMBER I T E M EACH FRE TOTAL OUTLETS $ .10 S ADDRESS ✓ ��l/� ELEC' RANGES, WATER BEATERS, CITY TEL,N .0 a6 CLOTHES DRYERS .50 ELEC7RIC1 ELEC. SPACE HEATERS, STAT•Y. COOK- INO UNITS, GARBAGE DISPOSERS, ADDRESS NO WASHERS, DISHWASHER .25 71 L16HTING FIXTURES ,10 CITY TEL.NO. MOTORS STATE LICENSE NO. HORSEPOWER H.P. OVER INC. DISTRICT NO. ' ..ROUP NE READY FOR INSPECTION Va B LESS .25 1h - 2 .30 INSPECTION RECORD 2 — 5 1.00 5 — 15 1.50 15 50 2.50 50 200 5.00 MISC. SIGNS I No.TRANS NO.LAMPS SERVICE O-GOOV 1.00 SERVICE OVER GOOV 5.00 WIRING PERMIT 1.00 /� 0 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE 8 DATE INSPECTOWS.SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE 0 COMPLY CONDUIT WITH ALL COUNTY ORDINANCES.AND STATE LAWS REGULATING ELECTRICAL WIRING: WIRING �.3 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED A.ND/OR FIXTURES / ! LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE BF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE B VE POWER DESCRIBED RESIDENTi ,FROPERTY SIGNATURE UTILITY CO..NOTIFIED OF PERMITTEE FINAL ,OHN.A. LAMBIE. V TT-1 ARtHU C.VEIT, .OUNTY ENGINEER c M sH SUPERVISING ELECTRICAL ENGINEER I 1. 03 5 '5 0� OCT 2 4.5 r 76A669-CE606 9-66 APPLICATION FOR ELECTRIC L PEI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING a �- BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINSI SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL. IN CROSS ST. RECEPT. 1 TOTAL NO. EACH I FEE004 I OUTLETS FIRST 20 $.20 S OWN LIGHT J} 0 MAIL SWITCH10001 ADD'L 10 ADDItESS . OVER 20 p TOTAL FIRST 2020 CITY TEL.N LIGHTING lL====j FIXTURESFIXTURES ADD'L CONTRACTOR OVER 20 .10 RANGES DRYERS WTR.HTRS. 1.00 ADDRESSO . /Jd/J%�® (.r0 j�.Y�v$��j, GARB.DISP. STA.COK CITY , �'S TEL.N41 l 2- DISHWASH. AUTO.-WASH. STATE e— $PACE HTRB. STA. APPL. .SO PO. LICENSE NO. MOTORS. OVER NOT OVER H.P. DISTRICT GZ E P D O 1 1.00 4-1 1 s 1.50 INSPECTION RECORD s s 2.00 8 15 2.50 15 50 3.00 per, so 100 5.00 u NO.TRANS• SIGNS NO.LAMPS O SERVICE 0.-600V-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 H Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INBPEcrows SIGNATURE TOTAL FEE $ !ip' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAS WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES .d LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, D INTEND TO POWER .��. RESIDE IN,THE AB SIOVE SC ED RESIDENTIAL P PERTV. SIGNATURE IOF PERMITTEE UTILITY CO.NOTIFIED I J „ I FINAL Aj LIDATION JOSEPH C. ROOHAN' CK MO CASH SUPERVISING ELECTRICAL ENGINEER LA'Lp _ 0 .5 2 9Z-0 SEP 14 2, 0 4.60- v '+ 76A663 10/81 ts*�WORKER$'COMPENSATION DECLARATION IeAPPLICATION FOR .ELECTRICAL PERMIT ,herCE-8066 e� affirm that I have a. certificate of consent to self , insure; or a certificate of Workers'Compensation Insurance, , COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified cop)t thereof(Sec. 38000,''L,a`b_. C.) Policy No. U � Company�3��►_k rf�l1 e �f1S 7j1 FOR-APPLICANT TO FILL IN JOB' Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. �C . FEE ADDRESS ✓ // E, Certified copy is filed with the county building inspec- y, Sq. Ft. LOCALITY 1 &2-Family, $ —_ $ NEAREST _5 Cf� Cr tion department. j� ��f Q� ` Multi-family Sq. Ft. CROSS ST. Go F`1 We -Date 15 Applicant. Yt/v+ `�`� � � Residential Swimming Pools OWNER OR ' /,� FIRM NAME ��>✓t► I V1 Q CERTIFICATE OF EXEMPTION FROM WORKERS'' Outlets: Rec L dLight/�Sw;6C MAIL (� COMPENSATION INSURANCE ADDRESS 5704 Golden W First This section need not be completed if the work Involved b Acclll20� ( p Y Total No..� Aclditi6nal• - � , ' CITY "re(ryL e C++ Tel. No. �)n']– the permit is for one hundred dollars.(;100)or less.) 1 certifythat in the performance of the work for which this PLAN CHECK D P APPLICANT Li 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 .79 ADDRESS q0/07 S Total No.— Additional CITY T- C Tel. No Date Applicant Fixed Appliances Not Over 1 HP PERMIT *�' NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT 1)It C. i&i ers Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven —Dryer J—W.M.— ADDRESS �+ ��' 1�JL N with comply with such provisions or this permit shall be Top' _ FAU —W.H. — deemed revoked. CITYa Tel. No.wq ZgC, LICENSED CONTRACTORS.DECLARATION Hood Fan _Other_ DispRoom Air Cond. EOR //r p Class. I hereby affirm that I am licensed under provisions of Chapter 9 . . REG.LICENSE - REG. NUMBER 7J O (commencing with Section 7000)of Division 3 o the Business DISTRICT NO. 6_( A PROC ED BY and Professions Code,and m license is in full force and effect.. Power Apparatus&Large Appliances q.� /� �(�" '�p y�• Size&Type HP, KW, KVA, or KVAR' 6J f V License Number 5184 � Lic. Class B y Up to 1 Incl. FINAL %I Contractor,Ll� Date f5 S/ Over 1 to 10 Incl. DATE `S ' V ATION.. ❑ Over 10 to 50 Incl. FIN V I am exlpt un�e �c. � Over 50 to 100 Inc. B B.&P.C.for this reason Over 100 • V) Date: Services, Swbd., MCC&Ponelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp..Power Pole.&Appurtenances a 8 01'5 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # o o o o,0 'Z 1 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 Professions Code): ') 004250 El5. I, as owner of the property, will do the work and the Misc. Conduits&Conductors' '0 0 0 42.5 0� 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 'PERMIT ISSUING FEE l Lender's Address C 1 certify that I have read this application and state that the TOTAL.FEE 0 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 inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ermittee Date WORKtRS,COMK&9ATION DECLARATION 7BA663 10/81 •,� • " A r CE=808G APPLICATION FOR ELECTRICAL PERMIT I.0ierey -affirgt that I have a certificate of consent to self Insure; or•Zrertifirate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy No:. Company I FOR APPLICANT TO FILL IN JOB + ADDRESS 7ijr i V �• Certified copy is hereby furnished. I New Residential Bldgs.&Pools EACH NO. FEE I _ ❑ Certified copy is filed with the county building inspection y, q. LOCALITY $ — $ P,," 1 - L 1 &2-Family,S Ft. department. Multi-family Sq.Ft. — NEAREST r— CROSS ST. C,402 q leC r + Residential Swimming Pools ,. `. + OWNER OR. Data 4 " Applicant r)4' �/ ,'.t•�/ t FIRM,NAME f�il� , CERTIFICATE OF EXEMPTION FROM WORKERS' + Outlets:ReC4,-Light.; o SV%AL �'' MAIL. COMPENSATION INSURANCE ., I ADDRESS. ,(This section need not be completed If the work involved by the First 20': permit.is for one hundred dollars($100)or less.) Total No.� Additional CITY TC Tel.No. I certify that in the,performance of the work for which this permit PLAN CHECK + APPLICANT is issued, I shall not employ any person in any manner so as to become subject,to the Workers%Compensation Laws. Lighting Fixtures First 20 Zd�ADDRESS Additional - Date [('�& � /0 •' Total No. CITY Tel.-No: 7 Applicant� '' •' " NOTICE TO APPLICANT: If, after making this Certificate- of Fixed Appliances Not Over 1'HP PERMIT APPUCANII j�C; LeC%rr � � Exemption,you should become subject.to the Workers'Compensatich Range_ Heater D.W. L provisions of the Labor Code,you must forthwith comply with suc16 Oven _ Dryer,j__ W.M._ "I ADDRESS ?A37 10&jt4, provisions or this permit shall be deemed revoked. Top — FAU W.H. _ r Tel.No� LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY �.- I hereby affirm Class.. that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. —. LICENSE OR �` (commencing with Section 7000)of'Division 3 of.the Business and REG..NUMBER. C— Professions Code,and my license is in full force and effect. DISTRICT,NO. PROCESSED BY Power Apparatus.&Large.Appliances Size&Type HP,KW,KVA,or KVAR.' License.Number. 7�3gGa U..Class C^l 0 Up to 1 Incl. FINAL , C� s: C DATE' Contractorl�lLC/ PyZf II�C r to Over 1 to 10 Incl y 11^1A r�7 I VALIDATION ❑ �a Over 10 to 50 Incl F. I am exempt under Sec. I Over 50 to 100 Inc. B&P.C:for thisr reason Over 100 a 3 Services,Swbd.,MCC&Panelboard$ /1J 0)Date: 0-200 Amp.Under 600 V/ a Signet ur¢ � 'c B 201 1000 Amp.Under 600 V Over 1000 Amp."or Over 600 V Exemption for Reg,Maint,Elect. " SINGLE FAMILYTemp.Power Pole&Appurtenances. HOME'OWNER-BUILDEWDECLARATI ON Sign With.One Branch Circuit ;!836,7A I hereby affirm that I am exempt from the Contractor's License Law. Additional Sign Branch Circuits for the following reason(Section 7031.5,Business and'Professions #0 0 0 0 0 2 Code): ' Misc..Conduits&Conductors 1 - - 8300 ❑ I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044;Business Other(See Complete Fee Schedule) 0 Poo. Z and'Professions Code). 00 CONSTRUCTION LENDING AGENCY ; 11, 16-87 I hereby affirm that there is.a construction lending agency.:for,the performance of the work for which this permit is issued(Sec.301J.7, PERMIT FEE (Sub-Total) Civ.C.). , PLAN CHECKING FEE ! Lender's Name PERMIT ISSUING FEE Lender's Address ,) I.certify that i.have read this application and state that the above TOTALTEE ry 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 inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date