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Home My Public Portal About9856 OLIVE ST_Electrical__ 75A559 'APPLICATION FOR ELECTRIC RIC PERMIT 1 DBS-5A 9.55 _ DIVISION OF BUILDING AND SAFETY DepoxI ant of County Engineer 1 Countof Los Angeles BUILDING WM.J.FO, .COUNTY ENGINEER ADDRESS_V CASSATT D.GRIFFIN,SUPT OF BUILDING 'LOCALITY FOR APPLICANT TO FILL IN NEAREST PERT FEES CROSS ST. , NUMBER EACH FEE t OWNER LIGHT OUTLETS RECEPTACLES MAIL � ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ $ CITY TEL.NO. ELEC. B 25 •ELECTRICI•A ELEC. HEATERS 25 ADDRES KW EA CITY TEENG1212AI FIXTURES 5 LICENSE NO. Ilk NUMBER OF LIGHT CIRCUITS h DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS 1" Ilii J MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH @ LESS $ .25 "f 1/z 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING .$1.00 FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS r TOTAL FEE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING -� Ann t�R •-• .� ELECTRICAL WIRING. i HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAO I AM THE LEGAL HER OF THE ABOVE POWER DESCRIBED RESIDEN L PROPERTY UTILITY CO.NOTIFIED -fir- �-•...-.- ' SIGNATURE �ps OF PERMI FINAL WILLIAM J. X.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF.ELECT.INSPECTOR C-0 6 8 7 5 u 0713- 2 1 .25 �eaBBa_CEBQB,8.B9 APPLICATION FOR ELECTRIC PERMIT. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILOIN'G BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER. CASSATT D.GRIFFIN,SUP T'OF BUILDING LOCALITY F-'GARBAGE OR APPLICANT TO FILL IN NEAREST �] CROSS ST. S7 . PERMIT FEES 'ITEM NUMBER EACH FEEOWNERj $ MALL RECEPT.i■ SW. (i- ,tQ ADDRESS FIXTURES 10 CITY TEL.NO. S CLO.DRYERS ELECTRICIANER. HEATERS .50 ADDRESS HTRS. DISHWASHERS ICITY TEL.NO. RS auro.- STATELLSTA.COOKING UNITS .25 LICENSE NO. (.�P MOTORS: OVER INC. H.P.- DISTRICT O. G_ROU ZONE PR ESSED BY 11 k 0— +/: 25 +iE- 2 .50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 is— 5o 2.50 /l 50-200 5.100 S A � m•K. f C/ SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 --7 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT SO TOTAL FEE S APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ' ELECTRICAL WIRING, WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR /y LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PR E I, POWER SIGNATURE. UTILITY CO.NOTIFIED OF PERMITTE FINAL DATION ARTHUR C. VETT, cK. NO CASH SUPERVISING ELECTRICAL ENGINEER �ri�o 7 7 5 2°; JW 1.0 2 A 6.2 O to . DOS-5A 9.89 APPLICATION FOR ELECTRIC PERMIT 1 DOS-5A DIVISION OF BULDING AND SAFETY Deportment of County Engineer Q County of Los Angeles BUILDING !�J�` £ 0 WM.J.FOX.COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY iLmn"- et FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. NUMBER EACH FEE AlaLIGHT OUTLETS OWNER MAIL RECEPTACLES ADDRESS r WALL SWITCHES r. TOTAL'OUTLETS 5¢ S CITY TEL.NO. ELEC.RANGES 25 ELECTRICIA ELEC. HEATERS 25 ADDR SS KW EA CITY T O FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS - DIS TRIC .NO. I GRP ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWER FEE INSPECTION RECOR NEW MVD. HP OVER INC. EACH web` to�Q I N-m 'koe-L , 112&LESS $ .25 d t�$ .. COC1.8.h•+l 9t,tU 6 b I 2 .50 2 5 1.00 �` 6 5 15 1.50 15 50 2.50 50 200 5.00 - It M ISC. v NO.SIGNS NO.TRANS. P NO.SIGNS NO.LAMPS FOR EACH PERMIT: r WIRING $1.00 FIXTURES $1.00 OD SUPPLEMENTARY •50 APPROVALS TOTAL FEE g DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I` WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING O SI P m.i ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR TH 1 AM THE LEGAL 0 ER OF THE ABOVE POWER `.Q` sf DESCRIBED RESIDEN L PROPERTY. UTILITY CO.NOTWIED SIGNATURE OF PERMITT FINAL LL WILLIAM J. .COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR {�08694OCT 5 2 2.70 ' in iWORKERS'COMPENSATION DECLARATION 17 ioiel APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self 4CE-806G P I BUILDING AND SAFETY .insure, or a certificate of Workers.'Compensation Insurance; COUNTY OF LOS ANGELES�. or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB 0 igg'576 Cerfified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS 1 &2-FamilY. q•S Ft. $ = $ LOCALITY eCertified copy it filed with the county building inspec.- tion department. Multi-family Sq. Ft. NEAREST Residential'Swim.ming Pools . Al. Date. Applicant IRM NAME to / 4. O/Y. CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:.Rec ' Light • 'Sw._ COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed.If the work involved by I Total No. Additional CIN• �a �� C Tel. No. the permit Is for one hundred dollars($100)or less.) N 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 Additional �? O� Total No. CITI' Tel. No.. Dot e ��g3 Applicant �,a I Fixed Appliances Not.Over 1 HP.; PERMIT NOTICE TO APPLICANT: If, after making this Certificate of Range_ Heater—D.W: APPLICANT Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be I Top FAU —W.H. — CITY deemed revoked. Hood — Fan _Other— ' LI.CENSED,CONTRACTORS DECLARATION LICENSE OR Disp. _ Room Air Cond. .Class. I hereby affirm that)am licensed.under provisions of'Chapter 9 ,REG.NUMBER (commencing with Section 7000.)of Division 3 of the Business DISTRICT NO. PRO SSED BY } and Professions Code,and my license is in full force and effect. .i Power Apparatus&Large Appliances IL ) . Size&Type HP, KW, KVA,,or KVARO License Number Lic. Class Up to 1 incl. FINAL ,� V Over 1 to 10 Incl. DATE e �,.�Q VALIDATION Contractor Date Over 10 to 50 Incl. fd F FINAL `y Over 50.to 100 Inc. I am exempt under Sec. BY �- w B.&P.C. for this reason Over 100 { H Date: + Services,Swbd.,MCC&Panelboards f 0 -200 Amp.Under 600 V / Signature 201 - 1000'Amp.. Under 600 V ❑ Over 1000 Amp. or Over 600 V 'Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&.Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Coritracfor's License Additional Sign Branch Circuits Law for the following:reason (Section.7031.5, Business and �- 1 '6S 3 A Professions Code): a.' ❑ Misc, Conduits&Conductors 0 0. 2 I, as owner of the property, will do the work and the i ,Other.See Com Iete.Fee Schedule structure is not intended or offered for sale (Section P ( p )— 2'o'0 2 5.5 0 7044, Business and Professions Code). ; j rr, CONSTRUCTION LENDING AGENCY o 0 0 5 50= 1 hereby affirm that there is a construction lending agency for 0503-83 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 Lender's Address I certify that.1 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 1 hereby authorize representatives of..this County to enter upon t the above-mentionedproperty for inspection,purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE F Signature of Permittee Date ( I