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Home My Public Portal About9915 OLIVE ST_Electrical__ 7GA66831CM806.7.56 APPLICATION FOR ELECTRIC PERMIT 1 B_ UILDING AND SAFETY DIVISION Dep�ment of County Engineer ElUILDINGcq County of Los Angeles ADDRESS JOHN A.LAMBIE. COUNTY ENGINEER r�P' CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY . v NEAREST FOR APPLICANT TO FILL IN CROSS ST. PEmar FEES NUMBER OWNER l�I MAIL p � _ LIGHT OUTLETS ADDRESS ! O S 3 RECEPTACLES A _i 61411 WALL SWITCHES FEE CITY G• TEL.90 TOTAL OUTLETS 0 5¢ g ELECTRICIAN ELEC.RANGES 25 ADDRESS ELEC.HEATERS 25 CITY TEL.NO. f KW EA STATE FIXTURES g LICENSE NO. MOTORS DIST NO. GROUPNE READY FOR INSPECTION NUMBER '. HORSEPOWER FEE I. I I 1 I NEW MV . HP OVER INC. EACH Yz g LESS $ .25 INSPECTION RECORD Yz 2 .50 2 5 1.00 5 is 1.50 i5 50 2.50 50 200 5.00 misc. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 FIXTURE PERMIT $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE gR0, DATE INSPECTOR'S SIGNATURE 1HEREBY ACKNOWLEDGE THAT 1 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 ELECTRICAL WIRING. FIXTURES I HEREBY CERTIFY THAT I 'AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA ORTHATtl AM THE LEGAL WNER OF THE ABOVE DESCRIBED RESIDENTI PROPE UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE �� FINAL IOHN A.LAMBIE. ATION ARTHUR C.VEIT. ..OUNTY ENGINEER 7-1 CASH SUPERVISING ELECTRICAL ENGINEER `co909 `L JIv11 2 2.30 Aa ►UI:; �/ O ►SASSS 7BS•8A 11.38 APPLICAT ION FOR ELECTRIC PERMIT .1 DIVISIgX OF BUILDING AND SAFETY DepO=lmenf of County Engineer i BUILDING Courtp Of LOB Angeles ADDRESS JOHN A.LAMB1E.COUNTY ENGINEER /^• CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY ' 4- ► FOR 1A T FEESNT TO FILL IN y {cEoss ST. / NUMBER OWNER d / LIGHT OUTLETS MAIL CEPTACLES ADDRESS WALL SWITCHES FEE ' CITY " TEL.NO. TOTAL OUTLETS as¢ $ ELECTRICIAN p,f{D ELEC.RANGES 25 ADDRESS IQ �� /�/!A QJIr j*�r e� ` ELEC.HEATERS 28 CITY D TEL.N 7 ffb%/ KW EA STATE FIXTURES 1,6 LICENSE NO. MOTORS DISTRICT NO. I GROUP ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE `� .r ' NEW MVD. HP OVER INC. EACH INSPECTION'RECORD - yi&LESS $ .25 Yi 2 .30 I Z l? Cz7 2 s 1.00 �� h4-�`• a11 [�. .T"lC� $`.Mr;L •fi s IS 1X30 13 so 2.50 - so 200 3.00 f�:' CA" 24y.,a�T9 t`,{c., e [r"4�. Ino �k ,[i�+L� •: en 4 - MISC. IVA NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 1 100 FIXTURES $1.00 OO SUPPLEMENTARY •30 APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ON AND STATE THAT THE ABOVE iS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING t r �91n ¢hie ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY 1ST ED AND/OR FIXTURES ¢� LICENSED AS REQUIRED Y LOS ANGEL D ATE OF CALIFORNIA-13R THAT AM THE LE L I ABOVE POWER DESCRIBED RESIDENTI PROPEPTY. UTILITY CO.NOTI'll.L� SIGNATURE L 1 ••-- OF PERMITTE FINAL I I :`q 11fir, 1_n , OHN A.LAM.ENV.COUNTY ENGINKLER ARTHUR C.VEIT.CNiEF ELECT.INSPECTOR CK MO CASH 3 3 8 4;' DEC 14 2 2.6 0 In I WORKERS'COMPENSATION DECLARATION 20-0019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT ' O � I herE<by'affirm that I have a certificate of consent to self cEeo�bG ansuke, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS • or 9 certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company I FOR APPLICANT TO FILL IN JOB � ``�j Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS 'frl Certified co is filed with the count buildinginspec- 1 &2-Family, S Ft. $ — $ LOCALITY ' copy y p y� q NEAREST tion department. Multi-family Sq. Ft. CROSS ST. Date Applicant Residential Swimming Pools OWNER OR ((�� FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_)<LLight.�Sw.- o �`IL COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed if the work involved by Total NO. Additional CITY Tel. No. the permit is for one hundred dollars($100)or less.) 1 certify that in the performance of the work for which this A PLICANTK permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Additional Total No., CITY CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PE NOTICE TO APPLICANT: If, after making this Certificate of RMIT Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION 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. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. — Class. REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PRO ZZED BY and Professions Code,and my license is in full force and effect. a Size Type HP, KW, KVA, or KVAR l," O License Number Lic. Class Up to 1 Incl. FINAL U Contractor Date Over 1 to 10 Incl. DATE �ZZ-F/ VALIDATION Er Over 10 to 50 Incl. .�l O FIN /' AL U I am exempt under Sec. Over 50 to 100 Inc. BY ,/`� B.&P.C. for this reason Over 100 a Services, Swbd., MCC&Ponelboards , Z Date: I 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 I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.51 Business and Additional Sign Branch Circuits �'_�� Professions Code): Conduits&Conductors !I-i1Li I, as owner of the property, will do the work and the Misc. _ structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ ® %;``=;i'I,•' --jy or,-, Business and Professions Code). 33_5_]-! , CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for .t ITEN3 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). TOTAL 41 . 60 PLAN CHECKING FEE - Lender's Name "HECK 41.` I PERMIT ISSUING FEES !i! Lender's Address CHANGTOTAL FEE I certify that I have read this application and state that the above information is correct. I agree to comply with all County In ces and St laws regulating Electrical wiring, and DEC,D-13010 1 � /�.4 5, you orize r esentat' es of this County to enter upon �( 71J o I�. v enti ty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ]` f e Date ®s WORKERS'COMPENSATION DECLARATION CE-8066 W 3/87 APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that I have c a certificate of consent to self CE-806G insure, or a certificgto of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or'a certified copy thereof(Sec. 3800, Lab. C.) I Policy No. Company j FOR APPLICANT TO FILL IN JOB 0 Certified copy is hereby furnished. New. Residential Bldgs. &Pools EACH NO. FEE ADDRESS _t5 gu- VE 0 Certified copy is filed with the county building inspec- 1I&2-Family, Sq. Ft. $ -- $ LOCALIT tion department. Multi-family Sq. Ft. Nr.AKtCROSS ST . Date Applicant Residential Swimming Pools OWNER OR FIRM NAME MAIL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ DDREgg SS Pk COMPENSATION INSURANCE First 20 (This section need not be completed if the work involved by Total No. CITY Tel. No. the permit is for one hundred dollars($100)or less.) Additional PLAN CHECK I certify that in the performance of the work for which this i APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Additional Total No. CITY Tel. No. Date Applicant FIxed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION -*t,—)It.e-t. , 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. i CITY Tel. No. Hood — Fan —Other— LICENSED CONTRACTORS DECLARATION t LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Dlsp. _ Room Air Cond. — REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. P ESSED BY a and Professions Code,and my license is in full force and effect. _ Size&Type HP, KW, KVA, or KVAR Q� Y–✓ U License Number Lic. Class Up to 1 Incl. FINAL / cc i I Over 1 to 10 Incl. DATE ,L�–,Zz"�/ VALIDATION Contractor Date Over 10 to 50 Incl. ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY LU B.&P.C. for this reason Over 100 0.. Services, Swbd., MCC&Panelboards ® Z Date: 0-200 Amp. Under 600 V Z 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 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License g Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits i°'•11 Professions Code): ; 4Lihr Mis I, as owner of the property, will do the work and the I c. Conduits&Conductors : s i PEI- structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ ® I • � Business and Professions Code). r �L- – -- CONSTRUCTION LENDING AGENCY CHZE 'K I hereby affirm that there is a construction lending agency for L;ffHhGE -� 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 /� s;� q I i; PERMIT ISSUING FEE , �-; Lender's Address i / '="i" 1 All ll::t' I certify that I have rad this application and state that the TOTAL FEE ab ve infor ation is rrect. I agree to comply with all County or once and Stat aws regul ting Electrical wiring, and by au oriz r septa' of this County to enter upon v i or inspection purpgses. SEE REVERSE FOR EXPLANATORY LANGUAGE S e it ate ®s