The URL can be used to link to this page

Home My Public Portal About4841 CLOVERLY AVE_Electrical__ 76A663-CE806 9-64 APPLICATION FOR ELECTRI AL (PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST --RE EPT TOTAL NO EACH FEE LIGHT OUTLETS FIRST 20 �� $20 $ OWNER 1 47f) MAIL //-- VADDRESS SWITCH' OVER 2 10 TOTAL �I I 7 CITY TEL NO LIGHTING 1 I FIRST 20 f. 20 _ FIXTURES I I�_ ADD'L to ELECTRICIAN Aeeb.4 OVFR 2O RANGES CLO DRYERS WTR HTRS 1100 ADDRESS y C bCfEHTRS DISP STA COOK /.� CITYW- G�' / TEL N013 4 SH AUTO WASH STATE [[��77 / STA APP (I/i H P MAX ) 50 J LICENSE NO /T MOTORS OVER NOT OVER HP DISTRICT NO GROUP ZONE PRGASSED B� O 1 100 ✓ C� � 1 3 150 INSPECTION RECORD 3 s 200 0 O 8 15 250 L7 13 50 300 0 O 50 100 500 ~ V w NO TRANS d SIGNS NO LAMPS Z SERVICE O 600V NOT OVER 200A / 100 SERVICE O 600V OVER 200 A 200 SERVICE OVER 600V 500 , MISC PERMIT ISSUING FEE 200 SUPPLEMENTA13Y PERMIT ISSUING FEE 100 TOTAL FEE $ fa 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIC TION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ry j ,( /�;y� /�� ELECTRICAL WIRING WIRING yJ nQ/J4117 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES J L LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE ESCRIBED RESIDE PROP TY POWER SIGNATURE UTILITY CO NOTIFIED OF PERM ITTE FINAL 6r /J �II �I,.�l.y�a,�t.✓ cooMO CASH LIDATION JOSiEWC ROOHAN . SUPERVISING ELECTRICAL ENGINEER , LAW 9 9 4 2 PAR 2 6 2 D 14.10 N _ W 75A6B3_CE,Q6 ,„� APPLICATION F R E�CTTTTTTTT6I�A PER ` w COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS Ll COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE OWNER RECEPT $ $ MAIL FIRST 20 3 25 7S' ADDRESS LIGHT TOTAL CITY TEL NO SWITCH .f OVER 20 10 PLAN CHECK LIGHTING 1TOTAL FIRST 20 f 25 APPLICANT J} FIXTURES OVER 20 10 ADDRESS APPLIANCES CITY TEL NO PERMIT RANGE DRYER HTR APPLICANT y STA COOK DISP F A U ADDRESS 4- ' SPACE HTR AIR COND CITY TEL NO Ofy/ CLOTHES WASH DISHWASH LICENSE NO ;2s1gq CLASS C - ' FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS ETC HP KW KVA ELECTRICAL WIRING ' SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0' 1 100 /y✓t LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF VV CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIPED RESIDENTIAL PROPERTY O_ 1 - 10 3 00 O 10 - 50 500 OF PERMRITTEE 014AVIkYQ (Ss w 50 - 100 1000 O DISTRICT NO C S ONE f PR C SED BY F- 1 00 - 500 1500 o / / �w SIGN GASSIGN AND ONE CIRCUIT 500 NOTESlQ �_ Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 tom. SERVICENOTOVER600VOLTS OR200AMP 300 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER600VOLTS OR200AMP 1000 TEMP POWER POLE TEMP SERVICE POLE, &APPURTENANCES 500 - TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK, ” ROUGH CONDIUT WIRING FIXTUREIS ' PERMIT FEE (SUB TOTAL) Q POWER AUTHORIZED UTILITY CO NOTIFIED I PLAN CHECK FEE �1 PERMIT ISSUING FEE 300 FI NAL JOSEP ROOHA TOTAL FEE 1.5-100 SUPERVI I G ELECTRICAL ENGINEEP PLAN CHECK VALIDATION CK M 0 CASH PERMIT VAL D o M 0 CASH �6 3,B 2;J JUN 1 2 0 ,5t00N SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ' ` w I•76A6631lf806 4-68 APPLICATION FOR ELECTR CAL PER T - 0 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 4 - BUILDING AND SAFETY DIVISION ADDRESS Ci ' JOHI+A LAMBIE COUNTY ENGINEER t COLEMAN W JENKINS, SUPERINTENDENT OR BUILDING LOCALITY ✓/ NEAREST FOR APPLICANT TO FILL IN CROSS ST u _� NO EACH FEE $ $ OWNER RECEPT �A MAIL q JO L:IGHrT� TOTAL FIRST'20 20 - � ADDRESS JJ `�( SWITCH OVER 20 10 CITY f� 'TEL NO PLAN CHE K ` LIGHTING TOTAL FIRST 20 20 Zb APPLICANT FIXTURES OVER^20 10 ADDRESS ` 1 �^ RANG�E_DRYER_WTR HTR CITY T+6L NO STA COOK_DISP F A U _ COIJTRAC rOR CQ)� ` ' + 4 SPACE HTR AIR GOND ADDRESS CLOTHES WASH _DISHWASH CITY - T}EL NO FAN'^ OTHER=� 1 00 ^ I LICENSE NO CLASS MOTORS TRANSFORMERS RATING ' ` FIND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I 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 .. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ' 1 — 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES-COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGA OW NE R"OF AND INTEND TO 1O — SO S OO RESIDE IN THE ABOVE D SCRIP RES,DENTI PROPERTY O` 50 - 100 11000 SIGNATURE l - _ n OF PERMITTEE \ C) - 100 - 500 15 00 ~ DIS 'ICTP GRO P ZO E PR D w el- TUBE OR SSIGN GAS IGN AND ONE CI RCUI T' 3 00 r Z MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES `� a SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE 6 APPURTENANCES 3 00 J APPROVALS DATE INSPECTOR S SIGNATURE TEMP POWER POLE a r + UNDERSLAB WORK 'ice ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (507 PERMIT FEE) J�� POWER AUTHORIZED PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED " SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE ZLI) JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGI ER ' PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o cns 8; 7 FES 5 2' D 3.4 0 ME BACK,OF APPLICATION FOR COMPLETE FEE SCHEDULE ,�- 76A663C- CE806B 12/75 APPLICATION FOR ELECTRICAL PERMIT BUILDIN ND SAFETY DIVI / FOR APPLICANT TO FILL IN JOB �� ` UG' G New Residential Bldgs & Pools EACH NO FEE 1-&2 Finaily Sq Ft $ — $ LOCALITY T �, Multi family Sq Ft — NEAREST Residential Swimming Pools CROSS STOWNER OR FIRM NAME cken Outlets Light, Switch &Receptacle MAI L ADDRESS CJ3 C ( , First 20 /I Additional CITY tj�'I Tel No PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY ,Tel No PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range '7e- Heater_ DW ADDRESS Oven X Dryer �_ W M Top FAU W H CITY Tel No d Hood Fan REG LICENSE OFT CD Class Disp AC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION O AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large AppliancesWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ly Size&Type HP, KW KVA or KVAR a ELECTRICAL WIRING y U to 1 Incl P 1 HEREBY CERT V THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl LICENSED AS REO 1 ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR H T 1 AM THE LE/G�AL OWNER OF THE ABOVE Over 10 to 50 Incl DESCRIBED RESI E IAL PRO�RTY/ J Over 50 to 100 Incl PERMITEE C/////11 Over 100 SIGNATURE d Services DISTRICT NO �i PROCE ED BY kn00 Amp Under 600 V v 1000 Amp Under 600 V APPROVALS DATE INS CTOR S 000 Amp or Over 600 V ' SIGNATURE TEMP POWER POLE ower Pole&Appurtenances UNDERSLAB WORK with One Branch Circuit al Sign Branch Circuits ROUGH CONDUIT WIRING FIXTURES POWER AUTHORIZED F17 EE (Sub-Total) UTILITYCO NOTIFIEDg� �jHECKINGFEE (One Fourth Permit Fee) FINAL 19`( - �ISSUING FEE NOTES FEE PLAN CHECK VALIDATION CK MO CASH , PERMIT VALIDATION CK MO ASH 30 33 2 a 1 —01 .5UA WRKER S COMPENSATION DECLARATION 20 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT 76A663 I hereby affirm +h rpt I have a certificate of consent to self Insure, 76A663 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 JOB ADDRESS Certified copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY /,n 1 &2 Family Sq Ft $ $ e v t Ivy Certified copy is filed with the county building Inspection _ NEAREST department Multifamily Sq Ft CROSS ST , J.�— Date Applicant Residential Swimming PoolsASSESSOR MAPBOOKJS�tJ Z l PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light SW OWNFIRM NAME �� L COMPENSATION INSURANCE First 20 &0 MAIL (This section need not be completed if the work Involved by the ADDRESS permit is for one hundred dollars($100)or less) Total No Additional I certify that In the performance of the work for which this permit CITYTel No d6 is Issued I shall not employ any person in any manner so as to PLAN CHECK C� become subject to the Workers Compensation Laws Lighting Fixtures ; First 20 APPLICANT Total No Additional ADDRESS Date Applicant RESI T AL APPC NOT O ER 3 HP NOTICE TO APPLICANT If after making this Certificate of / D CITY Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such PERMIT APPLICANT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP KW,KVA or KVAR ADDRESS I 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 Tel No Professions Code and my license is in full force and effect Over 10 to 50 Incl LICENSE OR Class Over 50 to 100 Inc] REG NUMBER d Over 100 DISTRICT NO P O SSED BY Q License Number Lic Class v 0 Services Swbd MCC&Panelboards 0: Contractor Date FINAL Under 0 399 Amp U00 �r </ F-1400 1000 Amp Under 6000 V DATE I am exempt under Sec VALIDATION V Over 1000 Amp or Over 600 V FINAL d -B&P C for this reasonBY BRANCH CIRCUIT FEES u fn Date 15A or 20A 120V Lighting or Recept Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A 20A 208V To 277V Lighting Br Circuits 2 .. 4 SINGLE FAMILY Temp Power Pole&AppurtenancesA/r r a HOME OWNER BUILDER DECLARATION ttt1CC 1°g I hereby affirm that I am exempt from the Contractors License Law Sign with One Branch Circuit 70�� nQ for the following reason (Section 7031 5 Business°and Professions Additional Sign Branch Circuits J °O JV3 Code) 1 ITEMS I as owner of the property will do the work and the structure Mlsc Conduits&Conductors TOTAL 70-00 is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) and Professions Code) CHECK 70.00 CONSTRUCTION LENDING 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) O CIV C) 0000-0001 1/ 4/96 PLAN CHECKING FEE Lenders Name 4097 1 AM11°02 PERMIT ISSUING FEE C�? Q 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 winng'and hereby authorize repress atives his County to enter upon the above mentioned property --for pection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE it ATURE OF PERMITTEE DA