The URL can be used to link to this page

Home My Public Portal About4850 CLOVERLY AVE_Electrical__ 76A663 SA 25M SETS 7-48 A1lfiWTA"/ATWA�7►T FOR PTI[aAW +'ZDEPARTNLEIV'I' � BULL.L)�1G A� � ELECTRIC Rl�ili COUNTY OF LOS ANGELES FOX. CHIjrjENGINEER _Q NAME 1 p� j D15TRlC`sT NO. GROUP ZONE PERMIT NO. U ADDRESS Q rI� CITY „ RECEIVED BY READY FOR DATE ISSUED S� TEL NO 6 COUNTY /1 �j FIRST INSPECTION P , L.- CENSE NO �� EXPIRES /�1/1�tY'./�� APPLICANT FR L, IN'HEAVLI.Y OUTLINED PORTION ONLY DES ON OF WORK _ ADDRESS I�cO /1 • �I� C��4! NUMBER OF OUTLETS ON CIRCUITS LOCALITY ✓ �� LOCATION BY ROOMS NEAREST a LIGHT OUTLETS ISW PLUGS FIXT CROSS CIRCUIT A B C I D I E F IG JH a: NAME Z MAIL 3 iZ ADDRESS CITY - TEL.NO I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGW.EB COUNTY CERTIFICAT F Q A ION. ELECTRICIAN I AM TH6 LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE , OWNER C®I871$ECHONS J a _ ` z I 0 TOTAL 2 J NO OF OUTLETS $ APPROVALS NO OF FIXTURES $ Q DATE INSPECTOR'S NAME NO OF MOTORS H P $ CONDUIT / NO OF SIGNS TRANS $ WIRING NO OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER - PERMIT FEE $ 2 UTILITYCO NOTIFIED TOTAL FEE FINAL `/� , TEMPLE QTV z/ 175-0 7GA669 CE80610 E9 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN SUP T of BUILDING LOCALITY r FOR APPLICANT TO FILL IN NEAREST PERMT FEES CROSSST41 41 1-7 ITEM NUMBER OWNER EACH FEE MAIL OUTLETS $ $ ADDRESS LIGHTS RECEPT SW 10 LIGHTING FIXTURES 10 CITY TEL N LEC RANG CLO DRYERS d y ELECTRICIANje WATER HEATERS / 50 0 ADDRESS ELEC SPACE HTRS DISHWASHERS CITY TEL NO GARBAGE DISPOSERS AUTO STATE _ WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC H P D�IS^TRICT NO 1GROUPI ZONE PP,,PCESSED BY O— 1/2 25 tom. 1/2— 2 50 INSPECTION RECORD 2— 5 100 5— 15 ISO 15— SO 250- 50-200 *00 50—200 SIGNSNO TRANS NO LAMPS SERVICE 0-600V SERVICE OVER 600V MISC WIRING PERMIT 100 FIXTURE PERMIT too SUPPLEMENTARY PERMIT 50 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPMCtO)R 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 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY POWER _ 1 SIGNATURE UTILITY CO NOTIFIED �/ AM OF PERMITTE FINAL ®P (/VAUDATION ARTHUR C VEIT, cK MO CASH SUPERVISING ELECTRICAL ENGINEER �}t}.0 4 3 7 tldC ? r �2 D .J �I 76A66C CE#'806 5 61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 8sGU. iE'� JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST PERMIT FEES OWNER I T E M NUMBER EACH FEE MAIL OUTLETS S 3 ADDRESS LIGHTS RECEPT SW 10 CITY `TEL NO LIGHTING FIXTURES 10 ELEC RANGES CLO DRYERS ELECTRICIAN .r WATER HEATERS $O ADDRESSI ELEC SPACE HTRS DISHWASHERS - �✓ / CITY TEL NO O yl�j GARBAGE DISPOSERS AUTO STATE r WASHERS STA COOKING UNITS 25 _ICENSE NO MOTORS OVER INC H P DIST '�*TN(71,- Gff ZONE 7PESS7EDEB3Y 0— 1/2 25 1/2— 2 5o INSPECTION-RikORD 2— 5 1 00 d O 5— 15 150 u is— 50 250 OC 0 SO— 2001- U 6Y SIGNS NO TRANS H NO LAMPS 'z SERVICE O 600V 100 TO SERVICE OVER 600V 500 MISC WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 ELECTRICAL y�- WIRING WIRING IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REO ARCD BY LOSANGELES NTY AND STATE OF FIXTURES CALIFORNIA OR STH T I AM THE LEGAL NER OF THE ABOVE / DESCRIBED RESIDE IAL OPERTY POWER / SIGNATURE UTILITY CO NOTIFIED OF PERMITT FINAL /�^e/"�G-+ L� `,�✓ �,�" IDATION ARTHUR C VEIT SUPERVISING ELECTRICAL ENGINEER - � CK MO CASH I �. 7 2 9 0 JAN ?2 2 D 2.0 Q �g 4 f 1 ,,j{! WORKERS COMPENSATION DECLARATION ' 7EA10/81 APPLICATION:EOR ELECTRICAL PERMIT I he;bby affjrm that I have a certificate of consent to self insure CE 806 906G or a certificate of Workers Compensation Insurance or a-certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy therbof(Sec-8800 Lab C) , , k NO!4Yc9�`!_ Company ' 5_6 / L FOR APPLICANT FILL IN JOB Certified copy is hereby furnished °New Residential Bldgs 8 Pools i EACH, NO FEE ;ADDRESS y� 61 ❑" Ce�trfied copy is filed with the county budding inspection 1 & 2-Family, Sq Ft $ — $ LOCALITY T� , ' r department Multi-family Sq Ft — NEAREST J Residential Swimmm Pools CROSS ST iC p t.� t v /j�L fiE) ` 'Date � �' Applicant/� "` � g �� y t � � " OWNER OR „ y. FIRM NAME, / e CERTIFICATE OF,EXEMPTION FROM WORKERS Outlets Rec Light 'Sw �• + } MAIL +� ` COMPENSATION INSURANCE i' F IY,a ADDRESS 'S l y. r a r K First 20` U;�(Thls,section need not be completed rf the work Involved by the �� CITY r Tel No" 4 permit is for one hundred dollars($100)or less) Total No Additional • 'ASF t '{ - '' 1' ' PLAN'CHECK` I certify that in tlie'performancet _of the work for which this permit s' APPLICANT is issued, I shall not employe any person in any manner so as to 4 become subject to'the'Workers Compensation Laws, " Lighting Fixtures First 20 ADDRESS r Total No Additional� � CITY x . ° � Tel No , Date Applicant Fixed Appliances Not,Over 1 HP PERMIT ((�� NOTICE TO APPLICANT If, rafter making this Certificate of r _ i APPLICANT /C0/'�7�9- Exemption,you should become subject to the Workers Compensation Range_ Heater_ DW _ t^ /- provisions of the Labor'Code you+must forthwith comply,with such Oven,_'Dryer _ WM _ ° -ADDRESS provisions or this permit shall be deemed revoked ( , Top FAU _ W H CITY C �� el No LICENSED'CONTRACTORS DECLARATION Hood Fan - �/Othef_4 ~ ensed under provisions of Chapter 9 LICE NSE}OR by affirm that I am licNSE}OR } Disp- Room Air Cond _; REG NUMBER ass r (commencing with Section 7000]of Division 3 of the'Business and Professions Code and my license is in full forceiand effect, t ° DISTRICT N SSED BY Power Apparatus& Large Appliances 't �= HP ». License Number �� / v Lic Classy p Al Size& Type Up to 1vIncVA of KVAR FINAL } �` V Contractdr�0 �/� N��Y�132te " .L� Over 1 to 10 Incl DATE I-�f VALIDATION Over 10 to 50 Incl U FINAL 1 ❑ I am exempt under Sec Over 50 to 100 Inc BY W Over 100 /0 0- _ B&PC for this reason (q' VY Services Swbd MCC& Panelboards ' 4 Date '+ 0- 200 Amp Under 600 V; , ; Signature -- 201 - 1000 Amp Under'600 V Over 1000 Amp orOver 600 V Exemption for Reg Mamt Elect SINGLE FAMILY Temp Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign-witlirOne Branch Circuit a ACCUT" rt 'r I hereby`affirm that I am exempt from the Contractors License Law Additional Sign Branch Circuits 1 e for the fol, ' reason(Section 7031 5 Business and Professions _ _ ', �e 3307'_ 27.00 `Code), ,• r„ I t � _ , ❑ �� r } Misc Conduits &'Conductors w - ;, 1 IJ I as owner of the property will do the work and the structure Other(See Complete Fee Schedule) a is not intended ort offered'for sale (Section 7044 Business ® TOTS. and Professions Coj 27 00 de) + - a CONSTRUCTION LENDING AGENCY w` i e �'t►fl��i't}G• �7 �1,� I hereby affirm that there is a construction lending agency for the y .00 c performance of the work for which this permit is issued(Sec 3097 'PERMIT FEE _ _ (Sub-Total) 1 t ' PLAN CHECKING FEE,"'- 000D-0001 9/22/°9 Lenders Name v > + PERMIT ISSUING FEEa 7 1 AM $:44 ` Lenders Address _ + I certify that I have read this application and state that the above TOTALS FEE t information is correct,I agree to comply with all County ordinances • and State laws regulating Electrical wiring and;hereby authorize j Aignature hves of this County to enter upon the above-mentioned j or�inscti ;poses r SEE REVERSE FOR EXPLANATORY LANGUAGE r Permittee Dat "