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Home My Public Portal About4926 CLOVERLY AVE_Electrical__ I - r� 76A663I-Ce$06 9-64 APPLICATION FOR ELEC RICAL PER IT �^ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILT e7 BU14DING 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 ,f C RECEPT TOTAL , NO EACH FEE OUTLETS FIRST 20 $20 $ OWNER Ai LIGHT I MAIL ADD'L f0 ADDRESS SWITCH OVER 20 TOTAL CITY TEL N LIGHTING l FIRST 20 20 FIXTURES 1( ADD'L 10 ELECTRICIAN OVPR 20 l RANGES CLO DRYERS WTR HTRS --loo ADDRESS GARB DISP STA COOK r I CIT 1 TEL NO DISHWASH AUTO WASH STATE SPACE HTRS STA APP (y.H P MAX) 50 LICENSE NO MOTORS OVER NOT OVER HP DIST IlTr,Np GROUP N� ESSED BY O 1 1 00 L 1 3 15o SPECTIO RECORD 3 s zoo B 15 250 V 15 50 300 p� O 50 100 5 00 H V SIGNS NO TRANS NO LAMPS N Z SERVICE O 600V NOT OVER 200A 100 SERVICE O 600V OVER 200 A 1200 SERVICE OVER 600V 500 MISC PERMIT ISSUING FEE 200 SUPPLEMENTA13Y PERMIT ISSUING FEE 100 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL ATI& APPROVALS DATE INSPECTOR 5 SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES 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 ABO RES ENTIAL PROP POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTE INAL /�-Vhl IDATION JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER CK MO CASH nL� 5 1 1 8 S 8u, 31 2 D 200-- 76A653-CE806 6.62 APPLICATION FOR ELECTRICAL PERMIT 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 NEAREST FOR APPLICANT TO FILL IN CROSS ST D� RECEPT TOTAL NO EACH FEE OUTLETS FIRST 20 $ 20 $ 0 OWNER LIGHT MAIL A DD'L 10 ADDRESS SWITCH OVER 20 TOTAL CITY NO LIGHTING FIRST 20 20 FIXTURES ADD'L 10 ELECTRICIA at OV R 20 RANGES CLO DRYERS WTR HTRS 100 ADDRESS GARB DISP STA COOK - CITY TEL N DI SH AUTO WASH STATE SPACE HTRS BTA APP (+/a H P MAX 1 50 54 LICENS O MOTORS OVER NOT OVER HP DIST CT NO GROUP ZONECESSE BY O 1 100 �p I "mL 1 3 150 INSPECTION RECORD 3 8 200 8 15 250 15 50 300 d r qq � �� ,p 50 100 5 00 1�9Q� SIGNS NO TRANS v NO LAMPS (/ O Y 0 SERVICE 0600VNOT OVER i200A 100 W SERVICE O 600V OVER 200 A 200 a' H SERVICE OVER 600V 500 z MISC PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE $ 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /� ELECTRICAL WIRING I WIRING °(140 1 HEREBY CERTIFY THAT 1 AM PROPERLY REG19 D AND/OR ( `� LICENSED AS REQUIRED BY L08 ANGELES COUNT AN STATE FIXTURES CALIFORNIA OR THAT 1 AM &EG THE A E DESCRIBED RESAL PROPER 1 J SIGNATURE ILITY CO NOTIFIED / /�/y ��,�p� OF PERMITT FINAL ..� _4f (DATION ARTHUR C VEIT CK O CASH SUPERVISING ELECTRICAL ENGINEER LAC0 3 8 1 5 IS AL 2 0 2 D 9.2 00. 76A663 CE 806R 9/76 APPLICATION F R ELEC CAL PERMIT COUNTY OF LOS ANGELES �IDEPARTMENT OF COUNTY ENGINEER JOB ADDRESS BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN LOCALIT New/Residential Bldgs &Pools EACH NO FEE NEAREST — 1 &2 Family $ 025 $ 'CROSS ST Sq Ft OWNER OR r Multi family Sq Ft 02 — FIRM NAME' Residential Swimming Pools 2000 MAIL ADDRESS Outlets Rec 2 Llgh� Sw 2p 9. 00 CIT!:]/ T First 20 50 PLAN C K Total No t Additional 30 APPLIC NT ADDRESS r J � Lighting Fixtures First 20 50/ CITY Tel 10 Additional 30 PERMIT Total No APPLICANT Fixed Appliances Not Over 1 HP , ADDRESS `i r Range_Heater_D W CITY Tel No Oven _Dryer—W M_ LICENSE OR Top —FAU ,—W H REG NUMBER 1 Class Hood_Fan -2(—Other I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp — Room Air Cond 2 00 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances ' Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS A ELES COUNTY AND STATE OF CALIFORNIA OR-THAT I AM Up to 1 Incl 2 00 THE LEGAL OWNE HE ABOV 7RIBED RESIDENTI P PERTY Over 1 to 10 Incl 5 00 f 1 0 00 PERMITTEE Over 10 to 50 Incl SIGNAT Over 50 to 100 Inc 2000 Over 100 30 00 DIST CT NO fl ESE BY O Services V VW 0 200 Amp Under 600 V 12 50 APPROVALS D INSPECSIGNATOR N 201 1000 Amp Under 600 V 25 00 Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB'WORK Temp Power Pole&Appurtenorces 1000 Sign with One Branch Circuit 1000 ROUGH CONDUIT Additional Sign Branch Circuits 200 WIRING• Misc Conduits&Conductors ,t 1500 FIXTURES Other(See Complete Fee Schedule) ]POWER UTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (Sub TotohtNOTES PLAN CHECKING FEE (One Fourth Permit Feer PERMIT ISSUING FEE $6 00j TOTAL FEE PLAN CHECK VALIDATION CK M O CASH PERMIT)ALIDATION CK MO CASH ' fY SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ r aJ� k ImIteem caeou a.ao APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERj7ADDRESS BUILDING AND SAFETY DIVISIONJOHN A LAMBIE, COUNTY ENGINEER CASSATT D GRIFFIN,SUP T OF BUILDING FOR APPLICANT TO FILL IN NEAREST PERNIIT FMS CROSS ST I ITEM NUMBER I EACH FEE OWNER OUTLET Z $ 10 MAIL LIGHTS RECEPT SW ADDRESS LIGHTIh(G FIXTURES 6210 CITY, TEL NO I , ELEC RANGES CLO DRYERS ELECTRICIAN HEAT E R S 50 ADDRESS ELEC SPACE HTR DISHWASHERS CITY TEL NO GARBAGE DISPOSERS AUTO- STATE WASHERS STA COOKING UNITS 25 PISLICENSE NO MOTORS OVER INC HP DISTRICT NO I GROUP ZONE PROCESSED BY O— I/2 25 I/2— 2 So INSPECTION RECORD 2— 5 100 5— 15 150 15— 50 250 50-200 500 SIGNS NO TRANS NO LAMPS SERVICE 0-600V loo SERVICE OVER 600V Soo MISC WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT SO TOTAL FEE S I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS 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 .V S 4� I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING Z p ` 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 SIGNATURE UTILITYCO NOTIFIED OF PERM ITTE FINAL ®r VALIDA(�NH E ARTHURC VETT, CK l SUPERVISING ELECTRICAL-TRI-AL ENGINEER MO CASH 4 6 65� DEC 2 3 2 A 6.0 5 WORKERS COMPENSATION DECLARATION 76A663CE806 10/81 APPLICATION FOR ELECTRICAL PERMIT _ I hereby a firm that I have a certificate of consent to self insure CE sosG fl 1 or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES ' BUILDING AND SAFETY copy thereof(Sec 3800 Lab C) S' FOR APPLICANT TO FILL IN , JOB , a � Policy No Company ❑ Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS ° ° ❑ 1 & 2-Family,Sq Ft V $ — $ LOCALITY tp �o Certified copy is+filed with the county building inspection n , department,. o r Multi-family Sq Ft GROSSNEAREST p ' Residential Swimming Pools �� (0',(/ S Date ' Applicant �` 1 - , y OWNER OR r' r +. x - FIRM NAME r CERTIFICATE OF EXEMPTION FROM WORKERS - Outlets Rec� Light Sw _ AMAIL DDRESS w COMPENSATION INSURANCE - F (This section need not be completed If the work Involved by the //' First 20 CITY Tel No .permit Is for one hundred dollars($100)or less) Total No f� Additional _ '" 'PLAN CHECK � r I certify'that,n'the�performancO of the work for,which,this permit APPLICANT. M ,is,issued, I shall not-employ any person in any manner so as to become subject to the Workers'Comp tion L s `t L' Lighting Fixtures First 20 - _ADDRESS f Total No Additional CITY Tel No Date A` i r ' ' Fixed Appliances Not Over 1 HP NOTIC ,TO PPL! ANT If, after ma ing this Certificate of ^ PERMIT / Exemption,you should become subject to the Workers Compensation e_ Heater_ DW APPLICANT provisions of the'Labor,Code, you must forthwith comply with such Oven Dryer _ W M ADDRESS f. , provisions or this permit shall be,deemed revoked Top FAU WH ' LICENSED CONTRACTORS DECLARATION a CITY A Hood ,�- Fan, Other_ Tel No I hereby,affirm that I am licensed under provisions of Chapter 9 LICENSE OR _ (commencing_wdh Section 7000) of Division 3,of the,Business and .Disp Room Air Cond REG'NUMBER) Class Professions Code and m"y license is in full force and effect DISTRICT NO PROC SED BY Power Apparatus& Large Appliances O r/ y O i, Size & Type HP,KW KVA or KVAR r r Lncense'Number Lic,ClassUp to 1 Incl FINAL - U DATE r Over 1 to•10 Incl Contractor ` Date t t VALIDATION O ❑ Over 10 to 50 Incl FINAL r I am exempt under See Over 50 to 100 Inc BY j ,r" W B&PC for this reason Over 100 o��i -� / N 1 Services Swbd MCC & Panelboards _ `� "° . �1•" 1,Z C. t1 y Date � � 0- 200 Amp Under 600 V } Signature201 - 1000 Amp Under 600 V - v Over 1000 Amp or Over 600 V T ;' Exemption for Reg Maint Elect s T Y SINGLE FAMILY " Temp Power Pole& Appurtenances » '4 ` ` HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit AM�s I hereby affirm that-l am exempt from the Contractors License Law s Additional Sign Branch Circuits_ r Codtee following reason(Section 7031 5 Business and Professions ,r e NS S } 3307 2 �25 Misc'Conduits & Conductors, : _ T '4, 1 1 TM GG y I as"owner of the property will do the work and the structure 1 a is not•intended or offered for sale (Section 7044 Business n Other(See Complete Fee Schedule) TOTAtIri. ti7 p=.-Gyam and Professions Code)' aL CONSTRUCTION LENDING AGENCY - SCAM n� I hereby affirm that there is a construction lending agency for the C 00 performance of the work for which this permit is issued(Sec 3097 PERMIT FEE (Sub-Total) ;• _ " Civ C) wI • -,PLAN CHECKING FEE - Lenders+Name 00OD-10001 9/19/89 % y 1 PERMIT ISSUING FEE 5793 1 11:12 Lender s Address ttf 1 Aeg I certify that I have read this application and state that the above `r TOTAL FEE t � 4 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 roperty- i ectio rpose SEE REVERSE FOR EXPLANATORY LANGUAGE _ r Y t i Si nature of Permittee Date x '