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HomeMy Public PortalAbout5038 CLOVERLY AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT NO. ELECTRICIAN S �o s4 8 RECEIVED BY READY FOR DATE 198 ED ADDRESS �J�7 ,C�1�'3 I FIRST INSPECTION CITY TEL NO is t �"i r COUNTY LICENSE NO EXPIRES BUILDING -' QI PERMIT F E ADDRESS V Q FEE �- NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES 17 CROSSBT � WALL SWITCHES OWNER TOTAL OUTLETS 5c O MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS 25 CITY TEL. NO FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW I MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE 1 I/2 8 LESS $ 28 BIGNATURE O /2 2 50 2 5 1 00 INSPECTION RECORD 5 15 1 so is 5D 2 SO 50 200 Soo _ 200 500 1000 J 500 1000 1500 Z OVER 1000 2000 M G SET/FRED CHANGER-HP WELDERS AC-KVA 0 GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS (75% DF DRI®) MOVED MOTORS (75% OF DR1G) � M15C SIGNS NO NO TRANS NO NO LAMPS APPROV $ FOR EACH PERMITS DA INSPECTOR'S NAME WIRING $1.00 CONDUIT I FIXTURES $1 DO WIRING (�/V.d,� SUPPLEMENTARY 50 FIXTURES POWER / TOTAL FEE UTILITY CO NOTIFIED i r A FINAL Ac z? 76A663 DBS#5A 4-52 /�� DB9 SQA�p25M SSE�T.7S��r1 4B APPL "1AMN FOR PEPJ *R� .� ll�Yt Y 1�Y�Sl\1 ®� BCJ i➢.A/YI�Cf P'Al'!'Hl S1�J�A.1 1��DD��III�/t�is 11�� FOR Y'id11Y11Ji. CO OF � ANGELES ELECTRIC __.Wm__ POK, C I G z NAME DISTRICT NO. GROUP ZONE PERMIT NO. 1 _ U ADDRESS C TD CITY Tem.NO Ein VED'HY _FIRST INSPECTION DATE ISSU/E, „Nj COUNTY -'Z LI CERT NO ®LPI W89 APPLICANT FILL IN HEAVILY - UTLINEID PORTI N ONLY IDESCIRP'I' N Off' WORK ADDRESS JVWWS. C L ov g R LY �,!//E NUMBER OF OUTLETS ON CIRCUITS LOCALITY /��P�� C. 17-1 G AL. LOCATION BY ROOMS NEAREST LIGHT OUTLETS 18W PLUGS FIXT C ST d L'07��QL V lq 9 /O�N CIRCUIT A B C D E F C3 H NAME F4A X11 !O* �c Iq 1 1 ,� AV a�Bss a 6/Ll s �S1 A yr Aa.�Tx O S(/ CITY o— ^Z / TEL NO.lam b — Q b 1 AM THE LEGAL POSSESSOR Ow THE ABOVE LOS AN69LW COUNTY CERTIFICATE OF QUALIFICATION. ELECTRICIAN 1 AM THI OWNER OF TH PEATY DESCRIBED Q OWNER CO MONS J Q _Z [7 O TOTAL NO OF OUTLETS 7 $ S APPRO"LS NO OF FIXTURES ffi DATE INSPECTOR'S NAME NO OF MOTORS H P $ CONDUIT NO OF SIGNS TRANS $ WIRING /' ( SIS . NO OF RANGES OR HEATERS $ %` FIXTURES POWER �j ,J PJ- ERMIT FEE ffi / S UTILITYCO NOTIFIED q- T, OTAL FINA6 DaS SA 12 54 APPLICATION ■ OR ELECTRIC PERMIT DBS BA DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles E U 1 LD I NG WM J FOX, COUNTY ENGII7EER ADDRESS Q, N. GGQVER L` C CASSATT D GRIFFIN SUP T OF BUILDING I FOR APPLICANT TO FILL IN NEARE FEE TY TST �V 0 / G i T y/ PERMIT FEES CROSS ST LA le o5'4";pk 9 c�-o 1lE. 7 2�y NUMBER EACH LIGHT OUTLETS OWNER RECEPTACLES MAIL �y L D✓L �-L l, ADDRESS Q 7j 1{ JV. WALL SWITCHES TOTAL OUTLETS 5t $ CITY %e'4 QL� C-1Tt/ TEL NO /Jr6 S( J ELEC RANGES 25 ELECTRICIAN C1/ V e ,<-- ELEC HEATERS 25 ' ADDRESS KW EA CITY - TEL NO FIXTURES 5 LICENSE NO NUMBER OF LIGHT CIRCUITS NUMBER OF RECEPTACLE CIRCUITS DISTRICT NO GROUP ZONE I READY FOR INSPECTION MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD _ NEW MVD HP OVER INC EACH LESS $ 25 1/Z 2 50 2 5 1 00 5 15 1 50 15 50 2 50 X5^0 /�200 5 00 MISC /✓�� SE,c?yIG .r r/ V NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH-PERM IT WIRING $100 FIXTURES $100 SUPPLEMENTARY 50 APPROVALS TOTAL FEE $ DATE INSPECTOR S SIGNATURE 1 HEREBY 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 - IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY ' SIGNATURE_ UTILITY CO NOTIFIED S --� X(LYrl.w ^" OF PERMITTEE FINAL `f WILLIAM J FOX, COUNTY ENGINEER ALIDMW7-Tj y2v TER 21 2 -1 ,00 BY - ® � DEPUTY l WORKERS'COMPENSATION DECLARATION 76-806 10/81 APPLICATI N FOR ELECTRICAL PERMIT `I hereby ,f rc that I have a certificate of consent to self insure, CE-Bose er'a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof (Sec. 3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ❑. Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE ADDRESS L 0�j© � a G � G' Y Certified copy is filed with the county building inspection 1 & 2-Family,Sq. Ft. $ _ $ LOCALIT 'Y LE department. Multi-family Sq.Ft. NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR �f FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec� Light �^ Sw., AIL <? S` COMPENSATION INSURANCE ADDRESS �Q 1V Uva%° T (This section need not be completed if the work involved by the First 20 l� Additional CITY }� Tel.No. Total No. permit is for one hundred dollars($100)or less.) PLAN CHECK, I certify that in the performance of the work for which this permit APPLICANT is issued, I shall not employ any person in any manner so as to become subject to,the Worker ' mpen a Lighting Fixtures First 20 ADDRESS 4271 Total No. 7 Additional CITY Tel.No. Date q-, ,141Applic Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of T® 4��� Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICAN provisions of the Labor Code, you must forthwith comply with such Oven Dryer W.M._ ADDRESS, y g provisions or this permit shall be deemed revoked. Top FAU W.H. CITYJ�#Z�r, �Z� Tel No.z6 7 g? LICENSED CONTRACTORS DECLARATION Hood Fan Other_ I hereby ,affirm that I am licensed'under provisions of Chapter 9 �} LICENSE OR e REG.NUMBER (commencing with Section 7000) of Division 3 of the Business and Disp. Room Air Cond. cj�Z� Class.G gO Professions Code,and my'license is in full force and effect. Power.Apparatus& Large Appliances DISTRICT NO. PROCESSED BY, l/ 0 Size & Type HP,KW,KVA, or KVAR 0 License<N J � Lic.Class ��� FINAL V lae+— �— Up to 1 Incl. �yr� Over 1 to 10 Incl. DATE .�� VALIDATION Contract Date 7 Over 10 to 50 Incl. FIZ dU ❑{ I am.exempt under Sec. Over 50 to 100 Inc. LLJ I Over 100 n.1 V BAP.C.for this reason f N Services,Swbd.,MCC& Panelboards Date: 0- 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V El Exemption 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 Contractor's License Law i. for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits #?i, •. - Code): E] Misc.Conduits& Conductors _ I,as owner of the property,will do the work and the structure j K:1 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). I�f~;=1� ,-7 . 25 CONSTRUCTION LENDING AGENCY r'•r°1 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) Civ.C.). -N'''��•�`- ��-( PLAN CHECKING FEE . Lender's Name h1C—ft 4/ 4AS 5 PERMIT ISSUING FEE (JJ C - Lender's Address I certify that I have read this application and state that the above TOTAL FEE . information is correct. I agree to comply with all County ordinances ' and State laws regulating Electrical wiring, and hereby authorize at es of this County to enter upon the above-mentioned property f pectio ses. SEE.REVERSE FOR EXPLANATORY LANGUAGE ermittee Date