The URL can be used to link to this page

Home My Public Portal About5313 CLOVERLY AVE_Electrical__ 76A663 Das SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FI IN DISTRICT NO. GROUP I ZONE PERMIT NO. A �"'� & 2-s ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED i ADDRESS FIRST INSPECTION CITY TEL. NO. COUNTY LICENSE NO. EXPIRES BUILDING PERMIf FEES ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS 5C $ I MAIL ELEC. RANGES P5 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. ,T -7 - -FIXTURES 1 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. NEW MVD. HP OVER I -v- EACH dFg &LESS $ .25 > SIGNATURE OF 1/2 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD 5 15 1.50 1 I 15 50 2.50 Zi s0 200 5.00 200 500 10.00 J Q soo 1000 15.00 Z OVER 1000 20.00 0 M. G. SET/FREQ. CHANGER-HP R WELDERS: AC-KVA I O GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.001 1 WIRING FIXTURES $1.00 SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE I $� ` UTILITY CO. NOTIFIED o C (,J FINAL DBS SA 3 35 APPLICATION TPERMIT FOR ELECTRIC ERG7 IT DBS SA DIVISION OF BUILDING AND SAFETY � l Deportment of County Engineer YY l County of Los Angeles BUILDING WM J FOX COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY L FOR,APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST NUMBER EACH FEE p ZkAl LIGHT OUTLETS OWNER C1 s MAIL RECEPTACLES ADDRESS WALL SW ITCHES TOTAL OUTLETS ;, 5¢ $ CITY //�� / TEL., NO ELEC RANGES 25 ELECTRICIAN (� of pp�� ,tl� /'r a� _ELEC HEATERS 25 ADDRESS ,e P IY�/1-�4 N2 y KW EA CITY // /� TEL NO / FIXTURES 5 D LICENSE NO 7 NUMBER OF LIGHT CIRCUITS COL DISTRICT I GROUP kONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVER INC EACH ! I/2&LESS $ 25 'k Pna,`I:7 1/2 2 so 1 2 5 1 00 �� d 5 15 1 50 15 50 250 50 200 5 00 1 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING y S1 00 0 FIXTURES S1 00 SUPPLEMENTARY 50 Q APPROVALS TOTAL FEE S (J DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT 1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ` Q WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING I - -�. 1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED B��ff� OS ANGE C9Uh TY ND S T F CALIFORNIA OR THAT I/A THE LE AL WW E 0 t1 VE POWER v DESCRIBED RESID IAL PP PERTY SIGNATURE UTILITY CO NOTIFIED �.II 1 � 1 OF PERMITTEE NAL WILLIAM J F COUNTY ENGINEER VALIDATION A C VEIT,CHIEF ELECT INSPECTOR 1 ' 81 � 2 r o o,zR -jAn20 2 3.8 0 - f WORKERS COMPENSATION DECLARATION 76-663 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self Insure CE-Bose or a certlflcate ol"Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copykthereof(Sec 3800 Lab C) Policy NO Company FOR APPLICANT TO FILL INJOB ` ❑ Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS 3 ❑ $ lSFt — LOCALITY Certified copy is fled with the county bud1 & 2-Family ding Inspection $ — f NEAREST department Multi-family Sq Ft CROSS ST Date Applicant r Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERSOutlets Rec Light _L Sw / MAIL COMPENSATION INSURANCE — /90 � � ADDRESS (This section need not be completed if the work involved,by the First 20 Total No Tel No permit is for one hundred dollars($100)or less) Additional CITY 63 I certify that in the performance of the work for which this permit PLAN CHECK s Y P APPLICANT � Is issued I shall not employ any person end ny manner as to become subject o t Workers Compensate Laws Lighting Fixtures First 20 ADDRESS Additional` �! / Total No CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE O APPLICANT If after making his Certificate of APPLICANT f Exempts n you should become subject to the Workers Compensation Range_ Heater_ DW r provisions of the Labor Code you must forthwith comply with such Oven _ Dryer _ W M _ ADDRESS f 946 provisions or this permit shall be deemed revoked Top — FAU WH CITY ��Lj�� Tel No p7 LICENSED CONTRACTORS DECLARATION Hood..— Fan Other_ I hereby affirm that I am`licensed under provisions of Chapter 9 Desp — Room Air Cond LICENSE OR (commencing with Section 7000) of Division 3 of the Business and REG NUMBER LO Glass�— o DISTRICT NO PROCES BY Professions Code and my license is in full force and effect Power Apparatus& Large Appliances • D 1' Lt��;� '� /C5 � Size& Type HP KW KVA or KVAR (License Number �J ,,�� Lec Class Up to 1 Incl FINAL U } DATE ,e r& t Over 1 to 10 Incl VALIDATION 0 'tContractor ��' _ Over 10 to 50 Incl ElFINAL E' I am exempt under Sec Over 50 to 100 Inc BY W d Over 100 B&P C for this reason N Services` 300SAmpMCC& Panelboards J , Z ate 0 mpUnder600 V /SignatureG� 201 - Under 600 V Over 1000 Amp or Over 600 V ❑ 5xemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole& Appurtenances r HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit y I hereby affirm that I am exempt from the Contractors License Law for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits Code) _ilU7 4v of i ❑ Mesc Conduits & Conductors M I,as owner of the property will do the work and the structure IT– E Other (See Complete Fee Schedule) is not Intended or offered for sale (Section 7044 Business and Professions Code) 1 j ITAL 4 IS m 450 CONSTRUCTION LENDING AGENCY CHC.0}' 1ps.� 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) 35- SHA GE of E0 Civ C) PLAN CHECKING FEE Lenders Name r / CtCIL7 PERMIT ISSUING FEE Lenders Address "f it, 1 PM 12 a 0 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 representatives of this•'County to enter upon the above-mentioned " property r inspection pjrGoses SEE REVERSE FOR EXPLANATORY LANGUAGE _ r l7 � Signature ofPtrmittee ate , 5