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Home My Public Portal About5343 CLOVERLY AVE_Electrical__ J �1 76A663 CE806 10/72 AP PL CAMN FtW ECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS LOCALITY-1( NEAREST `` FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH f FEE OWNER OR FIRM NAME RECEPT $ Is MAIL O FIRST 20ADDRESS LIGHT TOTAL 25 OVER 20 CITY • TEL NO SWITCH_ 10 PLAN CHECK LIGHTING TOTAL �_O FIRST 20 25APPLICANT FIXTURES VER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER_WTR HTR APPLICANT STA COOK DISP F A U ADDRESS, SPACE HTR AIR COND CITY O TEL NO CLOTHES WASH DISHWASH LICENSE OR REG NUMBER CLASS 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 INDHEATERS, ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO A I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - 1 100 VQ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THA1 I AM THE LEGAL OWNER OF THE ABOVE d Am 10 300 BV DESCRIPED RES ENTI L PROPERTY O U PERMI SIGNA 10 - 50 500 TEE SGNATURE � F-- 50 - 100 1000 DISTRICT NO ROCESSEBY u.1 100 - 500 t 5 00 , O cro �� Z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTO 5 SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMP SERVICE POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL 17V PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 1 300 cop TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH I AIf' 2 2 1 5-,3 JUL 16 2 D ,7.2 5 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,6A663 CES06 10.62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FADDRESS — n BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING FOR APPLICANT TO FILL IN RECEPT TOTAL NO I EACH FEE OUTLETS FIRST 20 ) 20 $ OWNER ucl+r l � ! MAIL ADD ADDRESS SWITCH OVER 20 10 TOTAL CITY TEL NO LIGHTING l FIRST 20 20 FIXTURES 1 ADD L } OVER 20 fo ELECTRICIAN j RANGES CLO DRYERS WTR HTRS 100 ADDRESS / GARB DISP STA COOK CITY TEL NO DISHWASH AUTO WASH / STATE /f SPACE HTRS STA APP p(I/a H P MAX ) 50 lei LICENSE NO MOTORS OVER NOT OVER H P _ DISTRICT N !r P P D O 1 100 `../ , 1 3 15o INSPECTION RECORD s 6 200 �-- 8 15 250 o 15 50 300 i�+f /, r pc 50 100 5 00 f NO TRANS SIGNS NO LAMPS / to SERVICE O 600V NOT OVER 200A 100 SERVICE O 600V OVER 200 A 200 ,.�, ' SERVICE OVER 600V 500 ��"� MISC A n PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100, ._ PAq TOTAL FEE $ 740 v 1HEREBY 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 n ELECTRICAL WIRING �� WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND'OR 4/ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES a� CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPE Y POWER SIGNATURE / UTILITY CO NOTIFIED OF PERMITTEE 1 FINAL lr� /4.'rF r �"jtt�"F' CALIDATION ARTHUR C°VETT C MO CASH SUPERVISING ELECTRICAL ENGINEER LAuo8363lZ tW1 2 2 D 5.170~ 7 76A863 A 1 f.88 APPLICATION FOR ELECTRIC PERMIT DB9 S r DIVISION OF BUILDING AND SAFETY Depax ent Of County Engineer BUILDING County Of LOS Angeles ADDRESS J J JOHN A LAMBIE, COUNTY ENGINEER CASSATT D GRIFFIN. SUP T OF BUILDING LOCALITY C�� C" IT- FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST NUMBER OWNER LIGHT OUTLETS MAIL —RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TEL NO TOTAL OUTLETS @ 5¢ $ ELECTRICIAN {r' ELEC RANGES 25ADDRESS , I L� ELEC HEATERS 25 CITY �L� TEL NO KW EA STATE FIXTURES 5 LICENSE NO ((1 MOTORS DISTRICT NO -GR-O-UP ZNE I READY FOR INSPECTION NUMBER HORSEPOWER FEE NEW MVD HP OVER INC EACH INSPECTION RECORD V2&LESS $ 28 2 2 so 2 5 100 5 15 1 SO IS 50 2 SO 50 200 500 MISC NO SIGNS NO'TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $100 6c FIXTURES $1 00 SUPPLEMENTARY 50 f APPROVALS TOTAL FEE $ ✓ DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT flfl WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1 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 THE ABOVE POWER DESCRIBED RESIDEN I RO ERTY UTILITY CO NOTIFIED 57 Q.._ SIGNATURES �L� OF P€RMITTEE FINAL G 4 JOHN A.LAMSIE.COUNTY ENGINEER VALIDATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR CK MO -CASH �r 6 1 3ZUR) DEC21 2 6.90 7S A663 5SA 11 S9 APPLICATION FOR ELECTRIC PERMIT 1 DA DIVISION OF BUILDING AND SAFETY Dep. ent of County Engmeer BUILDING County of Los Angeles ADDRESS JOHN A BIE, COUNTY ENGINEER D CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY .�✓'��------ FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST G� — NUMBER OWNER LIGHT OUTLETS MAIL �C RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TEL NO TOTAL OUTLETS @ 5¢ S Q ELECTRICIAN ELEC RANGES 25 ADDRESS ' c ELEC HEATERS 25 KW EA CITY TEL NO .. STATE FIXTURES 5 LICENSE NO O MOTORS DISTRICT NO ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE - 1GROUP1 17A NEW MVD HP OVER INC EACH INSPECTION RECORD V2 Sc LESS $ 25 1/2 2 50 2 5 100 5 _15150 15 50 250 50 200 500 M ISC 42 NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $1 00 ]STATEOF FIXTURES $100 SUPPLEMENTARY 50 APPROVALSTOTAL FEE $ DATEINSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AAND STATE THAT THE ABOVE IS CORRECT AND AGREE CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS WIRING ELECTRICAL WIRINGIHEREBY CERTIFY THAT I AM PROPERLY REGISTERFIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANCALIFORNIA OR THAT I AM THE LEGAL OWNER OF POWER DESCRIBED RESIDENTI PROP€RTY SIGNATURE UTILITY CO NOTIFIEDOF PERMITTEE 1FINAL JOHN A L4MBIE.COUNTY ENGINEER VALIDATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR CK MO CASH ,, 2952,- am 3 2 1 .10 in WORKERS'COMPENSATIONDECLARATION CE806G (280) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance)or a certified copy thereof(Sec'3800,Lab C) �[ ? Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS T J New Residential Bldgs &Pools EACH NO FEE ovP b Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY ❑ Multi family Sq Ft — NEAREST Certified,copy is filed with the county building inspection CROSS ST department Residential Swimming Pools OWNER OR FIRM NAME Date Applicant Outlets Rec_Light_Sw MAIL First 20 Y ADDRESS c3 /Y ' �/ V�� V r� CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel NoAM-6074 . COMPENSATION INSURANCE PLAN CHECK d (This section need not be completed if the work involved APPLICANT ' 0 by the permit is for one hundred dollars ($100) or less) Lighting Fixtures First 20 ADDRESS 0 ' Total No Additional I certify that in the performance of the work for which thisFixed Appliances Not Over 1 HP CITY Tel No 0 permit is issued, I shall not employ any person to any manner PERMIT V so as to become subject to the Workers' Compensation Laws Range_ Heater_D W APPLICANT a Oven _ Dryer_W M ADDRESS Z Top _ FAU _W H kDateZ Applican Hood — Fan _Other CITY Tel No NOTICE TO APPLICANT f, after making this Certifica of Disp _Room Air Cond_ LICENSE OR Exemption, you should become subject to the Wor ers' REG NUMBER Class Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PROCE SED BY with comply with such provisions or this permit shall be Size&Type HP,KW KVA,or KVAR deemed revoked Up to 1 Incl FINAL Over) to 10 Incl � U DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl O VALIDATION. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL BY 9 (commencing with Section 7000) of Division 3 of the Bust Over 100 s ness and Professions Code, and my license is in full force and effect Services License Number Lic Class' 0-200 Amp Under 600 V' 201 1000 Amp Under 600 V Contractor Date Over 1000'Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole& Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031 5, Bust Additional Sign Branch Circuits ness and Professions Code) II 1 J 20,11 6 A ' Misc Conduits&Conductors I, as owner of the property, will do the work and the Other (See Complete'Fee Schedule)— # o o!o o o•2 structure is not intended or offered for sale (Section 7044, Business and Professions Code) 1 2 0 '{ 7,00 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency oo o 7 Q`Q for the performance of the work for which this permit is ' PERMIT FEE (Sub-Total) issued (Sec 3097,Civ C) 0629-81 Lender's Name PLAN CHECKING FEE (One Fourth Permit Feel _ Lender's Address PERMIT ISSUING FEE 7 � G I certify that I have read this application and state that the TOTAL FEE above 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 th bove men coned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sig re of Permittee ate .. f i