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Home My Public Portal About6013 CLOVERLY AVE_Electrical__ DBS 5A 25M SETS 1-48 CATI®N FOR P DEPAR WN OF BaLLDM AM SAFFIT COUNTY OF LOS ANGELES ELECTRIC WM J CHIEF' a a NAME DISTRICT NO. GROUP I ZONE PERMIT NO. a ADOR86S RECBIVED BY _ READY FOR DATE ISSUED CITY TEL NO �4. t C = L, � , FIRST INSPECTION 'I C'ar J COUNTY VG- , -4 Itl CERT NO O EXPIRES APPLICAW FILL IN EWAVI Y OUTLINED PORTION ONLY pL7CPJ O OF WORK ADDRESS NUMINsR OF OUTLETS ON C4RCU1TS LOCATION BY ROOMS LOCALITY NEAREST HT OUTLETS SW I PLUGSFIx4 Citose ST CIRCUIT A C D E F G H E NAMEChesser Z MAIL RGS ADDS O CITY TEL.NO 1 AM THS LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CBRTIFIC��-' RU d�ON. ELECTRICIAN 1 AM THE LEGAL OWNER OF THIS PROPERTY DESCRIBED ABOVE OWNER 9 COMEGnONS J a z � 2 O4 TOTALY Ar I No OF OUTLETS 's J p o APPROVALS NO OF FIXTURES $ cDATE INSPECTOR'S NAME NO OF MOTORS HIP $ CONDUIT NO OF SIGNS TRANS $ WIRING NO OF RANGES OR HEATERS $ FIXTURES rMI L AN $ POWER ^ {� PERMIT FEE $ Sp UTILITYCO NOTIFIED i /�.s O, !/ O ��."" (/ FIN e 4 4 l v _V-v(4� PPUC4TION FOR PERM - DEPARTMENTUNTYPOF LLOS�ANGELES SAFE'1'Yi �rELLL4tEilCl� Y'lT rICi\1.11J WM J FOX CHIEF ENGINEER Q r NAME �. /CLD R DISTRICT NO. GROUP ZONE PERMIT NO. U ADDRESS J 2 �7 F ,ELL/n T T �7 —' 5 3 t CITY ZF4 •/ �O'/Y 7-)= TEL NO RECEIVED BY READY FOR DATE ISSUED J COUNTY OO I r /0 1 I FIRST INSPECTION W CERT NO 3-1J EXPIRES I`3/-4S (�/T r APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB (DESCRIPTION OF WORD -ADDRESS 3 /�N\ C_L o F.3 R L NUMBER OF OUTLETS ON CIRCUITS LOCALITY "T/-A l>L )t C.�T LOCATION BY ROOMS NEAREST Woo D RU �F LIGHT OUTLETS SW PLUGS dXTI CROSS ST CIRCUIT A B C D E F G Hrc NAME C,C 3' MAIL ADDRESS ' ` O CITY TEL NO 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION ELECTRICIAN I AM iHS LEGAL OWNER OF'�H ►pR PF,iti/ DESCRIBED ' ABOY6 I� OWNER CORRECTIONS J Q _Z L7 !Y O TOTAL J NO OF OUTLETS $ APPROVALS NO OF FIXTURES 5 $ DATE INSPECTOR'S NAME NO OF MOTORS H P $ CONDUIT NO OF SIGNS TRANS $ WIRING NO OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS E POWER J PERMIT FEE $ 1 :15' UTILITYCO NOTIFIED W� JI' 071 J/ a� TOTAL FE FINAL 76A663-CE806';�-68 yAPPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST "10.0 NO EACR FEE RECEPT $ $ OWNER QC) C 4ti� MAIL l� LIGHT' _ TOTAL FIRST 20 20 ADDRESS 6613 All r SWITCH OVER 20 10 CITY T- 6, TEL NO PLAN CHECK LIGHTING TOTAL FIRST 20 20 Q APPLICANT FIXTURES OVER 20 10ADDRESS RANGE—DRYER—WTR HTR — CITY TEL NO STA COOK—DISP F A U CONTRAC T-OR C SPACE HTR AIR COND ADDRESS 0V CLOTHES WASH _DISHWASH CIT fgf1,,rZEL N FAN—OTHER 1 00 / 1676 LICENSE IJOFj CLASS 1Q MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 1 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS RED IRED BY LOS ANGELES CO NTY AND STATE OF CALIFORNIA OR THAT I AM THE LE N AND INTEND TO 10 - 50 5 00 RESIDE IN THE ABOVE DES WED S TIAL PROPERTY 0 SIGNATURE V 50 – 100 10 00 OF PERMITTEE old 100 - 500 15 00 DI TRICT NO G92r)llP l ON ESS D BY SIGN GAS SIGN AND ONE CIRCUIT 3 00 / W TUBE OR a MARQUEE [ADDITIONAL CIRCUITS 1 00 N NOTES Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE IF EMP POWER POLE NDERSLAB WORK OUGH CONDUIT CZ At p 'tz PERMIT FEE (SUB TOTAL) IRING IXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 Q UTILITYCONOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE 0 JO EPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M O CASH L 1 4 8� 11028 2 D 5.60- , SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE DB S-A 10-41 PSM aP�PL�IC�e► 1�ox FOR t�C�DLIlpEPARTMENT ®FFING AND SAFETY lU?-= OF LOS ANGELES � WM J SFQX CHIEF ENGINEER Y a NAME DISTRICT O, GROUP ZONE PERMIT NO. 22, ADDRESS ��... REIYED BIL READY FOR DATE ISSUED UH CITY TEL NO F T INSPECTION d CERTCOUN NO EXPIRES 7� ��p~ APPLICANT 1F H lr I7�� V�7MY OUMM D PORTION ONLY JOB DESCRIPTION OF WORD ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST d� LIGHT OUTLETS SW PLUGS FIXT CROSS ST CIRCUIT A B C D E F G H W NAME Z MAIL 3 ADDRESS O CITY -- TEL NO. I AM THE LEGAL POSSESSOR OF THE,(ABOVEi"LOS ANG3FLW COUNTX PERTIFICATA IOF-QU IFICATIOM., . QLXChUClAN ABO S THE LEGAL OWNER OF THE P D68CRIBED OWNER - J a 0 f� r -4— TOTAL NO OF OUTLETS E$ WIRING APPROVALS NO OF FIXTURES DATE INSPECTOR'S NAME NO OF MOTORS H P UITNO OF SIGNS TRAN$NO OF RANGE$OR HEATER$ RES MISCELLANEOU RPERMIT FEE YCO NOTIFIEDIOTA FEE �' �� c I8A888 CE8084 80 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING J�,/f,il�� / BUILDING AND SAFETY DIVISION ADDRESS L V fi/Ci_ Y JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN SUPT OF BUILDING �7 LOCALITY y FOR APPLICANT TO FILL IN CROSS s /RZ,4 A L-/9 PERMIT FEES OWNER O-</ I T E M NUMBER EACH FE MAIL OUTLET $ $ ADDRESS LIGHTS RECEPT SW 10 C LIGHTI FIXTURES CITY Oi IIY64D TEL NO, ELEC RANGES CLO DRYERS ELECTRICIAN y WATER HEATERS 50 ADDRESS r� e, ,y 6 ELEC SPACE HTRS DISHWASHERS CITY OAl ZO U TEL NO L- J ^ r� GARBAGE DISPOSERS AUTO. STATE o WASHERS STA COOKING UNITS 25 LICENSE NO MOT OVER INC H P DISTR CT NO GROUPZ E ESSED Y O — I/2 2 S V2 — 2 s0 IpNSPECTION/�R�E/CORD .P 2 — s 100 ld/�FL ONLY L` � a 5 — is 1 130 0 18 — so 250 a O SO — 200 Soo Z"D�7 / /,/i� / U + SIGNS NO TRANS NO LAMPS N SERVICE O SOON 100 , l I S Ol SERVICE OVER 600V Soo �K� MISC m � C n WIRING PERMIT 100 Ale: r FIXTURE PERMIT loo F!?//1,?,E 7D RI/6�AVr e SUPPLEMENTARY PERMIT S0 U GP— 12410W TOTAL FEE $ 7-0 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C- - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �� ]J LICENSED AS REQUIRED BY LOS A 3 OUNTY AND STATE OF FIXTURES l /771�'LA / CALIFORNIA OR THAT 1 AM THE=EG NEB OF THE ABOVE - DESCRIBED RESIDE A P OPE POWER SIGNATURE UTILITY CO NOTIFIED ERMITT OF PFINA IDATION ARTHUR C VEIT (/ K MO CASH SUPERVISING ELECTRICAL ENGINEER 1 :�'2 1 4 8 'o FE3 7 2 D 4.4 5 ;t WORKERS'COMPENSATIONDECLARATION 8016G (2 80) 11 1 _ CE APPLICATION FOR ELECTRICAL PERMIT CE 806 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 I a certified copy thereof(Sec 3800,Lab C) 4 r ' FOR APPLICANT TO FILL IN JOB v ` Policy No Company EACH NO FEE ADDRESS New Residential Bldgs &Pools , Certified copy is hereby furnished 1 &2 FamilySq Ft $ — $ LOCALITY OMulti family Sq Ft — NEAREST Certified copy is filed with the county building inspection \ CROSS ST department Residential Swimming Pools OWNER OR � r FIRM NAME" Date Applicant Outlets Recce-Light Sw v o MAIL V First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No COMPENSATION INSURANCE d PLAN CHECK O (This section need not be completed if the work mvolved APPLICANT U by)the permit isfor one hundred dollars 0100) or less) Lighting Fixtures First 20 ADDRESS Total No Additional IrO I certify that in the performance,of the work for which this1 HP CITY Tel No Or U Fixed Appliances Not Over permit is issued, I shall not employ any person in any manner PERMIT i , lL so as to become subject to the W ers' Comp_ensa ion Laws Range_ Heater_D W APPLICANT G t�c^i rv'!A� d �}� N Oven _ Dryer_W M ADDRESS DateX1%9 Applicant C�GZtiv Top FAU _W H _ (/ Hood _ Fan, _Other_ CITY fz&A `4 Tel No 'Dr NOTICE TO APPLICANT If,`after making this Certificate of Disp _ Room Air Cond_ LICENSE OR Exemption, you should become subject to the Workers' REG NUMBER �3 Class4:22el`040 Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PROC SSED BY with comply with such provisions or this permit shall be " Size&Type HP;KW, KVA or KVAR deemed revokedj / Up to 1 Incl FINAL Over 1 to 10 Incl DATE t�® „' .� VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINALBY i � t 9 (commencing with Section 7000) of Division 3 of the Busi Over 100 .► / ness and Professions Code, and/my license is in full force and effect ,q Services License Number �r� Lic Class- (: 1 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 Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's Additional Sign Branch Circuits License Law for the following reason (Section 7031 5) Busi ness and Professions Code) 252&7A ` Misc Conduits&Conductors I, as owner of the property will do the work and the # o o I o o o,2 Other (See Complete Fee Schedule)— � structure`is not intended or offered for sale (Section 7044, Business and Professions Code) 2,0 0'oQ Q CONSTRUCTION LENDING AGENCY I hereby arffirm that there is a construction lending agency iotoie,o & Q for the performance of the work for which this permit is PERMIT FEE (Sub Total) issued (Sec 3097,Civ C ) 0 5, 1 5-81 —Lender=s Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE , I certify that I have read this application and state that the TOTAL FEE O� above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and 1 herebyauthorize represent rives of this County to enter upon the ove mentioned ty for rasp tion purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signat re of Permittee atettee ate U WORKER S COMPENSATION DECLARATION 20 DPW(12 91) 76A663 APPLICATION FOR ELECTRICAL PERMIT I hereby affirW tha, 14�a- a certificate of consent to self insure 76A663 or a certificatetf Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV L/r� copy thereof(Sec 3800 Lab C) '/2 Policy NO Company FOR APPLICANT TO FILL IN 10 ADDRESS C ��v ` C Certified copy is hereby furnished %New Residential Bldgs &Pools NO EACH FEE Ft Sq $ $ LOCALITY t ,r _Certified copy is filed with the county building inspection 1 &2 Family NEAREST department Multi family Scl Ft CROSS ST ft1,04'0 Date Applicant Residential Swimming Pools ASSESSOR PP MAP BOOK PAGE I PARCEL CERTIFICATE OF EXEMPTION FROM WORKERSOutlets Rec —Light Sw OiRM NAME 47A -J- - 41 v COMPENSATION INSURANCE First 20 (This section need not be completed if the work involved by the t MAIL S permit is for one hundred dollars(5100)or less) Total No Additional I certify that in the performance of the work for`which this permit CITY Tel No is issued I shall not employ any person in any manner'so as to PLAN CHECK become subject to the Workers Compensation Laws Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date' Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If after making this Certificate of CITY Tel No Exemption,you should become subject to the,Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such APPLICANT provisions or this permit shall be deemed revoked IT Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP KW KVA or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code and my license is in full force and effect Over 10 to 50 Incl LICENSEClass } Over 50 t0 100 Ind REG NUMBER 0- Over Over 100 DISTRICT NO PROCES BY.,� / 0 License Number Lic Class f) L�/Jy (� Services Swbd,MCC&Panelboards Q 0 399 Amp Under 600 V FINAL 0 Contractor Date DATE ❑ 400 1000 Amp Under 600V "L I am exempt under Sec VALIDATION LU Over 1000 Amp or Over 600 V FINAL B&P C for this reason - BRANCH CIRCUIT FEES BY W Date 15A,or 20A 120V Lighting or Recept Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A 20A,208V To 277V Lighting Br Circuits - SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit it o G I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits - -- - Code) I as owner of the property will do the work and the structure Misc Conduits&Conductors j�= O is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) IiL@�s and Professions Code) CONSTRUCTION LENDING AGENCY °k' 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 (Slip Total) 31 Civ C) \ PLAN CHECKING FEE Lenders Name _ �4 PERMIT ISSUING FEE - Lender s Address I certify that I have read this application and under penalty of purjury state TOTAL FEE `\\ that the 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 the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE �� _ � _-- — -gra SIGNATURE OF PERMITTE DATE