HomeMy Public PortalAbout4515 CLOVERLY AVE_Electrical__ 7>i::662,3_Ss APPLICATION FOR ELECTRIC PERMIT I
DriMON OF BUILDING AND SAFETY
Department d! C6ht7 EngineerCounty of �7
I'U Angel" F
N♦ CloverlWM.J. FO ,COUNTY NGIN�CA"ATT D.GRIFFIN.■UF•T OF SUILDING
Rosemead
FORAPPLIPEMMT �� TO FILL IN r//�+ I�
CROSS ST. LJ 1 cl
EES NUMBER EACH FEE i
LIGHT OUTLETS -OWNER
RECEPTACLES 'MAIL
ADDRESY
WALL SWITCHES
TOTAL 0uTLETa 27 vo CI
ELEC.RANGES 217 ELECTRICIAN d B C
CLEC. HEATERS 217 AIDDRESS 1800 ►gCurtis
KW EA CITYA�haMbra TEL,NO.
FIXTURES 6d WCEM%
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I ZO E I R ADY►oR IRsp[GTIo■
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMNRRHORSEPOWER FEE UtSPE=ON BECOBD
N[W MVD. HP _TINC [ACE
a LXwX III .2D
>z .e0 /p'f
2 D 1.00
8 ID 1 1.50
15 DO 2.00
DO 200 D.00
MISC.
NO.SIGNS NO.TRANS.
NO S ONS NO MP
FOR EACH PEI!tM IT;
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .60 AMOVAI.S
T TAL FEE 0 DATE INSPECTOR'S SIGRATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 1
171FCTRICALWIRING.
1 HEREBY CERTIFY THAT I A PERL REED AND/OR FIXTURES
LICENSE-0 AS REQUIRED BY LEE C e'.
STATE OF
CALIFORNIA OR THAT 1 AN GAL F
THE ABOVE POWER
DESCRIBED RBSIDVVMnAL
SIGNATURE UTI LM CO.NOTIFIECD Z
46 A:z
OF PERM ITTE FINAL y,
WILUALM J.FOX,COUNTY Emom m VALMATION A.C.VHIT,CHISf EL=T.Lu"w Toe
tACo;L 2 3.70 v .
i
76AB"-CE8051/70 APPLICATION FOR ELECT ICAL MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, CouNTY ENG NKER LOCALITY f
COLEMAN IN. JENKINE u IN
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS FE OWNER
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20. 20 ADDRESS
CITY TEL. NO
8WITCH OVER 20 10 7r L
PLAN CK
221
LIGHTING TOTAL
FIRST 20 20 APPLICANT
FIXTURES OVER 20 ADDRESS
.10
APPLIANCES CITY TEL. NO,
RANGE DRYER_WTR. HTR. PENT
APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR GOND. CITY TEL, NO.
r
CLOTHES WASH. DISHWASH. LICENSE NO. 'CLASS.
FAN OTHER 1.00 I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE IS CORRECT AND AQR[[ TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY 0RDI KA PIC ES AKD STAT[ LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELKTRICAL WIRING.
SIZE 6 TYPE OVER TO
I HERESY
CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1A0 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT[ OF
CALIFORNIA OR THAT I AM THE L[SAL O R Df, AND INT-END TO
' - 10 '� RESIDE IN, THE A [ OE$ ICED ID[ L PROPERTY.
31QNA RE
10 - 50 6A0 OF
V
50 - 100 10.00
DISTRICT XO. CLASS 1GROUP
100 - 500 16D0 �5"p g O
SIGN, GAS SIGN AND ONE CIRCUIT $.00 NGTES:
O.
,TUBE, OR
MARQUEE ADDITIONAL CIRCUITS I.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2-00
APPROVAL$ DAT[ Df-[CTCW9 SRGGATURE
SERVI CE OVER 600 VOLTS 0 R 200 AM P 6.00
TEMP.POWER POLE
TEMP SERVICE,POLE, 6APPURTENANCIES $AO
UNDERBLAB WORD(
TEMP LIGHT OR RECEPT, SYSTEM $AO
ROUGH CONDIUT
WIRING r
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (60%PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE �� Q
FINAL t'►/O i ? � I
SUPPLEMENTARY PERMIT ISSUING FEE 100
JOSEPH C. ROOHAN
TOTAL FEE vo SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION 011. M.O. CASH
1835 l9J6 4 2D6.00Ncl
591 BACK OF APPLICATION FOR COMPLETE SCHEDULE .
7BA563-CE406 ; APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LAS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESSQ!/Pr/
JOHN A. LAMBFE, COUNTY ENGIN[6R
COLEMAN W. JKNKINS, SUMIRINTKNDENTOF'BUILDINO LOCALITY s� G
FOR APPLICANT TO PILL IN NEAREST
CROSS STEEAC
. L>
OWNER C/ 7F to A.)
RECEPT� MAIL
LIOHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY C U/ EL. N Z
PLAN CHECK
LIGHTINGTOTA4 FIRST 20 .201 APPLICANT
FIXTURESOVER 20 .10 ADDRESS
RANGEDRYER—WTR.HTR.— CITY TEL. NO.
STA.COOKISP.—F.A.U.— CONTRACTOR
SPACE HTR_AIR CONID ADDRESS
CLOTHES WASH.-LDISHWASH` CITY TEL. NO.
FAN—OTHER 1.Do, oO LICENSE NO. CLASS.
MOTORS,TRA NSFORMERE RATING
IND. HEATERS, ETC. HP. KW.XVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATJOR
AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE 5: TYPE OVER TO WITH ALL COUNTY ORDINANCES ANP STATE LAWS REGULATING
[LC:CTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LIC[KSED AS REQUIRED BY LOS AM ELED 6OUNTY A STATE OF
CALIFORNIA OR THA'rA AM THE L[ O R OF, A INTEND TO
10 - 50 5.00 R[IIDE IN, THE 0 V DESC ME SIDE TI PROP RTY.
50 - 100 10.00 SIGNATURE
Of PER U
100 - boo 16.00 DISCT NO. G UP I ZONE P06 BY p
31151M,GAS SIGN AND ONE CIRCUIT 3.00
TUBE, OR ~ U
MARQUEE ADDI740NAL CIRCUITS 1 1.001
NOTES: !lJ
_Z
SERVICE NOT OVER SOO VOLTS OR 200 AMP 2.00 '
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 '
TEJ.P EEINICE, POLE, ✓!APPURTENANCES 5.00 APPROVALS DAT[ JKSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAS WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN'CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2,00 C,0
UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. 'ROC HAN
SUPERVISING ELECTRICALENGI ER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CISH
BACK OF APPLICAT40H FOR COMPLETE FEE SCHEDULE
76AB63-C7568 G-BT APPLICATION FOR ELECTRICAL PERMIT
COUNT,Y OF MTMENT`OF COLSANG
ELES
JJr,
DEPAENGINEER BUILDING
BUILDING AND SAFtsFDIVISION ADDRESS IS
JOHN A. LAMBIE, COUNTY NoIN[[R
COLEMAN W. JENKINS, SURIRIHTtNDENT OIF BUILDING LOCALI
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT—
s OWN
MAIL
I. IGHT TOTAL FIRST 20 .20 D DRE4,S
f/
SWITCH_ OVER 20 .10 C Y L. NO. Y
LIGHTING TOTAL FIRST 20 .20 CONTRA OR
FIXTURES OVER 20 .10 ADDRESS
RANGE-Z-DRYER—WTR.HTR.— CITY EL.
STA.COOKDISP.—F.A.U._ LICENSE NY
SPACE HTR AIR COND. IHERE■Y A�` ED/[ THI,T I HAV[ READ THIS APPLICATION
AND /TAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH. DISHWASH- WITH ALL COUNTY ORDINANCE/ AND STATE LAW/ REGULATING
ELECTRICAL WIRING.
FAM OTHER 1.00gba I HEREBY CERTIFY THAT I AM PROPERLY R I/T[RED AND/OR
LICENSED Al REQUIRED BY LO AN/[LED CO AND /TAT[ OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM, LEGAL OWNER O , AND I TEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOV ESGRIB REI NTIAL OPERTY.
SIZE ✓4 TYPE OVER TO SIGNATURE
0 - 1 1.00 OF PERMITT E
1 - 10 3.00 DIS RICT NO. GRO ZONE P SSED B
10 - 80 5.00
1
60 - 100 10.00 NOTES:
100 - 800 15.0
SIGN,GAS BION AND ONE Cl IkCUIT S.00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 800 VOLTS OR 200 ANP 2.00 / Q
SERVICE OVER 800 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, ✓f APPURTE?IANCES 3.00
AFRO VA L6 DAT[ SNI PE CTORb SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
ISSUING FEE 2.00
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.0 POWERAUTHORIZE�D
PERMIT FEE UTILITYCO.NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELE ICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK• M.O. CASH
BEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE