HomeMy Public PortalAbout4847 CLOVERLY AVE_Electrical__ 75AG63 DBS SA 11-60 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ]EMECTRIC 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO
77
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS I/1 FIRST INSPECTION
CITYLL TEL NO
COUNTY LICEN E NO +:J EXPIRES BUILDING A/O;
PERMIT FlfES ADDRESS
FEE
NUMBER EACH LOCALITY E
LIGHT OUTLETS NEAREST
CROSS ST
RECEPTACLES _
WALL SWITCHES OWNER
TOTAL OUTLETS 5C $ MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 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
NEW MVD HP OVER INCAEACH
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
(
1/ SIGNATURE OF
1/2 2 50 PERMITTEE
2 5 1 00 SPECTION RECORD
5 15 1 50
15 50 2 50
50 200 5 00
200 Soo 10 00 ,J
500 1000 15 00 Q
Z_
OVER 1000 20 00 V'
M G SET/FREQ CHANGER-HP It
WELDERS AC-KVA O
GENERATORS-KW
TRANSFORMERS-KVA
TEMP MOTORS (75%OF OR1G )
MOVED MOTORS (75%OF ORIG )
MISC
SIGNS
NO NO TRANS APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR S NAME
CONDUIT
WIRING $1 001 Love
FIXTURES $1 00 WIRING 4
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE $ / UTILITYCO NOTIFIED /
® / FINAL �y
78A663-CE606 10,74 APPLICATION FO ELECTRICAL PERMIT
COUNTY OF LOS ANGELES !�
• DEPARTMENT OF COUNTY ENGINEER ADDRESS /
BUILDING AND SAFETY DIVISION
LOCALITY C
NEAREST7�o`s�
FOR APPLICANT TO FILL IN CROSS ST IoWe
OUT TS NO EACH FEE OWNER OR
FIRM NAME
RECEPT $ $ MAIL
LT_ TOTAL FIRST 20 f, D
ADDRESS
IGHLl /moi/
SWITCH �2 OVER 20 ( 10 CITY TEL NO
ZO
PLAN CHECK
LIGHTING
FIRST 20 APPLICANT
T 1 TOTAL -�
FIXTURES OVER 20 10 ADDRESS '
-
RESIDENTIAL APPLIANCES CITY TEL No
PERMIT
RANGE DRYER_WTR HTR e APPLICANT
STA COOK DISP 'X' F A U r ADDRESS 9 L L� J'
SPACE HTR AIR COND CITY r TEL NO
CLOTHES WASH M DISHWASHLICENSE OR^ REG NUMBER a. CLASS
FAN-OTHER�i„ ”"'?' 1 `
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE 70 COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 ' LICENSED AS REQUIRED BY LOS NGELES COUNTY AND STATE OF �
CALIFORNIA OR THAI I AM TH LEGAL OWNER OF THE ABOVE 0
1 - 1O 300 DESCRIFED RESIDENTIAL PROP RTY V
PERMITEE
10 - 50 500 SIGNATURE O�
U
50 - 100 1000 W
DISTRqSTXO OCE SE BY
100 - S00 1500 -5 D Z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSP TOR'S SIGNATURE
TUBE OR,,.
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP l 300 UNDERSLAB WORK
SERV ICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING �Z-2-2--7(
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED =
UTILITY CO NOTIFIED 'n
FINAL - --77 /
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 s�
TOTAL FEE
,
PLAN CHECK VALIDATION CK M Q CASH PERMIT VALIDATION cK M 0 CASH
8 Q 3ro-DEC 16 2 D 2 6.5 5 ,& ,--D
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
Q r