HomeMy Public PortalAbout4852 CLOVERLY AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, County Engineer
FOR APPLI ANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
15" 4-1, g c
ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED
ADDRE98 � ��� FIR8T INSPECTION �+��_514.CITY TEL O J
COUNTY LICE SE NO EXPIRES BUILDING �g6-z
PERMIT FEES ADDRESS b /gyp
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST
WALL SWITCHES r OWNER
TOTAL OUTLETS 5C IO J MAIL
ELEC RANGER 85 ADDRE98
ELEC HEATERS 25 CITYTEL NO
FIXTURES _ 9
I HEREBY AC KNOWLED E THAT I HAVE READ THIS
MIBC APPLICATION AND STATE THAT THE ABOVE 19 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 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw Mv0 HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBE ABOVE
V2 8 LESS $ 25 HIONATURE OF
V2 2 50 PERMITTEE
2 s 100 INSPECTIO R RECO
5 13 1 50
is 50 250
50 200 Boo
200 50o 1000 J
_ 500 1000 1500 Z
OVER 1000 2000 I,
M O SET/FREQ CHANGER-HP <Y
WELDERS AC-KVA Q
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% aF 6RIG)
MOVED MOTORS (75% OF aRIG)
MIBC
SIGNS
NO NO TRANS ,
APPROVALS
NO NO LAMPS
FOR EACH PERMIT, DATE INSP TOR'S NAME
WIRING 1 $100 CONDUIT
FIXTURES $1 OO , Q'(� WIRING / �✓'•—
SUPPLEMENTARY 50 FIXTURES I
POWER
TOTAL FEE �� �® UTILITY CO NOTIFIED 8 b `►�
x FINAL
76A663 DBS#5A 2-53
TEMPLE CETY
76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY UILDING AND SAFETY DIVISION ADDBUILRBUILEISSGt�i
Br. Ronald Tickle
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY 4852 N. Cloverlv
ST
FOR APPLICANT TO FILL IN CROSS ST Temple City
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 1 $20 $ 20 OWNERMr. Ronald Tickle
MAIL
LIGHT 1A00'L 10 ADDRESS 4852 N. Cloverly
SWITCH 1 OVER 20
LIGHTING
TOTAL FIRST 20 20 CITY Temple Cit TEL NO 285-1701
�
FIXTURES° ADD'L 10 ELECTRICIAN Con lee & .Son Electric
OV R 2O t
RANGES CLO DRYERS WTR HTRS 100 ADDRESS 1030 N. Grandview Ave. °
GARB DISP 1 r STA COOK CITYJ.clan Gabriel TEL N0280-200Ut
DISHWASH 1 T AUTO WASH STATE, 242432
SPACE HTRS STA APP (l/z H P MAX ) 2 50 1 O LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT NO I GR ZON PR B
O 1 100
1 s 150 INS CTION REC RD
3 8 12001
B 15 2501
15 50 300 }
a
so 100 500 O
SIGNS NO TRANS
NO LAMPS
C!�
SERVICE O 600V NOT OVER 200A 1100 W
SERVICE O 600V OVER 200 A 1200 a
N
SERVICE OVER 600V 500 ?
MISC `
PERMIT ISSUING FEE 1200 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 1 00
TOTAL FEE �$ 3 20
I HEREBY ACKNOWLEDGE THAT 1 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
ELECTRICAL WIRING WIRING;
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE PROPERTY POWER
SIGNATURE / P r UTILITY CO NOTIFIED
OF P ///
ERMITTEE
FINAL
VALIDATION ARTHUR C VEIT
I CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Leo.91 1 1.% JUN 1 5 2 'D 3.20