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HomeMy Public PortalAbout4930 CLOVERLY AVE_Electrical__ 76A663 CE'80616/78) APPLICATION FOR ELECTRICAL PERMIT � r COUNTY OF LOS ANGELES BUILDINGrD SAFETY FOR APPLICANT TO FILL IN JOB Q ' New Residential Bldgs &Pools EACH NO FEE ADDRESS 1 &2 Family Sq Ft $ 025 — $ LOCALITY Multi family Sq Ft 02 — NEAREST Residential Swimming Pools `25 00 CROSSST OWNER OR A� FIRM NAME4,Outlets Rec Light Sw J MAIL ADDRESS G First 20 50 Total No Additional 30 CITY Tel No oLIC7__ 4 0 PLAN CHEC-1k ` APPLICAtNT Lighting Fixtures First 20 50 ADDRESS Total No Additional 30 CITY Tel_No Fixed Appliances Not Over 1 HP PERMIT APPLICANT _ Range_Heater_D W L ADDRESS Q Oven—Dryer_W M— ` Top _FAU — W H CITY Tel N Hood—Fan —Other_ LICENSE Y b ' Disp —Room Air Cond 2 50 REG NU ER aZ Class C C/C IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Size&Type HP KW KVA or KVAR 2 50 �' REGULATING ELECTRICAL WIRING d Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl 12 50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE O DESCRIBED RESIDENT L PROPERTY Over 50 to 100 Inc 25 00 pERMITEE � C Over 100 40 00 SIGNATU +� ServicesDISTRICT NO PRO SED 0 200 Amp Under 600V 12 50 _ 201 1000 Amp Under 600 V- 25 00 _ Over 1000 Amp or Over 600 V 50 00 Temp Power Pole&Appurtenances 1000 Sign with One Branch Circuit 10 00 J e moi" Additional Sign Branch Circuits- 2 00 INSPECTION > 10 0o INFORMATION Misc Conduits&Conductors ON REVERSE x Other(See Complete Fee Schedule) SIDE u d 4 1 5 1 A Z # 000002 PERMIT FEE < )Sub Total) 2 0 027,50 PLAN CHECKING FEE (One Fourth Permit Feel Z\ o 0027. 505 PERMIT ISSUING FEE $700 0502-79 y J TOTAL FEE / > r INSPECTION FINALED W date ��/��7q By ®� f �� 0. ©: � APPLICATION app > 76A663 DBS 5AA 11 SS APPLICATION FOR ELECTRIC PERMIT DPVLSION OF BUILDING AND SAFETY Department Of County EngineerBUILDING �y Countyof Los Angeles ADDRESS JOHN A LAMBIE.COUNTY ENGINEER CASSATT D GRIFFIN. SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST AT_ NUMB9E64 OWNER .sf LIGHT OUTLETS MAIL RECEPTACLES ADDRESS 444teS 00 r Ir WALL SWITCHES FEE CITY TEL NO TOTAL OUTLETS p 5¢ $ ELECTRICIAN ELEC RANGES 25 ADDRESS S ELEC HEATERS 25 CITY TEL NO ` KW EA STATE— FIXTURES TATE FIXTURES 5 LICENSE NO MOTORS DISTRICT O I GROUP I ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE / f ' NEW MVD HP OVER INC EACH I �- INSPECTITI ON RECORD 1 g LESS S 25 Y N 111 2 50 2 5 100.- 5 005 15 ISO 15 50 250 50 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING S100 FIXTURES $1 00 SUPPLEMENTARY 50 + 1 APPROVALS TOTAL FEE S DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP ICAT10 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING I0 �� • ELECTRICAL WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS A14GELES COUNTY„AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNEROF THE ABOV POWER DESCRIBED RESIDENT AL RO RTY SIGNATURE (� �.A�q UTILITY CO NOTIFIED �o OF PERMITTEE �'9 FINAL Z115 ec. 141 JOHN A LAMBIE.COUNTY ENGINESR,,O' ATO ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR CK MO IASH 0.953 OCT 3 2 5.80 In