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HomeMy Public PortalAbout5016 CLOVERLY AVE_Electrical__ 76ASMI-`$8062-39 APPLICATION F'O R ELECTRIC PERMIT COUNTY OF LOS ANGELES DEBUILDnENT OF COUNTY ING AND SAFETY DIV SIONER ABU'DDRESS 016 N. Cloverl JOHN A LAMBIE, COUNTY ENGINEER HT1 CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITY 1 e1 le Ci t FOR APPLICANT TO FILL IN NEAREST PERMT FF'RS CROSS ST D I T E M NUMBER LL EACH FEE OWNER Q ers OUTLET 18 $ f0 $ 1 8� MAIL LIGHTS RECEPT SW ADDRESS LIGHTING FIXTURES 10 50 CITY TEL NO ELEC RANGES CLO DRYERS ELECTRICIAN C onl e e & Son E1 e c tri c WATER HEATERS 50 ADDRESS 1030 N• G andview Ave. ELEC SPACE HTRS DISHWASHERS CITYSO. San Gabri elEL NAt.0-200 GARBAGE DISPOSERS AUTO- STATE WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC H P DIST RI T NO GROUP ZONE P ESSED B 1' Fan 0— +iz zs 1/2— 2 SO INSPE TIO ORD 2— s 100 5— Is 150 1s— 50 250 50-200 500 SIGNS NO TRANS NO LAMPS SERVICE 0-600V too SERVICE OVER 600V Boo MISC WIRING PERMIT 100 100 FIXTURE PERMIT too 1 OQ SUPPLEMENTARY PERMIT s0 TOTAL FEE $ 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING , i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURE$ /CaC! l!3I ��0/[1✓+. ..'...,.. CALIFORNIA OR THAT T LE5AI,, OWNER OF THE ABOVE DESCRIBED RESIDENTI �FOPE POWER SIGNATURE UTILITYCO NOTIFIED IA OF PERMITTE FINAL �*A76:3Q1 \17 ,,a���/�X,EZ. ®p IJCA I O, C"H ARTHUR C VETT, CK v/MO CASH SUPERVISING ELECTRICAL ENGINEER Lko 9 4 7 11 APR 19 2 A 4 .5 5 oss3A zsM'svro I-ae dg),7lgtrgf/Li9RO1LT FOR PER= COUNTY OF IAS ANGELES ELECTRIC WM J FOX CHIEF LNGINISER FISSUEDISSUED NAME aCOUNTY READY FOR DATE CITYs t 1 TEL NO FIRST INSPECTION N CERT NO I, E3u34FtBS APPIICAIr FILL IN HEAVILY OUTLINED PQRTION ONLY DESCRIPTION OF WORD 'ADDRESS / � 1 NUMBER OF OUTLETS ON CIRCUITS LOCALITY MAIL LOCATION BY ROOMS NEAREST Lam. HT OUTLETS sw PLUGS FAR CIRCUIT A ® C D E F G H C NAME ,ke m ADDRES>S CITY TEL.NO / 2 � 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS 00 i ANGgLES COUNTY CERTIFICATE OF QUALIFICAT ELECTRICIAN. " I AM 'IHS LEGAL OWN OF THE PROPERTY DESCRIBED /Y ABOVE OWNER COMECHONS J Q [7 R O 1 NO OF OUTLETS lS $ . APPROVALS NO OF FIXTURES $ DATE INSPECTOR'S NAME NO OF MOTORS H P CONDUIT \ NO OF SIGNS TRANS WIRING NO .OFaRRN_ES.4R HEATERS FIXTURES 1 $ POWER PERMIT FEE �'� UTILITYCO NOTIFIED i, 76A6634t- CE806B 12/75 APPLICATION FOR ELECTRICAL PERMIT 2 BUILDING AN FETY DIVISION FOR APPLICANT TO FILL IN JOB �` FR.sidential Bldgs & Pools EACH NO FEE ADDRESS v Scl Ft $ — $ LOCALITY cl Ft — NEAREST CROSS ST wimming Pools OWNER O FIRM NAMR Outlets Light, Switch& Receptacle MAIL First 20 ADD SS lJ Additional CITY e PLAN CHECK Lighting Fixtures APPLICANT First 20 I ADDRESS Additional CITY Tel No PERMIT Fixed Appliances Not Over 1 HP APP LICA T Range Heater_ D W ADDRESS Oven Dryer W M Top FAU W H CITY o Hood Fan LICENSE OBE 0;-? REG NUM (T` Cie Disp A C C-7 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING i— Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING V LLA a. Up to 1 Incl 1 HEREBY CERTIP THAT 1 A PROPERLY REGISTERED AND/OR y Z Over 1 tO 1 O Inc] LICENSED AS REOUI ED BYLOS A GE COU NTV AND STATE OF CALIFORNIA OR T T 1 AM THE AL OWNER OF TME ABOVE Over 10 to 50 Incl DESCRIBED RESIDE TIAL PRO PERT Over 50 to 100 Incl PERMITEE Over 100 SIGNATURE DISTRICT NO PROCS D B Services �1 0 200 Amp Under 600 V - '/ 201 1000 Amp Under 600 V APPROVALS DATE I PECTOR'S Over 1000 Amp or Over 600 V IGNATURE TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) W I R I NG �j r FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO NOTIFIED �/ PLAN CHECKING FEE (One Fourth Permit Fee) FINAL —7p PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION ASH PERMIT VALIDATION MID CASH 4 9 2 iZtAY 25 a 1 01 .50 AQ; w O Vim' 76A663-CEt806"10 0 1CTRICAL PERMIT swan COLINTY`OF LOS ANGELES DEP q yI�JyT�pF {ZY E:4G ER >(©,�Q,' ADDRESS Ipt4J m DIVISION 5016 C ✓� . LOCA LITY Temple City OLICY O©�� NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE OWNER OR RECEPT $ $ MAIL FIRM NAME JOhn Anderber _ LIGHT TOTAL FIRST 20 P9 ADDRESS as •Ob• p CITY TEL NO 206-305 SWITCH_ OVER 20 10 PLAN CHECK LIGHTING l TOTAL FIRST 20 26 APPLICANT I �70VER 20 ADDRESS FIXTURES 10 RESIDENTIAL APPLIANCES CITY TEL NO PERMT RANGE DRYER_WTR HTR APPLII ANT Cobine Electric Co. , Ira. STA COOK DISP F A U ADDRESS 1607 Chestnut St• SPACE HTR AIR COND CITY Alhambra TEL NO 282-0315 CLOTHES WASH DISHWASH REG NNUMBER 229847 CLASS CIO FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING INC) HEATERS, ETC HP KW KVA ELECTRICAL WIRING S1ZE & TYPE OVER TO HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Q — 1 100 LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1 — 10 300 DESCRIFED RESIDENTIAL PROPERTY p PERMIU 10 — 50 S00 SIGNATURETEE �/� „�7r/ � GNA ��� O 50— 100 1000 U DISTRICT NOCE ED BY LLI 0-' 100 — 500 1500 0 N z SIGN GAS TSIGN AND ONE CIRCUIT 800 APPROVALS DA INSPECTOR'S SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER600VOLTS OR200AMP 1 300 UNDERSLAB WORK SERVICE OVER 600 VOLTSOR200AMP 1000 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES swimming pool 20.00 POWER AUTHORIZED ~ UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300im TOTAL FEE "Tv rc PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH u3 6 3 JUL 1 2 B 9.0 0 a�; tv „1 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �