HomeMy Public PortalAbout5319 CLOVERLY AVE_Electrical__ 76A653 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
WILLIAM J. FOX, CHIEF ENGINEER
COUNTY OF LOS ANGELES ELEC
FOR APPLICANT T❑ FILL IN DIST NO. GROUP rZONE PERMIT NO.
ELECTRICIAN 7
RECEIVED BY READY FOR DATE ISSUED
ADDRESS QFIRST INSPECTION
CITY /3-4;
EL NO
COUNTY LICENSE NO EXPIRES BUILDING `� / ,y C
DRESS J to��� /y
AD �1 / /
PERMIT FEES {� vNUMBER EACH FEE LOCALITY 7-e 7w,//'- c 11 f n,
LIGHT OUTLETS NEAREST �p t
RECEPTACLES _ CROSS ST
WALL SWITCHES OWNER Qiar`�
TOTAL OUTLETS _ Sc _$_� IB MAIL
ELEC RANGES 1 25 ADDRESS y �jr
ELEC HEATERS 25 CITY TEL NO t+ / y^'SJ9
FIXTURES s
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LDS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL QWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
NEW MVD HP OVER INC EACH
I/2 S LESS $ 25 SIGNATURE OF
.��
%2 2 50 PERMITTEE
2 s 1 no INSPECTION RECORD
s t s � s13
is 50 250
s0 200 Boo
2013 Soo 1000 y J
Soo 1000 1500 z
OVER 1000 2000 •l'" ED
M G SET/FREQ CHANGER-HP a
WELDERS AC-KVA ❑
GENERATORS - KW
TRANSFORMERS - KVA `
TEMP MOTORS (75% OF ORIG)
MOVED MOTORS (7S% OF ORIG)
M19C
SIGNS
NO NO TRANS
APPROVALS
NO NO LAMPS DATE INSPECTOR'S NAME
FOR EACH PERMIT
CONDUIT
WIRING $1 00 Q Q
FIXTURES $1 00 ` t!f U, WIRING
9UPPLEMENTAR`/ 50 FIXTURES
L�(]I POWER
TOTAL FEE S UTILITY CO NOTIFIED
FINAL
TEMPLE CITY
7GA663 CEE064 E0 APPLICATION FOR ELECTRICAL PERMIT 'Q
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
IIIIII
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN SUPT OF BUILDING LOCALITY
'ti< FOR APPLICANT TO FILL IN CROSS sT ,
1 PERMIT FEES
OWNER
I T E M INUMBER EACH FEE MAIL
-^� l
OUTLETS,, i/ IO $ ADDRESSES -
LIGHTS RECEPT SW
LIGHTING FIXTURES r IO S CITY TE NO _ 7
ELEC RANGES CLO DRYERS ELECTRI AN
WATER HEATERS SO ADDRESS
ELEC SPACE HTRH DISHWASHERS CITY TEL NO
GARBAGE DISPOSERS AUTO. STATE '
WASHERS STA COOKING UNITS 28 LICENSE NO
MOTORS OVER INC H P DISTRI Tc(�O GROUP ZON JR C_!ESSED BY
O I/2 - 28 3 D� ! G.
+12 250 INSPECTION RECOR/D� ,. ,y
2 — s 100 .,
s --Is , Iso /���v .. E u P �Ps� Cmc O
Is — so 250 cd
O
SO — 200 Soo
SIGNS NO TRANS r W
AA a
NO LAMPS �/_11A .e Z
SERVICE O 600V too
a SERVICE OVER 600V Soo
MISC
WIRING PERMIT '�
too
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT SO
TOTAL FEE l
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE 70 COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
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 RESIDENTIAL PROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED n
OF PERMITTE
1 FINA i 'fl
VALIDATIQN--1 ARTHUR C VEIT
CK MO SH SUPERVISING ELECTRICAL ENGINEER
U, 8 3 �� g D 4.5 M
76A663-CE80611_71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUIL7ST
BUILDING AND SAFETY DIVISION ADD
LOC �'- �v
NEA
FOR APPLICANT TO FILL IN CRO
OUTLETS NO EACH I FEE
$ $ OWNER dV
RECEPT MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
CITYTE NO
SWITCH OVER 20 10
PLA CHECK
LIGHTINGTOTALI
FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT 42
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
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
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 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO C1.
1 - 10 300 RESIDE N THE ABOVE DESCR BED RESIDENTIAL PROPERTY O
V
SIGNATURE
10 - 50 500 OF PERMITTEE li Q
50 - 100 1000
DISjTR-ICT��CLASS ZONE PROCESSED B {JJ
100 - 500 1500 b' I X �_.#4_ ' + h
SIGN GAS ?
SIGN AND ONE CIRCUIT 500 NOTES i <_
TUBE OR ,ZZ
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER 600 VOLTS OR 200 AMP 300 1,90
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600VOLTS OR200AMP 1000
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 300 O FINAL
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMI / ALIDATION CK M 0GSH)
21 2 D 6.0 0-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -• 1