HomeMy Public PortalAbout5328 CLOVERLY AVE_Electrical__ �I- '7681663 DBS 5A 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��
COUNTY OF LOS ANGELES E L Em CT,wast
WILLIAM J. FOX,-CHIEF ENGINEER
FOR LI NT T LIN [STRICT NO. GROUP ZONE PERMIT NO.
ELECTRIC[
RECrD BY READY FOR DATE IMBUED
ADDRESS,/1FIRST INSPECTION _
CITY EL NO �� —'5—/
COUNTY LICENSE NO EXPIRE EW1.71,e A BUILDING
PERMIT FtlgS ADDRESS
FEE LOCALITY
NUMBERACHOr
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLEB a ,
WALL SWITCHES OWNER
TOTAL OUTLETS y Sc 7- J11 MAIL
ELEC RANGEB 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO�
FIXTURE 6 7 I HEREBYCKNOWLED THAT 1 HAVE READ THIS
MISC APPLICATION AND STAT HAT THE ABOVE IB CORRECT
NUMBER OF LIGH 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 LOS
NUMBER HORSEPOWERANGELES COUNTY LIG SE, OR I AM THE LEGAL OWNER
FEE
NEW MVD HP OVER INC EACH OF THE RESIDENTIAL ERTY ESC E OVE.
I/ 3 LESS 111 25 8113NAT-URE OF
!/2 2 50 PERMITTE
2 5 100 INSPECTION RECORD
5 15 1 50
15 50 250
50 200 Sao
200 SOO 1000 Q
500 1000 1500 Z
OVER 1000 20 00 0
M G SET/FREQ CHANGER-HP Q'
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS X75% of ORIG)
MOVED MOTORS (75% OF ORIG)
MISC
SIGNS
NO NO TRANS
NO NO LAMPSLl APPROVALS
DATE INSPEOTOR'B NAME
FOR EACH PERMIT
WIRING $1 a0 CONDUIT
FIXTURES $100 WIRING
SUPPLEMENTARY 50 FIXTURES
p POWER I� a
TOTAL FEE b / UTILITY CO NOTIFIED e�Jr�7``flame
FINAL A9"�I / T
76A663.CE804. 68 APPLICATION FOR ELECTRICAL PERMIT
COUNTYF LOS ANGELES
DEPARTMENT bF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAFABIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE
$ $ OWNER d / yn
RECEPT,5 t MAIL
LIGHT TOTAL FIRST 20 20 Ot7 ADDRESS
SWITCH_ OVER 20 10 CITY, TEL NO
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS "
RANGE_DRYER—WTR HTR _ CITY TEL NO '
STA COOK_DISP F A U COI4TRAC rOR '
SPACE HTR AIR COND "
ADDRESS
S
CLOTHES WASH _DISHWASH CITY TEL NO +
FAN—OTHER 1 00 LICENSE IJO CLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO + + AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
' ELECTRICAL WIRING
0 - 1 - 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 7 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM 7 EGAL OWNER OF AND,INTEND TO r
10 - 50 S 00 RESIDE IN THE ABOV ESCRIPED RESIDENT IAL�P OPERTY QO
U
50 - 100 1000 SIGNATURE
rDISTRICT
TE �O
100 - 500- 15 00 ~
NO GROUP NE PR D BY w
TUBE OR SIGN AND ONE CIRCUI� 3 00 8 j. �� N
Z_
MARQUEE ADDITIONAL CIRCUITS '1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS SIGNATURE ,
? r �
jq
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT R
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) nn POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 UTI LI TY CONOTIFIE
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE /61SEPH, ROOHAN
SUPERVISING ELECTRICAL ENGI
PLAN CHECK VALIDATION CK M 0 CASH 1 PERMIT'VALIDATION CK M O CASH
Lko7 6 6 0�2 DEC16 2 D 5.00~ v
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
t
76,66 'CE 806 O1"e'' APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY° ,� ~
FOR APPLICANT TO FILL IN JOB
New Residenhol Bldgs &Pools EACH NO --FEE ADDRESS'
1 &2 Family Sq Ft $ 025 — $ LOCALITY, ? 41
Multi family Sq Ft e 02: — NEAREST ��'
��r v
Residential Swimming Pools 25 00 CROSS ST_ OWNEROR
FIRM NAME r`
Outlets Rec Light—Y—Sw, -62— MAIL
`First 20 50 A11V ADDRESS`"'
' f
Total No �� Additional 30 CITY Tel No r-f-- W- .,..
PLAN CHECK j
APPLICANT
Lighting Fixtures First 20 50 ADDRESS t '
Additional 30
Total No CITY _ Tel No
Fixed Appliances+Not Over 1 HP-,, .. � PERMIT..k
APPLICAN
Range_Heater_ D W f ` n
Oven=Dryer L_fW M'_— ADDRESS ^w l•% li�
Top _FAU W H CITY " ! el No
Hood_Fan _jtL Other_ t2 50 �� LICENSE OR �7
Disp —Room Ajr gond_ — _ - _ REG NUMBER dC�� Class
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
'-t ^ ' COMPLY WITH ALL-COUNTY"ORDINANCES-AND STATE LAWS
Si2s
ze&Type HP KW KVA or KVAR 2^50 REGULATING ELECTRICAL WIRING O F
Up tc 1 Incl 1 HEREBY CERTIFY THAT I AM'PROPERLY REGISTERED AND/OR U
Over 1 to 10 Incl` 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _dam
Over_10 to 50 Incl 12 50 CALIFORNIA OR THAT _ _THE LEGAL OW R OFITHE_ABOVE
'25 00 DESCRIBED RESIDEN L P PE F�
Over 50 to 100 Inc _ PERMIT EE .0 -
Over 100• 4000 N
SIGNATURE
ServicesDISTRICT NO - Z
__'PR "B '
0 200 Amp Under 600 V 12 50 poV
201 1000 Amp Under-600 V -25 00 ��+ -
Over 1000 Amp or Over 600 V 5000 ' fINFORMATION
L/F� Z1
0
Temp Power Pole&Appurtenances 1000-
Sign
0 00-1000Sign with One Branch Circuit Additional Sign Branch Circuits 2 00TION >Misc Conduits&Conductors `w 1000 VERSE"" '_" 9'�7,2~Other(See Complete Fee Schedule) E w Z 5 ry _;
O O O O,O ,2 h
�' ! �2t0 0
PERMIT FEE (Sub'Total) �� _ .t y o 0 0 9."0Q rj''+' A,
PLAN CHECKING FEE (One Fourth Permit Fee) y' _ p 3 0 7 7 J3 Q
PERMIT ISSUING FEE $7 00 n-+'
J
J
TOTAL FEE > f
1 � +
INSPECTION FINALED ac i
Lu
p� N
date B �/Yllsr/®
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