HomeMy Public PortalAbout5434 CLOVERLY AVE_Electrical__ 76A663 DBS SA 7-51 APPLICATION FOR PERMIT
-DEPATMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
DISTRICT NO. GROUP I ZONE PERMIT NO.
FOR APPLICANT TO FILL IN 10-
ELECTRICIAN --
S fJ� /R�/]ECEIVED BY READY FOR DATE ISSUED
TEL NO T'C /� A I FIRST INSPECTION — /'S-A /
ADDRESS (�j(,/f i�
CITY / yy
COUNTY LICENSE NO 6 / EXPIRE II�7 O+�5 ADDRESS O
PERMIT FEES
FEE LOCALITY
/ NUMBER EACH
LIGHT OUTLETS / NEAREST
CROSS ST
RECEPTACLES
WALL SWITCHES OWNER C—
TOTAL OUTLETS Sc MAIL
ELEC RANGES 25 ADDRESS _
ELEC HEATERS n 25 CITY TEL NO
FIXTURES ,.C. `� cf 1 HEREBY ACKNOWLEDGE THAT 1 HAVF 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 LAWB REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THELEGAL OWNER
NEW MvD HP OVER INC EACH OF THE RESIDENTIAL PROPE TYj`DUES`CCRR II,BED ABOVE
/ %2 8 LESS !$ 25 g10NATURE OF
t I12 2 50 PERMITTEE
2 5 1 DD INSPECTION RECORD
_ s 15 1 50v
15 50 250
50 200 Soo
200 500 1000 J
Soo 1000 1500 Q
Z
OVER 1000 20 00
M G SET/FREQ CHANGER-HP Q'
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% OF ORIG)
MOVED MOTORS (75% OF ORIG)
MIsC
SIGNS
NO NO TRANS
APPROVALS
NO NO LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT
CONDUIT
WIRING $1 OO Q
FIXTURES $1 00 QO WIRING _G�1�c�.-&-—
SUPPLEMENTARY 50 FIXTURES Oma'
POWER
TOTAL FEE UTILITY CO NOTIFIED
FINAL Q