HomeMy Public PortalAbout5439 CLOVERLY AVE_Electrical__ 76A663'CE-806(11/78j APPLI ION R ELECTR L P_ �
COUNTY_OF LOS ANGELES BUILDING AND SAFETY
F-Total
FORIAPPLICANTTO FILL IN ADDRESS /eritial Bldg`s"&Pools-' EACH NO - -FEE-mily Sq Ft $ 025 — $ LOCALITYmily Sq Ft 02 ' — NEARESTial Swimming Pools 25 00' OWNEROR / �J- -
;q0..._ _ / O
r� FIRM NAMEc'_bghto. w MAILv First 20 50 ADDRESS�-/ Additional 30 CITY G��,7 Tel NoPLAN CHECKAPPLICANTxtures First 20 50 y ADDRESS
L-
-Additional 30
Total No CITY Tel No
Fixed Appliances Not Over 1 HP _ PERMIT - - - --d- •-- - - �<
Range_Heater_ D W APPLICANT
Oven=Dry"er,_W-M— `1 ' ADDRESS
Top —FAUN— W H - + CITY, LL _ Tel No
Hood_Fan _Other_ LICENSE OR -
Dis_ —Room Air Cond _` 2 50 REG NUMBER t _ _ _ _ _ Class 4 v
P ,- -_ _ _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY-WITH ALLr COUNTY ORDINANCES AND-STATE-LAWS
Size&T A�
ype HP KW KVA or KVAR 2 50 M REGULATING ELECTRICAL WIRING O
Up to 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 i9c
Over 10 to 50 Incl . 12 50 _ CALIFORNIA OR THAT
THAT I AM THE,LEGAL OWNER_OLTTHE ABOVE __Q
Over 50 to 100 Inc
25 00 DESCRIBED RESIDROPERTY p.
�V4
Over 100 _ -� Y V 4000, - PERMITEE �
SIGNATURE {/>t
Services DISTRIC PME - Y
0 200 Amp Under 606V ' 12 50,
201 1000 Amp Under 600 V 25 00
Over 1000 Amp or Over 600 V 50 00 Z
O
10 00,
Temp Power Pole&Appurtenances t, Q
Sign with One Branch Circuit + t 1000 ,
Additional Sign Branch Circuits 3 2 00 _ INSPECTION > 3 !
:10 00 , 'INFORMATION W :98 8 37N
Misc Conduits&Conductors -- ON REVERSE x
Other(See Complete Fee Schedule) SIDE La #Z o 0,0 -0 2
-� 2 O O 1, 20
aao1R20,F�
PERMIT FEE + (Sub Total)
�z 0204-80
PLAN CHECKING FEE q (One Fourth-Permit Feel i _ O
PERMIT ISSUING FEE $700
` �
TOTAL FEE • 017(/ I '
INSPEC�TIION FINALED Bye
,: � W
date r
F__
CB'1 S-A z-" APPLICATION FOR PEnW
'Df,'?_ tTDgENT OF BUHMING, AND SAFETY
COUN'T'Y OF LOS ANGELES ELECTRIC
M J F2X, CHIEF ENGINEER
Q 'NAME L _ DISTRICT NO, GROUP ZONE PERMIT NO.
�
ADDRESS 9 ! 61�h>A . Iz-1-
��.. RECEIVED BY READY FOR DATE ISSUED
WU CITY n G 1py TEL NO r FIRST INSPECTIONCOUNTY
�_a �
W /�CERT NO l EXPIRES o �/A
APPLICANT FILL IN HEAVILY OU'T'LINED PORTION ONLY,JOB
DESCRIPTION OF WORK ADDRESS a) p� � S
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS 0 t
NEAREST
LIGHT OUTLETS SW PLUGS FIXT CROSS ST 4 L�Lf�-lv
CIRCUIT A B C D E F G IH K NAME
g e Z MAIL
i I 3
ADDRESS
t9 CITY TEL NO
f 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
/ ANGoss COUNTY CERTIFICATE OF-QUALIFICATION.
ELECTRICIAN
J I AM THIS LEGAL OWNER OF THB PROPERTY DESCRIBED
ABOVE
e { [ OWNER
CORRECTIONS
v _
J
— a
z
0
- o
TOTAL
NO OF OUTLETS $ s�Q APPROVALS
I NO OF FIXTURES $ 661 DATE INSPECTOR'S NAME
NO OF MOTORS H P $ CONDUIT P n AA1_'
NO OF SIGNS TRANS $ WIRING IFJVV
NO OF RANGES OR HEATERS $ FIXTURES o1
i
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITYCO OTIFIED
TOTAL FEE �� FINALF /!
� s 1
768663 CE806 10,72 APPLICATION FOR ELECTR AL PERM T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS , U U(�'� )e
LOCALITY E M E `--� I
FOR APPLICANT TO FILL IN NEAREST ^„ a A
CROSS ST K V
OUTLETS NO EACH FEE D OWNER OR
.-:�C $ $ 5 FIRM NAME MAILo we II
RECEPT RST 20 ADDRESS Cl% O U
25
LIGHT TOTAL 25 OVER 20 10 CITY L A /E /'f' TEL NO jj q j) i y
SWITCH S/O PLAN CHECK
LIGHTING FIRST 20 25 APPLICANT
TOTAL
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL NO
PER /�
RANGE DRYER_WTR HTR APPLIIICANT /^/ C_ J J� S7 /l e leS
STA COOK DI SP _LF A U ADDRESS V ol av J�� /_R N,D
SPACE HTR AIR COND CITY /C� / (v/ TEL NO j 2/.k- 76 /'
CLOTHS WASH DISHWASH A_ LICENSE OR
REG NUMBER CLASS
FAN OTHER 100 U'�C7 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE 70 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 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
1 — 10 300 OES GRIPED RESID N71AL PROPERT CD
' f O
PERMITEE C�
10 - 50 500 SIGNATURE !
O
50 - 100 1000
DISTRICT NO OCE SED BY W
100-- 500 15oo 0 / z
SIGN GAS =SIGN ONE CIRCUIT 500 APPROVALS DATE INSPECTOR' SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOT OVER 600 VOLTS OR 200 AMP 300 U`-(1 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING -S'"n73"�
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES _ -7J
POWER AUTHORIZED
UTILITY CO NOTIFIED 19 �F
FINAL
i
PERMIT FEE (SUB TOTAL) NOTES /L/
PLAN CHECK FEE � �^� ��G� /✓L ��� ^ �����
PERMIT ISSUING FEE 3001--3-T-0-
00 U'vv - �
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CA PERMIT VALIDATION cK M 0 CASH
443._ 20 10.75m�-d
I -
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE e