HomeMy Public PortalAbout5455 CLOVERLY AVE_Electrical__ •DDB 6-A 2-46 APPUCATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFL'TY ', �4 ������
COUNTY OF LOS ANGELES' L
M J FOX CHIEF ENGINEER
ZNAM/E p�* �,,b„ DISTRICT NO. GROUP ZONE PERMIT NO.
ADD ESSA `&5
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CITY /�inA �5 5-- , ��TEL NO RE CEIdED BY READY FOR DATE ISSUEO
FIRST INSPECTION
J COUNTY yy a
W CERT NO ( EXPIRES 7 s
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB
DESCRIPTION OF WORK ADDRES � / ��
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW PLUGS FIXT CROSS ST
CIRCUIT A B C D E F G H K NAME
MAIL
ADDRESS
O
CITY TEL NO
^d 1 AM THEILEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
C� ® �'� ELECTRICIAN
t i AN THE JJKQAI.OWNER OF THE PROPERTY DESCRIBED
ABOVE
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OWNER
CORRECTIONS
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Q
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TOTAL + P
NO OF OUTLETS � $ / 7 APPROVALS
NO OF FIXTURES / $ �s.�/ DATE INSPECTOR'S NAME
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NO OF MOTORS H P $ CONDUIT x �
NO OF SIGNS TRANS $ WIRING ��O NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS I $ POWER qq pp
PERMIT FEE $ A �.I^ I UTILITYCO NOTIFIED 3-.9-Y- Y7 vq f,J
TOTAL FEE 2 / FINAL
7SA653-CEBOS-8-37 APPLICATION FOR ELECTRIC PERMIT ' 1�
COUNTY OF IAS ANGELES /+
DEPARTMENT OF COUNTY ENGINEER ]BUILDING
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE,COUNTY ENGINEER 1
C_ASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PEMT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER I T E M EACH FEE MAIL
ADDRESS
TOTAL OUTLETS f0 $
ELEC RANGES WATER HEATERS CITY TEL NO
CLOTHES-DRYERS 5O
ELECTRICIAN
ELEC SPACE HEATERS STAT Y COOK
ING UNITS GARBAGE DISPOSERS ADDRESS
AUTO WASHERS DISHWASHER 25
LIGHTING FIXTURES 10 CITY TEL NO
STATE
MOTORS I LICENSE NO
HORSEPOWER nil
H P OVER INC DISTRICT NO �P • ON READY FOR INSPECTION
1/2&LESS 25
1/2 — 2 50 INSPECTION RECORD
2 s 100
5 15 1 so
1s so 250
50 200 500
MISC
i
SIGNS11 NO TRANS
NO LAMPS
SERVICE O'=600V 100
SERVICE OVER 600V 500
WIRING PERMIT 100 "1
FIXTURE PERMIT too -
SUPPLEMENTARY
00SUPPLEMENTARY PERMIT 1 501 1 APPROVALS
TOTAL FEE I$
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTORS SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING �• 'a ,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE E POWER `
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE i UTILITY CO NOTIFIED _
OF PERMITTE FINAL--
JOHN
COUNTY ENGINEER C D ON SUR ERVISINATHUR G EELIECTRICAL ENGINEER
CK Mm � CASH
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