HomeMy Public PortalAbout5461 CLOVERLY AVE_Electrical__ 76AG63-CE806-6-57 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE,COUNTY ENGINEER
CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITY
laaUOMII NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMT FEE
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER ITEM EACH FEE MAIL j
ADDRESS /
O TOTAL OUTLETS $ 10
ELEC RANGES WATER HEATERS CITY T NO
CLOTHES DRYERS 50 ELECTRICI N
ELEC SPACE HEATERS STAT Y COOK
ING UNITS GARBAGE DISPOSERS, ADDRESS
AUTO WASHERS DISHWASHER 25
LIGHTING FIXTURES 10 CITY �" TEL NO
STATE
MOTORS LICENSE NO
HORSEPOWER Li
DISTRICT NO GROUP ON READY FOR INSPECTION
H P OVER INC
I/&LESS 25
1/2 2 so INSPECTION RECORD
2 — 5 too
5 — Is I so a 1-
15 — 50 250
A
50 200 Boo
MISC
SIGNSI NO TRANS
NO LAMPS
SERVICE O-600V 100 -->r
SERVICE OVER 600V 500
WIRING PERMIT 100
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT Sd APPROVALS
TOTAL FEE S DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING //v
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND aTATE OF FIXTURES I
CALIFORNIA OR THAT AM THE LEG OWN R OF T ABOVE POWER
DESCRIBED RESIDENT A PROPERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE FINAL
JOHN A LAMB
COUNTY ENGINEER %}T LIDATION ARTHUR C VEIT. +
v) SUPERVISING ELECTRICAL ENGINEER '
GIC MO CASH
a0 2 3 QM; JAN 8 2 A 4.20 m
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76A663C- CE806B Iz,75 APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN ,JOB
FResidential Bldgs &Pools EACH NO FEE ADDRESS y j_
Sq Ft $ — $ LOCALITY G,-A L,q Ft — NEARESTCROSS STOIL Aje.'anIVA
wimming Pools OWNER OR
FIRM NAME F
Outlets Light, Switch & ReceptaclegDDRESS'e (� �,\ /Q 111E
First 20
Additional - CITY y C Tel No 67361-
PLAN CHECK
APPLICANT
Lighting Fixtures
First 20 ADDRESS
Additional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range= Heater_ D W ADDRESS
Oven Dryer W M
Top FAU WH CITY Tel No
Hood Fan LICENSE OR
Disp AC REG NUMBER Class U
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 0
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 1
Size&Type HP KW KVA,or KVAR ELECTRICAL WIRING
LLJ
Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR rn
Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
fl CALIFORNIA OR THAT 1 AM HE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl DESCRIBED REST IAL PRO RTY
Over 50 to 100 Incl PERMITEE /� `/.�'//■//�
Over 100 SIGNATURE W
DISTRICT NO PRO SSE Y
Services
0 200 Amp Under 600 V 08
201 1000 Amp Under 600 V APPROVALS DA E INSPECTOR'S
SIGNATURE
Over 1000 Amp or Over 600 V '
I TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
ROUGH CONDUIT
Additional Sign Branch Circuits
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub Total) UTILITYCO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
NOTES
TOTAL FEE
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATTOITK MID CASH
.� r
-76A663Cr CE806B 12/75 APPLICATION FOR EL CTRICAL PERMIT
n BUIL G AND SAFETY IVISION
FOR APPLICANT TO FILL IN JOB J
FRdential Bldgs &Pools EACH NO FEE ADDRESS 5 N C/ON�/L�lI Ake
aily Sq Ft $ — $ LOCALITYily Sq Ft — NEARESTal Swimming Pools CROSSST .LOC+�12t ,�r7OWNER OR FIRM NAMEht Switch & Receptacle MAIL
ADDRESS //v /� ve
l CITY 6 Zb' �' )` Tej No J & 7-1
PLAN CHECK
Lighting Fixtures APPLICANT _
First 20 ADDRESS
Additional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range Heater_ D W ADDRESS
Oven Dryer W M
Top FAU W H CITY Tel No >
Hood Fan LICENSE OR
Disp AC REG NUMBER Class- C.')
i 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION O
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY F-
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING d
cn
Up to 1 Inc[ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
�— Over 1 to 10 1 ncl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM TH LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl DESCRIBED RESIDENTI L PROPS Y /f
Over 50 to 100 Incl PERMITEE i�Vr//jy
Over 100 SIGNATURE
. e)��—
DISTRICT N P CE ED BY
Services Q
0-200 Amp Under 600 V G
<INSPECTOR'S
201 1000 Amp Under 600 V APPROVALS DATE SIGNATURE
Over 1000 Amp or Over 600 V
' TEMP POWER POLE ,
Temp Power Pole&Appurtenances UNDERSLAB WORK `
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT �7
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub Total) UTILITYCO NOTIFIED 42
PLAN CHECKING FEE j (One Fourth PermitiFee) FINAL Z' 77
PERMIT ISSUING FEE I `� NOTES
TOTAL FEE
w
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH%
+ 0 4-9rNOV 9 2' D 1 1.3 U a
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