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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 v ®� 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 r _ _ Irp V1D___"'1'