HomeMy Public PortalAbout5512 CLOVERLY AVE_Electrical__ 76A663-CE8e6 5-62 APPLICATION FOR tLECTRICAL ERM T
COUNTY OF LOS ANGELES
DEPARTMENT ER BUILDING
BUILDING AND SAFETY DIVISION f
DRESS
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING CALITY
ARESTFOR APPLICANT TO FILL IN OSS ST
RECEPT pfiD TOTAL NO EACH FEE
OUTLETS FIRST 2063
$20 $ TO OWNER
LIGHT MAIL
SWITCH =-- VER 2 42 10 �'n ADDRESS �I
OVER 20y,j�
LIGHTING TOTAL FIRST 20 , 20 CITY / TEL NO-
FIXTURES1-1 OVDR'L t0 ELECTRICIAN s �Zl/% _,,Zl'
RANGES CLO DRYERS WTR HTRS 100 ADDRESS_ '< !fes !r 1 11/2 ]/f
GARB DISP STA COOK
CITY , TEL
DISHWASH AUTO WA$H-' J STATE
SPACE HTRS ll� STA APP (+/a H P MAX 1 SO LICENSE NO .oL
MOTORS OVER NOT OVER H P DISTRICT O GROUP Z N P SSED BY
O 1 100
1 - 3 ISO 1 SPEC TION RECORD
3 S 200 lie
6 1s 250 >'L
O
18 s0 300
50 100 Soo v�
NO TRANS
SIGNS `"NO LAMPS -_�I (Al f /'/A �(t L'i Yi
I S N
SERVICE O 600V NOT OVER 200A 1100 5,,, 1 e 4 , ��r ., ^ Z
SERVICE O 600V OVER 200 A 1200
SERVICE OVER 600V $00 I //
MISC F V
II
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1 00
-TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A PLICATION APPROVALS DATE INSPECTOR 6 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING;
_ t HEREBY CERTIFY THAT I AM PROPE LV REGISTERED AND/OR
'B
LICENSED AS REQUIREDY LOS ANGE S COUNTY AND STATE OF FIXTURES
CALIFORNIA ORIT AT 1 AM THE LEG L OW ER OF THE ABOVE
DESCRIBED RESIDE TI/3LPROPERTY POWER
SIGNATURE / �� UTILITY CO NOTIFIED -'�%3`G S✓/.,o.rxr,�,r
OF PERMITTE
FINAL
LIDATION // ARTHUR C VEIT
I U /
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LAC0 6 7 5 5 NOV 8 2 D 1 3.0 0,
768663 CEB106 ,D;72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS 2
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE OWNER OR
FIRM NAME
RECEPT $ $ MAIL
3 FIRST 20 , ADDRESS
LIGHT TOTAL 25 O
CITY TEL NO
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 7 APPLICANT
? 20 ADDRESS
OVER
FIXTURES 3 10
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT .04
STA COOK DISP F A U ADDRESS ?S
SPACE HTR AIR COND CITY q //,, TEL NO f 7 l f
CLOTHES WASH DISHWASH ` LICENSE
NUMBER _LY7 7 2? CLASS C GO
FAN OTHER i 100 / /.O 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
(/ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO 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 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM HE LEGAL OWNER OF THE ABOVE )„
1 - 1O 300 DESCRIPED RESIDENTIAL P PER Y p_
O
PERMITEE C')
10 - 50 500 SIGNATURE G �
CD
50 - 100 1000 ~
DISTRICT NO PROCESS D BY v
�j LLI
100 — 500 t 5 00
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S GNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 1 00 TEMP POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 3 D UNDERSLAB WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED f Y
FINAL {��v
PERMIT FEE (SUB TOTAL) 7 NOTES
PLAN CHECK FEE v�
PERMIT ISSUING FEE 300
TOTAL FEE Al
PLAN CHECK VALIDATION CK M D CAS , IT VALIDATION cK M' CASH
1 9 71__NOV 2 D 6.75A&(
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE