HomeMy Public PortalAbout5729 CLOVERLY AVE_Electrical__ DBS-5A APPLICATION O■ _ATION FOR ELECTRIC PERMI ■
DBS-SA II-S+ Y"'9 V
DMSION OF BUILDING AND SAFETY
Depar out of County Engineer BUILDING
County of Los Angeles ADDRESS ��-� r
JOHN A LA BIE. COUNTY ENGINEER p
`CASSATT D. GRIFFIN, SUPT OR BUILDING LOCALITY L'
FOR APPLICANT TO FILL IN NEAREST /
PERM FEES CROSS ST �l[~ ® ..p�- r
NUMBER OWNER G/�f7 A4 at�.f� Tuan I? f' Al
LIGHT OUTLETS MAILj
RECEPTACLES ADDRESS 7;- / r
WALL SWITCHES FEE CITY TEL. NO.
TOTAL OUTLETS CSP us ELECTRICIAN
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25
CITY TEL. NO
KW EA STATE
FIXTURES 5 LICENSE NO
MOTORS DISTRICT NO' 1GROUPIZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE - J .i
NEW MVD HP OVER INC _ EACH '
YZ&LESS $ .25 INSPECTION RECORD
Ik 2 .50
2 5 100
5 115 1 50
IS 50 250
50 200 500
M ISC.
NO SIGNS NO.TRANS.
NO SIGNS NO LAMPS
FOR EACH PERMIT: �,c.�
WIRING $100 (/
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ � D DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING,
[ HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQU D LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR T A M THE LEGAL OWNER F THE ABOVE POWER
DESCRIBED RESID ROPE '
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
JOHN A.LAMBPE.COUNTY ENGINEER VA MA ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
CK MO
C0- Lp
76A663-CE806 8-62 APPRATION FOR ELECTRICAL PERMIT `
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
t
RECEPT TOTAL NO EACH FEE
LIGHT OUTLETS FIRST 20 S 20 Is , OWNER
AIL
ADD'L 10 ADDRES
SWITCH
OVER 20
1
LIGHTING TOTAL FIRST 20 CITY TEL NO 7
I I
FIXTURES 1 ADD'L to ELECTRICIAN
OV R 20
RANGES f CLO DRYERS WTR HTRS too U O ADDRESS Q
GARB DISP STA COOK T C - -a -
CITY / _ ( TEL NO /76 .J
DISHWASH AUTO-WASH STATE ']
SPACE HTRS STA APP (1/y H P MAX) 50 LICENSE NO 7
MOTORS OVER NOT OVER H P DISTRICT NO. GROU ZONE I PROCES ED BY
O 1 100 L
1 3 1-50 INSPECTION RECORD
3 8 200,
8 15 250
15 30 300 •�,I�` ..aan ����^ t�i1�I"'rFyA�i .�P� � d
50 100 500 y `T O
SIGNS NO TRANS A/d �i ap-�`� O
NO LAMPS
I'
SERVICE 0.60OV-NOT OVER 200A 100 V 1
SERVICE 0.600V-OVER 200 A 200 LY
SERVICE OVER 600V 500 ?
MISC
�°/7 .,✓�'11�l�ist�i.@;+T iaC ib�i � moi' (:74i.�.
PERMIT ISSUING FEE 2 00 Ub �"��� D^'; V
SUPPLEMENTAIRY PERMIT ISSUING FEE 100
TOTAL FEE I i OQ " 9
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS ATE INSPECTOR'S SIGNATURE
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING I U
I
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES UNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 M THE GA O ER OF THE ABOVE
DESCRIBED RESIDENT( OPERTY i POWER / p�
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE FINAL
r
VA (DATION AR HUR C. VEIT
CfK�)MO CASH SUPERVISING ELECTRICAL ENGINEER
LAUo 5 7 2 91 FEB 2 0 2 D 4.00-
�`
OQJ I
76A663A-CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS pUl�
LOCALITY Cl
NEAREST
FOR APPLICANT TO FILL IN CROSS ST 4-r
OUTLETS NO EACH I FEE
$ Is
OWNER
RECEPT MAIL /
FIRST 20 ADDRESS
LIGHT TOTAL /+
Cl TY r ` - TEL NO
SWITCH OVER 20
PLAN CHECK
LIGHTING FIRST 20 APPLICANT
TOTAL ADDRESS
FIXTURES OVER 20
CITY TEL NO `
RESIDENTIAL APPLIANCESPERA /
IT
RANGE DRYERWTR HTR APPLICANT �d /✓/1c�`r'IZCo
STA COOK DI SP F A U ADDRESS S• _�U
SPACE HTR AIR COND CITY7_ C_ TEL NO
CLOTHES WASH DISHWASH LICENSE NO •� CLASS C
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O�
O
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER I TO C>
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR H
. 0 — 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF C)
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO �
1 — 1O RESIDE IN, THE ABOVE DESCRIBED
/ RESIDENTIAL PROPERTY y
Z
SIGNATURE -
10 - 50 OF PERMITTE
50 - 100
DISTRICT NO CLASS ZONE CE D BY
100 - 500 Q O
SIGN, GAS SIGN AND ONE CIRCUIT NOTES
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE
TOTAL FEE g.
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
/
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