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Home My Public Portal About5740 CLOVERLY AVE_Electrical__ 76A663 CE 806(6/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICA14T TO FILL IN JOB U New Residential Bldgs &P oI r EACH NO FEE ADDRESS J o 1 &2 Family Sq Ft ( J $ 025 — $ LOCALITY- Multi'family Scl Ft 02 — NEAREST 25 00 CROSS ST Residential Swimming Pools OWNER OR ` FIRM NAME Outlets Rec Light Sw MAIL - First 20 50,w' ADDRESS Total No Additional 30'' CITY Tel No i PLAN CHECK APPLICANT Lighting Fixtures First 20 50 ADDRESS 1 Additional 30 Total No I Z CITY Tel No Fixed Appliances Not Over 1 HP _ PERMIT Range—Heater_D W j APPLICANT Oven_Dryer_W M _L ADDRESS C9, l - Top FAU W H CITY P Tel No Hood�Fan _Other_ LICENSE OR Disp —Room Air Cond 2 50 REG NUMBERZ-1 Z--7-L6 Class `+Id I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 2 50 Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl 12 50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 50 to 100 Inc 25 00 DESCRIBED RESIDENTIAL PR ERTY 0 40 00 PERMITEE Over 100 SIGNATUR N Services - DISTRICT NO - PR SS ,BY - — 0 200 Amp Under 600V 12 50 r�� 201 1000 Amp Under 600 V 25 005000 0 ` J Over 1000 Amp or Over 600 V 50 00 Z O Temp Power Pole&Appurtenances 1000 Q Sign with One Branch Circuit 1000 Additional Sign Branch Circuits 200 INSPECTION > INFORMATION Wsc Conduits&Conductors 1000 ON REVERSE z Other(See Complete Fee Schedule) u 2 A SIDE` Z g ## 400002 6 2oo51.63 PERMIT FEE (Sub Total) 4 3 2 00051,633 PLAN CHECKING FEE (One Fourth Permit Fee) O a 0914-78 PERMIT ISSUING FEE $7 00 A G l TOTAL FEE 3 r INSPECTION FI ALE W date C J By 76A663 CE 8068 10,77 APPLICATION FOR ELECTRICAL PER IT 0✓ 4 COUNTY OF LOS ANGELES " DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs &Pools a EACH NO FEE NEAREST 1 &2 Family Sq Ft $ 025 — $ CROSSST OWNER O Multi family Scl Ft 02 — ^FN04 4Aft44E Residential Swimming Pools 2500 MAIL ADDRESS v Outlets Rec Light_Sw CITY , f Tel No First 20 50 PLAN CHECK Total No Additional 30 APPLICANT ADDRESS ' Lighting Fixtures First 20 50 CITY Tel No IT Total No Additional 30 APPPERLICANT Fixed Appliances Not Over 1 HP ADDRESS Range—Heater_D W CITY �� Tel No Oven —Dryer—W M_ -LICENSE OR Top —FAU —W H REG NUMBER Class Hood_Fan —Other I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE Disp — Room Air Cond 2 50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances Size&Type HP`KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS r REQUIRED BY LOS ANGELES COUN AND STATE OF CALIFORNIA OR THAT I AM + Up to 1 Incl 2 50 THE LEGAL OWNER 0 THE ABOV SCRIBED RESIDENTIAL PROPERTY Over 1 to 10 Incl 5 00v 12 50 —PERMTTEE _�L Over 10 to 50 Incl 25 00 SIGNATURE CD a Over 50 to 100 Inc l Over 100 4000 DISTRICT N R SE B a Services j 0 -200 Amp Under 600 V 1250 ' INSPECTORS 201 1000 Amp Under 600 V 2500 APPROVALS DAT SIGNATURE ' Over 1000 Amp or,Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Pole&Appurtenarces 1000 Sign with One Branch Circuit 1000 ROUGH CONDUIT / Additional Sign Branch Circuits 200 WIRING 14 1,-.r Misc Conduits&Conductors 1000 FIXTURES I Other ISee Complete Fee Schedule; POWER AUTHORIZED UTILITY CO NOTIFIED 14Ii 1 FINAL ES r ` PERMIT FEE (Sub Total) � NOT � PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $700 7 TOTAL FEE 1 PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK' M 0 CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULEV 1 +6[� ��-°`�� 17.0 0 ®~� 'gab"` "6R t°'" APPLICATION FOR ELECTRICAL'PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 'OB — BUILDING AND SAFETY DIVISION ADDRESS 7 Q e_-;l e FOR APPLICANT TO FILL IN LOCALITY e G� New Residential Bldgs &Pools EACH NO FEE NEAREST 1 &2 Family Sq Ft $ 025 — $ CROSS ST a Q OWNER OR Multi family Sq Ft 02 — FIRM NAME Residential Swimming Pools 25 00 MAIL ADDRESS �� el— Outlets Rec Llght_Sw CITY Tel No First 20 50 PLAN CHECK Total No Additional 30 APPLICANT le/— ADDRESS / fe - Lighting Fixtures First 20 50CITY Tel No 30 PERMIT Additional ' Total No e APPLICANT Fixed Appliances Not Over 1 HP ADDRESS Range_Heater_D W CITY Tel No Oven_Dryer;W M_ LICENSE OR Top —FAU _W H REG NUMBER 'j Class&— Hood_Fan _Other= I HEREBY ACKNOWLEDGE THAT I HAVE READ,THIS APPLICATION AND STATE Disp _ RoomtAir Cond 2 50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances ' Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COU Y AND STATE OF CALI IA OR THAT I AM 7- Up 10 1 Ind 250 THE LEGAL OWNER OF TH ABOV DESCRIBED RESIDENT P ERTY 0. Over,1 to 10 Incl 500 np v Over 10 to 50 Incl 12 50 PERMITTEE l� � Over 50 to 100`Inc 2500 SIGNATURE C Over 100" 4000 DISTRICT PROCESSED BY d Z Services 0 f 0 200 Amp Under 600 V 1250 INSPECTOR S 25 00 APPROVALS DATE SIGNATURE 201'1000 Amp Under 600 V ` Over,1000 Amp or Over 600 V 50 00 TEMP POWER POLE 10 00 UNDERSLAB WORK mp TePower Pole&Appurtenorces ROUGH CONDUIT Sign with One Branch Circuit 10 00 200 WIRING Y Additional Sign Branch Circuits ' Mlsc Conduits&Conductors 10 00 FIXTURES Other ISee,Complete Fee Schedules POWERAUTHORIZED r UTILITY CO NOTIFIED FINAL 0 PERMIT FEE (Sub Total NOTES PLAN CHECKING FEE (One Fourth_Permit Feel PERMIT ISSUING FEE $7 00 04 Op TOTAL FEE - " PLAN CHECK VALIDATION CK "M 0 CASH PERMIT VALIDATION CK M 0 1 IQ SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE , ..