HomeMy Public PortalAbout5803 CLOVERLY AVE_Electrical__ 76A663-CE3061-67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT NG
BUILDING AND SAFETY DIV DIVISION FADDRESS ,�8o3 -,eloucai-L
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN /rJhorle-�//d L/
RECEPT TOTAL No EACH FEE OWNER C C/`/N C
LIGHT OUTLETS FIRST 20 $20 $
MAIL
SWITCHADD L 10 ADDRESS
OVER 20
TOTALFIRST 20 20 CITY TEL NO
LIGHTING FIXTURES
FIXTURES ADD L
OVER 20 10 _ CONTRACTOR
72-
J.(J7p ^ /�
RANGES DRYERS WTR HTRS 100 ADDRESS A !/ r-/ A/— elfYCNIf
GARB DISP STA COOK CITY tZ--1'f 99/A TEL NO l;rfv4 46'
DISHWASH AUTO WASH STATE
SPACE HTRS STA APPL SO LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT NO GROUP ONE P=ROAESSED B
O 1 100 r
1 3 1 so INSPECTION RECORD
3 6 20
8 is 250
18 50 300
s0 100 500 0
V
NO TRANS /_ O
SIGNS NO LAMPS 1 9
L -- G
SERVICE O 600V NOT OVER 200A 100 00 / W
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500 Z
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200 Dd
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 APPROVALS DATE INSPECTOR B SIGNATURE
TOTAL FEE 9j Q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �y
ELECTRICAL WIRING WIRING 7
1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR I
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO POWER
RESIDE IN THE ABOVE DESCRI L PROPI�RTY
SIGNATURE --r_
UTILITY CO NOTIFIED
OF PERMITTEEmmmmummummm FINAL
OMOIDATION JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
CASH
. ilr�,1zU5kZ UL- 9 2 D t 0 N t
76A691-'EBOS 7 58
APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Department of County Engmeer BUILDING
County of Los Angeles ADDRESS 8
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY Temple Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
PERMIT FEES
NUMBER OWNER Mr. Bon ailed- �`
LIGHT OUTLETS MAIL
ADDRESS 7803 Clover Leaf
RECEPTACLES �y
WALL SWITCHES FEE CITY e C t TEL NO I
MEMMENEECIER
TOTAL OUTLETS Q 52 $ ELECTRICIAN
, �— _
ELEC RANGES 25 ADDRESS 7 s- (�
ELEC HEATERS 25 CITY a TEL O —� -
KW EA STATE //--�� ;; l-�q�@�•soiy�6SS3
FIXTURES 5 LICENSE NO V
MOTORS DISTRICT NOGROUP ON EADY FOR INSPECTION
NUMBER HORSEPOWER FEE 7_ '
NE MVD HP VER INC EACH
�^ 12&LESS $ z5 INSPEC/T/IOON RECORD
_144A VX-* Yz 2 50
2 5 100
5 15 1 50
F:Ti
15 50 2 50
50 200 Soo
MISC Oi r�• !� UJH E+0 C d
J
AETTa_ N Z-0- 0"c- OafiA
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING PERMIT $1 00
FIXTURE PERMIT $1 00 ,✓'
SUPPLEMENTARY 50 VALS
TOTAL FEE $ 2 50 DATE INSPECTOR S SIGN RE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGE ES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM THE L AL OWNER OF THE ABOVE
DESCRIBED RESIDENTI PROPERTY - UTILITY CO NOTIF D
SIGNATURE
OF PERMITTEE FINAL
JOHN A LAMBIE LIDATION ARTHU- C VEI
�UNTY ENGINEER SUPER SING`ELECTRICAL ENGINEER
CK MO CASH
I�
2 1 1 6 FEB 2 4 2 A 2.5 0 M
G1 ' I