HomeMy Public PortalAbout5846 CLOVERLY AVE_Electrical__ 76A663 DBS 5A 11-50 APPLICATION FOR PERM
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L E CT R I C 1
WILLIAM J FOX CHIEF ENGINEER j +�
FOR APPLICANT TO FILL IN DIST NO NO GROUP ZONE PERMIT NO
T
ELECTRICIAN !_
CEIVED BY READY FOR DATE ISSUED
ADDRESS 4>� FIRST INSPECTION q �,s••s.�
CITY p�Q� )p TEL NO a /!<
COUNTY LICENSE NO EXPIRES/ v( BUILDING I / f
PERMT FEES `/ ADDRESS FEE ///
NUMBER EACH c LOCALITY
NEAREST
-
LIGHT OUTLETS CROSS ST � G/ Q irsA lStnO
RECEPTACLES
WALL SWITCHES OWNER �J %;C{.///{/,',FI JwA
TOTAL OUTLETS Sc' $ MAIL ~ �/.� /)./J
ELEC RANGES 25 ADDRESS AAA,q,f1 �1jJ'
ELEC HEATERS 25 CITY TEL NO
FIXTURES 5 .7
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL,WIRING
1 MOTORS I 1&ERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE OR II AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
NEW MVD HP OVER I INC EACH
&LESS $ 25 O SIGNATURE OF -
��� 1/z 2 50 p Q PERM ITTEE
2 5 1 00 t E INSPECTION RECORD
0 5 15 1 50 J/�
15 50 2 50 + dd n A
50 200 5 I��00 3 p hA M' V
200 500 10 00 r _ 'v ur
500 1000 15 00 v" ' a
Z
OVER 1000 20 00
M G SET/FREQ CHANGER-HP q t/ '" Ix
WELDERS AC-KVA '
GENERATORS-KW
TRANSFORMERS-KVA
TEMP MOTORS (75%OF ORIG )
MOVED MOTTO/RS (75%OF ORIG��) r
MISC /Ifl i.{,F� hyy
SIGNS -
I
NO NO TRANS APPROVALS
NO NO LAMPS
DATE INSPECTOR S NAME
FOR EACH PERMIT
CONDUIT
WIRING 51 00 m
FIXTURES $1 00 'WIRING
SUPPLEMENTARY 5O FIXTURES
POWER
TOTAL FEE $ UTILITY CO NOTIFIED
® 1 FINAL �-� �S�t2-