HomeMy Public PortalAbout5942 CLOVERLY AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, County Engineer
FOR APPLICAT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN YN s �
ADDRESS • l - .�. (I' ''V�.d d
RECEIVED
FIRST AINSPECDY TION DATE ISSUED
rc,� Ips N ll -I�- 63
CITY ��,, ���//�61
COUNTY LICENSEYNO U91f 7i EXPIRES rn'—vvt -1BUILDING
PERMIT FEES t ADDRESS
FEE - O ^
NUMBER EACH LOCALITY 4Tc!
LIGHT OUTLETS C"S NEAREST
RECEPTACLES Q1 CROSS BT
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ 0 MAIL {/
ELEC RANGES 23 ADDRESS (/
ELEC HEATERS �� 252 -
CITY TEL. NO
FIXTURES 5 p
1 HEREBY ACKNOWLEDGE THAT I 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
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELEB COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVO HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
4
'/2 s LESB $ 25 SIGNATURE OF 1 e
I/2 2 50 PERMITTEE ���� �'J't, -
2 B 1 00 INSPECTION RECORD
s 15 1 so
is 50 250
60200 Sao
]JE2 00BDO 10 OO J00 1000 1500 Q
Z
OVER 1000 2000
M O SET/FREQ CHANGER-HP
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75%fr OF ORIG)
_ MOVED MOTORS (75% DF DRIG)
MISC
SIGNS
NO NO TRANS
APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR'S NAME
WIRING $1.00 j Q CONDUIT
FIXTURES $1 OO L D b WIRING 3
SUPPLEMENTARY SO FIXTURES
s� POWER
TOTAL FEE 41 w UTILITY CO NOTIFIED
FINAL C,/O vvv
76A663 DRS$5A 4-52