HomeMy Public PortalAbout6012 CLOVERLY AVE_Electrical__ T E M P L E C IT Y
76A663-CE80611/7o APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES"
DEPARTMENT
LD NG AND SAFETY DIVISION BUILDING 6012 N. Cloverl Ave
ADDRESS /+
ity
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY TempleC
FOR APPLICANT TO FILL IN CROSS ST T Garibaldi
OUTLETS NO EACH FEE
OWNER
RECEPT_ MAIL
LIGHT TOTAL FIRST 20 25 ADDRESS 6012 Nl Cloverly Ave
CITY Temple City TEL NO 28.6-517
SWITCH OVER 20, 10 PLAN CHECK
LIGHTING FIRST 20 25 I APPLICANT _
TOTAL ADDRESS
FIXTURES OVER 20 10
APPLIANCES CITY TEL NO
PERMIT RaMr Electric
RANGE DRYER_WTR HTR APPLICANT �+
STA COOK DISP F A U AODRESS315 S. San Gabriel
SPACE HTR AIR COND CITY San Gabriel TEL No287-0477
CLOTHES WASH DISHWASH LICENSE NO 251260 CLASS _
FAN OTHER 100X1171 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO I
I HEREBY CERTIFY THAT AIV PROPERLY REGISTERED AND/OR
0 — 1 ' 100 LICENSED AS REQUIRED L ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 THE LEGAL OWNER O NO INTEND TO >_
1 — 10 300 ' RESIDE IN THE ABO E �IIEID�L PROPERTY O
10 - 50 500 SIGNATURE V
OF PERMITTEE
Gi
50 - 100 1000 DISTRICT NO ICL I ASSlz p
ONE R SSED BY O
100 — 500 1500 J.�6 — I Lu i
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES N
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 1
SERVICENOTOVER600VOLTS OR200AMP 300 (.J
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 1000 i
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
3 O
PERMIT ISSUING FEE 300 FINAL lYZ101 M�
JO H ROOHAN
TOTAL FEE D SUPERVISING ELECTRICAL ENGINEEP
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATIONCK M o CASH
x
r' yo• L 7LFJL3G ? D 17.00
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SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
DEPARTMENT OF BUILDING APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC
NATURE F INSTALLATION DISTRICT No GROUP TY P PERMIT No
WIRING FIXTUR68 01 SERVICE
READY FOR RE EIVEr_�:55
DAT) ISSUED
RANGE HEATER POWER FIRST INSPECTION /P//'J ��SIGNS MISCELLANEOUS {� !/ /
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY '
Z JOB �r D
G NAME ADDRESS 3 Q y (�1�/y►[�
K ADDRESS (,fqe - LOCALITY-
u • NEAREST
CITY- TEL No 0 73 CROSS ST
STATE ` COUNTY .1
m LICENSE No REG No ✓ 2-- E NAMEILI
DESCRIPTION OF WORK 3 MAIL e '
ADDRESS
NUMBER OF OUTLETS ON CIRCUITS
- - CITY_ 2? /�` TEL NO
LOCATION BY ROOMS
_ . LIGHT OUTLETS ISW PLUGS PIxT CORRECTIONS '
CIRCUIT- I A I B I C I D I E F -GI H 1
LIVING ROOM I I 1 I I l i l ,55 1 I ~
DINING ROOM.1
I SRKFST RM _ II I I - I I �1 I• .
BATH
ENT HAUL I I I I I I I I I �^ i•
` HALL No
' FRONT PORCH �` I I I I I 1 r J 1 1 I 1 'Ir
OUTSIDE
3
KITCHEN LT I I I 1 I ~1 2_lptl a- I I J
SERV PCH I I I I / ( l I l ?
SDRM No I / I I `I
CLOSET
IBDRM No Ill I I I I / I Ill I '
CLOSET
- • � . i I I I I I I I f - F-
•
TOTAL„ I I I I I _ 2=
NO OF OUTLETS ay APPROVALS
NO OF FIXTURES I , V J DATE INSPHCTOR 8 NAME
NO OF MOTORS H P B CONDUIT "
NO OF SIGNS TRANS $ WIRING S' 3-3-2
NO OF RANGES OR HEATERS $ FIXTURES
t
MISCELLANEOUS B POWER
PERMIT FEE �$ UTILITY CO NOTIFIED -I 7
TOTAL CEF S FINAL ���"
D B S SA 25M SETB 113-47 M) y, CATIO17 FOR rL',,IILlOB-0T 1
DEPARTMENT OF BUILDING AND SAFETY ����� ��
ItOUN Y OF LOS ANGELES
WM J FOX CHIEF ENGINEER
a 1 DISTRICT NO. GROUP ZONE PERMIT NO.
NAME
U ADDRESS /y rI ✓/
UCITY TEL NOG Z.��6 d RECEIVEE,D�BY READY FOR DATE ISSUED
J COUNTY FIRST INSPECTION
W CERT NO EXPIRES
APPLICANT FILL IN IREAVILY OSI TUNED PORTION ONLY
JOB
DESCIIIMON OF WORK —ADDRESS
NUMMER OF OUTLETS ON CIRCUITS LOCALITY I ( C i
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS ISW PLUGS FIXT CROSS ST
CIRCUM' A B C D E 4V F G H Ix NAME `
^ MAIL
4 3 ADDRESS
CITY TEL NO
1 AM THE LEGAL POSSESSOlt OF THE ABOVE LOS
ANGELES COUNTY CEFZ'rIFICATE OF QUALIFICATION
' ELECTPICIAN
I NSA THE jnl'C AL OWNER OF THE PROPFRTY DESCRIBED
AZOV. '
pp''��yy��������''..rrgg���� 11��77gg OWNER
CY.YB�YCJe MONS,
J
— a
Z
ii
t
_ 1
TOTAL y
NO OF OUTLETS S 7� APPROVALS
' NO OF FIXTURES $ DATC INSPECTOR'S NAME
NO OF MOTORS H P $ CONDUIT
NO OF SIGNS TRANS S WIRING
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS B POWER
PERMIT FEE S / �ud UTILITYCO NOTIFIED
TOTAL FEE Q FINAL d r Yv r �r