Loading...
HomeMy Public PortalAbout6022 CLOVERLY AVE_Electrical__ - DBS 5A IZ54 /"AY- - PLICO"11TION FOR ELECTRIC PERMIT 1 DBS 5A DIVISION OF BUILDING AND SAFETY - Department of County Engineer County of Los Angeles BUILDING / �p WM J FOX COUNTY ENGINEER ADDRESS �O t- e^D J -1 CASSATT D GRIFFIN SUP T OF BUILDING /y � �— FOR APPLICANT TO FILL IN LOCALITY ✓DSX ?�^ PERMIT FEES NEAREST FEE CROSS ST LIGHT OUTLETS NUMBER EACH OWNER Sires' L,/// ��041 RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS 5! S CITY TEL NO ELEC RANGES 25 ELECTRICIAN l.../' 11rl ELEC HEATERS 25 ADDRESS �,1 49 AV � g KW EA CITY 6L� TEL NO FIXTURES 5 LICENSE NO O NUMBER OF LIGHT CIRCUITS ...�..////����,,,, DISTRICT NO IG UP PfJE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS n MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVER INC EACH _ 1�2'&LESS $ 25 1/2 2 50 2 5 1 00 6 15 1 50 15 50 2 50 __ 50 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT / WIRING $1 00 / c) FIXTURES $1 00 SUPPLEMENTARY 50 _ APPROVALS TOTAL FEE $ / /0 DATE INSPECTOR S SIGNATURE I0ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT �//'^ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _ / - 1 Y WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEG I'POWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL ROPERTY � UTILITY CO NOTIFIED 1 SIOF PERM TEE FINAL -2, F c WILLIAM J FOX, COUNTY ENGINEER VALIDATION 19 2 _1 Q m' A602 7 8 6 - BY ® DEPUTY 76A663 rE806 1-68 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGILER BUILDING / y BUILDING AND SAFETY DIVISIADDRESS JOHN A LAMBIE COUNTY ENGIN COLEMAN W JENKINS, SUPERINTENDENLDING LOCALITY 714_2�� NEAREST FOR APPLICANT TO FILL IN CROSS ST ' NO EACH FEE $ $ OWNER RECEPT MAIL LIGHT TOTAL FIRST 20 20 JV ADDRESS SWITCH OVER 20 10 CITY TEL N '- PLAN CHVK LIGHTING �TOTAL FIRST 20 20 ' (9 APPLICAFIXTURES -I-- OVER 20 10 4 �pOaa ADDRESS L/ RANGE_DRYER—WTR HTR CITY TEL NO 7 STA COOK_DISP F A U CONTRAC R SPACE HTR AIR COND ADDRESS CLOTHES WASH —DISHWASH CITY TEL NO FAN—OTHER 1 00 LICENSE IJO CLASS MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND IN END TO 10 - 50 5 00 RESIDE IN THE ABOVE DESCRIFED RESIDE TIAL P PERTY 0 SIGNATURE V 50 - 100 10 001 OF PERMITTEE 100 - 500 15 00 0 DIST CT N IGR,.Q4l Z NEP OCESSED BIj SIGN GAS TUBE OR SIGN AND ONE CIRCUIT 3 00 a MARQUEE ADDITIONAL CIRCUITS 1 00h NOT-ES Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE & APPURTENANCES 3 00 APPROVALS D TE INSPECTOR SSIGNATURE TEMP POWER POLE ` UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL /' TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGIN R PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M 0 ASH L&O 3 8 3 2"'S P'a28 2 D 3.60 I IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A'63 DBS 3p 3 55 APPLICATION FOR ELECTRIC PERMIT DIVISION OF BUILDING AND SAFETY Deportment of County Engmeer County of Los Angeles BUILDING © �� t �1.1 WM J FOX COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY C�,�Lp'- c FOR APPLICANT TO FILL IN NEAREST ���._ yE �� d� PERMIT FEES CROSS STe&ga NUMBER EACH FEE OWNER M Jp I LIGHT OUTLETS SAME Jr r' RECEPTACLES ADDRESS MAIL �/ R. ,ta E WALL SWITCHES TOTAL OUTLETS 5¢ $ CITY TEL NO ELEC RANGES 25 ELECTRICIAN C D(17-- L GT l G _ELEC HEATERS 25 ADDRESS O �J 0� 6L` 7 KW EA CITY TEL NOA V.34 FIXTURES 5 I LICENSE NO NUMBER OF LIGHT CIRCUITS - DISTRICT NO GROUP I Z READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS �� �] J�l MOTORS h `� h -420 NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVER INC EACH 11/2&LESS $ 25 1/2 2 50 2 5 100 5 15 1 50 15 50 250 50 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING SI 00 FIXTURES $1 00 1! — SUPPLEMENTARY 50 ] APPROVALS TOTAL FEE S ! DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP CATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH PLL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT t AM THE LjiGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDE PROPERT SIGNATURE UTILITY CO NOTIFIED ....// OF PERMITTEE FINAL Lt— / ,I// WILLIAM J FOX. COUNTY ENGINEER VALIDATION A C VEIT.CHIEF ELECT INSPECTOR 5°9 0 5.&_) -JUL 22 2 1 .1 5 76A663-CE006 10/74 APPLICATION FOR ELECTRICAL PERMIT ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JODREss z V G BUILDING AND SAFETY DIVISION LOCALITY V_ N - NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE OWNER NAME ` /`• ` I i RECEPT $ $ MAIL FIRST 20ADDRESS LIGHT TOTAL 25 [� /152-/`� CITY TEL NO SWITCH-!L � - OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 Zg APPLICANT d' FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER_WTR HTR APPLICANT STA COOK DISP F A U ADDRESS/ SPACE HTR AIR COND CITYo j f-C; e TEL NO3 S�v� CLOTHES WASH DISH WASH REG NUMBER ���,, CLASS 4::: `d FAN OTHER 1 00 I EBY A 2/GE 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 INDHEATERS, ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELE COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGA WNER OF THE ABOVE d 1 - 10 300 DESCRIPEO RESIDENTIAL P OPERTY U 10 - 50 gpp PERMITEE—�� SIGNATURE O U 50 - 100 1000 DISTRICT NOOCES EO BY LLj cc- 1 00 — 500 1500 �, Z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR' SIGNATURE TUBE OR I _ MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICE NOTOVER600VOLTS OR200AMP 300 �� UNDERSLAS WORK SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT —fa TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING f TEMP LIGHT OR RECEPT SYSTEM 3 D FIXTURES I POWER AUTHORIZED r UTILITY CO NOTIFIED / n FINAL r Z4W/X PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 Y �� TOTAL FEE p PLAN CHECK VALIDATION cK M o CASH PERMIT VALIDATIONcK M o CASH 7 3 0),RFP 18 2 fa 1 5.80 ®�d SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE