HomeMy Public PortalAbout4502 CLOVERLY AVE_Electrical__ """'
D"-OA 3-" APPLICATION FOR ELECTRIC PERMIT Z
DIVISION OF BUELDING AND SAFETY
Departmumt of County Enuln—Comity of FBu'Tlp'G
_'U �� DWM.J. FO COUNTY NGINQROA GATT D.GRIFFIN.SUF'T OF■UILDtNd
V RngemeadTO FI LL IN T
RO"ST.
NUMBER EACH FEE
OWNER
u ovrLare
1�
RECERECEPTACLESMArLADDRESS
WALL SW ITCHED
TOTAL OUTLETS 50 C
ELEC.RANGES- B ELECTRICIAN
ELEC. HEATKRS 25 ADDRU." N- Grgndvisw
KW BA CI TEL N t O-
FIXTURrS 7 LICKNEE N
NUMBER OF LIGHT CIRCUITS _ - DISTRICT NO. GROUP ZONE I ■IADT roa uspicrlon
NUMBER OF RECEPTACLE CIRCUITS
MOTORS � ��}
NUMBER HOR.GSOWER FEE RgSPL�VIION HbCO D
Nrw Icvn. HP OVIM INC: SACH - I
rd- niRn- a UL" .25
vi 2 DO
2 5 1.00
D 15 1.50
16 50 2.50
Stl 200 5.00
MI
NO.BIGN8 NO.TRANS.
liIGN NO
OR EACH P MIT• `-
WIRING $1.00
FIXTURES q1,0.0 '
UPPL-M ENT 50 APPROVALS
TOTALFE • DATE INSPECTOR'S SIGNATURE
1 H BY ACRNOWLIUIGE. T 1 HAVE READ THIS APPLICATION CONDUIT
A*D irTATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND' STATIC LAWS REGULATING WIRING
ELECTRICAL WIRING.
1HEREBY CERTIFT THAT 1 Al PROPERLY REGISTERED AND/OR FIXTURNA
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA Ojt THA AN E VGAL OWNER OF THE ABOVE POWER
DESCRIBED RYDIDEAT 0
UTILITY CO.NOTIFIED I � -
DIGNATURECAR
OF PERMITTEE ' L FINAL, I �k 0
WILLIAM J.FOX, COUNTY ENGINmI VALIDATION A.C V6IT,CHIKF 6LtCT. IK"XCTOR
0 8 7 1 7 En OCT 6 2 390 �'
Y
C UVTY OF L08 ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT
DEPARTMENT OF PL13LIC WORKS 9701 LAS TLKAS EL 0508 0309O3DDD5
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91750 DUPLICATE
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BU ING
TR: 12998 LT: 60 BL: .001 4502 CLOVERLY AV•
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804203
NEAREST CROSS STREET: LOWER AZUSA
8592_x_062 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGTSW RECP 17.00 OUT 33.75
G2 LIGHTING FIiTL ES 5.00 LGT 9.75 1 SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 D9/O4/03 JK 03/02/04
H9 RES APPL LT 3HP 1.00 RES 10.95
OWNER: LN OTHER PNL 0-399 MPS 1.00 PAN 38.85 FINA� DATE FINAL BY: CODE:
NANEZJOSE ANDRES & PATRICIA RIVAS (626) 485-9544- TOTAL FEES 131.40 1-221-K
��� �_�
4502 CLOVERLY AVE
TEMPLE CITY 917BO DESCRIPTION OF WORK
INSTALL SUBPANEL IN GARAGE i REWIRE GARAGE, BATH, & KITCHEN
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CWTRACTOR: TEL, NO:
SAME AS OWNER -
APPROVALS DATE INSPECTOR 81MU70RY-
LIC. NOTB430RARY POWER POLE
UNDERGROUND MOM
ARCHITECT OR ENGINEER: TEL. UFER GROUND
LIC. ROUGH CONDUIT
: . ROUGH WIRING
`T e4 3
PLASTIC YIN METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: RS0508