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HomeMy Public PortalAbout4804 CLOVERLY AVE_Electrical__ i 76A663-CE806-9_57 APPLICATION FO ■ `ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING C O e�,/ BUILDING AND SAFETY DIVISION ADDRESS // O JOHN A LAMBIE,COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY (� / NEAREST FOR APPLICANT TO FILL IN CROSS ST U PERNIIT FEES i ITEM NUfMBBER OWNER EACH FEE OUTLETS RECEPT sw� ! / f0 3— �0 ADDRESS MAIL LIGHTS J LIGHTING FIXTURES 10 l 5'0 CITY �- TEL NO ELEC RANGES CLO DRYERS ELECTRICIAN WATER HEATERS 50 ADDRESS !o l ELEC SPACE HTRS DISHWASHERS J / G GARBAGE DISPOSERS AUTO- / S C CITY TEL N /� ZSo WASHERS STA COOKING UNITS r 25 LJ STATE LICENSE NO 2 4 MOTORS OVER INC H P O - 1N2 �h / 25 J =Rl C. `j W;).6 N READY FOR INSPECTION 1/s — 2 50 INSPECTION RECORD 2 — 5 100 5 — 15 150 "" �• ��f-� d 15 — 50 2 50 tb so — 200 500 tin +y SIGNS NO TRANS �� Aj NO LAMPS SERVICE O 600V loo SERVICE OVER 600V 500 MISC WIRING PERMIT 100 FIXTURE PERMIT loo dQ SUPPLEMENTARY PERMIT 50 TOTAL FEE s Q APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR �SSIGG►NATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUITWITH ALL COUNTY ELECTRICAL WIRING ORDINANCES AND STATE LAWS REGULATING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORS"" LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL P O E SIGNATURE T'E '^C UTILITY CO OF NOTIFIED h _7/1_� I 1- / FINAL / ATION ARTHUR C VEIT. E '- CK O CASH SUPERVISING LECTRICAL ENGINEER L 3887 VAR 23 2 A 10.1 WORKER'S COMPENSATION DECLARATION 20-0019 DPW 9/89 I hereby affirm that I have a certificate of consent to self insure, 76A663 APPLICATION FOR ELECTRICAL PERMIT or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copytgereof(Sec. 3800 Lab. C.) A Policy No. Company FOR APPLICANT TO FILL IN ❑ rJ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEEADDRESS El $ _ $ LOCALI � Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. department. Multi-family Sq.Ft. — NEAREST CROSS ST. �c9lU�✓L /��LPS� Date Applicant Residential Swimming Pools ASSESSOR q / _ MAP BOOK (J CT PAGE 01 C7 PARCEL-27 CERTIFICATE OF EXEMPTION FROM WORKERS' /� � OWNER OR — COMPENSATION INSURANCE Outlets:Rec._Light SW.First 20 DFIRM NAME 4f1f/Z Or.,Z,161 (This section need not be completed if the work involved by the MAIL 7d �` permit is for one huridred dollars($100)or less.) Total No.� AdditionalADDRESS I certify that in the performance of the work for which this permit CITY , aj Tel.No.�° is issued, I shall not employ any person in any manner so as to / PLAN CHECK J become subject to the Workers' Compensation Laws. Lighting Fixtures . First 20 � f P APPLICANT Total No.'- Additional ADDRESS Dat Applican 15 OR 20A,120V BRANCH CIRCUITS NOTICE TO APPLICANT: If, at` making �ks rtificate of CITY Tel.No. Exemption,you should become subject to the W Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT � APPLICA T J provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH / LICENSED CONTRACTORS DECLARATION ADDRESS r � © } I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH 0_ (commencing with Section 7000) of Division 3 of the Business and CITY � T.I.No_ J 0 Professions Code, and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR Q Power Apparatus&Large Appliances REG.NUMBER Class. License Number Lic.Class Size&Type HP,KW,KVA,or KVAR DISTRICT NO. p PRO E ED BY Up to 3 Incl. fjp -C�L> W Over 3 to 10 Incl. FINAL d Contractor Date DATE U) Over 10 to 50 In .❑ (� Z 1 am exempt under Sec. Over 50 to 100 Incl. Z 7 ✓FINAL Over VALIDATION B.&P.C.for this reason 100 BY Services,Swbd.,MCC&Panelboards Date: 0-200 Amp.Under 600 V Signature 201 -1000 Amp.Under 600 V ❑. Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit - z I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits f;= =}n= Code): __ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) rl—_ m and Professions Code). _ CONSTRUCTION LENDING AGENCY :fav I hereby affirm that there is a construction lending agency for the ud performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) O Civ.C.) PLAN CHECKING FEE Lender's Name _ sa PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned propertQ ction pU ses. SEE REVERSE FOR EXPLANATORY LANGUAGE 9- AN O ENT DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 -EL ECTRICALPERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL05089709300037 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 11454 LT: 27 -4804 CLOVERLY AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP'CA 917803808 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8590-020-011 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95 TENANT: LA 100 AMP PANELS, MCC 1.00 PAN 38.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 68.55 09/30/97 UT 09/30/98 OWNER: TEL. NO: FINAL DATE FINAL BY.: CODE: JONES EVAN S;MARGUERITE M (818) 287-4039- - 4804 87-4039- .4804 CLOVERLY AV a V TEMP 917803808 / DESCRIP ION OF WOR �jk ��►�"� NEW ELECTRICAL SERVICE PANEL UPGRADE AND 3 GFI'S (HOUSING APPLICANT: TEL. N0: REHABILITATION) R-ABLE II GENERAL CONTRACTORS (626) 357-9766- p� VVV SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: �� �� �_ ' � APPROVALS DATE INSPECTOR SIGNATURE R-ABLE II GENERAL CONSTRUCTORS (818) 357-9766- 132 57-9766 132 W. POMONA AVENUE LIC. NO TEMPORARY POWER POLE MONROVIA, CA 91016 469975/6 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: UFER GROUND LIC. N0: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILI'iY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1101250014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 11454 LT: 27 4804 CLOVERLY AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803808 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA 18590-020-011 IAl PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.90 I TENANT: IG2 LIGHTING FIXTURES 2.00 LGT 3.90 JISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEES 33.60 101/25/11 SR OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE: IWEN, IIN W (626) 614-8072- 1 14804 CLOVERLY AV TEMP 917803808 (DESCRIPTION OF WORK (ELECTRICAL FOR BATHROOM REMODEL APPLICANT: TEL. NO: ISAME AS OWNER - I I SPECIAL CONDITIONS: ICONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I I LIC. NO ITEMPORARY POWER POLE I I (UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I LIC. NO: IROUGH CONDUIT I IROUGH WIRING I I I (MAIN WATER LINE IPLASTIC Y/N METAL Y/N (UTILITY COMPANY NOTIFIEDI I If I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I _ I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I