HomeMy Public PortalAbout4857 CLOVERLY AVE_Electrical__ 76A663-C E806 1 1/70 APPLICATION FOR ELECTRICAL ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 4857 Ns CLOVBRLY
BUILDING AND SAFETY DIVISION , ADDRESS
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY TEMPLE CITYINEAREt�A�
FOR APPLICANT TO FILL IN CROSS SST LAMM AZUSA ROAD
OUTLETS NO EACHI FEE
OWNER BL1NTHORNE
RECEPT 3 MAIL
LIGHT TOfAL
FIRST 20 4 25 1 ADDRESS 416 E. MICHEIAZ
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CITY W13ST COVINA TEL N0330-7358
SWITCH 1' 4 OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
,
APPLIANCES CITY TEL NO
RANGE DRYER_WTR HTR PERMIT APPLICANTFRIESS ELHCTRIC COMPANY
STA COOK DISP F A U ADDRESS 1042 S. SM GABRIEL
SPACE HTR AIR COND CITY TEL NO -11
,55
CLOTHES WASH DISHWASH LICENSE N0201026 CLASS \r10
FAN OTHER - 100 _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - I 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
1 - 10 300 RESIDE IN THE ABOVE DESCRIBED
RESIDENT I AL.PROPERTY OL
10 - 50 500 OF PERMRITTEELe6e � A, �/LftO�/ O
G.S
50 - 100 1000 O
DISTRICT NO CLASS ZON PR 9 BY
1 00 - 500 1500 o� / a
h
SIGN, GASSIGN AND ONE CIRCUIT 500 NOTES Z
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER600VOLTS OR200AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600VOLTS OR200AMP 1000
TEMP POWER POLE
TEMPSERVICE POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDI UT
WIRING
FIXTURES
POWER AUTHORIZED I
PERMIT FEE (SUB TOTAL) 1 00i
UTILITY CO NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 300 300 FI NAL
JOSEPH C ROOHAN
TOTAL FEE 4.00 SUPERVISING ELOCK)4M
CAS. ENGINEEP
PLAN CHECK VALIDATION
CK M O CASH PERMIT VALIDATION CASH
-Lt1L0 �' �_ g sy- NOV 8 2 D 4.0 Q^ C
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r
76A663-CE806 II/70 APPLICATION FOR ELECTRICAL PERMIT L.l
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 4857 N. CLINERLY
COLEMAN IN JENKINS SUPERINTENDENT OF BUILDING LOCALITY TEMPLE CITY
NEAREST �A�
FOR APPLICANT TO FILL IN CROSS ST �xa✓s/
OUTLETS NO EACH FEE
$ Is OWNER
BLANTHORM
RECEPT MAIL
FIRST 20 25 ESS 416 E. A7ICHSLLS
LIGHT TOTAL ADDR
SWITCH OVER 20 10 CITY WEW COVINATEL NO
PLAN CHECK
LIGHTING 1TOTAL I
FIRST 20 25 APPLICANT
FIXTURES 10
)?
OVER 20 ADDRESS,
APPLIANCES cirY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS 1042 S SAN GA BL
SPACE HTR AIR CONDCITY % TEL NO
CLOTHES WASH DISHWASH LICENSE NO 201026 1 CLASS CIO
FAN OTHER 100 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 i
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
` 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO >-
1 - 10 300 d
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL tiROPERTY
SIGNATURE /�} U
10 - 50 500
OF PERMITTEE f� f.6 /�� a,
50 - 100 1000
DISTRICT NO ICLASS ZONE =.SEQ100 - 500 1500 � � LU
N
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES Z
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOT OVER 600 VOLTS OR 200 AMP 1 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP 1000
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) 3 00
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL �
PERMIT ISSUING FEE 300 3 0O JOSEPH CO 4' N fI
TOTAL FEE 6.00 SUPERVISING EL I L GINEEP
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M CASH
u tUo ' 2 A 3' NOV 1 1 2 D 6.0 0-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,
r
� C'�
76A 663-CE806 3-89
TSMPLS„CI4Y APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
gDEP_ARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 4857 N CLOVERLY
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY TEMPLE CITY
FOR APPLICANT TO FILL IN NEAREST
CROSS S T LOWER AZUSB ROAD
NO EACH FEE C
$ $ OWNER ALANTHORM
RECEIPT MAIL
ADDRESS 416 E. MICN'NE"
LIGHT TOTAL FIRST 20 20
CITY WEST COVINA TEL NO 330-7358
SWITCH OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES } OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_DISP _F A U CONTRACTOR FRIESS ELECTRIC CO, "
SPACE HTR AIR COND ADDRESS1042 Se SAN GsABRIEL BLVD,
CLOTHES WASH _DISHWASH CITY SMGABRIEL TEL NO 286-1155
FAN_OTHER 1 00
LICENSE NO 201026 CLASS C10
MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS ETC HP KW KVA 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
0 - 1 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
_ICENSEO AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF }
1 - 10 3 00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO d
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O
10 — 50 500 /✓ ` v
SIGNATUREy�GC
50 - 100 10.00 OF PERMITTEE 0[..�
F-
100 - 500 1500 DISTRICT NO GR O ZONE P O E Y W
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 N
TUBE, OR z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
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 DATE INSPECTORS SIGNATURE
TEMP POWER POLE
MISC. CONDUITS &
CONDUCTORS 1 00 UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2 00 2a O UTILITY CO NOTIFIED /
SUPPLEMENTARY PERMIT ISSUING FEE1 00 FINAL
TJOSEPH C ROOHAN
TOTAL FEE 3
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
I Itr+ 07 6 2r— FFB1 72 D 3 Ld— fl,
cr
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0901280019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 11454 IT 7 1 4857 CLOVERLY AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP-CA 917803809
ASSESSOR INFORMATION NUMBER INEAREST CROSS"STREET
18590-021-022 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID JS LOCALITY TEMPLE CITY_ Cl
ILA 100 AMP PANELS, MCC 1 00 PAN 38 85
ITENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
101/28/09 SR 07/27/09 1
(OWNER TEL NO IF NAL qATE FINAL BY CODE 1
(MICHAEL, BARBARA
14857 CLOVERLY AV
ITEMP 917803809 1 ID SCRIP ION qF WORK 1
1 1 ISERVICE UPGRADE FROM 50 AMP TO 100 AMP
1APPLICANT TEL NO I 1 1
IGARY KARNIKIAN (626) 644-2642-
11670 N OXFORD AVE 1 ISPECIAL CONDITIONS 1
IPASADENA CA 91104
I I I I
1CONTRACTOR TEL NO I �� _ - 1APPROVALS DATE INSPECTOR SIGNATURE
IGARY'S ELECTRIC (626) 644-2642- 1 a
11670 N OXFORD AVENUE LIC NO 1 -ITEMFORARY POWER POLE I I I
1PASADENA, CA 91104 450234 C10
1 1 (UNDERGROUND CONDUIT 1
1ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND
1 1 II I
1 LIC NO 1 1ROUGF, CONDUIT I 1 1
I I I
1 1ROUGP WIRING 1 1
1 IMAIN WATER LINE 1 1 1
1 IPLASTIC Y/N METAL Y/N
1 1 1UTILITY COMPANY NOTIFIED( I <
1 I I I I I
1 1 1 I I I
I I I I I I
I 1 I I I I
I I I I I I I
I REPORT ID DPR265 ROUTE TO BS0508 1 1
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