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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 � 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 �� 1