HomeMy Public PortalAbout4902 CLOVERLY AVE_Electrical__ TEPP CITY" '
76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
if-
BUILDING AND SAFETY DIVISION ADDRESS r Y
JOHN A LAMBIE, COUNTY ENGINEER L
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY YL
NEAREST tiJ
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE I�A, 951r �.
-2 ArOUTLET FIRST 20 /�D $20 $ OWNER
LIGHT MAIL
A-WL ADDRESS
SWITCH OVER 20 10
TOTALCITY TEL NO
LIGHTING F7R5T 2O / 20
FIXTURES ADDIL 16 ELECTRICIAN e r a r , C
------ -l�-l------ OVER 2 0
RANGES CLO DRYERS WTR HTRS 100 ADDRESS y! / ee,
GARB DISP STA COOK
CITY .+ (, TEL NO 4 J
DISHWASH AUTO WASH STATE
SPACE HTRS TA APP (+/p H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRI T NO GROUP ZONE P ESSED BY
O 1 100
I s 150 INSPECTION RECORD
3 "B 200
8 15 250
15 50 300 }
D_
SO 100 500 O
U
SIGNS NO TRANS OZ
NO LAMPS O
1
SERVICE O 600V NOT OVER 200A too ..�
SERVICE O 600V OVER 200 A 200 C-
N
SERVICE OVER 600V 500 ?
MISC r
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1 00
TOTAL FEE �$14
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH13 APPLI ATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I /{ �
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OW R OF THE ABOVE
DESCRIBED RESIDENTIA ROPE RTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERM ITTE
FINAL
LIDATION ARTHUR C VEIT-
SUPERVISING ELECTRICAL ENGINEER '
(: W. MO CASH
L ALO 6 1 1 6 2 NOV 2 3 2 D 1 4.80-
Q
~ \ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0802080011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID I FEES PAID 1 BUILDING ADDRESS
ITR 11454 LT 21 UN 002 I 4902 CLOVERLY AV I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803810 1
(ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET LA ROSA 1
18590-020-027 IA1 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY Cl
I ILB 200 AMP PANELS, MCC 1 00 PAN 38 85 1 1
(TENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
I I 102/08/08 SR 08/06/08
(OWNER TEL NO 1 (FINAL DATE FINAL BY CODE 1
IGONSER KEITH A,CAREN (626) 286-6905- 1 1 j
14902 CLOVERLY AV 1 1
(TEMP 917803810 I I SCRIPTION OF WORK 1
1 1 (UPGRADE SERVICE PANEL 200 AMP 1
(APPLICANT TEL NO 1 1
(SAME AS OWNER - 1
I (SPECIAL CONDITIONS 1
(APPROVALS DATE INSPECTOR SIGNATURE 1
(CONTRACTOR TEL NO 1 I I
(SAME AS OWNER - 1 I t I
I LIC NO I (TEMPORARY POWER POLE I I 1
I I 1UNDERGROUND CONDUIT I I I
ARCHITECT OR ENGINEER TEL NO i / UFEF GROUNDI to
LIC NO 1 1ROU3H CONDUIT I I I
I (ROUGH WIRING 1 I
I 1 (MAIN WATER LINE 1 1 1
I 1 1 PLASTIC Y/N METAL'1j/N U, 1 1
I 1 (UTILITY COMPANY NOTIFIEDI1 1
I I I 4 1T7 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
1 (REPORT ID DPR265 ROUTE TO BSO508 1 1 1 I