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Home My Public Portal About5010 CLOVERLY AVE_Electrical__ f'YC� �76AB63-CE80610.60 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING / BUILDING AND SAFETY DIVISION ADDRESS ij C JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNER I T E M NUMBER EACH FEE MAIL OUTLETSADDRESS ✓ $ $ LIGHTS . RECEPT. 6, SW. .10 CITY TEL. NO. LIGHTING FIXTURES .10 ~C' ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER HEATERS .5O ADDRESS ELEC.SPACE HTRS. DISHWASHERS �+- CITY �- TEL NO.J,. ` v3 q-I-- GARBAGE 2/GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. I MOTORS: OVER INC. H.P. DISTRICTNO. GROUP Z NE P ESSED BY i 0- /2 .25 i �[ 1/2- 2 50 INSPECTION RE ORD 2— 5 1.00 } G. 5— 15 1.50 0 15— 502.50 SO— 200 5.00 _ 0 NO TRANS. IJJ SIGNS: NO.LAMPS d Cf) SERVICE 0-600V 1.00 ? SERVICE OVER 600V 5.00 M ISC. WIRINGPERMIT 1.00 Q i:' j FIXTURE PERMIT 1.00 L� r SUPPLEMENTARY PERMIT 50 r TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING 1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OIF,,THE ABOVE DESCRIBED RESIDENTI RO(�� , J �I"'- POWER SIGNATURE. IGNATURE � OF PERMITTE UTILITY CO.NOTIFIED FINAL , LID ARTHUR C. VETT CK Mo CASH SUPERVISING ELECTRICAL ENGINEER 76A663 DBS 5A 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND ,SAFETY •, COUNTY OF LOS ANGELES ELECTRIC1 WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT�IV SO GROUP /ZZONE PERMIT NO ELECTRICIAN / �_yl� �/ s CEIVED BY READY FOR DATE ISSUED ADDRESS a 47 FIRST INSPECTION Y , CITY c TEL NO W s COUNTY LICENSE NO .3 (A EXPIRE �J •�� BUILDING /� PERMIT FES ADDRESSSo 6 H., FEE NUMBER EACH LOCALITY LIGHT OUTLETS �m NEAREST CROSS ST RECEPTACLES WALL SWITCHES OWNER 19i m #t8640k TOTAL OUTLETS Sc $ MAIL ELEC RANGES E5 ADDRESS ELEC HEATERS 25 CITY TEL NO FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE OR i AM THE LEGAL OWNER NEW MVD HP OVER INC0111) EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1/2 a LESS $ 25 X SIGNATURE OF O 1/i 2 50 If ' PERMITTEE 2 5 1 00 INSPECTION RECORD 5 1s I so 15 s0 2 50 50 200 5 00 200 Soo 10 00 J' Soo 1000 15 00 Q OVER 1000 20 00 0 M G SET/FREQ CHANGER-HP R WELDERS AC-KVA O GENERATORS-KW TRANSFORMERS-KVA TEMP MOTORS (75%OF ORIG ) MOVED MOTORS (75%OF ORIG - MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INSPECTOR S NAME WIRING $1 00 I CONDUIT p , FIXTURES $1 00 WIRING SUPPLEMENTARY s0 FIXTURES POWER TOTAL FEE $� �� UTILITY CO NOTIFIED / J ® FINAL WORKER S COMPENSATION DECLARATION 20 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT 76A663 I hereby affirm that I have a certificate of consent to self Insure, 76A663 or a certificate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec+3800 Lab �SCC) t7ral ae� sc-CA% rte Policy No v '� /C; ;00 -:Y 1A ce ■ FOR APPLICANT TO FILL IN JOB - C O rj r' _ ADDRESS ✓� pG 56 Certifie6 copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY 1 ❑ - Certified co ris filed with the count building inspection 1 &2 Family Sq Ft — $ $ PY' Y g P _ NEAREST it �� Alepartment }, Multifamily Sq Ft r CROSS ST v%1Q� TT ' Date u Applicant Residential Swimming Pools ASSESSOR EMAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec _Light Sw OWNER OR �` COMPENSATION INSURANCE _ FIRM NAME First 20 C ` (This section need not be completed if the work involved by the Total No Additional - MAIL MAIL s o Com` permit is for one hundred dollars($100)or less) I certify that in the performance of the work for which this permit CI is issued I shall not employ any person In any manner'so as to PLAN become subject to the Workers Compensation Laws Lighting Fixtures First 20 - APPLICANT K Total No Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If after making this Certificate of CITY �t Tel-No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP (t�7 provisions of the Labor Code you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP KW KVA or KVAR ADDRES I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY 992-0 Professions Code,and my license is In full force and effect Over 10 to 50 Incl Over 50 to 100 Incl LICENSE OR ` 1 Class •e �1 REG NUMBER ` a License Number 6 n \ ✓ LIC Classy NO Over 100 DISTRICT NO PROCES BY Q V Services Sw CC&Panelboards '� D �m Amp Under600V FINAL o Contractor Date / _ DATE , ❑ I`am exempt under Sec fff 400 1000 Amp Under 600 V ~ VALIDATION Over 1000 Amp or Over 600 V FINAL LU B&P C for this reason BRANCH CIRCUIT FEES BY U) Date 15A,or 20A 120V Lighting or Recept Z_ - 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits - ❑ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A 20A 208V To 277V Lighting Br Circuits 2 SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION ACCT. gu I hereby affirm that I am exempt from the Contractors License Law Sign with One Branch Circuit ��fy' 1C for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 3303 O 1.Lo Code)❑ I ITEMS I, as owner of the property,will do the work and the structure Misc Conduits&Conductors C is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) TOTAL 6-a m 60 and Professions Code) ® CHECK 63.00 9 � ('�{; CONSTRUCTION LENDING AGENCY CHANGE .00 I hereby affirm that there is a construction lending agency for the performance of.the work for which this permit is issued (Sec 3097 PERMIT FEE (Sub Total) Civ C) I I PLAN CHECKING FEE WOO—W01 31 o/qt Lender s Name 1 rA 6312 1 PM 4:56 I PERMIT ISSUING FEE 2- 510 Lender s Address I certify that f have read this application and under penalty of purjury state TOTAL FEE that the above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize r r entatives of this County to enter upon the above mentioned property r in pection oses SEE REVERSE FOR EXPLANATORY LANGUAGE SIG URE OF PERMITTEE DATE I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1012160022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 13329 LT 45 5010 CLOVERLY AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803812 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LA ROSA ] 18590-019-002 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 2 00 OUT 3 90 1 (TENANT ]G2 LIGHTING FIXTURES 1 00 LGT 1 90 (ISSUED ON PROCESSED BY PLAN BY I I ILN OTHER PNL 0-399 AMPS 1 00 PAN 38 80 112/16/10 SR I I I TOTAL FEES 72 40 1 1 (OWNER TEL NO I IFIWAL DATE FINAL BY CODE I IKUMASHIRO STANLEY (626) 221-3095- 1 1 i 1 15010 CLOVERLY AV I I 1 (TEMP 917803812 1 ]DESCRIPTION OF WORK 1 I (ELECTRICAL FOR NEW DETACHED GARAGE AND SUB-PANEL 200 AMP ] I I ] I (APPLICANT TEL NO I I 1 IKUMASHIRO, STANLEY (626) 221-3095- 1 1 1 1 1 (SPECIAL CONDITIONS 1 I I I I I I I I I I I I (CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE ] IKUMASHIRO, STANLEY (626) 221-3095- 1 1 ] 15010 CLOVERLY AVENUE LIC NO I ITEMPORARY POWER POLE I I I (TEMPLE CITY, CA 91780 NONE 1 I 1 I I 1 1 (UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER TEL NO I IUFER GROUND II I IMCGINNIS AND ASSOCIATES CONSULT ENG (314) 469-6460- 1 1 11110 WESTMARK DR LIC NO I (ROUGH CONDUIT 1 1 1 IST LOUIS MO 63131 10315 1 ] /it I (ROUGH WIRING I I I (MAIN WATER LINE I I 1 I I 1PLASTIC Y/N METAL Y/N 1 1 1 I I I I I I I 1UTILITY COMPANY NOTIFIEDI 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 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 BS0508 1 1 I