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Home My Public Portal About5314 CLOVERLY AVE_Electrical__ : 76A663-CE806 9-64 * APPLICATION FOR ELEC RICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS v JOHN A LAMBIE COUNTY ENGINEER } COLEMAN W JENKINS SUPT OF BUILDING LOCALITY / 1 NEAREST FOR APPLICANT TO FILL IN CROSS ST RECEPT ..,...- TOTAL NO EACH FEE ••1 OUTLETS FIRST 20 $20 $ OWNER' LIGHT „s9� OVER 20 MAIL ;l SWITCH ADD'L 10 ADDgESS�`) I ♦� Y ,✓ r LIGHTING TOTAL 1 I FIRST 20 C ,- '2 20 CITTNO_ FIXTURES 1 _ ADD'L 1O ELECTR IAN OV R 2O e RANGES CLO DRYERS WTR HTRS 100 ADDRESS C�� -dz -7 GARB DISP STA COOK CITY /I TEL NO- ' .-'7�'-�C♦F-� DISHWASH AUTO WASH [STATE 03 SPACE HTRS STA PP (+/y H P MAX 1 50 ALICENSE NO MOTORS OVER NOT OVER HP DIST CT NO GROUP ZONE P CESSED Y 0 1 100 �'> 1 3 1 so INSPECTION RECORD 3 s zoo d rr 15 50 1300 ru 50 100 500 W NO TRANS d SIGNS NO LAMPS - Z SERVICE O 600V NOT OVER 200A 100 SERVICE O 600V OVER 200 A 200 SERVICE OVER 600V 500 MISC PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING,FEE 100 TOTAL FEE L� 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANC -AND STATE LAWS REGULATING ELECTRICAL WIRING 1 / WIRING I HEREBY CERTIFY THAT I ' PROPERLY REGISTE D AND/OR FIXTURES 6 /✓jtis _ / LICENSED AS REQUIRED B� L ArNG ELES'�C OUNyyY STATE OF CALIFORNIA OR THAT 1 LEGAL OWNER dF/ D INTENO TO I �� RESIDE IN THE ABOVE Sc ED RESIDENTIA'� R ERTY POWER SIGNATURE '� UTILITY CO NOTIFIEDIota I I OF PERMI FINAL ®,y�' � A 64 AA'' ,�" LIDATION JOSEPH C ROOHAN v CK MO CASH SUPERVISING ELECTRICAL ENGINEER LILO8 9 3 2-0- FcB25 z D 3.20- - 76A666-CESC6 a-DL APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS d ' UGHN A LAMBIE, COUNTY ENGINEER CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANTTO FILL IN NEAREST L PEMCT FEES CROSS ST' ITEM NUMBER I EACH FEE OWNER hi A I OUTLET , $ $ MAIL LIGHTSY ' ECEPT SW 10 ADDRESS LIGHTING FIXTURES 10 Zo— CITY —1-cm,21leclTy TEL NO �►O ELEC RANGES CLO DRYERS ELECTRICIA WATER'HEATERS SO ADDRESS S 31y C �,6JQ,�tiy ELEC SPACE HTRS DISHWASHERS CITY r 1 TEL NO 6-7 GARBAGE DISPOSERS AUTO- STATE WASHERS STA COOKING UNITS 215 LICENSE NO MOTORS OVER INC H P DISTRICT NO GROUPON PR C SED BY 0= I/a 2S �''� 1/2— 2 50 INSPECTION RECORD 2— S 100 S— 1s ISO Is— so 250 50-200 Boo SIGNS NO TRANS NO LAMPS SERVICE 0-600V 100 SERVICE OVER 600V Soo MISC WIRING PERMIT 100 ..� FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS eDATF- 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 I HEREBY CERTIFY THAT I AM 'PROPERLY REGISTERED AND/OR WIRING t LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ' CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER _ SIGNATURE "l UTILITY CO NOTIFIED OF PERMITTE FINAL ®F Mo ARTHUR C VETT, CK CK CASH/ SUPERVISING ELECTRICAL ENGINEER r ,, '� 7 7 0 1 v0V l 2 A 2.7 0 76A663� DBS 5A 3-50 ' APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR LI NT TWpitt IN i [STRICT NO. OROUPl ZONE PERMIT NO. ELECTRICIA � !� RECEIVED BY READY FOR DATE IBBUED ADDRESS 14 A01 FIRST INSPECTION PL CITYL NO COUNTY 1 ENSE NO EXPIRES BUILDING DDRESS PERMIT E S FEE LOCALITY NUMBER EACH LIGHT OUTLETS NEAREST ) RECEPTACLES CROSS ST. i WALL SWITCHES OWNER TOTAL OUTLETS 5- $ MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS 25 CITY74:Aa EL NO a FIXTURES 5 I HEREBYKNOWLEDOAT HAT 1 HAVE READ THIS TATEMISC APPLICATION AND STHE ABOVE IS CORRECT NUMBER OF LI HT CI CUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER ANGELES COUNTY LI NSE, OR I AM THE LEGAL OWNER FEE NE.v MVD HP OVER INC EACH OF THE RESIDENTIA ERTY SCRIB �g7 W V2 a LE85 $ 25 SIGNATURE OF %2 r 2 50 PERMITTE oe 2 s 100 INSPECTION RECORD 5 is 1 so 15 50 250 50 200 500 200 Sao 10 DO JQ 500 1000 1500 Z OVER 11300 2000 Q M G SET/FREQ CHANGER-HP WELDERS AC-KVA O GENERATORS - KW TRANSFORMERS - KVA ' TEMP MOT13RS (75% DF DRIG) MOVED MOTORS (75% OF DRIG) MISC SIGNS l+ NO NO TRANS APPROVALS NO NO LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT WIRING $1 OO CONDUIT - FIXTURES $100 WIRING SUPPLEMENTARY 50 FIXTURES POWER �7y �I TOTAL FEE UTILITY CO NOTIFIED FINAL " /�r� DBS BA 11 89 APPLICATION FOR ELECTRIC PERMIT BB 5A DIVISION OF BUILDING AND SAFETY Depar eat of County Engineer FA UILDING County of Los Angeles DDRESS OJOHN A LANMSBIE, COUNTY ENGINEER CASSATT D GRIFFIN, SUP T OF BUILDING OCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST NUMBER OWNER 4A J3ri k/ I LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TkAilAL1< raj V TEL NO Old--a07`7 TOTAL OUTLETS @ s2 ELECTRICIAN ELEC RANGES 25 ADDRESS ELEC HEATERS 25 ' CITY TEL NO KW EA STATE FIXTURES 5 LICENSE NO MOTORS DISTRICT NO I GROUP I ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE NEW MVD HP OVER INC EACH INSPECTION RECORD 9 LESS $ 25 Y1 2 50 2 5 100 5 15 150 IS SO 2 50 50 200 S 00 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $100 FIXTURES $100 SUPPLEMENTARY 50 APPROVALS TOTAL FEE $ DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY SIGNATURE / UTILITY CO NOTIFIED h OF PERMITTEE �•Y✓ FINAL l �( JOHN A LAMBIE,COUNTY ENGINEER VALIDATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR CK MO CASH LiL 8 3 7 3,� AUG 3 2 2.2 5 c I6A663 C8806 00 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS L LO✓�' G ZZ JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN Sup"OF BUILDING LOCALITY MMM OR APPLICANT TO FILL IN NEAREST CROSS ST O/11 W PERMIT FEES OWNER E M NUMBER EACH FEE MAIL FLIGHTTINGFIXTURES $ 10 $ ADDRESS PT 8W 1pCITY �✓ TE NO RANGES CLO DRYERS ELECTRICIAN A L WATER HEATERS SO ADDRESS '4 ' ELEC SPACE HTRS DISHWASHERS CITY �- C + TEL NO T`/7G G GARBAGE DISPOSERS AUTO. STATE �+ WASHERS STA COOKING UNITS 25 LICENSE NO q` MOTORS OVER INC H P DISTRICT N I/ ROUP I ZONE P �ESSEDY O IV2 215 J +1z — z 3 sp G INSPECTION RECORD o.. s — is 1 so �n /J " c.� 0 Is — so 250 ' O 50 — zoo Boo U F 9 c SIGNS NO TRANS Ll.1 d NO LAMPS N Z SERVICE O 600V too SERVICE OVER 600V Boo MISC WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT gp TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROV S DATE INSPEd-rOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT�' SEGS /T,/ �O A ELECTRICAL WIRING WIRING ~~� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES f CALIFORNIA OR THAT 1 AM THE LEG L OF THE ABOVE DESCRIBED RESIDENTIAL P POWER I SIGNATURE UTILITY CO NOTIFIED 1 r! I OF PERMITTE FINAL_ OKMOLIDATION ARTHUR C VEIT, CASH SUPERVISING ELECTRICAL ENGINEER MO CASH LN'0 3 4 64 .yR 7 2 a 280 'WORKERS' COMPENSATION DECLARATION 76A663 10/81 1 hereby affirm that I have a certificate of consent to self insure, CE-8066 APPLICATION FOR-ELECTRICAL PERMIT or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800 L ) y Policy N pany S"380 APPLICANT TO FILL IN JOB ADDRESS Certified Certified copy,is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE ❑ Certified copy is filed with he c �ybI ing pection 1 & 2-Family,Sq.Ft. $ — $ LOCALITY d artme . Multi-family Sq.Ft. — NEAREST CROSS ST. Date Applicant Residential Swimming Pools ?, OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' / MAIL COMPENSATION INSURANCE Outlets:Rec Light Sw. — ADDRESS 5 / M (This section need not be completed if the work involved by the First 20. Y�dlT. .permit is for one hundred dollars ($100)or less.) Total IVo. Additional that in the performance of the work for which this permit PLAN CHECK I certify P APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Total No. �. CITY Tel.No. Date Applicant e NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_.D.W. _ APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer — W.M._ ADDRESS provisions or this permit shall be deemed revoked.. Top — FAU W.H: LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Tel. o. I hereby affirm that*I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR �y (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER 7 Class. Professions Code,and my license is in full force and effect. Power A DISTRICT NO. P ESSE BY pparatus& Large Appliances D ` Size& Type HP,KW,KVA, or KVAR U License Numbe / Lic. Class Up to 1 Incl. FINAL DATE / /� Over 1 to 10 Incl. VALIDATION Contractor Date Over 10 to 50 Incl O ❑ BY A/�,/ W Iam exempt under Sec. Over 50 to 100 Inc.Over 100G.' B.&P.C.for this reason N 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 _ I hereby affirm that I am exempt from the Contractor's License Law y r for the following reason(Section 7031.5, Business and Professions Additional Sign Branch-Circuits r Code): _y.t 17 »r t•_ ❑ Misc.Conduits& Conductors i I,as owner of the property,will do the work and the structure EN is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). CONSTRUCTION LENDING AGENCY i•:'e •'.`. 17.25 1 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) ~ '`t£I' oi31' Civ. C.). PLAN CHECKING FEE Lender's Name �i�}";—rz (4` PERMIT ISSUING FEE J � :� Lender's Address — -- _!i T I certify that I have ea this application and state that the above TOTAL FEE information is correc I re to comply with all County ordinances and State 1 reg ati g lec ical wiring, and hereby authorize reppesentg ive of th unty enter upon the above-mentioned pr ery or' s p r os SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee D to WORKERS'COMPENSATION DECLARATION - io/Si CE-806G APPLICATION FOR ELECTRICAL PERMIT •I hereby affirm that I have a certificate of consent to self insure, aos ,. or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec. 3800,Lab. C.) / Policy NO. Company _ FOR APPLICANT TO FILL IN JOB ADDRESS �� 44- Y,.,� / � ❑ Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ❑ Certified. copy is filed with the county building inspection 1 & 2 Family,Sq.Ft. $ _ $ LOCALITY CA department. Multi-family Sq.Ft. NEAREST - CROSS ST Date Applicant Residential Swimming Pools OWNER OR FIRM NAME Q^ Al 11A 416 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light Sw. MAIL A qG r COMPENSATION INSURANCE JJ fj ADDRESS not be completed if the work involved by the First 20 (This section need p Total No. Additional CITY Tel.No. ��a2 ` i� permit is for one-hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance.of the work for which this permit APPLICANT is issued;'I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional y Total No. CITY Tel. No. Date Applicant L' f?�^ Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making ,this Certificat of PERMIT Exemption,you should become subject to the Workers'Compen ion Range_ Heater_ D.W. APPLICANT provisions of the tabor Code, you must forthwith comply with such Oven — Dryer _ W.M. ADDRESS provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER Class. Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSED BY Power Apparatus& Large Appliances Size& Type HP,KW,KVA,or KVAR License Number Lic. Class Up to 1 Incl. FINAL, V Over 1 to 10 Incl DATE — VALID N Contractor Date Over 10 to 50 Incl. 0 FI ❑ I am exempt under Sec. Over 50 to 100 Inc. fy� BAP.C.for this reason Over 100 N Services, Swbd.,MCC& Panelboards ® Z Date: 0- 200 Amp.Under 600.V Signature 201 - 1000 Amp.Under 600 Vr� 2 1.,� A ❑ Over 1000 Amp. or-Over 600 V 7 Exemption for Reg.Maint. Elect. 6U/ � # 0 0 0 0 02 SINGLE FAMILY Temp. Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I herby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits d for the following reason(Section 7031.5, Business and Professions ° o 0 2Jrrj OF„• Code.; 1�f Misc.Conduits& Conductors 1.29.-88 as owner of the property,will do the work and the structure i; not intended or offered for sale (Section 7044, Business Other (See Complete Fee Schedule) Pool and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affism 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.). PLAN CHECKING FEE Lender's Name. PERMIT ISSUING FEE f Lender's Address d certify that 1 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 roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE - a � Com.tA,•- ' 'Signature of Permittee Date ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0505260017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 17190 LT: 6 5314 CLOVERLY AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803105 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BLAKCLEY 8590-005-008 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: -596 GRID: J4 LOCALITY: TEMPLE CITY, C F1 120V, 15/20A BR CKTS 1.00 BR 17.25 TENANT: G1 OUTLETS-LGT,SW,RECP 7.00 OUT 13.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: G2 LIGHTING FIXTURES 2.00 LGT 3.90 05/26/05 JK 11/22/05 TOTAL FEES 62.55 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: FAN-CHIANG KUO;FAN KAO-HAN (626) 285-8124- /u1 /� �\ 5314 CLOVERLY AV TEMP 917803105 DESCRIPTION OF WORK ELECTRICAL FOR TOOL ROOM APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: - TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/ UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508