HomeMy Public PortalAbout5419 CLOVERLY AVE_Electrical__ 76A669 CE8061258 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE.COUNTY ENGINEER /J '
CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN
NEAREST
PERMIT FEES
OWNER
ITEM NUMBER1 EACH FEE .�
OUTLET $ g MAIL
LIGHTS RECEPT W 10 ADDRESS
LIGHTING FIXTURES r 10 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS 50 V ADDRESS0-2913 14 ;ellq'elell�z
ELEC SPACE HTRS DISHWASHERS
CITY TEL NO
GARBAGE DISPOSERSI AUTO
/ STATE �? / /_ G�/
WASHERS STA COOKING UNIT 25 LICENSE NO �J (fes' /n
MOTORS OVER INC H P DISTRICT GR P ZO P BY
25
1/2- 2 50 INSPECTION RECORD
2— 5 100
5— 15 150
15— 50 250
50—200 500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V 1 00
SERVICE OVER 600V Soo
MISC
WIRING PERMIT too
FIXTURE PERMIT 1 00 ED
SUPPLEMENTARY PERMIT 50
TOTAL FEE S 0 APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS, APPLICATION 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
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI ROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL 9
OF ATION ARTHUR C VEIT
MO CASH SUPERVISING ELECTRICAL ENGINEER
C
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76A889CEBOB12513 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES Y PERMIT ---
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE,COUNTY ENGINEER J �J
CASBATT D GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPL`ICANT TO FILL IN NEAREST
CROSS ST �
PERMIT FEES'
OWNERo?G k Mix Z B
1 T E M NUMBER EACH FEE
OUTLETS $ g MAIL C1
LIGHTS RECEPT SW 10 ADDRESS 1 r ktk dkQ
LIGHTING FIXTURES 10 CITY oa TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN a7
WATER H EATERS 50 ADDRESS /
ELEC SPACE HTRS DISHWASHERS all
CITY TEL NO .�
GARBAGE DISPOSERS AUTO
STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P FDISTR,,IC O GRO P ZONE P SSED BY
0— 1/2 25
1/2— 2 50 INSPECTION RECORD
2— 5 1 00
5— 15 150
15— 50 250
50-200 500 7 v C f -/��f- f �"
lei�lel
SIGNS NO TRANS /`� /�$ /� yI� fit'-
NO LAMPS —�T / {' d T" 4F.
SERVICE 0 600V 100
t
SERVICE OVER 600V 500
MISC
WIRING PERMIT 1 00
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 50
TOTAL FEE s APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR 5 SIGNATURE
D
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT .i a. --,o 1JWAYJJ'i:lrnlA'HAB
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
IHEREBY 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 OWNER OF THE OVF
DESCRIBED RESIDENTIAL ROPE TY POWER
SIGNATURE -' , l UTILITYCO NOTIFIED
OF PERM ITTE Q k,a v we
FI NAL
®I' VALIDATI��^X SUR ERVISING ELECTRICAL ENGINEER
CK Mo t�s�p
toS295 �' '. y ? A 220
r
� a
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0907230011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5419 CLOVERLY AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803108
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET OLIVE
18568-028-018 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY Cl
IG1 OUTLETS-LGT,SW,RECP 4 00 OUT 7 80 1
ITENANT 1G2 LIGHTING FIXTURES 2 00 LGT 3 90 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
_ TOTAL FEES 39 45 107/23/09 SR 07/23/10
1OWNER TEL NO IFU4AL DATA FINAL-BY CODE
HUI, SALLY - ��r�l „L,Da(T11►1)
15419 CLOVERLY AVE
ITEMPLE CITY CA 91780 I�RIPTION OF WORK _
I4 OUTLETS AND 2 LIGHT FIXTURES I
1APPLICANT -- — TEL NO
ILAI (626) 288-2651- s
18748 VALLEY BLVD #K 1 _ (SPECIAL CONDITIONS_
ROSEMEAD CA 91770
I I I I
I I I I
ICONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE
(DAVID GENERAL BUILDING CONSTRUCTION (626) 926-2728- I 1 I
1420 S ELECTRIC AVE LIC NO ITEMPORARY POWER POLE II
ALHAMBRA, CA 91803 768772B I II
I I (UNDERGROUND CONDUIT I I
I I I I I I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I 1
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I LIC NO 1 (ROUGH CONDUIT I 1 1
1 I _ IROUGH WIRING 11 I
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