HomeMy Public PortalAbout5510 CLOVERLY AVE_Electrical__ 6 6663-CE806 8-62 APPLICATION FOR ELECTRICAL ftRMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER F
DING D C
BUILDING AND SAFETY DIVISION RESS C
JOHN A LAMBIE COUNTY ENGINEER y //
WILLIAM A JENSEN SUPT OF BUILDING ALITY L G� _
Tv
REST
FOR APPLICANT TO FILL IN ss BT b vV
RECEPT TOTAL NO EACH FEE ,1� C r
OUTLETS FIRST 20 $ 20 $ OWNER , / L 4A �J_c
LIGHT MAIL
ADD'L 10 ADDRESS
SWITCH OVER 20
CITY ITY TEL NO
LIGHTING FIRST 201 20
FIXTURES ADD'L 10 ELECTRICIAN S
OVFR 20 /J �(
RANGE CLO DRYERS WTR HTRS 1 OO ADDRESS — (�
G RB DISP STA cooK CITY 7 TEL N06131-0
DISHWASH
O 1 1-
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (%H P MAX ) 50LICENSE NO '
MOTORS OVER NOT OVER H P DISTRICT.NO GR N P E SEDAB/X
0 1 100 1 = ��"`
1 3 1 so INSPECTION RECORD
3 8 200 A l�yl�
8 15 2 5o
15 50 300
50 100 500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V NOT OVER 200A 1 00 5 /
SERVICE O 600V OVER 200 A 200 _ n
SERVICE OVER 600V 500
MISC I "j
r
PERMIT ISSUING FEE 1200 1'
r
SUPPLEMENTARY PERMIT ISSUING FEE 7 00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 6 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND ESTATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR TH AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE 1 L PROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE V.
FINAL l
VALI O (T nH� A THUR C VETT
CK MO `cnsH SUPERVISING ELECTRICAL ENGI EER
LACC, 2 L) 3 9- MiAR G 6 2 D 4.0 J r1
0'en'4'1� '
6A66'�=CE80'6 3-6,2,5 APPLICATION FOR � LECT�IC�►LYP (ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY /
NEAREST
FOR APPLICANT TO FILL IN CROSS
RECEPT TOTAL NO EACH FEE '"
LIGHT !, OUTLETS FIRST 20 " $20 $ MAIL
ADD'L ADDRESS q
SWITCH /`+z '� OVER 20 �,10
LIGHTING TOTAL FIRST20 20 '� CITY / J TEL NO
FIXTURES AOD'L 10 ELECTRICIANl! .Cwv/
I-[OVER 20 �.4, ///
RANGES b CL_O DRYERS WTR HTRS 100 ADDREtSti,./'`V
GARB DISP STA COOK CITY t�.��C-�1 i TEL NO /tel
DISHWASH AUTO WASH /J STATE �'�'`
SPACE HTRS STA APP (+/s H P MAX ) 50 c LICENSE NO ) 7s
MOTORS OVER NOT OVER HP DISTRICT NO GR UP ZONE PR
/O SED BY
0 1 100 ( 2 .
1 3 150 INSPECTION RECORD
3 B 200 >
S 15 s 250 V O_
O
15 50 300 U
50 100 Soo
O
H
SIGNS NO TRANS (J
NO LAMPS
CL
N
SERVICE O 600V NOT OVER 200A 100 Z
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS $ DATE INSPECTO/Rj S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING j {��/�
ELECTRICAL WIRING WIRING 1���IY 'lplu��
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR l�I
LICENSED AS REGU ED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR IT T 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE IA/L PROPERTY
e , POWER
SIGNATURE /� jUTILITY CO NOTIFIED a'-I
OF PERMITTE ((( �/ [
LIDATION ARTHUR C VEIT �f
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L&0 6 7 5 4 Wt�U g 2 p 1 3.0 0 N Q
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0511140010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5510 CLOVERLY AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802547
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY
8588-005-026 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, C
G1 OUTLETS-LGT,SW RECP 1 00 OUT 1 95
TENANT G2 LIGHTING FIXTURES 1 00 LGT 1 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 31 65 11/14/05 JK 05/13/06
OWNER TEL NO FINAL DATE FINAL BY CODE
NG MANDY (626) 616-6684- L/
5510 CLOVERLY AV r `''�
TEMP 917802547 DESCRIPTION OF WORK
ADD 1 OUTLET 1 LIGHT FIXTURE FOR NEW BATHROOM
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 UPER GROUND
LIC NO ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID DPR265 ROUTE TO BS0508