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HomeMy Public PortalAbout5724 CLOVERLY AVE_Electrical__ D B 9 SA 25M SETS 113-47 � ����®� FOR ��i�' r DEPARTMENT OF BUILDING AND SAFETY ELECTRIC mT COUNTY OF LOS ANGELES WM J FOX CHIEF ENGINEER z NAME �{l DISTRICT NO, GRO 12 ZONE PERMIT NO. U ADDRESS ,1FLEHTWOODaw ) 1 T / 77 3 to REC YED BY READY FOR DATE ISSOED U CITY ` VU. �� FIRST INSPECTION COUNTY CERT NO EXPIRES / APPLICANT FILL IN HEAVILY OUTiJNE PORTION ONLY DESCREMON OF WORK ADDRESS o C- 1 NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW PLUGS F1XT CR06S ST CIRCUrr A B C D I E F IG JH NAME w MAIL 3 ADDRESS 0 CITY TEL NO 1 AM THE LEGAL POSSE R OF THE ABOVE LOS ANGEiLES COUNTY CERTIF'IC OF UALIF(I ANN.* e j�Lfy1 SJ�r ELECTRtC1AN I AM THE LXGJkL OWNER OF THE PROPZRTY DESCRIBED ABOY$ ,{.��p7���g�7�7 OWNER 4V8i.EY CYSWY.L\S to J TOTAI, + Ke I I I I Q _Z C7 O 9 ' NO. OF OUTLETS J s a - APPROVALS NO OF FIXTURCS 10 $ DATE INSPECTOR'S'NAME NO OP MOTORS N P CONDUIT NO OR SIGNS TRA��NS--���� WIRING NO OR BM�B 4R'NEATEIlB� FIXTURES I 6 POWER PERMIT FEE ( �' UTILITYCO NOTIFIED . G7 `-')S 9 SA SA25M SETS 113-47 - I /P CATION FOR P Rr•YsYARTMEN1 OF BUILDING AND SAFETY �i COUNTY OF LOS ANGELES ELECTRIC E§dv sn Q NAME t- L 1�! t ��' DIS'I'R r4o.--d-ROUP ZO E PERMIT NO. U ADDRESS 1228 West lmwnona �ii l� j/ & T7 W CITY BA►L®WIN PARK,7rmLAjg0RN{A RECEI EDB READY FOR PATE ISSUED �f� FIRST INSPECTION COUNTY CERT NO E%PIRE3 APPLICANT FILL IN YHEAVII.Y OUTLINED PORTION ONLY DESCRIPTION OF WORD DDRESS © v - NUMBER OF OUTLETS ON CIRCUITS LOCALITY C I f/. LOCATION BY ROOMS NEAREST LIGHT OUTLETS 18W PLUGS FIXT CR ST P CIRCUIT .4 B C D I E F G JH It NAME Z MAIL ADDRESS O CITY TEL %0 �► 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE A O pQUL1EICATIOYN%.��w✓, c E crRICIA - ELElclwN I AM TH@ LX"Lx LX" OWNER OF THE PROPEJRTY DESCRIBED A13OVS OWNER p COI MONS _ J _ Q _Z [7 O FT TjQTAj- No OR OUTLETS APPROVALS NO OF FIXTURES • DATE INSPECTOR'S MANN, NO OF MOTORS HIM CONDUIT ` NO or Blame TRANS WIRING NO OF RANGES OR HEATERS !1< FIXTURES JISCELLANEOUS POWER PERMIT FEE E / Pu UTILITYCO NOTIFIEDTOTAL FM 0 • • V UlFINAL d [-w-rs-..-z • 76A663 DBS 6A 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER DISTRICT NO GRO ZONE PERMIT NO. FOR APPLICANT TO FILL IN ELECTRICIAN ' -yl//2 — — /, c �-i/ RECEIVED BY READY FOR DATE ISSUED I-ADDRESS �^� ` ^/�,J / v qs �j FIRST INSPECTION CITY TEL NO'1�� / 1r 4JJ�s 7 ` , dJ/ COUNTY LICENSE NO EXPIRES A^,7O :5 .4 ADDRESS / V el �'1 e PERMIT FEES FEE /NUMBER EACH FEE LIGHT OUTLETS NEAREST / _�/ �+ �`1"/ CROSSST A �9 J RECEPTACLES WALL SWITCHES OWNER—,r/A/ (J _ TOTAL OUTLETS Sc $ MAIL ADDRESS ELEC RANGES 25 ELEC HEATERS 25 CITY TEL NO FIXTURES 5 1 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 LOF NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVO HP OVER INc EACH OF THE RESIDENTIAL P OPERTY ES6�T ABO1 E I/j & LESS $ 25 SIGNATURE OF , '/2 2 50 PERMITTEE _ -coo, 2 5 1 00 - INSPECTION RECORD _ s 15 1 so Is 50 250 Z s Z so 200 Soo 200 Soo 1000 J Soo 1000 1500 '� Q Z OVER 1000 20 OO - M G SET/FREQ CHANGER-HP Q' WELDERS AC-KVA .O GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS (75% (IF CRIG MOVED MOTORS (75% OF DRIB) MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INSPECTOR'S NAME WIRING $1 OO Q CONDUIT FIXTURES $1 00 WIRING SUPPLEMENTARY 50 FIXTURES -POWER TOTAL FEE $ / UTILITY CO NOTIFIED / FINAL C�., 2' �-h 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 0508 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE-CITY CA PHONE (818) 285-0488 EXT LEGAL ID: FEES PAID I ADDRESS TR 6561 LT 699 5724 CLOVERLY AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802551 ASSESSOR ORM 0 NUMBER NEAREST CROSS STREET 8587-011-022 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 13 00 OUT 25 35 TENANT G2 LIGHTING FIXTURES 5 00 LGT 9 75 ISSUED ON PROCESSED PLAN BY EXPIRESON HA FAU LESS 3HP 1 00 FAU 10 80 10/21/96 TC /21/97 JB AC UNITS +3-10HP 1 00 AC 19 65 OWNER TEL NO LA 100 AMP PANELS, MCC 1 00 PAN 38 85 FINAL DATE FINA Y CODE CHUNG,-CHIU PING (714) 288-0808- TOTAL FEES 132 15 /1 5724 CLOVERLY AV 6 TEMP 917802551 - DESCRIPTION OF WORK ADDITIONAL PLUMBING AND ELECTR CAL PERMITS FOR ADDITION APPLICANT NO (1 SAME AS OWNER SPECIAL CONDITIONS 0 00 CONTRACTOR TEL NO © O oo ",APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - tq I+ � L I C NO TEMPORARY P LE ��v���/// 0 O UNDERGROUND CONDUIT ARCHITECTOR ENGINEER TEL NO 6)XI H 0 M I On Iln� UFER GROUND LIC NO I L ROUGH CONDUIT tutu ROUGH WIRING o'Ap MAIN WATER LINE C PLASTIC Y/N METAL Y/N UTILITY COMPAgT-WMT-FiED 7-`y c03-1 � REPORT ID DPR265 ROUTE TO BS0508 .WORKERS COMPENSATION DECLARATION 200019 DPW It 91) APPLICATION FOR ELECTRICAL PERMIT 76A663 I hereby affirm that f have a certificate of consent to self insure or a"certefec*te of Worke7s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS !/ Certified copy Is hereby furnishedNew Residential Bldgs &Pools NO EACH FEE LOCALITY Cf ❑ 1 &2 Family Sq Ft — $ $ Certified copy is filed with the county building inspection _ NEAREST department Multifamily Sq Ft CROSS ST Date Applicant Residential Swimming Pools ASSESSOR - pp MAP BOOK - PAGE P RCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec ��Lig'ht Sw FORM NAME f G WNER OR COMPENSATION INSURANCE i First 20 / '� J� (This section need-not be completed If the work Involved by the -L//��J ///rr�.., nool,. permit Is for one hundred dollars($100)or less) Total No �yAdditional ADDRESS I certify that in the performance of the work for which this permit ( CITY :JhA Tel o is issued I shall not employ any person in any manner so as to PLAN CHE K become bject t tTe W kers Corr tion Laws Lighting Fixtures First 20 APPLICANT otal No Additional Date 'I 1 1 Applicant�' 0" ADDRESS NOTICE TO A PLICANT If after making his ertificate f $+ E IAL APPLIAN ES NOT OVFR a UP CITY Tel No Exemption you should become subject to the Workers Compensate OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with suc PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP KW KVA or KVAR ADDRESS 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 Tel No Professions Code,and my license is in full force and effect Over 10 to 50 Incl LICENSEClass Over 50 t0 100 Incl REG NUMBER O IDVBr 100--�'�_ DISTRICT NO PR ED BY License Number Lec Class V Services Swbd MCC&Panelboards d ' cr_ 0399 Amp Under 600 V FINAL O Contractor Date DATE F— ❑ I am exempt under Sec p Under 600 V — VALIDATION W Over 1000 Amp or Over 600 Vf FINAL LA- B&P C for this reason BRANCH CIRCUIT FEES BY f) Date 15A or 20A, 120V Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El Exemption 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 ACCTa9 I hereby affirm that I am exempt from the Contractor s License Law Sign with One Branch Circuit for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 3303 78,00 Code) - ❑ Mesc Conduits&Conductors 1 ITEMS I as owner of the property will do the work and the structure �g,�p is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) ' TOTAL 78 ®4..t'0 and Professions Code) CHECK 78a00 CONSTRUCTION LENDING AGENCY CHAtdCiE oQ� 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) - PLAN CHECKING FEE 0000-0001 6/14/96 Lender s Name PERMIT ISSUING FEE � � 6923 1 AM11.*40 Lender s Address I certify that I 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 representatives of this County to enter u on the above mentioned property for enspecti n purposes /r/ SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE F PERMITTE DATE