HomeMy Public PortalAbout5802 CLOVERLY AVE_Electrical__ 76A663 DBS SA 11-60 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
CTRIC
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE 2PERMIT NO
ELECTRICIAN>( W C� - ✓�
�d i RECEIVED BY READY FOR DATE ISSUED
ADDRESS 143 `7 — - t9 r , FIRST INSPECTION
CITY S TEL NO r'� /L/1/ !�
COUNTY LICENSE NO EXPIRES BUILD ING
ADDRESS e,
PERMIT FEES
FEE yt,
NUMBER EACH LOCALITY !/
LIGHT OUTLETS NEAREST / p V
CROSS 74 P74.9 Y WokA
ST !� HAy
RECEPTACLES
WALL SWITCHES OWNER,
TOTAL OUTLETS 5c $ MAILG-i
ELEC' RANGES 25 ADDRESS (y
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 I CCRTIFY THAT I POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NUMBER HORS iPOW ER FEE
EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
NEW MVD HP OVER INC f
1/i&LESS $ 25 SIGNATURE OF
1/2 2 50
PERMITTER
2 s 1 00 INSPECTION RECORD
5 15 1 50
15 50 2 50
50 200 5,00--
200
00200 500 1 o oo ,J
Soo 1000 1s 00 Z
OVER 1000 20 00 (�
M G SET/FREQ CHANGER-HP
WELDERS AC-KVA '
GENERATORS-KW
TRANSFORMERS-KVA
TEMP MOTORS (75%OF ORIG )
MOVED MOTORS (75%OF ORIG )
MISC
SIGNS
NO NO TRANS APPROVALS
NO NO LAMPS ,
DATE INSPECTOR'S NAME
FOR EACH PERMIT
CONDUIT
WIRING $1 00
FIXTURES $1 00 WIRING �G
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO NOTIFIED / /
® FINAL '�'�' 7/6' 2.
J
76A663C- CF-806B I2/76 APPLICATION FOR ELECTRICAL PERMIT �
f A BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN ,JOB �O �B
New Residential Bldgs & Pools EACH NO FEE ADDRES -5-6-02 �! /N
1 &2 Finaily Sq Ft
$ — $ LOCALITY
Multi family Sq Ft — NEAREST
CROSS ST
Residential Swimming Pools
OWNER OR
FIRM NAME%J,
Outlets Light Switch& Receptacle MAIL p
ADDRESS C7 C
First 20' p ,)
Additional CITY m L�Y� Tel N O
PLAN CHECK
Lighting Fixtures 1 APPLICANT
First 20 ADDRESS
Additional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range Heater_ D W
Oven Dryer J— W M ADDRESS
Top FAU W H CITY Tel No
Hood Fan LICENSE OR a
REG NUMBER Class
Disp AC C=)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING F-
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING lU
a-
UptO 1 Incl I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR N
Z
Over to 10 InCI LICENSED AS REQUIRED By LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM HE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl DESCRIBED RES NTIAL PR ERTT
Over 50 to 100 Incl PER MITEE
Over 100 SIGNATU
DISTRICf5VO P ESSED BY
Services (� Q n
0 200 Amp Under 600 V
201 1000 Amp Under 600 V APPROVALS E INSPECTOR'S
SIGNATURE
,Over 1000 Amp or Over 600 V
TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
ROUGH CONDUIT
Additional Sign Branch Circuits
(Other) WIRING
FIXTURES '
]POWER AUTHORIZED
PERMIT FEE (Sub Total) UTILITY CO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
ITOTALFEE NOTES��
P
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
f 6 `���PR 12 2 ® 1 0.5 0 a
y `1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0801070016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID BUILDING ADDRESS
FEES PAID
ITR 6561 LT 695 I IJY0!99511 WORKMAN AV —5�oa �d✓C✓�y �/v
I IFEE DESCRIPTION QUANTITY UOM AMOUNT 1a U fe,%TEMP CA 917802115
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET CLOVERLY
18587-012-029 IA1 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT SW RECP 1 00 OUT 1 95 1 1
TENANT JHA FAU LESS 3HP 1 00 FAU 10 95 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON
1JB AC UNITS +3-10HP 1 00 AC 19 65 101/07/08 SR 07/05/08
TOTAL FEES 60 30 1_ I
OWNER TEL NO (FINAL DATE FINAL BY CODE
ICHANG, WAN 626398775 -
11470 SIERRA MADRE I_
(PASADENA, CA 91107 I IDE9CRITION OF WORK
I
I I (INSTALLING ELECTRIC CIRCUIT FOR THE A/C UNIT AND FURNACE
I
(APPLICANT TEL NO 1 1 I
(AIR TRO (626) 357-5311- 1
11630 S MYRLTE ISPECIAL CONDITIONS
(MONROVIA, CA 91016 I
(CONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE I
(AIR TRO INC (626) 357-5311- I 1 I
11630 S MYRTLE LIC NO 1 (TEMPORARY POWER POLE I I I
(MONROVIA, CA 91016 258228 C10 *1 I I I I
I I (UNDERGROUND CONDUIT
I I I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I
I I I
I LIC NO 1 IROUGH CONDUIT
I I I
I I (ROUGH WIRING I I
II /7V I
I I (MAIN WATER LINE
I I IPLASTIC YIN METAL YIN I
I I (UTILITY COMPANY NOTIFIED(
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(REPORT ID DPR265 ROUTE TO BSO508 I I I I
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COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0801110003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID I FEES PAID BUILDING ADDRESS
I
ITR 6561 LT 695 1 _ 1 5802 CLOVERLY AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802115 1
1ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET -+-
18587-012-029 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 57 00 OUT 88 95 I 1
(TENANT IG2 LIGHTING FIXTURES „ 28 00 LGT 49 80 11SSUED ON PROCESSED BY PLAN BY EXPIRES ON I
1 IH2 RES GRBG DISP LT 3HP 1 00 DIS _ 10 95 101/11/08 SR 07/09/08 I
I IH3 RES DISHWASHR LT 3HP' 1 00 DIS 10 95 1 1
1OWNER TEL NO IH7 RES EXHAUST FANS 2 00 EX 21 90 (FINAL DATE FIY CODE 1 ,
ICHANG, FREDERICK (626) 304-0109- ILB 200 AMP PANELS MCC 1 00 PAN 38 85 I I
11470 SIERRA MADRE 1 TOTAL FEES 249 15 1 `0 1 1
1PASADENA, CA 91107 1 IDEtCRIPTION OF WORK 1
I I IREWIRE-WIRE FOR HOUSE AND UPGRADE METER TO 200 AMP I
I I I I
(APPLICANT TEL NO I 1 1
1CHO (626) 571-5870- I I
13857 RIO HONDO AVE I ISPECIAL CONDITIONS 1
IROSEMEAD, CA 91770 1 I 1
I I I I
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(CONTRACTOR TEL NO I ., 1APPROVALS DATE INSPECTOR SIGNATURE 1
(KONG FU CHO (626) 571-5870- I I I
13857 RIO HONDO AVENUE LIC NO 1 (TEMPORARY POWER POLE I I I
� IROSEMEAD, CA 91770 699788 C10 1 I I I I
I (UNDERGROUND CONDUIT
1ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND I I I
I - 1 1-1 1
I LIC NO IROUGH CONDUIT I I I
I I I<< I I
I (ROUGH WIRING I 1
1 I (MAIN WATER LINE I I 1
1 I (PLASTIC Y/N TAL /N I I I
I I I I I I
1 1 (UTILITY COM Y NOTIFIEDAri
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