HomeMy Public PortalAbout5809 CLOVERLY AVE_Electrical__ 76A663-CE80611-71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING pO ���r
BUILDING AND SAFETY DIVISION ADDRES Q C�
LOCALITY
c
C
NEAREST
FOR APPLICANT TO FILL IN CROSS ST rJ Q
OUTLETS NO EACH I FEE
OWNER
RECEPT_ s Is MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
I CITY TEL NO
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA COOKu DIS P F A U
SPACE HTR AIR COND Cl TEL NO �
CLOTHES WASH DISHWASH LICENSE NO �� CLASS
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUN Y AND STATE OF
CALIFORNIA OR THAT I LEGAL OWNE AND I TEND TO O
1 — 10 300 RESIDE IN THE OVE DE _ D R ID TIAL ROPERTY V
SIGNATURE
10 - 50 500 OF PERMITTEE O
50 — 100 1000 �j
DISTRICTNO_JXI.ASS ZONE PR CE 3 l!J
100 — 500 15001 5
Z
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600VOLTS OR200AMP 1000
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDI UT
WIRING
}
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE y
FINAL / L
PERMIT ISSUING FEE 300 flQ
TOTAL FEE co
PLAN CHECK VALIDATION CK M 0 CASH PERMIT V7rL cK M Q CASH
02
t.r1Lo 1 N SEP 2 3 2 D (5.0 0-
SEE
NSEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0804300025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
r
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 6561 LT 708 UN 002 1 5809 CLOVERLY AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802130
(ASSESSOR INFORMATION NUMBER I - NEAREST CROSS STREET 1
18587-009-002 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY Cl
1E2 TEMP DIST SYSTEM 1 00 TMP 21 60
ITENANT IG1 OUTLETS-LGT,SW,RECP 42 00 OUT 68 70 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
IG2 LIGHTING FIXTURES 12 00 LGT 23 40 104/30/08 SR 10/27/08 1
IHA FAU LESS 3HP 1 00 FAU 10 95 I
(OWNER TEL NO 1H1 RES ELEC OVEN LT 3HP 1 00 OVE 10 95 (FINAL DATE FINAL BY CODE 1
IATAMANUCK JANET (626) 286-8709- IH2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 I
15813 CLOVERLY AV IH4 RES RANGE HDS LT 3HP 1 00 HOO 10 95 - 1
ITEMP 917802130 IH7 RES EXHAUST FANS 2 00 EX 21 90 IDESCRIPTION OF WORK 1
IJA HEAT PUMPS +3-10HP 1 00 HT 19 65 1ELECTRICAL FOR FIRE DAMAGE, UPGRADE SERVICE PANEL TO 100 AMPI
ILA 100 AMP PANELS, MCC 1_00 PAN 4 3885 AND FOR HVAC_ SYSTEM
S
(APPLICANT TEL NO I TOTAL FEE265 65 1 1
IBROSTEEM BUILDERS INC (626) 963-4084- I I 1
1310 N ALAMEDA AVE I ISPECIAL CONDITIONS 1
1AZUSA, CA 91702
I 1
I 1
(CONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISERVICEMASTER BY T A RUSSELL (626) 963-4048- 1
1310 N ALAMEDA AVE LIC NO ITEMPORARY POWER POLE
1AZUSA, CA 91702 779289 B 1 I 1 1
I 1UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER TEL NO I 1UFER GROUND 1 1 1
LIC NO IROUGH CONDUIT 1 1
IROUGH WIRING 1
MAIN WATER LINE '
1 IPLASTIC YIN METAL YIN 1
1 (UTILITY COMPANY NOTIFIED(
1 I I II I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I1 I I I I
I I I I I I
(REPORT ID DPR265 ROUTE TO BS0508 1 I I 1
1 1 I I I I