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Home My Public Portal About5931 CLOVERLY AVE_Electrical__ i 76AGOS CEaoe 10 59 APPLICATION FOR ELECTRIC PERMIT 1 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 FOR APPLICANT TO FILL IN NEAREST PERMT FEES CROSS ST vv OWNERd— I T E M NUMBERI EACH FEE MAIL J/A OUTLETS yj $ $ ADDRESS -]' Z Z �Y W vv: p LIGHTS RECEPT / SW _ 10 r� D LIGHTING FIXTURES 1O CITY N W Ia TEL NO ELEC RANGES CLO DRYERS ELECTRICIAN 1-- I N WATER HEATERS 50 ADDRESS Z O , I-RWu,,eM ELEC SPACE HTRS DISHWASHERS CITY .mss TEL NO GARBAGE DISPOSERS AUTO- STATE WASHERS STA COOKING UNITS 1 25 LICENSE NO 10 9 Morons OVER INC H P DISTRICT NO GR UP ONE P ESSED B/Y 0— 1/2 25 A I 1/2- 2 50 +' INSPECTION RECORD 2— 5 100 5— 15 ISO 15— 50 250 50-200 Boo SIGNS NO TRANS ' NO LAMPS SERVICE 0-600V too SERVICE OVER 600V Boo MISC WIRING PERMIT 100 -- FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE IH ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING WIRING a I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP POWER SIGNATUREUTILITY CO NOTIFIED OF PERMITTE FINAL VV ®o ATION ARTHUR C SUPERVISING EEL CTRICAL ENGINEER 7-- MO CASH Lim 3 4 6 -AR 2 5 2 A 2.2 0 76Ate3.C6eG0 8.39 A P P L I C TION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER 6 t CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN cEARE sT e-/ PERMT FEES 1 T E M NUMBER I EACH FEE OWNER �� //JJ (n' MAIL LLIGHTS RECEtfI'2� SW5 " $ 10 $ ADDRESS LIGHTING FIXTURES 0 to U CITY TEL NO ELEC�RAl' RANGES CLO DRYERS ELECTRICIAN O� / (r 41 T E R HEATERS 50 ADDRESS C —c ELEC SPACE HTRS DISHWASHERS CITY TEL O L GARBAGE DISPOSERSAUTO- STATE WASHERS STA CQOKING UNITS 25 LICENSE NO MOTORS OVER INC HP DISTRICT NO I GRO P NE P CESSED S O— ,I/2 25 1 I�2= 2 so INSP CTION RECORD 2— 5 too 5— is 150 is— 50 250 50—200 500 SIGNS NO TRANS NO LAMPS SERVICE 0-600N 100 If lA�Al YV4'7- ° SERVICE OVER 800V Soo MISC WIRING PERMIT 100 "� 1 FIXTURE PERMIT 100 / P F V"1 IIi r,D� SUPPLEMENTARY PERMIT 50 � �✓R(� / � TOTAL FEE $' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PLICATION q APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY nn gg gg WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING WIRING 2/4''6 1 HEREBY 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 OW ER OF THE ABOVE / DESCRIBED RESIDENTIAL PRO POWER SIGNATURE- �� UTILITY CO NOTIFIED OF PERMITTE 5y FINAL � P .Y OF X4MATION ARTHUR C VEIT, SUPERVISING ELECTRICAL ENGINEER (�K MO CASH LLCo 5 0 5 4 ML 15 7 3 .2-', 0 76A663-CE60610-59 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBiE, COUNTY ENGINEER WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. OWNER ITEM NUMBER EACH FEE MAIL OUTLETS: $ $ ADDRESS ' LIGHTS RECEPT.� SW. .10 LIGHTING FIXTURES 10 CITY TEL.NO. f ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER H EATERS .5O ADDRESS eJ ELEC.SPACE HTRS. DISHWASHERS - CITY TEL. NO. i_% 1/ GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO. I GRQUP ZONE PROCESSED BY O- 1/2 .25 /4- 1/2- 1/2- 2 .50 INSPECTION RECORD i 2- 5 1.00 5- 15 1.50 A 15- 50 2.50 50-200 5.00 NO.TRANS. SIGNS: NO.LAMPS SERVICE 0-600V 1.00 T SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 f FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE LDATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY L COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT AL WIRING.BY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORWIRING AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES IA OR THAT I AM THE LEGAL OWNER OF THE ABOVE D RESIDENTIAL PROPERTY• /j / POWER RE X ( r� L _F, . `` UTILITY CO.NOTIFIED RMITTEE FINAL ®F vAtIDATION ARTHUR C.VEIT, (CK;- MO CASH SUPERVISING ELECTRICAL ENGINEER COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9808260041 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285-0488 EXT --LEGAL ID FEES PAID BUILDING ADDRESS TR 6561 LT 316 5931 CLOVERLY AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802047 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8587-008-011 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY 01 OTHER INSPECTIONS 1 00 HOU 109 35 TENANT TOTAL FEES 137 10 ISSUED ON PROCESSED BY PLAN BY EXPIRES 08/26/98 UT 08/26/ OWNER TEL NO FINAL DATE FINAL BY E CHUNG JEY S,YU MI,CHUNG JEY D (818) 446-7079- 444 LOS ALTOS AV ~ ARCD 910078332 DESCRIPTION WORK INSPECTION OF SWIMMING POOL PER HEA H DEPT-SENATE BILL 873 APPLICANT TEL NO SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR TEL NO �� 169� \ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC NO �� \� TEMPORARY POWER POLE yt� UNDERGROUND CONDUIT ARCHITECT ENGINEER TEL NO � �� FER GROUND LIC N0�'( ROUGH CONDUIT II ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N -"----- n - -- UTILITY NOTIFIED l I - REPORT ID DPR265 ROUTE TO BS0508 WORKER S COMPENSATION DECLARATION 200019 DPW(12 91) 1 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self Insure 76A663 or a certificate of Worker s 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 ADDRESSs 3 /CV✓ /�(e, 'Certified copy Is hereby furnished t New Residential Bldgs &Pools NO EACH FEE$ LOCALITY 1 &2 Family Sq Ft _ $ Certified copy Is filed with the county building Inspection NEAREST department Multifamily Sq Ft CROSS ST �� Y`V�l� f Date c Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec LI OWNER OR ht Sw COMPENSATION INSURANCE g / / C FIPM NAME a, First 20 MAIL (This section need not be completed If the work Involved by the 6 Total No Additional ADDRESS permit is for one hundred dollars($100)or less) I certify that in the performance of the work for which this permit CITY Tel No is issued, I shall not employ any person any manner so as to PLAN CHECK /A become subject to the Workers Compe t n L Lighting Fixtures First 20 APPLICANT �i61 vt 1�/t^ ti2� Total No Additional 7-- / 70 ADDRESS 3 -o'e/iu 7--S)7— n Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If after making this Certificate of CITYI*d",u � Tel Novi rf2P2& Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP PERMIT provisions of the Labor Code, you must forthwith comply with such APPLICANT Power Apparatus&Large Appliances provisions or this permit shall be deemed revoked V LICENSED CONTRACTORS DECLARATION Size&Type HP,KW KVA or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Over 3 to 10 Incl CITY Tel No Professions Code and my license is in full force and effect Over 10 to 50 Incl LICENSE Class } Over 50 t0 100 Incl REG NUMBER��J �Q f1 1/J Over 100 DISTRICT NO PROC SED BY License Number''��r Llc Class� O C.)Services Swbd,MCC&Panelboards �a X Contracto Data, 0 399 Amp Under 600 V FINIAL DATE 0 ❑` 400 1000 Amp Under 600 V1(-2 �� VALIDATION V lam exempt under Sec LU Over 1000 Amp or Over 600 V FINAL B&P C for this reason ICL BRANCH CIRCUIT FEES BY �� / (n Date 15A or 20A 120V Lighting or Recept 'rJy r Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits c' Exemption for Reg Maint Elect 15A 20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION vr a I hereby affirm that I am exempt from the Contractors License Law Sign with One Branch Circuit �� °s for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits 3307 _ ':vo 15 Code) r El ct d &C t d Conuis Conductors ITEMS GI TTCMS I as owner of the property will do the work and the structure Misc TOTAL Is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) ® I I I f AL �'4 ® 15 and Professions Code) 1418.s� CONSTRUCTION LENDING AGENCY C HELI'.u I hereby affirm that there is a construction lending agency for the CHANGE .130 performance of the work for which this permit is issued (Sec 3097 PERMIT FEE (Sub Tota} Civ C) PLAN CHECKING FEE 0000-0301 11/1/?2 Lender s Name PERMIT ISSUING FEE IS 1 AN Oo 37 Lenders 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 represen�Or/es of this Co ter upon the above mentioned property for in ecti}�pur SEE REVERSE FOR EXPLANATORY LANGUAGE aiq SIGNATURE OF PERMITTEE DATE r