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Home My Public Portal About5945 CLOVERLY AVE_Electrical__ r 1 'z5zz' 76A689 CEBOB 10 89 1 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING Z BUILDING AND SAFETY DIVISION ADDRESS Z JOHN A LAMBIE. COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST r^ PERMIT FEES CROSS ST OWNER I T E M NUMBER EACH FEE MAIL OUTLETS $ $ ADDRESS }L t.0 t,,Xf, LIGHTS RECEPT f W C 10 LIGHTING FIXTURES 10 CITY J'aMry-� TEL NO ELEC RANGES CLO DRYERS ELECTRICIAN WATER HEATERS 50 ADDRESS ELEC SPACE HTRS DISHWASHERS CITY a_"`a//^2O�` TEL NO / b 1- 'F a GARBAGE DISPOSERS AUTO STATE WASHERS STA COOKING UNITS 25 LICENSE NO 7 vim. MOTORS OVER INC H P "IST,RIICTNO GROUP ZONE QCESSED BY 0— 1/2 25 /`- 1/2— 2 50 INSP CTION CORD 2— 5 1 100 5— 15 150 y is— 50 250 q 50-200 500 7Q SIGNS NO TRANS —� yk9 p NO LAMPS � &A . ^ /9-/- SERVICE 0-600V 100 SERVICE OVER 800V 500 /�� /�1��r /s•�r�. MISC i 7^1 /Cl9I - /Nor- ? ecA4Y WIRING PERMIT too f �� i ®� � • ��"0`^ FIXTURE PERMIT 100 } ��.f� �/ �iL� SUPPLEMENTARY PERMIT 50 TOTAL FEE $�' I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION I APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT �i ,X ELECTRICAL WIRING U fw I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBEDRESIDENTIAL P OPE POWER SIGNATURE l TILITYCO NOTIFIED OFPERMITTEpr FINA VY)�1V1/ ®r VALIDA N ARTHUR C VEIT, CK Mo CASH SUPERVISING ELECTRICAL ENGINEER o 3 4 7-0 ,'OR25 2 A 2.20 I ell TEMPLE CITU 76A663 CE6061069 APPLICATION FOR ELECTRIC PERMIT ■ COUNTY OF LOS ANGELES r �1 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 NEARESTa /yQ—' PERMT FEES CROSS ST «/�- ITEM NUMBER OWNER .!EACH FEE MAIL OUTLETS y S' ADDRESS LIGHTS/ ) RECEPT / 9W L.- 10 LIGHTING FIXTURES /1 t0 0 CITY TEL NO ELEC RAVES/,7 CLO ['DYERS ELECTRICIAN W AA T E R HEAT/ERS / 50 ADDRESS Il i c' 7 'pT ELEC SPCE HTRS DISHWASHERS CITY _ .I'� TEL NO GARBAGE DISPOSERS /7 AUTO STATE J WASHERS STA COOKING UNITS 25 LICENSE NO ��/GaP� 91 MOTORS OVER INC H P ^ DISDICT NQ I GROl p ZONE I PROCESSED BY O— 1/2 25 ✓r 1/2— 2 7 50 <A INSPECTION RECORD 2— s 100 -r LS'O Illo^ 77gs cAj 5— 15 150 AA7 IS— 50 250 ,v/ SO—200 500 NO TRANS f SIGNS NO LAMPS � SERVICE D-600V 100 r7)A-I 4 v'illr A49W SERVICE OVER 600V 500 MISC _ '09,11 e V�C!V WIRING PERMIT 100 .r /L- 70 Z)(J— /it//L. �1 FIXTURE PERMIT too /7 1✓ Flr7' 9a q-1-7-.1a A,-M SUPPLEMENTARY PERMIT 50 TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY p WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT �' .- �` I ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY ,REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL O POWER SIGNATURE t ' UTILITY CO NOTIFIED OF PERMITTE FINA � � D ,rel ®FATION ARTHUR C VEIT, cK MO CASH SUPERVISING ELECTRICAL ENGINEE . LA&4082 - JUL 26 2U 7420 � ;6 11714. -:v61 WORKER S COMPENSATION DECLARATION 20 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT 76A663 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 3600 Lab C) Policy No Company FOR APPLICANT TO FILL IN JOBdel�p p ADDRESS Certified co is hereby furnished NO EACH FEE PY Y New Residential Bldgs &Pools LOCALITY El $ $ Certified copy Is filed with the county building Inspection 1 &2 Family Sq Ft NEAREST department Multifamily Sq Ft CROSS ST Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERSOWNER OR COMPENSATION INSURANCE Outlets Rec _Light S. 1,7o FIRM NAME First MA (This section need not be completed If the work Involved by the ADDRESS permit Is for one hundred dollars($100)or less) Total No Additional I certify that In the performance of the work for which this permit CITY Tel No is issued I shall not employ'any person In any mann so as to PLAN CHECK become subject to the Workers' Compen Ion L Lighting Fixtures First 20 APPLICANT l /-f Total No l Additional ADDRESS Date- / 1 ` '^` Applicant NOTICE TO APPLICANT If after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP CITY Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT �cb�e*rp ' LICENSED CONTRACTORS DECLARATION Size&Type HP KW,KVA or KVAR ADDRESS 0 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 rO6� A Tel No �`.Z�.TQ Professions Code and my license Is In full force and effect Over 10 to 50 Incl >_cl Over 50 t0 100 InLICENSE OR tt�� Class /' REG NUMBER1pt / O O Over 100 DISTRICT NO PROC SED BY U License Number �S LIc Class v C Services,Swbd MCC&PanelboardsM Contractor ate �/ Z�/2 0 399 Amp Under 600 V FINAL DATE O El I am exempt under Sec 400 1000'Amp Under 600 V / Z W Over 1000 Amp or Over 600 V FINAL ` VALIDATION d B&P C for this reason BRANCH CIRCUIT FEES BY Cl) Date 15A or 20A 120V Lighting or Recept 1 To 10 Branch Clrcuds Signature 11 To 40 Branch Circuits El 41 Or More Branch Circuits Exemption for Reg Mamt Elect 15A 20A 208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION �I_�os I hereby affirm that I am exempt from the Contractors License Law Sign with One Branch Circuit for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 28.��15Code) 3307T M ❑ I as owner of the property will do the work and the structure Mlsc Conduits&Conductors 1 T E `S Is not Intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) ® TOTAL '28® 15 and Professions Code) nc HE CK 15 CONSTRUCTION LENDING AGENCY Lutd��'�` t� 1 hereby affirm that there js a construction lending agency for the t_I AN(SE performance of the work for which this permit Is Issued (Sec 3097 PERMIT FEE (Sub-Total) Civ C) Lender s Name PLAN CHECKING FEE I� jell i 7 yi,=''S y PERMIT ISSUING FEE 644l }-t Le Lender s Address I certify that I have read this application and under penalty of perjury 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 upon the above mentioned property - �IG�NATUREOF�PERMIITTEE�� SEE REVERSE FOR EXPLANATORY LANGUAGE //-/2 92 DATE f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL-PERMIT— DEPAR'FMENT OF PUBLIC WORKS f 9071 LAS TUNAS EL-0508_9809030034 '` S BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 6561 LT 315 55945-CLOVER L-Y-AV— '- FEE DESCRIPTION QUANTITY UOM AMOUNTII TEMP CA_917802048- ASSESSOR INFORMATION R 1 NEAREST CROSS STREET LAS TUNAS 8587-008-010 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY 01 OTHER INSPECTIONS 1 00 HOU 109 35 i TENANT TOTAL FEES 137 10 ISSUED PROCESSED BY PLAN BY EXPIRES ON 09/03/98 UT 09/03/99 OWNER TEL NO FINAL DATE FINAL B CODE CHUNG JEY SAI,YU MI,JEY DEA,YEA FAN (818) 446-7079- 444 LOS ALTOS AV ARCD 910078332DESC 0 RK---- �—-- --` ; SWIMMING-POOLSP -INECTION`PER ALTH-DEPT SENATE`BILL 873 APPi LICANT TEL NO SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR TEL NO "� ®� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC NO � � TEMPORARY POWER POLE ® �lx UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL U ERIGROUND LIC NO ROUGH CONDUIT 111111 ROUG I RUG P I114J11 H�L�C p Ja�.1/ KS MAIN WATER LINE � PLA`T I C Y/N METAL Y/N UTI UI TY COMPANY NOTIFIED � Q 1 a 0 O o oiC nervi c" f i REPORT ID DPR265 ROUTE TO BS0508