Loading...
HomeMy Public PortalAbout6023 CLOVERLY AVE_Electrical__ 76A863 CE80612 Be APPLICATION FOR (ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES InEwu DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS L JOHN A LAMBIE.COUNTY ENGINEER CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY ;TE-e22 go FOR APPLICANT TO FILL IN NEAREST CROSS ST PERMT FEES OWNER , ITEM NUMBER EACH FEE OUTLETS $ s MAIL LIGHTS RECEPT SW 10 ADDRESS 0 LIGHTING FIXTURES 10 CITY Ci� TEL NO ELEC RANGES CLO DRYERS ^/ ELECTRICIAN W A T E R HEATERS / 50 ..J'lJ ADDRESS (Q ELEC SPACE HTRS DISHWASHERS CITY TEL NO _"JL GARBAGE DISPOSERS AUTO STATE / �/ WASHERS STA COOKING UNITS 25 LICENSE N04 lV / / MOTORS OVER INC HP DISTRICTGROUP ZQNE PROCESE BY S 0— 1/2 25 vl�_ .L- �J 1/2— 2 5o INSPECTION RECORD 2— 5 too 5— 15 150 15— 50 2 50 /py eotn D `L ,y�,pom/s 50—200 500 Q �Ir3 SIGNS NO TRANS Acme , rt-l- X7,�c��LY NO LAMPS �e (� SERVICE 0-600V 1 00 SERVICE OVER 600V 500 ' WIZ MISC U-HJ IA44 / /fJ0/QCl�/f ,n_ f lV O X dl�lC WIRINGPERMIT 1 00 L,01) ) ��P�l'• ��g '� Ttf FIXTURE PERMIT 1 00 T//7�..�i R SUPPLEMENTARY PERMIT 50 /T!U Pl?- — (!9.4,6,p TOTAL FEE S a i0 APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _CONDUIT G'.. IOIFfA� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING n ELECTRICAL WIRING I WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESI E R RTY POWER �g 1 SIGNATURE UTILITY CO NOTIFIED Q_ 1g AlAA. 1V OF PERMITT i --ff rrvw - FINAL ®' VALI O ARTHUR C VETT CK MO r A SUPERVISING ELECTRICAL ENGINEER ASH 1 �. Lriuo13,2 5 SEP 28 2 A 2.5 0 4 / - v'• •V — — - WORKERS COMPENSATION DECLARATION 76A663 erw3ie� APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to self "�EAg pG insure, or a certificate of Workers' Compensation Insurance COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800 Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB i 1:1 Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft Q92-i $ _ $ LOCALITY I tion department Multi-family Sq Ft NEAREST CROSS S Residential Swimming Pools OWNER OR Date Applicant FIRM NAME_ ' CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light Sw_ MAIL COMPENSATION INSURANCEADDRESS (This section need not be completed if the work inFirst 20 volved by Total No Additional } CITY Tel No the permit is for one hundred dollars ($100)or less ) PLAN CHECK I certify that in he performance of the work for which this ' APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers Compensation Laws Total No Additional CITY Tel No Date L-/ 2t Applicant g � NOTICE TO APPLICANT If, after making thi Certificate of Fixed Appliances Not Over 1 HP PERMIT APPLICATION Exemption you should become subject to the Workers Range— Heater—D W fG �i Compensation provisions of The Labor Code, you must forth- Oven — Dryer —W M — ADDRESS az ��Sw with comply with such provisions or this permit shall be Top — FAU —W H — deemeddrevokedHood — Fan —Other_ CITY v, Tel No?j LICENSED CONTRACTORS DECLARATION LICENSE OR Disp — Room Air Cond — Clas's I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER l �� _ld (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO Pk SE d and Professions Code,and my license is in full force and effect Size &Type HP, KW KVA, or KVAR 11_)A U License Number 'I I Lic Class w Up to 1 Incl FINAL U i UC 1 S Over 1 to 10 Incl DATEI ni VALIDATION 0 ContractoDate r Over 10 to 50 Incl ❑ FINAL 0 I am exempt under Sec Over 50 to 100 Inc BY U LU B&P C for this reason Over 100 Il d , ) Services, SwbMCC& Panelboards , - t Z 0- 200 Amp Under 600 V Signature &go 201 - 1000 Amp Under 600 V 'Q O,.er 1000 Amp or Over 600 V Exemption for Reg Maint Eject SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION �/� I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit AUT°s4 Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code) 3307 131.3* ❑ I, as owner of the property, will do the work and the Misc Conduits&Conductors 1 ITEM ' structure is not intended or offered for sale(Section 7044 Other (See Complete Fee Schedule)_ , TOTAL 131 34 Business and Professions Code) CONSTRUCTION LENDING AGENCY r�Cii 131.34 I hereby affirm that there is a construction lending agency for CE °V_ the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE _ Lender s Name GWO-0001 12/14/89 PERMIT ISSUING FEE O 7530 1 AM11:11 Lender's Address ' I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring, and her by authorize representatives of this County to enter upon th bove-mentioned pr perty for inspection purposes�y SEE REVERSE FOR EXPLANATORY LANGUAGE r Os Signof Peri; a Date / atu a Orm fh COMPENSATION DECLARATION 200019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT f hereby gffirm that I have a certificate of consent to self ,��� insure or n certificate of Workers Compensatipn Insurance, COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS ' ora cectd-0_5d,copy thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB ❑Certified co s hereby furnished `{ 'EACH',,' NO FEES: ADDRESS o Uf copy Y New Residential Bldgs & Pools 4 ' LOCALITY ❑Certified copy is filed with the county building inspec- 1 &2-Family, Sq Ft $ _ $ NEAREST tion department Multi-family Sq Ft CROSS ST Date Applicant Residential Swimming Pools OWNER OR FIRM NAME �C p CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light Sw_ MAIL COMPENSATION INSURANCE ADDRESS �d (This section need not be completed If the work Involved by First 20Total No Additional CITY C+d `Tel No '� the permit Is for one hundred dollars ($100)or less ) PLAN C CK I certify that in .he performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers Compensation Laws Additional Total No CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D W — Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked Hood — Fan —Other— CITY Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR Disp _ Room Air Cond Class- (commencing affirm that I am licensed under provisions of Chapter 9 REG NUMBER �; (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO P SSED BY d and Professions Code,and my license is in full force and effect Size &Type HP, KW, KVA, or KVAR O License Number Lic Class Up to 1 Incl FINAL 1 V Over 1 to 10 Incl DATEA6i (�/ VALIDATION I= Contractor DateOver 10 to 50 Incl O FINAL ❑ U I am exempt under Sec Over 50 to 100 Inc BY W B&P C for this reason Over 100 d Services Swbd MCC& Panelboards , Z Date Z 0- 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Maint Eject Oyer 1000 Amp or Over 600 V _ SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION y Ta I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit �(t I .s Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits -707 215.50,j6 ���� Professions Code) Misc Conduits&Conductors ❑ j, as owner of the property, will do the work and the structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ , TOTAL 25 -50 Business and Professions Code) r ,tic 5; CONSTRUCTION LENDING AGENCY 4rHEG�� a. ?.�Ll I hereby affirm that there is a construction lending agency for (HANE .013 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE Lender s Name 1�JiNJ VWi 11�1�4�u� PERMIT ISSUING FEE In 5: y{ 1 w 11 Lender's Address 50 I certify that I have read this application and state that the TOTAL FEE p(� JV 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 abo -mention ro er for inspection p rposes SEE REVERSE FOR EXPLANATORY LANGUAGE / ©: azure of rmittee Dat COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1307180034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID BUILDING ADDRESS I ITR 6561 LT 311 UN 002 I I 6023 CLOVERLY AV I I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802026 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET I 15385-006-009 1A1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY CAI I IP2 PC RES PV<1OKW 153 90 1 ITENANT IP3 INVRTR RES PV<IOKW 27 90 (ISSUED ON PROCESSED BY PLAN BY I I TOTAL FEES 209 60 107/18/13 SR 1 1OWNER TEL NO 1 1FI , DATE FINAL BY CODE IZHANG HONYU (818) 588-6826- I 1 16023 CLOVERLY AVE ITEMPLE CITY CA 91780 1 ID CRIPTIO OF WORK 1 I I INEW ROOF-MOUNTED SOLAR PHOT OLTAIC SYSTEM INSTALLATION 21 &1 I 11 INVERTER (NO SERVICE PANEL UPGRADE) (APPLICANT TEL NO IALVAREZ JERRY (626) 239-1698- 112921 RAMONA BLVD B I 1SPECIAL CONDITIONS 1 IIRWINDALE CA 91706 1 I I I I ICONi'RACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 IPACIFIC STONEGATE, INC (626) 239-1698- 1 1 I 112921 RAMONA BLVD SUITE B LIC NO I (TEMPORARY POWER POLE I I I IIRWINDALE CA 91706 965340 I 1 1 I I 1 (UNDERGROUND CONDUIT I I (ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I I I LIC NO I IROUGP CONDUIT I I I I I 71 I IROUGH WIRING I 1 1 IMAIN WATER LINE I 1 101 I IPLASTIC Y/N METAL Y/N 1 I (UTILITY COMPANY NOTIFIED( 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 I I I I I I I I I I I I I I I I I (REPORT ID DPR265 ROUTE TO BS0508 I 1 1 I I I I I I I