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Home My Public Portal About6027 CLOVERLY AVE_Electrical__ 78A663-CE806 3-84 APPLICATION FOR EL T I �- O&ER MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 77 JOHN A LAMBIE, COUNTY ENGINEER /J WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY � e, NEAREST FOR APPLICANT TO FILL IN CROSS ST RECEPT TOTAL NO EACHFEE OUTLETS FIRST 20 f 20 OWNER LIGHT ADD'L 1O ADDRESS SWITCH OVER 20 TOTAL OVER 20 LIGHTING FIItsT 20 20 D CITY TEL NO FIXTURES ADD'L 10 ELECT RI CIANI CHARDSON =CTRIC CO. , 1841 p �fn RANGBB CLO DRYERS WTR HTRS 1 00 DO ADDRESS 8923 �'• Broadway Un ARB DIS Z'STA�r9aK CITY r e tEL O •7' 539 DISHWABH AUTO WASH STATE SPACE HTRS STA APP ('/a K P MAX SO O LICENSE NO MOTORS OVER NOT OVER H P DISTRICT NO 1GROUP1 Z P E BY o t too Ine 1 s 150 INSPECTION RECORD } CL s S 200 S 0 8 is 250 15 50 Soo 50 100 S 00 1 Lu / N SIGNS NO TRANS Z NO LAMPS — SERVICE O 600V NOT OVER 200A 100, O SERVICE O 600V OVER 200 A 200 SERVICE OVER 600V 500 MISC PERMIT ISSUING FEE 200 Q SUPPLEMENTA13Y PERMIT ISSUING FEE 100 TOTAL FEE 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT I • // WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ��,y Ab •,��tg ELECTRICAL WIRING WIRING 6�y14% 1 HEREBY CERTIFY TH/1T AM PROPERLY REGISTERED AND/OR r� f LICENSED A8 UIRED BY LOS ANGELES COUNTY STAT OF FIXTURES CALIFORNIA R HAT M THE WLEGAqEFl THE OVE i I L DESCRIBED 81D NTI ROPERTY POWER / • SIGNATUR UTILITY CO NOTIFIED OF PERM ITT FINAL ! 1H7 GTp� (DATION ARTHUR C VEIT SUPERVISING ELECTRICAL ENGINEER (.::)-MO CASH 1,1 ! 3 0 6—'-' AUG 4 2 D 9.6 0' ;� DBS5A 3 95 APPLICATION FOR ELECTRIC PERMIT �. BS SA DIVISION OF BUILDING AND SAFETY Deportment of County Engmeer County of Los Angeles BUILDING WM J FOX COUNTY ENGINEER ADDRESS G i CASSATT D GRIFFIN SUP T OF BUILDING may-7 LOCALITY / FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST !/V NUMBER EACH FEE (� OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SW ITCHES TOTAL OUTLETS 5¢ $ CITY TEL VO ELEC RANGES 25 ELECTRICIAN _ELEC HEATERS 25 ADDRESS KW EA CITY FIXTURES 5 LICENSE NO NUMBER OF LIGHT CIRCUITS - DISTRICT NOI GROU ��N READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVER INC EACH 1/2&LESS S 25 1/2 2 50 2 5 100 5 15 1 50 15 50 250 50 200 1 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $1 00 L 0 FIXTURES S1 00 SUPPLEMENTARY 50 APPROVALS TOTAL FEE 4 TE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGEOAT 1 HAVE READ THIS APPLICATION CONDUIT 0 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING —-- i HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM T E LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDEN P AJX UTILITY CO NOTIFIED SIGNATURE 'I OF PERMITTEE FINAL �11 WILLIAM J FOX. COUNTY ENGINEER VALIDATION A C VEIT.CHIEF ELECT INSPECTOR 'tjCa 8 9 7 5 AUG 7 2 1 2 5 o 76A663 CE80'kv 64 APPLICATION FOR ELECTRIC PERMIT 4 COUNTY OF LOS-ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 'BUILDING AND SAFETY DIVISION ADDRESS 2 l 1.1, e_ �- JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING LOCALIT k'< Q_t NEAREST FOR APPLICANT TO FILL IN CROSS ST RECEPT TOTAL NO EACH FEE OUTLETS FIRST 20 - $20 $ OWNER LIGHT MAIL ADO'L ADDRESS Z SWITCH Z OVER 20 10 TOTAL CITY TEL NO LIGHTING FIRST 20 20 ADD'L FIXTURES 10 ELECTRICIAN �t)-� OV R 2O RANGES CLO DRYERS WTR HTRS 100 ADDRESS -r�-�� 'Y/ ,—,--P—Y GARB DISP STA COOK CITY TEL NO 7 DISHWASH AUTO WASH STATE SPACE HTRS STA APP (+/z H P MAX ) 50 LICENSE NO MOTORS OVER NOT OVER H P DISTRI�CQ N G U E PE D INSPEC1RECORD)1 s 150 S 15 250 ` � G1_77 _.�/y V 15 50 300 r D� 50 100 5 00 O U SIGNS NO TRANS NO LAMPS N Z SERVICE O 600V NOT OVER 200A 100 SERVICE 0 600V OVER 200 A 200 SERVICE OVER 600V 500 MISC n PERMIT ISSUING FEE 2 00 SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE $ 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 1 DATE INSPECTOR S SIGNATU e AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT % h L ALL COUNTY ORDINANCES AND STATE LAWS REGULATING RICAL WIRING WIRING Q� . �i �♦ EREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES SED AS RE ED BY LOS A GEL COUNTY AND STATE OF 1 ORNIA AS. A I AMT41E L L OWNER OF AND INTEND TO E IN ABO" DESC SI PROPERTY POWER A„ RE UTILITY CO NOTIFIED i w e�d. ERMITTEE . A*XVI FINAL ILIDATION JOSEPH C ROOHAN CIC MO CASH SUPERVISING ELECTRICAL ENGINEER LtiLO 3 0 3 2 JUN 2 4 2 D 3.80- VoRK COMPENSATION DECLARATION 63 10/81 APPLICATION FOR ELECTRICAL PERMIT 71h.,].by affirm that I have a certificate of consent to self CE CE 8 8066 insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) ` Poli a U Company (�y FOR APPLICANT TO FILL INkASADDRESS OZ Certified copy is hereby furnished New Residential BldgsNO FEE & Pools EACH — Certified copy is filed with the county building mspec 1 & 2-Family Sq Ft $ — $ LOCALITY tion department � Multi family Sq Ft NEAREST CROSS ST Date �6� Applicanxf -/)��'- Q Residential Swimming Pools OWNER OR lit U G / FIRM NAME rt CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec12—Li ht�Svv MAIL COMPENSATION INSURANCE g l O ADDRESS S s section neenot completed if the work involved b First 20 (Thitd t b p Y Total No� Additional CITY Tel No the permit is for one hundred dollars ($100)or less ) performance of the work for which this PLAN CHECK I certifyl ` _ that in the P APPLICANT T ASC permit is issued 1 shall not employ any person in any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS r Total No (01 Additional CITY A-Lt,joro I A Tel No Z Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of APPLICANT 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 CITY Tel No Hood LICENSED CONTRACTORS DECLARATION Fan _ Other_ Disp Room Air Cond LICENSE OR Sv0547? Class 1 hereby 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 PROC 5 D B D. and Professions Code and my license is in full force and effect 0 /j Size &Type HP KW KVA or KVAR U License NumberT_Lic Class Up to I Incl FINAL (Y Over 1 to 10 Incl DATE LIDATION Contractor Z4Z •` to — Over 10 to 50 Incl ElFINAL W I am exempt under Sec Over 50 to 100 Inc BY p. Over 100 U) B &P C for this reason Z_ ` Date Services, Swbd , MCG 8 Panelboards /*► 0 - 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V 6 7 4 7 A Over 1000 Amp or Over 600 V- ❑ Exemption for Reg Maint Elect # o o 0 - 2 SINGLE FAMILY Temp Power Pole &Appurtenances 0 0 4 5 0 HOME OWNERiBUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License 0 0043,505 Law for the following reason (Section 7031 5 Business and Additional Sign Branch Circuits Professions Code) 0 3 2 61 8 7 ❑ 1, as owner of the property will do the work and the Misc Conduits & Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097 Civ C ) Lender s Name l l n PLAN CHECKING FEE Lender sAddress PERMIT ISSUING FEE 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 laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE A Signature of Permi tee Date RKEP.S COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT m tho~"I have a certificate of consent to self CE 806G I ire or certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS�G9�� 1 & 2-Family S Ft $ _ $ LOCALITY.-2, Certified copy is*filed with the county Y 9 building �nspec- tion department Multi family Sci Ft NEARESTSS 4 Residential Swimming Pools OWNER OR Z Date Applicant, FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light Sw _ MAIL COMPENSATION INSURANCE ADDRESS,��,;?7 C"w /,r3r1- /djV, s section neenot completed if the work involved b First 20 (Thitd t b p Y Total No Additional CITY%G� Gc & ,t' �r Tel No� � '7/ the permit is for one hundred dollars ($100)or less ) PLAN CHECK I certify that in the performance of the work for,which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject tothe Worke o otion Laws Lighting Fixtures First 20 ADDRESS Total No Additional Date /y Applicant CITY Tel No NOTICE TO APPLICANT If after Tong this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption you should become bject to the Workers Range_ Heater_D W — APPLICANT 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 y .W H — deemed revokedHood _ Fan _Other_ CITY Tel No LICENSED CONTRACTORS DECLARATIONLICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO PROLE E BY a' and Professions Code and my license is in full force and effect Q Size &Type HP KW KVA or KVAR License Number Lic Class Up to 1 Incl FINAL7 / Over 1 to 10 Incl DATE �/J "� VALIDAT N I-- Contractor Date Over 10 to 50 Incl ❑ W IF I am exempt under Sec Over 50 to 100 Inc BY / p B&P C for this reason Over 100 # ;� 6 b z Services, Swbd MCC & Panelboards Date 0 -200 Amp Under 600 V # atoll 4,0 0 Signature 201 - 1000 Amp Under 600 V Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect 111 i° oil 4,06 SINGLE FAMILY Temp Power Pole & Appurtenances - 14,0050 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits 0 2 2 4 m$7 Law for the following reason (Section 7031 5, Business and - Professions Code) Misc Conduits &Conductors I as owner of the property will do the work and the structure is intended or offered for sale (Section Other (See Complete Fee Schedule)— spoll Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 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 PERMIT ISSUING FEE 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 laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the abo entione perty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE - Signatur o ermit ee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBL)C WORKS 9701 LAS TUNAS EL 0508 0101160046 BUILDING AND SAFLTY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID ES PAID BUILDING ADDRESS TR 6561 LT 311 6027 CLOVERLY AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802026 ASSESSORFO ON NUMBER NEAREST CROSS STREET WOODRUFF 5385-006-008 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 11 00 OUT 21 45 TENANT G2 LIGHTING FIXTURES 4 00 LGT 7 80 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 57 00 01/16/01 UT 07/15/01 OWNER TEL NO FINADATE F BY CODE VERRELL ALFRED A,ADELA (626) 287-4718- l 6027 CLOVERLY AV Z Q 1 C), TEMP 917802026 DESCRIPTION OF ELECTRICAL FOR BATHROOM REMODELING APPLICANT L NO SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR TEL NO �' I/ APPROVALS DAT INSPECTOR SIGNATURE SAME AS OWNER L I C NOTEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO - UFER GROUND LIC NO ROUGH CONDUIT ROUGH WIRING -_ --- - --- - 3 Z MAIN WATER LINE I (� PLASTIC Y/N METAL Y/N ILITY COMPANY NOTIFIED rf1 , REPORT ID DPR265 ROUTE TO BS0508