HomeMy Public PortalAbout6052 CLOVERLY AVE_Electrical__ TEIPLE CITE JK
ISA663-CESOO 4.60 APPLICATION FOR ELECTRICAL PERMIT-
COUNTY OF LOS ANGELES g@ �almmdmmm�
DEPARTMENT OF COUNTY ENGINEER BUILDING 6052 N. C10Ver1v Ave . ,
BUILDING AND SAFETY DIVISION ADDRESS 6052
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'TOF BUILDING LOCALITY Temple Cit
FOR APPLICANT TO FILL IN cRoss, Garbaldi
PERMIT FEES OWNER Edward F.
Weiss-
1 T E M NUMBER EACH FEE MAIL
OUTLETS s r,2 N.1`7 . Cloverl -
LIGHTS 7 RECEPT. V.. .10 L Q
LIGHTING FIXTURES Tp 1 45 CITYTemple City TEI, NOAT 73241 v
ELEC RANGES CLO. DRYERS ELECTRICIAN OWNER
W A T E R HEATERS .SO ADDRESS
ELEC.SPACE HTRS DISHWASHERS _ CITY TEL NO.
GARBAGE DISPOSERS AUTO. STATE
LICENSE NO.
WASHERS STA.COOKING UNITS .25
MOTORS OVER INC. H P. DISTFUCT N,01 GROUP ZNE I PR E D BY
O — I/2 25 5, A
+i2 — 2 ,50 INSPECTION RECORD r
5 — 15 1 50 -��,/enf r�-EAkt. t u
15 — 50 250
SO — 200 5.00 ' 0
i? SIGNS; NO TRANS. UJ
O.
NO LAMPS Z
SERVICE 0.600V Too
i SERVICE OVER 600V
500
6 MISC.
WIRING PERMIT
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT .50,
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING - y ��/ �¢/ �.!FG, y..^'•�'+
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE PROP Y. _ POWER
SIGNATUR
OF PERM TT
UTILITY CO NOTIFIED i
1 NA
VALIDAT19�, ARTHUR C.VEIT,
CK Mo �cASH� SUPERVISING ELECTRICAL ENGINEER
L.AI' 5 1 2 9 APR 1-p 2 D 2 .8 U
76A663-CES06-7.56 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING
County of Los Angeles ADDRESS (/
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
' FOR APPLICANT TO FILL IN NEAREST
cRoss ST '
PERMT FEES
NUMBER OWNER
LIGHT OUTLETS I MAIL
ADDRESS,
RECEPTACLES
ALL SWITCHES FEE CITY • TEL-NO
TOTAL OUTLETS Q 52 $ . ELECTRICIAN %(i �j 1-e
ELEC RANGES 25 ADDRESS
ELEC HEATERS' 25 CITY TEL NO. `
KW EA > - _ STATE y�
LICENSE NO " cz
FIXTURES 5
MOTORS �DISTRIC NO I GROODUP I ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD HP OVER INC EACH
j Y I/z&LESS $ 25 INSPECTION RECORD
1fz 2 so
2 5 1 00
5 15 150 -
15 50 250
50 200 500
MISC'
NO SIGNS NO TRANS
NO SIGNS NO LAMPS '
FOREACH PERMIT `
WIRING PERMIT t $1 00
FIXTURE PERMIT -$1 00 r -
SUPPLEMENTARY 50 APPROVALS '
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT�1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING" -
ELECTRICAL�WIRING • i�T //F �
I HEREBY CERTIFY TH I AM PR PE RE IST ED A 0/0R FIXTURES
LICENSED AS REQUIRED LOS ANG E COU Y Ni ST E` OF POWER x
-CALIFORNIA OR THAT I M THE L A 0 R TH OVE
DESCRIBED RESID TIA ROPPTY UTILITY'CO NOTIFIED
SIGNATURE `
OF PERM ITTE I FINAL ,
JOHN A.LAM VALIDATI ARTHUR C. VEIT.`
COUNTY ENG.Np •` - _ CK Mo . ASH v SUPERVISING ELECTRICAL ENGINEER'
L p,'GC,9 5 0 5, Jllb!21 2.5 5 Lo
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0503180018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES D BUILDING ADDRESS:
TR: 6561 LT: 307 6052 CLOVERLY AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802025
ASSESSOR INFORMATION BER: NEAREST CROSS STREET: GARIBALDI
5385-007-025 Al PERMIT ISSUANCE FEE 27.75 - THOMAS PAGE: 596 GRID:-J2 LOCALITY: TEMPLE CITY
F2 208, 277V LGT'BR CKT 10.00 BR 273.00
HA FAU LESS 3HP 1.00 FAU 10.95 ISSUED 0 X .
H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 03/18/05 JK 09/14/05
H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95
OWNER: TEL. NO: H4 RES RANGE HDS LT 3HP 1.00 HOD 10.95 FINAL DTE .� NAL CODE:
SOEHARDJO SAMUEL (626) 285-8013- H5 RES WASH MACH LT 3HP 1.00 WAS 10.95
6052 CLOVERLY AV _ H7 RES EXHAUST FANS 1.00 EX 10.95
TEMP 917802025 JB AC UNITS +3-10HP 1.00 AC 19.65 b )N O
LB 200 AMP PANELS, MCC 1.00 PAN 38.85 ELECTRICAL FOR ADDITION, REMODEL, AND UPGRADE SERVICE TO
TOTAL FEES 424.95 200 AMPS
E .
SAME AS OWNER
SPECIAL
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO
UNDERGROUND T
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
MAIN WATER ---
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508