HomeMy Public PortalAbout6213 CLOVERLY AVE_Electrical__ 76AS63 DBS SA 3-51.3 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER ELECTRIC I
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT N.D.
---3
ELECTRICIAN R. F. Walton
ADDRESS 5134 N. Acacia St. RECEIVED BY FIRST pINSPECTION
DY FOR DATE ISSUED
CITY San Gab. TEL. NO AT 68583 ` – 7—/-(0
COUNTY LICENSE NO. 1104 EXPIRES BUILDIADDRENG
6213 Cloverly Ave,
PERMIT FEES
NUMBER EACH FEE LOCALITY Temple Cit
LIGHT OUTLETS 13 NEAREST
RECEPTACLES 22 CROSS ST.
WALL SWITCHES 18 OWNER Meeker
TOTAL OUTLETS 53 5c $ 2 619 MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 1 25 25 CITY TEL NO.
FIXTURES 13 5 65 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
• MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH• ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW I MVD. HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
ll 1/4 I/ s LESS $ .25 SIGNATURE OF
V2 2 SO PERMITTER
2 5 1 00 INSPECTION RECORD
5 15 1.50
15 50 2 50
SO 200 5.00
200 500 10 00 1 ��/�i,r� �.> 9 "1 0�fie -J
500 1000 15 00 - Q
f L �S' �dT 6W Z
OVER 1000 ao 00 O
M G SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERB - KVA
TEMP MOTORS (75% OF ORICI)
MOVED MOTORS (75% OF ORIS.)
MISC
SIGNS
NO. NO TRANS
NO. NO LAMPS APPROVALS
T7FOR EACH PERMIT: DATE INSPECTOR'S NAME
1 0() CONDUIT -i i(�C /�
f u�,A,
WIRING !$1.00
FIXTURES $1.00 1 00 WIRING SG ( /. pM_�
SUPPLEMENTARY .50 FIXTURES
5 80 POWER
TOTAL FEE $ UTILITY CO.NOTIFIED
1/ FINAL (/ vv yf (/ FIV
I V
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1206260009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID I FEES PAID BUILDING ADDRESS
ITR 17179 LT 16 1 6213 CLOVERLY AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801602
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 1
15385-010-016 1A1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 8 00 OUT 16 00 1 1
ITENANT 1G2 LIGHTING FIXTURES 3 00 LGT 6 00 11SSUED ON PROCESSED BY PLAN BY
1 1 TOTAL FEES 49 80 106/26/12 SR I
1OWNER TEL NO 1 IFINAL DATE FINAL BY CODE 1
IZHU, BAOZHONG (626) 698-2011- 1 1M 1
16213 CLOVERLY AV I b�I1
ITEMP 917801602 IDESCRIPTION OF WORK
1 1 (ADD 8 OUTLETS AND 3 LIGHT FIXTURES FOR NEW ADDITION 1
(APPLICANT TEL NO 1 1 1
ISAME AS OWNER
I I ISPECIAL CONDITIONS I
I I I I
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I 1
I LIC NO I ITEMPORARY POWER POLE I I
I I I ' 11 I
I 1 (UNDERGROUND CONDUIT I I I
I I I I I I
1ARCHITECT OR ENGINEER TEL NO 1UFER GROUND
I I I
LIC NO 1 IROUGH CONDUIT I
I I I I I
I 1 IROUGH WIRING I
I 1 i IMAIN WATER LINE I 1 I
1 1 IPLASTIC YIN METAL YIN 1 1 1
I I I I I I
1 I (UTILITY COMPANY NOTIFIEDI 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 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
1 IREPORT ID DPR265 ROUTE TO 2S0508
I I I I I I
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1003090011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 17179 LT 16 6213 CLOVERLY AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801602
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15385-010-016 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, Cl
ILB 200 AMP PANELS, MCC 1 00 PAN 38 85
ITENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
1 I 103/09/10 SR 03/09/11 I
(OWNER TEL NO I IFINAL DATE FINAL BY CODE
IZHU, BAOZHONG (626) 780-6388- 1� 1� 1
16213 CLOVERLY AV I V
ITEMP 917801602 IDESCRIPTION OF WORK I
I (UPGRADE ELECTRICAL PANEL TO 200 AMP I
I I I I
(APPLICANT TEL NO I I
ISAME AS OWNER -
I 1 ISPECIAL CONDITIONS I
I I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I I
I LIC NO I ITEMPORARY POWER POLE I I I
I I (UNDERGROUND CONDUIT I I I -
I I I I I I
ARCHITECT OR ENGINEER TEL NO - i JUFER GROUND , I
LIC NO I IROUGH CONDUIT
IROUGH WIRING
IMAIN WATER LINE
IPLASTIC YIN METAL YIN
I I I I I I
UTILITY COMPANY NOTIFIED{�7
I I I I I I
I I I I I I
I I I I I 1 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
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I I I I I I
I I I I I I
I I I I I I
I I I I I I
IREPORT ID DPR265 ROUTE TO BS0508
I I I I I I
COUNT4 OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1003180050
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 17179 LT 16 6213 CLOVERLY AV
I IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801602
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LONGDEN
5385-010-016 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 11 00 OUT 21 45
ITENANT 1H3 RES DISHWASHR LT 3HP 1 00 DIS 10 95 IISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
I IH4 RES RANGE HDS LT 3HP 1 00 HOO 10 95 103/18/10 SR 03/18/11 1
I 1 TOTAL FEES 71 10 1 1
1OWNER TEL NO 1 1FINAL DATE FINAL BY CODE 1
1HUA, XUE YU (626) 283-8237- 1 1
16213 CLOVERLY AV to
ITEMP 917801602 IDESCRIPTION OF WORK 1
1ELECTRICAL FOR KITCHEN AND BATHROOM REMODEL 1
1APPLICANT TEL NO 1
SAME AS OWNER - ISPECIAL CONDITIONS 1
1I 1APPROVALS DATE INSPECTOR SIGNATURE 1
(CONTRACTOR TEL NO I I I
ISAME AS OWNER _ - I I
I LIC NO I ITEMPCRARY POWER POLE 1 I 1
I 1 (UNDERGROUND CONDUIT 1 1
(ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND 1 1 I
LIC NO 1 IROUGH CONDUIT 1 1
IROUGH_WIRING 1
1 IMAIN WATER LINE 1 I 1
(PLASTIC YIN METAL YIN I 1
I-
1 I (UTILITY COMPANY NOTIFIEDI I 1
I I I I I I
I I I I I I
I I I I I I
1 I I I I I
1 I I I I I
I I I I I I
1 IREPORT ID DPR265 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS , EL 0508 0303070026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING
ADDRESS-
TR. 17179 LT: 16 6213 CLOVERLY AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801602
ASSESSOR NEAREST CROSS STREET: GARIBALDI
5385-010-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
F1 120V, 15/20A BR CKTS 2 00 BR 34.50
TENANT: G1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 ISSUED ON: PROCESSED PLAN BY: ERP=TN:
LB 200 AMP PANELS, MCC 1 00 PAN 38.85 03/07/03 JK 09/03/03
TOTAL FEES 108.90
OWNER- TEL NO. FINAL DATECOD :
MABB WAYNE D (626) 286-6452-
6213 CLOVERLY AV E X P I R FLE ff Ur%
TEMP 917801602 DESCRIPTION OF WORK
UPGRADE SERVICE PANEL 200AMP PANEL & INSTALL ADDITIONAL
OUTLETS
TEL NO
SAME AS OWNER
SPECIAL 0 D IONS:
CONTRACTOR TEL NO APPROVALS DATE NSPECTOR SIGNATURE
SAME AS OWNER
LIC NO TEMPORARY POWER
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: ND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY PNOTIFIE15
REPORT ID DPR265 ROUTE TO- BS0508