The URL can be used to link to this page

Home My Public Portal About6233 CLOVERLY AVE_Electrical__ 76A663-CE806-7.56 APPLICATION FOR ELECTRIC PERMIT q BUILDING AND SAFETY DIVISION m� Department of County Engineer BUILDING County of Los Angeles ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES , NUMBER OWNER LIGHT OUTLETS MAIL 4 o�Ra ADDRES p[ 12— RECEPTACLES WALL SWITCHES FEE CITY TEL. NO. TOTAL OUTLETS @ 52 $ ELECTRICIAWf,% ELEC. RANGES 25 1 ADDRESS ELEC. HEATERS 25 CITY X444sw TEL. NO /91-KVV EA STATE - J F XTURES 5 LICENSE N0. lI 5 .�►�+ MOTORS DISTRICT NO. GROUP ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE I 41 NEW MVD. HP OVER INC. ,EACH I/2&LESS $ .25 INSPECTION RECORD I/2 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 p. MISC. k, t NO. SIGNS NO. TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 FIXTURE PERMIT $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT a 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 Z--5_7 LICENSED AS REQUIRED gY. LOS ANG ES COUNTY AND STATE OF POWER CALIFORNIA OR THAT THE L AL OWNER OF THE ABOVE _ DESCRIBED RESIDENT, P UTILITY CO.NOTIFIED SIGNATURE -wN44/y� /, / �7 OF PERMITTEE �'" - `� - FINAL c¢'/l �I / JOHN A. LAMB VAUDAT ARTHUR C. VETT. COUNTY ENGINEERcK M cA'SH SUPERVISING ELECTRICAL ENGINEER 76A663 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES1 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN R. F. Walton I �O RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 N. Acacia Ste �j FIRST INSPECTIONI CITY San Gab. TEL. NO.AT 68583 1 a,-/ COUNTY LICENSE NO. 1104 EXPIRES BUILDING 6233 Cloverl Ave. PERMIT FEES NUMBER EACH FEE LOCALITY Temple City LIGHT OUTLETS 13 NEAREST RECEPTACLES 22 CROSS ST. WALL SWITCHES 18 OWNER Meeker . TOTAL OUTLETS 53 5c $ 2165 MAIL ELEC. RANGES 25 ADDRESS ' ELEC. HEATERS - 1. 25 25 CITY TEL. NO. FIXTURES 13 S 65 1 HEREBY ACKNOWLEDGE THAT I 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 �� ANGELES COUNTY LICENSE, LT 1 AM THE LEGAL OWNER NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPE TY DESCRIBED ABOVE. 1 1/2&LESS $ .25 125 SIGNATURE OF 1/2 2 .50 PERMITTE _ 2 5 1.00 INSPECTION RECORD 5 15 1 1.50 15 50 2.50 50 200 5.00 200 Soo 10.00 „J Soo 1000 15.00 Q _Z OVER 1000 20.00 (� M. G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA C TEMP. MOTORS (7S%OF ORIG.) MOVED MOTORS (75%OF ORIG.) �- MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: I / D r ? CONDUIT WIRING S1.001 1100 FIXTURES $1.00 1I,00 WIRING , SUPPLEMENTARY .50 I FIXTURES O "Z ,�✓. 5 80 POWER TOTAL FEE $ I UTILITY CO. NOTIFIED ® % FINAL ' " C'1ra- V WORKERS' COMPENSATION DECLARATION 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of con�: CE-806nt,to sPJf CE-806G ` insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lob. C.) Policy No.(O company ;< 'A,,e.T FOR APPLICANT TO FILL IN JOB // a n Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 10 )P LA Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY ('/1.«. tion d partment. Multi-family Sq. Ft. — 'NEAREST i ' `! Residential Swimming Pools CROSS ST. OWNER OR � •� Date Applicant ` r— —k ,f FIRM NAME CE TIFICATE OF EXEMPTION FROM(\0 DRKERS' Outlets: Rec Light COMPENSATION INSURANCE Sw. r I, s section neenot completed if the work involved b First 20 ADDRESS (Thitid 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 certify /- that in the P APPLICANT \U permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. 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 t ��• with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood Fan —Other— CITY r. Tel. No. 3 LICENSED CONTRACTORS DECLARATION LICENSE 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 DISTRICT NO. PROCES ED BY and Professions Code,and m license is in full force and effect. Power Apparatus & Large Appliances //`` �1� (IllLic. Class Size &Type HP, KW, KVA, or KVAR' V r V License Number .U to 1 Incl. FINAL i _ J Over 1 to 10 Incl. DATE / �� ('" 1119 VALIDATION Contractor Date `d/!q Over 10 to 50 Incl. FINAL /f t 11— ❑ I am exerAt under Sec. Over 50 to 100 Inc. BYCL B.&P.C. for this reason Over 100 of Services, Swbd., MCC & Ponelboards Date: 0 -200 Amp. Under 600 V 111111. 76 Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole & Appurtenances 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 Law for the following reason (Section 7031.5, Business and Professions Code): ` 8 7 3.5'A El1, 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)_ ® t:''o 0 0 0 0 2 7044, Business and Professions Code). ` o o'2 5.5 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for c 0 o 2 5,Jt-QZ the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). 01,03-83 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address f I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree td comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter.upon the above-mentione operty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE o 1 /-2,1 3 Signature of e ittee Dote COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1201300036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 FEES PAID I BUILDING ADDRESS: ITR: 17179 LT: 20 I 6233 CLOVERLY AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801602 1 (ASSESSOR INFORMATION NUMBER: ."-� I NEAREST CROSS STREET: LONGDEN 15385-010-020 IA1 PERMIT ISSUANCE FSIE,t''~- - 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP " r" 20.00 OUT 38.80 (TENANT: IG2 LIGHTING FIXTURES 12.00 LGT +23..30' 11SSUED ON: PROCESSED BY: PLAN BY: IH2 RES GRBG DISP LT 3HP V 1.00 DIS 10.90 101/30/12 SR IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.90 1 1 (OWNER: TEL. NO: IH4 RES RANGE HDS LT 3HP 1.00 HOO 10.90 IF DATE FINAL Y: CODE: 1 IOZEZ, JOE/CAROL (626) 643-0823- IH5 RES WASH MACH LT 3HP 1.00 WAS 10.90 1 16233 CLOVERLY AV 1H7 RES EXHAUST FANS 1.00 EX 10.90 I Y" 1 ITEMP 917801602 1 TOTAL FEES 144.40 (DESCRIPTION OF WORK 1 I (INSTALL RECESS LIGHTING, OUTLETS FOR BATHROOM, OUTLETS FOR 1 I IKITCHEN ISLAND (APPLICANT: TEL. NO: 1 1 IREUBEN WOOTON (626) 590-4187- 1 I 1 1710 W. COLORADO BLVD (SPECIAL CONDITIONS: (MONROVIA, CA 91016 1 1 I I I I t I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE (JOHN MYERS CONSTRUCTION (626) 590-4187- I 1 1 1715 W. COLORADO BLVD. LIC. NO ITEMPORARY POWER POLE I I (MONROVIA, CA 91016 868221-B * 1 1 11 _1 1 (UNDERGROUND CONDUIT I I I I I I I 1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I IWOOTON, REUBEN (626) 590-4187- 1 1 1 1710 W. COLORADO BLVD. LIC. NO: I (ROUGH CONDUIT (MONROVIA, CA 91016 NONE 1 I I I 1ROUGH WIRING �r�I 1 I - - - IMAIN WATER LINE i 1 1 (PLASTIC Y/N METAL Y/N I 1 I I I I I I 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 1* ADDITIONAL DATA ON FILE 1 1 1 I I _. I• I I I (REPORT ID: DPR265 ROUTE TO: BS0508a