The URL can be used to link to this page

Home My Public Portal About6639 CLOVERLY AVE_Electrical__ o 76A663-CE806-4-6b QPpUCQ4P0O N Son RECTR0CQd IMMU• COUNTY OF LOS ANGELES DEPARTMENT.OF COUNTY ENGINEER BUILDING 6639 'C10Verly BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temple City NEAREST FOR APPLICANT TO FILL IN CROSS ST. �) NO. EACH FEE RECEPT.2 $ $ OWNER Cash MAIL s LIGHT 1 TOTA�jL FIRST 20 5 .20 1 00 ADDRESS arrie SWITCH 2 5 OVER 20 .10 CITY TEL. NO. LIGHTING TOTAL FIRST 20PLAN CHECK , 1 .20 20 APPLICANT FIXTURES OVER 20 1 .10 ADDRESS RANGE—DRYER—WTR.HTR._ CITY _ TEL. NO. STA.COOK_DISP. F.A.U._ 'CO�IJTRACrOR Vincent Furian - SPACE HTR. AIR GOND. ADDRESS 3623Vane 1 CLOTHES WASH._DISHWASH._ CITY Rosemead TEL. NO. 443 3851 FAN—OTHER 1,.00 - LICENSE 1110.227908 CLASS. C-1& MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF a CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 - 50 5.00 RESIDE IN, THE ABOV DE'CRIPED REST NTIAL ROPERTY. CL 50 - 100 10.00 SIGNATURE OF PERMITTEE CL O U 100 - 500 15.00 DIS�RICT . GROUP Z NE PROCESS D BY TUBE, A SIGN AND ONE CIRCUIT 3.00 U MARQUEE ADDITIONAL CIRCUITS 1.00 d NOTES: C7 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 z SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE . UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) 1 20 WIRING FIXTURES PLAN CHECK FEE (507 PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 2 00 - UTILITYCO.NOTIFIED i, SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL - ,. TOTAL FEE 3 20 JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGI s PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. ASH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �� 76A663-CE806 4-68 APPMCAMN FOR R EMCUMC AE PEQln`U COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUIING BUILDING AND SAFETY DIVISION ADDLRESS 1611F --40L 1 alLA--?' JOHN A. LAMOIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING (� -C� LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE $ $ OWNER R RECEPT._ a� MAIL LIGHT_. TOTAL FIRST.20 t- .20 O ADDRESS SWITCH "" OVER 20 .10 CITY - TEL. NO_ PLAN CHECK ' LIGHTING TOTAL FIRST 20 .20 p�.0 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK_DISP. F.A.U.� COiJTRACrOR e ) .�j SPACE HTR. AIR COND. 'ADDRESS ,�J [ L CLOTHES WASH. DISHWASH._ CITY 5 TEL. NO FAN—OTHER 1.00 Qd WO. / �i5y LICENSE ! j..+ CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 — 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 — 10 3.00 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ' CALIFORNIA OR THAT I AM THE LEGAL OWNER F�ANDTEND 7010 — 50 5.00 RESIDE IN, THE A OVE 1) R .E RE D NPERTY GNATURE 50 – 100 10.00 CL OIF PERM TTE 2 � IC) U 100 – 500 115.001 DISTRICT O. G U E PROCESSED BY p SIGN,GAS SIGN AND ONE CIRCUIT 3.00 TUBE, OR U MARQUEE W ADDITIONAL CIRCUITS 1.00 NOTES: N Z °. SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 — SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, & APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE ti TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50q PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 12.00 V)� UTILITY CO.NOTIFIED u SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE �d JOSEPH C. ROOHAN - SUPERVISING ELEC 6CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH APR 2 D 4.60- EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE bVORKERS' COMPENSATION DECLARATION 76-663 10/81 /�gPp CATION FOR ELECTMIC gap PER T I lry reby affirm that I have a certificate of consent to self insure, CE-806G bail IL Il�d l� o d�Hllm aria or a certifidate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB j 0n n C El Certified NO. FEE ADDRESS IP(03q Certified copy is hereby furnished. New Residential Bldgs.& Pools ❑ Certified copy is filed"with 'the county building inspection 1 & 2-Family, Sq.Ft $ _ $ LOCALITY�rnPLL G ITY COL department. Multi=family Sq.Ft. NEAREST CROSS ST694il fAI Q� Residential Swimming Pools Date .. Applicant - OWNER OR . 1 - FIRM NAME CERTIFICATE OF EXEMPTION-FROM WORKERS:` Outlets;Rec— Light Sw. — MAIL. /f COMPENSATION INSURANCE_ ADDRESS J (This section need not be completed if the work'involved by the Total No: First 20 CITY S�yuJ Tel.No.,/ permit Is for one hundred dollars($100)or less.), Additional rya-O .� •I certifythat in the per of the work'for1which this permit PLAN CHECK P P APPLICANT s 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 V Additional p 'h�'_� }�✓J �� I Total No. CITY No. Date ` a Applicant G fa�L�F11 v Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: 1f, after making this Certificate of Exemption,you should become subject to the Workers'Compensation Range—,.Heater_ D.W. APPLICANT provisions of the Labor Code,you must forthwith comply with such Oven Dryer W.M. — ADDRESS f provisions or,this permit shall be deemed revoked. Top FAU W.H. CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood Fan Other_ I hereby affirm that lam licensed,under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR (commencing with Section 7000) of,.Division. 3 of the Business and 290V VAh(9 REG.NUMBER Class. Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. �`` PROCESSED B d Size & Type HP,KW,KVA,or KVAR (/q 0 License Number Lic.Class Up to 1 Incl FINAL. U Over 1 to 10 Incl._ DATE�� VALID- N Contractor Date' Over 10 to 50 Incl. U ❑ PIN- I am exempt under Sec. Over 50 to 100 Inc. Over 100 a BAP.C.for this reasonU) Services,Swbd.,MCC &Panelboards� ,/0 Z Date: 0- 200 Amp.Under 600 V (J Signature 201 - i000 Amp.Under 600 V Over 1000 Amp.or Over 600 V El Exemption for Reg.Maint'Elect :9'7,0 1.2 A SINGLE FAMILY __ Temp. Power Pole&.Appurtenances. #,o o,o'o,- 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit o 0 I hereby affirm that I am exempt from the Contractors License Law o for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): �jMisc.Conduits-& Conductors - n l J .ISJ 2 6 8 7 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance the work for which this permit is issued(Sec.3097, PERMIT FEE (Sufi-Total) Civ.C:). lb 50 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE. 16576 - Lender's Address pP 71 m0 I certify that I have read this application and state that the above TOTAL FEE U , 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 5' igna ure of Permittee D to COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0103150021 BUILDING AND SAFETY-'/ LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6639 CLOVERLY AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ARCD CA 910077716 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CAMINO REAL 5382-010-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 30.00 OUT 52.50 TENANT: G2 LIGHTING FIXTURES 15.00 LGT 29.25 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: IA N-RES EX FANS LT 3HP 2.00 EX 30.60 03/15/01 UT 09/11/01 LB 200 AMP PANELS, MCC 1.00 PAN 38.85 OWNER: TEL. NO: LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85 FINAL DATE FINAL BY: CODE: ANDERSON, THOMAS E (626) 447-3923- TOTAL FEES 217.80 6639 CLOVERLY AVENUE TEMP 917803504 DESCRIPTION OF WORK ELEC. FOR ADDITION OF FAMILY RM AND MASTER RM UP-GRADE MAIN PANEL FROM 100AMP TO 200AMP AND SUB-PANEL 100A APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO �' 1 \� � TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: ��/ ' _ �� '-- ,' �� UFER GROUND LIC. NO: J-� 111111111 ROUGH CONDUIT - - - - ROUGH WIRING Z MAIN WATER LINE PLASTIC Y/N METAL Y/N - UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508