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Home My Public Portal About4964 LOMA AVE_Electrical__ 78A663-CE808-11-67 A• PLIC YT- 10 FOR EL 6 9 C V PERMIT COUNTY OF LOS ANGELES, DEPARTMENT OF COUNTY,ENGINEER BUILDING 1,C]6 Loma BUILDING AND SAFETY DIVISION L ESS_ L�7 JOHN A. LAMBIE, CD11IIt� En aa= Temple City CASSAIT D. GRIFFIN, Sup! of Buil l LITY NEAREST FOR APPLICANT TO FI LL IN CROSS ST --PERIKIT FEES I T ErM � NUMBER EACH FEE OWNER Blocchi i OUTLE RECEPTlyp sw CV 0 $ 1000 ADDRESS LIGHTS ' LIGHTING FIXTURES 10 CITY TEL NO ELEC.RANGES] CLO.DRYERS ELECTRICIANConlee & Son Electric WATER H E-l'T E R S 1 50 0 ADDRESS 1O 0 1V o- Grandview Ave, ELEC.SPACE HTR DISHWp.SHERS c GARBAGE DISPOSERS 1 : AUTOSTATE - CITY1,3 �fG�+ b�J (� TEL NOA WASHERI STA.COOKING UNITS 3 25 75 L CENSE NO L3 I/�1 `�slo MOTORS- OVER INC. HP , e DIS RIC GR P O R DY OR N SCTION el 0 — +/z Viz — 2 50 _ _ 2 — 5 100 B INSPECTION CORD i--^ 5 — 15 150 15 — 50 250 50— 200 Boo NO TRANS SIGNS: - / i"s/'��:•�.c'ar: NO LAMPS SERVICE 0-600V 1 1 00 1100 / SERVICE OVER 600V Boo / MISC WIRING PERMIT - 1 00 1,00 FIXTURE PERMIT 1.00 11,00 SUPPLEMENTARY PERMIT 50 fF TOTAL FEE - g 9125- APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE1 INSPECTOR'S,SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT //�� !! 1 �_ „� N1, WITH ALL ELECTRICAL WIRNTY ING.G,ORDINANCES AND STATE LAWS REGULATIG WIRING 177r'�'"�• I ��`,�A�! � 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 'M HE EG AL WNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL OP TY. SIGNATURE UTILITY CO NOTIFIED OF EEZ FINAL VMMATION ARTHUR C.VEIT, CK MO CASH SUPERVISING ELECTRICAL ENGINEER 51 3 4 3 w6v 21 2 D 9.2 5 CITY OF TEMPLE CITY '8A883-CE808 10-80 /, PPLOCA 13 I®N FaR EuarrRIC /,'� R PERMIT I� COUNTY OF LOS ANGELES Flims It01 8�9! PfTl�1 FS3a DEPARMENT OF COUNTY ENGINEER BUILDING 11961 Loma Ave, BUILDING AND SAFETY DIVISIONADDREss JOHN A. LAMBIE. COUNTY ENGINEER – WILLIAM A.JENSEN,SUP T OF BUILDING_ _LOCALITY TemPle City 4 NEAREST Y FOR APPLICANT TO FILL IN CROSS ST PERMIT FEES OWNER $10CCp]i 1 T E M ,I. NUMBERf EACH FEE MAIL o +� $10 1O�0ADDRESS LIGHT. CP � CITY TEL NO: '" - ? LIGHTING FIXTURES 5/ 5 .10 .50 ELECTRICIAN Conlee -&- Son Electric ELEC. RANGER CLO. DRYERS WATER HEATERS .SO ADDRESS 1030 NO Grandview`Ave, ELEC.SPACE HTRS. DISHWASHERS CITYS O San.-Gabri JELNOAt.0-2007-Gab GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS ,2$' LICENSE NO. 137567 C-10 J A Y MOTORS: OVER INC H P. DIST ICT GR_r I ZONE I PO D B 0— 1/2 .25 1/2- 2 .$O INS ECTION R ORD 0 2— $ CL 1 1.00 O is 15- $0 2.50 l - O 50— 200 $.00 NO TRANS. d ' SIGNS: NO.LAMPS i SERVICE 0-600V 1.00 SERVICE OVER 600V $00 misc. WIRING PERMIT 100 FIXTURE PERMIT 1 00 SUPPLEMENTARY PERM I $O e TOTAL FEE D 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE g AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING " CONDUIT ELECTRICAL WIRING WIRING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT AM THE 7EGAL ER OF THE ABOVE DESCRIBED RESIDENT P O ERTY � s POWER �h' SIGNATURE `0 �,� UTILITY CO.NOTIFIED, " y ,n�,� Qom ,/,;,, , ,, OF PERMITTE a QEF 1 NALt 77 377M G IDATION ARTHUR C. VEIT ii _ CK MO CASH SUPERVISING ELECTRICAL ENGINEER SA � L:�X 3 0 ,20 "0 nkR g 4 0 4.10 CITY ry -76X663-CE806 6-62 APPLICATION FOR EL'ECTRICAL PERMllr COUNTY OF LOS ANGELES DEPARTMENT BUILDInNG AND SAFETY DIVISION ER FADDRESs BUILDING 4964 Loma JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN, SUPT OF BUILDING Temple City FOR APPLICANT TO FILL IN ., RECEPT I TOTAL NO EACH FEE OUTLETS FIRST 20 $20 $ OWNER Eugene LT. Blocchi LIGHT MAIL ADO'L 10 ADDRESS•4964 Loma SWITCH OVER 20 � FIXTURES ADO'L10 ELECTRICIAN Conlee- & Son Electric OVER 2O RANGES CLO DRYERS WTR HTRS. 1.00 ADDRESS1030 No Grandview Ave. GARB DISP STA COOK CITYS�San -Gabriel TEL. NO280-2007 DISHWASH AUTO.-WASH STATE 242432 SPACE HTRS STA.APP,(%¢H.P.MAX.) ,50 LICENSE NO MOTORS OVER NOT OVER H P. DISTRICT NO. GROIJP ZONEP E D B 0 1 1.00 s 1 so INSP� ION, RECORD 3 S 2 00 8 15 2.50 ,t 15 50 300 y so 100 500 OV SIGNS NO.TRANS NO LAMPS i *AtoP SERVICE 0.60OV-NOT OVER 200A 1 1.00 1 0 f W d SERVICE O.600V•OVER200A. 2.00 SERVICE OVER 600V 500 MISC. PERMIT ISSUING FEE 2.00 2 0 SUPPLEMENTAgY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 3 0 1 HERESY ACKNOWLEDGE'THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT O ERTY. POWER SIGNATURE UTILITY C O 1 IED eft-1-67- OF OF PERMITTEE FINAL ' LIDATION ARTHUR C. VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER Liloi '! ' 5T--D OUT-40 2 D WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELE&RICAL PERMIT �J I hereby affirm that I have a certificate of consent to self Insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec 3800 Lab C) PolicyNo Company FOR APPLICANT TO FILL IN JOB po ® ADDRESS �•� v Certified copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE $ $ LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq Ft NEAREST dep�arttmennt��[ Multi-family Sq Ft CROSS ST Date Applicant� +— � Residential Swimming Pools ASSESSOR MAP BOOKPAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' � OWNER OR I COMPENSATION INSURANCE Outlets Rec r Light Sw � FIRM NAMEAid l is First 20 MAIL s (This section need not be completed if the work involved by theADDRESS a permit is for one hundred dollars(5100)or less) Total No Additional I certify that in the performance of the work for which this permit CITY ?4r ) rf�` Tel No . is issued, I shall not employ any person In any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date' Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO-APPLICANT If, after making this Certificate of CITY Tel No Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code, you must forthwith comply with suchAPPLICANT r JJ r provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 1,06-2 I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl } (commencing with Section 7000) of Division 3 of the Business and CITY 2 i Tel No ,mal Professions Code,and my license is in full force and effect Over 10 to 50 Incl } /l J�uy Over 50 to 100 Incl SE REG LICENNUM ER 61jQ Class License Number //1 0 a�/ LIC Class Over 100 DISTRICT NO PRO�]��/SSSSSEE/D BY O Services,Swbd,MCC&Panelboards 0-399 Amp Under 600 V FINAL 0 Contractor Date DATE 400-1000 Amp Under 600 V V ❑ I am exempt under Sec / VALIDATION W Over 1000 Amp or Over 600 V FINAL B&P C for this reason BRANCH CIRCUIT FEES BY Date 15A,or 20A, 120V,Lighting or Recept8 - z 1 To 10 Branch Circuits ACCT.10 Signature 11 To 40 Branch Circuits 3303 50.70 ❑, 41 Or More Branch Circuits y ITEMS Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances (� HOME OWNER-BUILDER DECLARATION TOTAL 5113 -70 1 hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit CHECK 50.70 for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits ` Cf `r V Code) CHANGE .00 ❑ I, as owner of the property,will do the work and the structure Misc Conduits&Conductors Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) t� and Professions Code) Gt100—Oi301 5/ 6/96 u"'' CONSTRUCTION LENDING AGENCY 6221 1 AMM v:•amu 1 hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Q Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives this County to enter upon the above-mentioned property for inspectio urposes SEE REVERSE FOR EXPLANATORY LANGUAGE ATU E OF PERM!TTE DATE •• VVORKERS' COMPENSATION DECLARATION,' 76A663 10/81 gt 11 n(fAp Opt q��®Y�l ®� �IL��P"CL PERNT rr1� I r'oreby affm that I have a certrficate of consent to self insure, CE-806G /W I�IT lL Ity!!^� tl!!� or-a certificate of Workers' Compensation Insurance, or a certified" COUNTY OF LOS ANGELES BUILDING AND SAFETY cogy thefeof,(Sec 3800,Lab C). Policy ',(�w, Company' FOR APPLICANT_TO'FILL IN JOB ❑ �• - .} .ADDRESS lertfied copy is hereby furnished New Residential Bldgs & Pools 'EACH;' NO FEE , ❑ 1-& 2-Family,Sq Ft $ — $ LOCALITY _ Certified copy is .filed with the county building inspection department Multi-family Sq Ft — NEAREST13 CROSS ST, , Date Applicant Residential Swimming Pools': ONER OR Fl . NAME CERTIFICATE OF EXEM ON FROM WORKERS' Outlets Rec Light � SMw AIL II ,, COMPENSATION'INSURANCE �Y ADDR (This Ifthe work Involved b ESS This section need not be coin . the First 20 y Total No Additional CITY _ Tel No permit Is for one hundred dollars($100) or less) , I certifythat'in'the performance of•the work for which this permit ' PLAN CHECK ; P , APPLICANT 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 Additional - Total No CITY Tel No Date Applicant Fixed Appliances Not Over,1 HP NOTICE TO 'APPLICANT If, after making this Certificate of PERMIT Exemption,.you should become subject to the Workers'Compensation Range--Heater_ DW APPLICANT .'provlsions'of the Labor Code, you must forthwith comply with such Oven Dryer = W M _ ADDRESS�' ' provisions or this permit shall be deemed revoked" Top FAU WH,_ p LICENSED CONTRACTORS DECLARATION- Hood Fan Other_ CITY +�P Tel No I hereby°affirm that I am licensed under provisions of Chapter 9 LICENSE OR Disp — Room Air Cond � Class (commencing witH'Section 7000)'of Division 3 of the Business and REG NUMBER O/ Professions Code,and my license is in full force and effect DISTRICT NO PR D BY Power.Apparatus& Large Appliances � �• d Size & Type HP,KW,KVA,or KVAR ✓ L ,G CJ ' 0 License Number • D Lic Class Up to 1 Incl FINAL U 1 to 101ncl DATE .l� Contractor- v 5;7 are I�4 — (( v� Over VALIDATION 0 Y\ EJ / Over 10 to 50 Incl' FIN V I am exempt under Sec Over 50 to 100 Inc W B&P C for this Over 100 reason U) Services, Swbd,MCC& Panelboards D Date 0- 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600.V - ❑ .. Over 1000,Amp"or Over 600 V Exemption for Reg Maint Elect 2 ACCT.SINGLE FAMILY Temp Power Pole& Appurtenances 114trTn4 r�ye HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit W 52.L+I ` I hereby affirm that I am-exempt from the Contractor's License Law Additional Sign Branch Circuits ��+ for the following reason(Section 7031 5, Business and Professions _ 1 ITG11�7 Code) , Misc Conduits & Conductors TOTAL 52.25' I,as owner of the property;will do the work and the structure us not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) '(XC 52.2.5 and Professions Code) ON nn CONSTRUCTION LENDING AGENCY 1r�r�'� GE .00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec 3097, PERMIT FEE (Sub-Total) Civ C) 0000 tJ1iU1 8/64/8? PLAN CHECKING FEE 0 r?2l� 1 $X 18 Lender's Name „ V PERMIT ISSUING FEE LendePs Address ' I certify that I have read this application and state that the above TOTAL FEE 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 1 pection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE' ure of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1310030044 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760 PHONE (626) 285-0486 EXT (LEGAL ID FEES PAID BUILDING ADDRESS ON FILE I 4964 LOMA AV IFEE DESCRIPTION QUANTITY UOM AMOUNT-1 TEMP CA 917803018 ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 15388-013-007 IAL PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY CAI I IP2 PC RES PV<10KW 153.90 I I [TENANT IP3 INVRTR RES PV<10KW 27.90 (ISSUED ON PROCESSED BY PLAN BY I 1 I TOTAL FEES 209 60 110/03/13 SR I (OWNER 1 4964 LOMA AV ITEMP 917803018 1 ID SCRIPTION OF WORK 1 I IROOF MOUNTED SOLAR PV INST L OF 12 PANELS AND 1 INVERTER I (APPLICANT TEL NO- (SMALL, PHILIP (951) 300-0768- 1 I I 13080 12TH STREET I ISPECIAL CONDITIONS I IRIVERSIDE CA 92507 I I I I I I I I (CONTRACTOR: TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE ISOLARMAX RENEWABLE ENERGY (951) 300-0768- I 1 13080 12TH ST LIC NO I ITEMPORARY POWER POLE I (RIVERSIDE, CA 92507 972048 1 1 1 1 1 1UNDERGROUND CONDUIT I 1 I I I I 1ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I I LIC NO I IROUGH CONDUIT I I I I I 1 I 1 TROUGH WIRING I 1 I I I I I I I IMAIN WATER LINE I 1 I IPLASTIC Y/N METAL Y/N 1 1UTILITY COMPANY NOTIFIEDI - 1 O 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 I I I I I I I I I I I I 1 IREPORT ID DPR265 ROUTE TO BS0508 I 1 I 1 I I I I I I