The URL can be used to link to this page

Home My Public Portal About4970 LOMA AVE_Electrical__ 76A66: &806 8-62 APPLICATIONF®R k CITRICAL ERMT tl COUNTY OF LOS ANGELES ,DEPARTMENT OF COUNTY ENGINEER BUILDING r QA BUILDING AND SAFETY DIVISION ADDRESS (/ > JOHN A. LAMBIE, COUNTY ENGINEER O WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY ' NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT TOTAL NO EACH FEE OUTLETS FIRST 20 IS20 $ OWNER LIGHT Om MAIL AWL ADDRESS SWITCH 17 OVER 20 .10 O TOTAL CITY TEL. NO. LIGHTING F1Rsr 20 x.20 FIXTURESADD'L 10 ELECTRICIAN Richardson Elect.Co- incq 0V9R 20 RANGES CLO DRYERS -. WTR HTRS 1.00 1 ADDRESSR 9:8- Ea-roadway GARB DISPbo STA COOK _ CIT abriel, TEL.NO c mQ. DISHWASH .AUTO.-WASH. STATE �JQ(]f��J SPACE HTR9 STA.APP.(l/.H P.MAX) .50 OL1 LICENSE NO. 11898 MOTORS OVER NOT OVER H.PDIST T W. GTO P ZONE I P SSED`�yBYi O 1 1.00 / 6 1 3 150 INSPECTION RECORD 3 8 2.00 8 15 250 15 50 300 } a 50 100 5.00 O V NO TRANS SIGNS NO LAMPS O H SERVICE 0.600V-Nor OVER 200A 1.00 00 u SERVICE 0.60OV-OVER 200 A. 2.00 d N SERVICE OVER 600V 500 ? MISC. PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 'TOTAL FEE >8 1 L HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPCATION 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 i AM PROPERLY REGISTERED �AN /ORLICENSED AS REQUIRED B LOS ANGELES COUNTY D STOF FIXTURES CALIFORNIA O THAT 1 M THE LEGA NER THEOVE - • ' I /� DESCRIBED RE IDENTIA OPERTY. POWER �� SIGNATURE UTILITY CO.NOTIFIED //A ,�:? /40),, /Q, OF PERMITTE i FINAL CJ"v �0ad-v 7 LIDATION ARTHUR C. VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LAf4S`5':5 7 to AUG '7- 2 D 15.10, 1 ! DBS SA 25M SETS 7-47 APPLICATION PP IC a j ION FOR PE0Aff r "DEPARTMENT COUY BUILDING � SAFETY ELE IC COUNTY OI•' LIDS ANGELES M. J. FOX HIEF EN (NEER a NAME DISTRICT NO. GROUP ZONE PERMIT`NO. �aU- ADDRESS UB CITY TEL.NO. CEIY BY READY FOR DATE ISSUED J COUNTY FIRST INSPECTION LA W CERT.NO. EXPIRES (��6 APPLICANT BILL IN HEAYII,Y OUTLINED PORTION ONLY JOB DESCRIPTIONOF WORD A DRESS 4Zv ��-a tr�2 C`4t 1 d NUMBER OF OUTLETS ON CIRCUITS LOCALITY - e LOCATION BY ROOMS NEAREST � /q��_�- •.,.p LIGHT OUTLETS lsw. PLUGS I FIXT CROSS ST. CIRCUPT A, B C D E F G H ix NAME OQi1ZCA� L i Z MAIL / 3 ADDRESS" k11*4 C.2%. OCITY > TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGEL" COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. Po r I AM THE LINIAL OWNER OF B PRO/P'EIM DESCRIBED � ABOVE OWNER. CORRECTIONS J - Q Z_ D p o TOTAL �e ✓ a �✓P 7-/a3'¢ � e"' NO. OF OUTLETS 1/ $ Y APPROVALS 1 NO. OF FIXTURES $ 2,15 DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ ' WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELL NEOUS $ POWER PERMIT FEEE $ FINAL LITY CO.NOTIFIED TOTAL L�2AeDBB A 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO-FILL-IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN ECEIVED BY READY FOR DATE ISSUED ADDRESS / FIRST INSPECTION /x CITY / / TEL. N0. U COUNTY LICENSE NO. EXPIRES BUILDING 7 (EJ PERMIT FEES ADDRESS_ NUMBER EACH FEE LOCALI LIGHT OUTLETS NEAREST �yp RECEPTACLES CROSS STf`r.f hs. �'-• �� ../�.�__ SGt, WALL SWITCHES OWNER TOTAL OUTLETS Sc $ S MAIL S ADORES ELEC. RANGES 25 O �? ELEC. HEATERS 25 CIT Gp TEL. NO was i FIXTURES _ 5 1 HERE ACKNOWLED E 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 I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER ' NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 & LESS $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE zf 2 s 1.00 VINSPECTION RE ORD 5 15 1.50 15 50 2.50 so 200 5.00 _ 200 5Do 10.00 J Soo 1000 15.00 Q Z OVER 1000 20.00 Lo M G. SET/FREQ. CHANGER-HP It WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Or ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 v` a CONDUIT FIXTURES $1.O0 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE !B SQ UTILITY Co.NOTIFIED FINAL 4- 7"663 DBS SA 11-e9 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES ' WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I Z13N�E 1PERMIIT NO. -5-' / Al — / / RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION ��SC CITY TEL.NO. L✓�SO — COUNTY LICENSE NO. EXPIRES BUILDING ` /�.•. ./ PERMIT FEES ADDRESS Y NUMBER OUTLETS EACH FEE LOCALITY / LIGHT Sc $ NEAREST ,y CROSS ST. '5i �/- RECEPTACLES 5 FIXTURES 5 OWNER " WALL SWITCHES 5 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTA1 APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEW Mvo. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER %2 & LESS $ .25 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. V2 2 .50 SIGNATURE OF�'� 2 5 1.00 PERM ITTEr• 5 15 1.So INSPECTION RECORD is 50 2.50 50 2613 5.00 200 500 10.00 500 1 000 15.00 J OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP o WELDERS:AC-kVA Q' GENERATORS - KW O TRANSFORMERS - KVA TEMP. MOTORS (75% OF OR113•) ! MOVED MOTORS (75% OF ORIS.) MISC. �yO SIGNS TYPE: NO.TRANS. J TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING '�-- SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE s ,� UTILITY CO. NOTIFIED FINAL 114' Ap° r^-' �® s p WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) i� PPUCd�9TM FOR EL EC Y•��AL ERMI� 76A663 (� Bd' r u I hereby�lrm,th�I have a certificate of consent to self Insure, oi-a certlflcate of , orker's Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof-(Sec 3800 Lab C) Policy NO Company FOR APPLICANT TO FILL IN JOB El Certified 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 department Multi-family Sq Ft CROSS ST Date Applicant Residential Swimming Pools ASSESSOR MAP PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' —/_ OWNER OR. COMPENSATION INSURANCE Outlets Rec —LightSw FIRM NAME First 20 MAIL (This section need not be completed if the work Involved by the Total No Additional ADDRESS C permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY G 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 NoAdditional ' 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 p y comply APPLICA provisions of the Labor Code, you must forthwith com I with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances NT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby'affirm'that I am'licensed under provisions of Chapter 9 Over 3 to 10 Incl Z /l (commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code,and my license is In full force and effect Over 10 to 50 Incl LICENSE OR Class } Over 50 t0 100 Incl REG NUMBER fl Over 100 DISTRICT NO PR C SED BY Q License Number Lic Class V Services,Swbd,MCC&Panelboards 1i Q Contractor Date 0-399 Amp Under 600 V FINAL Q DATE ❑ 400-1000 Amp Under 600 V I am exempt under Sec VALIDATION V Over 1000 Amp or Over 600 V FINAL W B&P C for this reason BRANCH CIRCUIT FEES BY Date 15A,or 20A,120V,Lighting or Recept / O • Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 7 El 41 Or More Branch Circuits a Exemption for Reg Mamt Elect 15A,20A,208V To 2T7V Lighting Br Circuits ACCT.e SINGLE FAMILY Temp Power Pole&Appurtenances ?i�7J �j7,jU HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 hereby affirm that I am exempt from the Contractor's License Law 1 ITEMS 15 for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits Code) � - TOTAL 6 7 ® -� ', as owner of the property,will do the work and the structure Misc Conduits&Conductors CHECK 6+raV OU is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ and Professions Code) .00 CONSTRUCTION LENDING AGENCY 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) 0000-0001 6/ 6/96 Civ C) PLAN CHECKING FEE 6776 1 ASI 9. 1� Lender's Name .} PERMIT ISSUING FEE �C Q Lender's Address 1 certify that I have read this application and under penalty of purjury state TOTAL FEE '0 that the above Information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize represe iv s of this ounty nter upon t e above-mentioned property for n purpo SEE REVERSE FOR EXPLANATORY LANGUAGE GNATURE OF PERMITTEE ef A DATE- WORKERS'COMPENSATION DECLARATION CE-806 io/si q PP UC/MON FOR E LECIT �IrP�'�lL Il"IGII�IIH T I hereby affirm that I have a certificate of consent to self insure, CE-806G d'�Ir IT 6'-'a or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800,Lab C) "fl Policy NoWP91490mpany FOR APPLICANT TO FILL IN JOB ''ll��/ Ap� ❑ Certified copy is hereby furnished .EACH NO FEE ADDRESS `'C'7 (� �M f�V� New Residential Bldgs & Pools Lo — LOCALITY Certified copy is fled with the county budding inspection 1 & 2-Family;Sq Ft $ . — $ TEMPLE CZT department CC '2.1MV4 42D T-ASCON FLAX. Multi-family Sq Ft NEAREST CROSS ST gEC.G1�►o erQ Date '/ Residential Swimming Pools O Applicant �`�'� �' `�� OWNER OR FIRM NAME C11V nTy>p NEV ZLcC ` CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL (This section need not completed the work Involved by the Outlets Rec— Light Sw COMPENSATION INSURANCE ANCE First 20 ��J � o� ADDRESS `'t J lO L-ON�A ^/0. permit Is for one hundred dollars($100)or less) Total No Additional CITY j��E CsT Tel No PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'jQ�o-�mpensation Laws _ Lighting Fixtures First 20 ADDRESS n+�f�RQJ7 � Additional Date 1�-2'�r91 Applicant � � a- �EC.'TQ,aG Total No CITY Tel No Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If, after making this Certificate of PERMIT t Exemption,you should become subject to the Workers'Compensation Range_ Heater_ DW _ APPLICANT provisions 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 CITY �( �yJ �� Tel No 9{02 �3 LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that [,am licensed under provisions of Chapter 9 Disp — Room Air Cond , �p LICENSE OR Class Cio (commencing with Section 7000) of Division 3 of the Business and REG NUMBER TJ�j�pT7J Professions Code,and my license is in full force and effect DISTRICT NO PR ED BY Power,Apparatus& Large Appliances Size& Type HP,KW,KVA,or KVAR12 L O License Num �ber 4w 5 Lic Class y Up to 1 Incl FINAL U R' CAPA?-D iia-LEC. p Contractor?-A'K F�GT¢-�+ Date 10-2 2-5 1 Over 1 to 10 incl DATE �a VALIDATION 0 ❑ Over 10 to 50 Incl (— I am exempt under Sec Over 50 to 100 Inc FINALBY W B&PC for this reason Over 100 N Services,Swbd,MCC&Panelboards D Z Date 0-200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole& Appurtenances i HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit AC_.i °a 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 Code) '-- ❑ F i 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) IbTdf and Professions Code) a CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the CHANGE performance of the work for which this permit is issued(Sec 3097, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEED {0100-0 1ILIA Lender's Name PERMIT ISSUING FEEAll Lender's 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 ��ature ty for inspect rposes SEE REVERSE FOR EXPLANATORY LANGUAGE Date