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Home My Public Portal About4979 LOMA AVE_Electrical__ 76.663-cE606 9-64 APPUCAMN FOR ELECTM �PRMffr COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 9 } ofd BUILDING AND SAFETY DIVISION ADDRESS (- JOHN A. LAMBIE, COUNTY ENGINEER p �j COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY 02 NEAREST V FOR APPLICANT TO FILL IN SSS )( RECEPT TOTAL NO, EACH FEE d OUTLETS FIRST 20 $ 20 IS eC9 OWNER WvL L cl p LIGHTf0 MAIL ADD'L ADDRESS LOM X 1O SWITCH 2 � OVER 20 _ r *Tll I Lx 'r TOTAL CITY R �p � TEL. NO. LIGHTING i ) FIRST 20 .20 FIXTURES 1 ADD'L ov R 20 .10 ELECTRICIAN L RANGES CLO DRYERS WTR.HTRS 100 N O ADDRESS GARB D19P. STA COOK '{ CITY E DISHWASH. AUTO.-WASH. STATE f SPACE HTRS STA.APP.(%i H P.MAX 1 .50 LICENSE NO MOTORS- OVER NOT OVER HP. DIST CT N GRO-UPI ZONE PR BY F O 1 1.00 1 t 1 3 1.50 INSPECTION RECORD CL 3 S 1200 d M 6 15 2.50 0 15 50 300 OL � Q F 50 100 5 00 V W SIGNS NO.TRANS d No LAMPS h Z SERVICE 0.600V-Nor OVER 200A 1.00 �o SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 500 MISC. :r IS PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 100 + �� i TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI AT APPROVALS DATE INBPECT"O 8 SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT i WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR- FIXTURES Of LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IAM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY POWER SIGNATURE X � .� ' UTILITY CO.NOTIFIED i OF PERMITTEE—�/ FINAL oc, LIDATION JOSEPH C. ROOHAN MO CASH SUPERVISING ELECTRICAL ENGINEER L t La 9 9 4 0 FEB 2 3 2 D 7.2 76A663 DBS SA 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTR FOR APPLICANT TO FI IN, ELECTRICIANII:T 7�0 !11ZONE PERMIT NO. 32 RE VIED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION Q7 CITY TEL NO. D G r COUNTY LICENSE NO. EXPIRES BUILDING "y`L � )�.v"i 1 �.%>tit t PERMIT FEES ADDRESS C NUMBER EACH FEE LOCALITY ( LIGHT OUTLETS NEAREST t CROSS ST RECEPTACLES a WALL SWITCHES OWNER 0,(t s l,5E' t�-o/ CC_t!I TOTAL OUTLETS SC $ � yMAIL1j .a� ADORE9S ,d rCD ELEC. RANGES 2B ELEC. HEATERS 25 CITY �l ( y�(��//�3 �, (/J TEL. NO. FIXTURES 5 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPER�TTYY) DESCRIBED ABOVE. %2 6 LESS $ .2S SIGNATURE 1/2 2 .50 PERMITTE 'la`^'" U91^'•Q�lo~d.''t-�--„� 2 s ,.°° INSPECTION RECORD s 15 1.50 _ is 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 O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORB (75% OF ORIO-) _ MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO, NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT �j� �• FIXTURES $1.00 WIRING SUPPLEMENTARY ,50 FIXTURES POWER TOTAL FEE >P/ _ UTILITY CO. NOTIFIED I (/ � FINAL 76'A"3'DBS SA 11-50 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 ZONE PERMIT NO. ELECTRICIAN A/ / '4/ / Ll 7 • ADDRESS l/4RE IVED BY READY FOR DATE ISSUED /� FIRST INSPECTION /�� CITY v �—I/ 1 TEL NO 001 COUNTY LICENSE NO EXPIRES BUILDING / PERMIT FEES ADDRESS 79 AZ �� ! NUMBER EACH FEE LOCALITY 7- /� �7 //, 1 LIGHT OUTLETS 17CROSS ST. ' RECEPTACLES ) ,q� p WALL SWITCHES OWNER _ �f /��/—/ 'q-/V/ TOTAL OUTLETS - Sc $ MAIL ELEC RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 I 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NUMBER HORSEPOWER FEE NEW MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1/2 &LESS $ .25 SIGNATURE OF r 12 2 .50 PERMITTEE 2 5 1 00 INSPECTION RECORD 5 15 1.50 Is 50 2.50 50 200 5 00 200 500 to 00 .J Soo 1000 15 00 Q Z OVER 1000 20.00 (� M G. SET/FREQ CHANGER-HP Q: WELDERS AC-KVA O GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG ) MOVED MOTORS (75%OF ORIG.) MISC SIGNS NO. NO. TRANS. APPROVALS NO NO LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: ^� CONDUIT WIRING $1 00 6 FIXTURES $1 00 WIRING d' M+ SUPPLEMENTARY 50 FIXTURES POWER TOTAL FEE $ UTILITYCO NOTIFIED /Ii0lo'`%� f2' _ ® FINAL ✓�� WORKERS' COMPENSATION DECLARATION 20-0019 DPW 3/87 �I hereby affirm that I have a certificate of consent to self app��C�AIDOO FOR CdCC�TL3�C��1d pEQ��Y O insure, or o.certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ora certified copy thereof (Sec 3800, Lab C ) •• Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE HLZ AMP, ADDRESS ❑Certified copy is filed with the county building inspec- 1 &2-Family, Scl Ft } $ — $ LOCALITY tion department Multi-family Scl Ft — NEAREST CROSS Date Applicant I S Residential Swimming Pools OWNER I y FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' ' MAIL Outlets Rec Light Sw COMPENSATION INSURANCE Cl D ADDRESS First 20 ry (This section need not be completed if the work involved by Total No Additional CITY No Tel the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner-- so as to become subject to the Workers'Co pensation Laws Lighting Fixtures First 20 ADDRESS Additional Total No CITY Tel No Date — —qt Applicant Fined Appliances Not Over 1 HP PERMIT NOTICt TO APPLICANT If, after making this Certificate of APPLICATION 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 3 with comply with such provisions or this,permit shall be Top — FAU —WH — deemed revoked Hood Fan —Other— CITY Tel No LICENSED CONTRACTORS DECLARATION Disp — Room Air Cond LICE S R Class I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER C (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO P O SED BY >_ and Professions Code,and my license is in full force and effect d'47O Size &Type HP, KW, KVA, or KVAR i Q License Number Lic Class s��/D Up to 1 Incl FINAL V Contractor Date _/12Over 1 to 10 Incl DATE Z 2 _ Z VALIDATION ❑ Over 10 to 50 Incl FINAL 16— I am exempt under Sec Over 50 to 100 Inc BY W B&P C for this reason Over 100, d Service anelboards Z Date 0-200 Amp Under 600 V D Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp Power Pore&Appurtenances I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code) i TZ. - Misc Conduits&Conductors i _ ❑ I, as owner of the property, will do the work and the - i �;,^s � structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— D i S i t i j� _64-..' m C —� Business and Professions Code) ' � l•F CONSTRUCTION LENDING AGENCY k-C ;=it I hereby affirm that there is a construction lending agency for lr•�'!'N6CE •- the performance of the work'for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEEIl !l--I 1}€)_ Lender's Name Lender's Address PERMIT ISSUING FEE i;_ i I' ': r'. - � O� I certify that I have read this application and state that the TOTAL FEE above 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 abo�- ntionecl property or inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o ittee Date ®5