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HomeMy Public PortalAbout5304 LOMA AVE_Electrical__ 76A663-CE806 10/72 COUNTY OF LOS ANGELESU� DEBUIRTMENT OF COUNTY LDING AND SAFETY DIVISION ADDRESS. roe 530 DM'A ADDRESS LOCALITY f e,4^ qNEARESTC FOR APPLICANT TO FILL IN CROSS ST. ©�-�Y OUTLETS NO EACH FEE OWNER OR $ $ FIRM NAME CEPT/r MAI REGHT TOTAL FIRST 20 O 25 6� ADDRESS ,S O L...Q +� �O A ye CITY p4_ C (. TEL. N0. �j-�� 8 SWITCH OVER 20 1p _ - PLAN CHECK FIRST 20 25 G v APPLICANT LIGHTI G TOT OVER 20 ADDRESS FIXTURES 1p RESIDENTIAL APPLIANCES Cl TEL. N0. TY PERMIT RANGE DRYER WTR HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR CLASS. REG. NUMBER FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING W IT ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS, ETC. HP KW KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1 - 1O 300 DESCRIPED RESIDENTIAL PROPERTY O PERMITEE C3 10 - 50 500 SIGNATURE CDF- 50 - 100 1000 DISTRICT N0. R SSED BY LV 100 - 500 1500 !�g � SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS (J DATE INSPECT9106SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICENOTOVER600VOLTS OR200AMP 300 ��v UNDERSLAB WORK SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE, POLE, &APPURTENANCES 5D0 WIRING TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES r r POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE �)��S', PERMIT ISSUING FEE 300 O TOTAL FEE PLAN CHECK VALIDATION CK M 6 CASH PERMIT VALIDATION CK. M.0 CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULEr I , . - p I�I� /� /� �]� FOR 1- \1g�/i Ips pp'q tet'{ 5� � 78A863-CE808 10-82 !P-U Il I] ���f` LYV��®ll V Il ®_l10 `L�-LE TMC IJ ER V 1 ll COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ; BUILDING BUILDING AND SAFETY DIVISION ADDRESS �7 Oti JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUP'i OF BUILDING - LOCALITY ,I&I NEAREST FOR APPLICANT TO FILL IN CROSS$T. (� RECEPT. TOTAL NO, EACH FEE OUTLETS FIRST 20 $20 $' Doc OWNER UCL-�O C�+ONd 71' ' LIGHT is Al ADDRESS 2 � VA•t1,9 ✓/J �?.4 SWITCH. - OVER 20 .10 !t� 0 . LIGHTING TOTAL FIRST 20 .20 yO CITY GSI TEL.NO.-2-F-01;-d1 FIXTURES 9 ' ADD'L1O ELECTRICIAN (/CL/0 C�- IS OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. -..-COOK ¢ C CITY TEL.NO. DISHWASH. AUTO.-WASH./ STATE •� (, SPACE HTRS. STA.APP.(yi H.P.MAX.) ,50 4 LICENSE NO. �( �Q MOTORS: OVER NOT OVER H.P. DISTRIC N G N PR D O 1 1.00 / 1 3 1.50 INSPECTION 'RECORD a 3 8. 2.00 0 8 15 2.50 - - _. - V ed 15 50 3.00 - 50 100 5.00 NO.TRANS. - SIGNS. NO.LAMPS _ SERVICE 0.600V-Nor OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE -1 HEREBY 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 / (/ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS,ANGELES COUNTY AND STATE OF FIXTURES i ,IGO A CALIFORNIA OR THAT 1 E LEGAL OWNER OF THE ABOVE DESCRIBED RESIDE ERTY. POWER - SIGNATURE c UTILITY CO.NOTIFIED /t A- A A OF PERMI E - t� v r? - _ - _ _ FINAL (� fes" LIDATION ARTHUR C.-VETT CK MO• CASH SUPERVISING ELECTRICAL ENGINEER .t, 933Oa �ur�28 2 0 16.30N 1 oea S-A ,a-aa APPLICATION FOR PI:Ii1VII'1' YDEPART COU OF- F LOS ANG AND SAFETY ELECTRIC .^•�'� COUNTY OF LOS ANGELES i•�.^ M J. FOX CHIEF ENGINEER NAME FDISTRICT NO. GROUP ZONE PERMIT NO. U ��sq ADDRESS�y�'I,n� ba/_pCITY TEL.NO. RECEIVED BY READY FOR DATE ISSUED J COUNTY Jt. FIRST INSPECTION tO I+1 CERT.NO. EXPIRES r APPLICANT FILL IN HEAVILYOUTLINED POR'T'ION/ONLY JOB IDESCRIMON OF WORD —ADDRESS J� od 0 004 4 NUMBER OF OUTLETS ON CIRCUITS LOCALITYr<-_� o~V Xle Ex,i 1/ *91 LOCATION BY ROOMS NEAREST / , LIGHT OUTLETS SW. PLUGS FIl(T CROSS ST. �o J I CIRCUIT A B C I D E F G lH IL' NAME 4' ,V v iv f, Z MAIL A �y 3 ADDRESS)An S.", ""A C-�- O CITY le 1 AM THE LEGAL POSSESSO OF THE ABOVE LOS ANGELES COUNTY CERTIFICAT OF QUALIFICATION.. ELECTRICIAN. I ANI THE LEGAL OWNER OF THE PROPERTY DESCRIBED • ABOVE. �` I "C `f OWNER. CORREMONS Y J Alb Q v Z P/,eA,')4i �� e,� CIS / 2 —9'- %� 'Iwirti Ste.h i. eP.. EOF l TLETS �� $ 4 APPROVALS 1TURES K $ t�-- DATE INSPECTOR'S NAME TORS H.P. $ CONDUIT ��ffNS TRANS. $ WIRING S-AV—V2 Ae ? r9 S GES OR HEATERS $ FIXTURES EOUS $ POWER PERMIT FEE $ UTILITY CO.NOTIFIED TOTAL FEE 2 Z FINAL DBS S-A 12-44 MPLICA ION FOR''PERIVII'1,' ,• �t�'1dIEW OF BUILDING AND SAFETY ��T����� COUNTY OF LOS ANGELES �i WM. J. FOX CHIEF ENGINEER Z DISTRICT NO. G7upl ZONE PERMIT N� NAME ,(/a af)`QJ JQ U ADDRESS /7 d' 1 RECEIVED BY READY FOR DATE ISSUED IU CITY TEL.NO. �1 FIRST INSPECTIONCOUNTY CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED•PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY J LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIZT CROSS ST. CIRCUIT A B C D E F G H It NAME Q Z MAIL cJ 3 ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. i AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS ' J Q Z_ 9 It • O TOTAL I? J NO: OF OUTLETS dC O $ a/�� APPROVALS L NO. OF FIXTURES $ (/ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS /1 $ POWER PERMIT FEE (p $ / S UTILITY CO.NOTIFIED TOTAL FEE FINAL V 76A663 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT 'OF BUILDING AND SAFETY COUNTY OF LOS ANGELES -i--RIG/ 1 WILLIAM J. FOX, CHIEF ENGINEER ELEu FOR APPLICANT TO FILL IN 'DISTRICO. GRRO�1_��.;--PERMIT N. ELECTRICIAN i qq RECEIVED BY READY FOR DATE ISSUED ADDRESS si D N�� v Q.� FIRST INSPECTION CITY TEL. NO. y/ �]�f��r COUNTY LICE SE,NO. EXPIRES _ADDRESS W^�' "' �t PERMIT FEES I �, • NUMBER EACH I FEE LOCALITY ��r�/ LIGHT OUTLETS CV NEAREST CROSS ST. 6� RECEPTACLES WALL SWITCHES •� OWNER er f4 / C TOTAL OUTLETS Sc $ ADDRESS I el ELEC. RANGES 25 ELEC. HEATERS 25 CITY /p TEL. NO. L/ ` FIXTURES 5 1 HEREBY ACK OWLEDGE 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 1 POSSESS THE ABOVE VALID LOS ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NUMBER HORSEPOWER FEE EACH OF THE RESIDENTIAL PROPERTY ESCRIBED ABOVE. -NEWI INC. 1/2 a LESS $ .25 SIGNATURE OF t/2 2 .50 .PERMITTEE 2 5 1.00 INSPECTION RECORD 5 15 1.50 15' 50 2.50 50 200 5.00 200 Soo 10.00 J 500 1000 15.00' 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 Ti-0-v FIXTURES $1 00 i/ tr­o WIRING , SUPPLEMENTARY .50 I FIXTURES POWER_ �7 TOTAL FEE I $3 UTILITY CO. NOT F ED © FINAL J WORKERS'COMPENSATION DECLARATION CE 8066 tD/81 APPUCAIMN FdR ELEarmtAL PIERMY I,he1. affirm that I have a certificate of consent to self nsure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) " Policy No 720286 eany State Fund FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs.& Pools. EACH NO FEE ADDRESS 304 N• Loma ® 1 &2-Family, S Ft $ — $ LOCALITY Temple City Certified copy is filed with the county building inspec- Y, 9 tion department. Multi-family Scl Ft. — -'NEAREST 10-28-87 A ^ Residential Swimming Pools OWNER CROSS T L, Date ApplicantdL! FIRM NAME JaSepil Bayer CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets: Rec Cight Sw_First 20 ADDRESS. - Same p (This section need not be completed if the work invo ved by Total No Additional CITY \Tel. N286-5348the permit is for one hundred dollars ($100)or less.) I certifythat in the erformance of the work for which this PLAN CHECK P APPLICANT , 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 Environmental n ineers 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 601 N. poplar with comply with such provisions or this permit shall be Top FAU —W H.— 1 deemed revokedCITY Orange Tel. N63978281 LICENSED CONTRACTORS DECLARATION LICESE OR Hood _ Fan _Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp Room Aif Cond REGN NNUMBER 4.75226 Classic-20 (commencing with Section 7000) of Division 3 of the BusinessPower ADISTRICT NO PROCESSED and Professions Code, and my-license is in full force and effect Apparatus 8 Large Appliances �p 9L . Size &Type HP, KW, KVA, or KVAR o O License Number 475226 Lic Class - 0-20 Up to 1 Incl. FINAL V —Env.* Eng. 10-28-87 Over 1 to 10IncL DATE / ��� VALIDA Ofd Q Contractor Date Over 10 to 50 Incl FIN � ❑ I am exempt under Sec Over 50 to 100 Inc. V W B.&P.0 for this reason Over 100 ;9 8 2 9,.0 A H Date: Services, Swbd , MCC &Panelboards #.o;o 0 0 0 '� Z , 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp.Under 600 V ° o 2 0 5 0 ❑ Over 1000 Amp. or Over 600 V Exemption for Reg Maint. Eject. 0 .01o2 05 06 SINGLE FAMILY Temp Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION (• 1. 5 1 8 7 Sign with One Branch Circuit .0 j hereby affirm that I am exempt from the Contractor's License 1 Law for the following reason (Section 7031 5, Business`,and Additional Sign Branch Circuits Professions Code) ❑ j, as owner of the property; will do the work and the Misc Conduits 8 Conductors structureis not intended or offered for sale((Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code) 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 PERMIT FEE (Sub-Total) (Sec 3097, Civ. C ) lo" PLAN CHECKING FEE Lender's Name J PERMIT ISSUING FEE Lender's Address !� I certify that I have read this application and•state that the TOTAL FEE v above information is correct. I agree to comply with all County ordinances and State jaws 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 Sig ture of Permi a Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0901070020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT. LEGAL ID. FEES PAID BUILDING ADDRESS: ON FILE 5304 LOMA AV 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803001 ASSESSOR INFORMATION NUMBER: - I I NEAREST CROSS STREET: 15388-008-024 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 4:00 OUT 7.80 I 1 ITENANT: IG2 LIGHTING FIXTURES 12.00 LGT 23.40 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 TOTAL FEES 58.95 101/07/09 SR 07/06/09 10WNER: TEL. NO: _ IFINAL DtTE FINAL BY: CODE: 1 BAYER, MARILYN (626) 286-5348- � 15304 LOMA AV 1 ��1 ITEMP 917803001 1 1D SCR�OF WORK I _ 1ELECTRICAL FOR NEW BATHROOM (APPLICANT: TEL. NO: 1 IHOME CARE & DESIGN (888) 580-5557- I 110680 W. PICO BLVD. I ISPECIAL CONDITIONS. 1 ILOS ANGELES CA 90064 1 1 I I I I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 IHOME CARE AND DESIGN (888) 580-5557- 1 1 I 110680 W PICO BLVD LIC. NO 1 ITEMPORARY POWER POLE I I I ILOS ANGELES/CA/90064 820230 1 1 I I I 1UNDERGROUND CONDUIT I I I I I I I (ARCHITECT OR ENGINEER - TEL. NO: I IUFER GROUND I I I LIC. NO. I IROUGH CONDUIT 1 I 1 IROUGH WIRING I / I I IMAIN WATER LINE I I IPLASTIC Y/N METAL Y/N 1 I I I I I I I I I 1UTILITY 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 1 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 I I I I I I I I I I I I I IREPORT ID• DPR265 ROUTE TO: BS0508 1 1 I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0902020001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: I I ON FILE 5304 LOMA AV I I IFEE DESCRIPTION- QUANTITY: UOM: AMOUNT. ( TEMP CA 917803001 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15388-008-024 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 6.00 OUT 11 70 1 I ITENANT: I TOTAL FEES 39.45 (ISSUED ON PROCESSED BY. PLAN BY: EXPIRES ON: I 102/02/09 SR 08/01/09 TOWNER: TEL. 6- F/ 1 `ATS FTYY: CODE: BAYER, MARILYN (626) 286-5348- �/\I/ 5304 LOMA AV ITEMP 917803001 1 IDE CRIPTION OF WORK 1 I I 16 LIGHT FIXTURES I (APPLICANT: TEL. NO: I I I IHOME CARE & DESIGN (888) 580-5557- 1 I I 110680 W. PICO BLVD. I ISPECIAL CONDITIONS: (LOS ANGELES CA 90064 1 I ICONTRACTOR. TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IHOME CARE AND DESIGN (888) 580-5557- I I I 110680 W PICO BLVD LIC. NO ITEMPORARY POWER POLE I 1 ILOS ANGELES/CA/90064 820230 I I 1 I I I (UNDERGROUND CONDUIT I I (ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND _ I I I LIC. NO: 1 IROUGH CONDUIT I IROUGH WIRING I I I I I IMAIN WATER LINE I IPLASTIC YIN METAL YIN 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 IREPORT ID. DPR265 ROUTE TO: BS0508 1 I I I I I I I I