The URL can be used to link to this page

Home My Public Portal About5317 LOMA AVE_Electrical__ DB a-A 4-41 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION — DISTRICT NO. GROUP I ZONE PERMIT NO. WIRING FIXTURES SERVICE — "; s' I R RECEIVED BY DATE ISSUED RANGE HEATER POWER I FIRSTEADY FOR INSPECTION SIGNS MISCELLANEOUS e APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB r--" z NAME ADDRESS ADDRESS LOCALITYcc u tr NEAREST ff CITY TEL.NO. CROSS ST. Lam` COUNTY CERT.NO. EXPIRES W NAME DESCRIPTION OF WORK ; MAIL ADDRESS NUMBER OF OUTLETS ON CIRCUITS O LOCATION BY ROOMS CITY - TEL.NO. LIGHT OUTLETS SW. PLUGS FIXY 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. CIRCUIT A► B C D E F G H LIVING ROOM ELECTRICIAN. -------^-- 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED DINING ROOM ABOVE. BRFST.RM. OWNER. BATH - - CORRECTIONS ENT.HALL HALL NO. FRONT PORCH OUTSIDE KITCHEN SERV.PCH. J BDRM.NO. Z CLOSET BDRM.NO. Q CLOSET TOTAL APPROVALS NO. OF OUTLETS $ NO. OF FIXTURES $ Y(_' DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ ♦ �:.. UTILITY CO.NOTIFIEDrl--1 TOTAL FEE $ y FINAL I 76A663 DBS SA 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC i COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE. PERMIT NO. ELECTRICIAN — -- i ' �"' RECEIVED BYj READY FOR DATE .ISSUED ADDRESS %% FIRST INSPECTION CITY TEL NO. r - COUNTY LICENSE NO. A .'� EXPIRES gDDRESSG'• .�' Ate} ' .tea PERMIT FEES FEE LOCALITY NUMBER EACH { LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES J WALL SWITCHES TOTAL OUTLETS Sc 9 OWNER MAIL ELEC. RANGES 25 ADDRESS_ ELEC. HEATERS 25 _ CITY TEL. NO. FIXTURES �.i. 5 { .. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THC ABOVE 19 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 NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAs, PROPERTY DESCRIBED ABOVE. r i/2 A LESS $ .25 SIGNATURE OF !`" + ^'• %2 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 200 500 10.00 _ J 500 1 000 15.00 Q - Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP I WELDERS:AC-KVA O GENERATORS - KW _ TRANSFORMERS - KVA TEMP. MOTORS (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 FIXTURES $1.00 WIRING _ SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE s UTILITY CO. NOTIFIED FINAL 7GA663 DEIS SA 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY' COUNTY OF LOS ANGELES ELECTRIC 1 , WILLIAM J. FOX, CHIEF�ENGINEER OR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT No. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION CITY TEL NO:" COUNTY LICENSE NO. ?—EXPI RES BUILDING ADDRESS PERMIT FEES FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS 5C MAIL ELEC. RANGES 25 k-- 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 I 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 RESIDENTI /OROPERTY DESCRIBED ABOVE. !/2 & LESS .25SIGNATE JRE OF z '/2 2 .50 PERM 2 5 1.00 INSPECTA5N RECORD 5 15 1.50 is so Z.so 0 2130 5.1301 7 eey'--5 200 Sao 10.00 500 1000 15.00 OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF- ORIG.) misc, SIGNS NO. NO.TRANS. NO. NEI. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY SO FIXTURES POWER TOTAL FEE $ %i UTILITY CO.NOTIFIED, FINAL DB 5-A 12-43 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC M. J. FOX CHIEF ENGINEER a NAME DISTRICT NO. GROUP ZONE PERMIT NO. U ADDRESS H RECEIVED BY READY FOR DATE ISSUED W CITY TE FIRST INSPECTION J COUNTY W CERT.NO. EXPI APPLICANT FILL EAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK A DRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. CIRCUIT A B C D E F G I H W NAME m MAIL Z ADDRESS - 3 0 CITY TEL.NO. I 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 -- a Z a o rT.O;TALOF OUTLETS $ APPROVALS 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 $ POWER PERMIT FEE $ UTILITY CO.NOTIFIED TO L FEE FINAL WORKERS'COMPENSATION DECLARATION 76- io/ai -APPLICATION FOR ELECTRICAL PERMIT I.hereby affirm that I have a certificate of consent to self insure CE-806G e. or a certificate of Worker§`Compensation Insurance, er a certified t '• COUNTY OF LOS ANGELES BUILDING AND SAFETY copy-thereof(Sec.3800,Lab. C.) I `fl Policy No. Company FOR APPLICANT TO FILL IN JOB 2,0 ,,, p F1Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE ADDRESS QMGZ W�`i ❑ 1 & 2-Family,Sq.Ft. $ — $ LOCALITY Certified copy is filed with the county building inspection — NEAREST C department. Multi-family Sq.Ft. CROSS ST. Q C4 Date Applicant Residential Swimming Pools OWNER OR / �d / FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:RecA Light `� Sw. MAIL COMPENSATION INSURANCE Gr 0 0 /S/ CV ADDRESS 5317 19 , LOM c G V'e (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars($100)or less.) Total No. Additional 112O p CITY � �e l Tel.Na ` g 73 I certify that in the performance of the work for which this permit PLAN CHECK 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 0 o 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 N APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ 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 _ W.H. _ CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan 21- Other_ r 2 I hereby affirm that I am licensed under provisions of Chapter 9 �DU ,y �(9 &0 LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER ER Class. Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSED BY Power Apparatus& Large Appliances Size& Type HP,KW,KVA,or KVAR , 4',9 25- O License Number Lic.Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE VALIDATION ❑ Contractor Date Over 10 to 50 Incl. V FI NAL I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C.for this reason Over 100 C- N Services,Swbd.,MCC&Panelboards , Z_ 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. SINGLE FAMILY Temp.Power Pole& Appurtenances HOME HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): I,as owner of the property,will do the work and the structure Misc.Conduits& Conductors 2657iy AM :,! is not intended or offered for sale (Section 7044, Business Other (See Complete Fee Schedule) +- 1 rtt t f�.c•_r and Professions Code). ® t t CONSTRUCTION LENDING AGENCYi;�, n a 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) 3307 44. 10 Civ.C.). PLAN CHECKING FEE 1 ITEMS t.S Lender's Name T I fTAL 44 - 00 PERMIT ISSUING FEE Lender's Address TOTAL FEE L/ CHECK I certify that I have read this application and state that the above 7� information is correct. I agree to comply with all County ordinances CHANGE (' 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 0,11100_j1001 9/ 419[' 7aJ-. e 26 X17: Sign ure of Permittee Date r AM 7:23 WORKERS' COMPENSATION DECLARATION 76-806 10/81 APPLICATI N FOR ELECTRICAL PERMIT I hereby;9fim that I have a certificate of consent to self insure, CE-806G cAa certificate 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 ti ! �. n n. OL ❑ Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE N ADDRESS -Ir ❑ $ _ o G '� -Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ LOCALITY C. LI department. Multi-family Sq.Ft. NEAREST i E /��u� �� CROSS ST., l Yrf Date Applicant Residential Swimming Pools OWNER OR ..7 FIRM NAME Ra CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec L Light-L Sw. Off' MAIL ) COMPENSATION INSURANCE ADDRESS JV V (This section need not be completed if the work involved by the First 20 .» A permit is for one hundred dollars.($100)or less.) Total No. Additional CITY e M L� Tel.No. �b?7-233 1 certify that in the performance of the work for which this permit PLAN CHEC APPLICANT k (� (� is issued, I shall not employ any person in any mannerPIC as tobecome subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS t33 Additional /yIr� Total No. CITY Tel.No. a7 7 Date � � .Applicant 1 A,Y �W�, NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT IL Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICANT provisions of the-Labor-Code;-you must-forthwithcomplywith-such-- Oven---Dryer=—,W.M. - __.-,_ _-_ ADDRESS_ _ _I Q Ue provisions or this permit shall be deemed revoked. Top — FAU W.H. �j CITY Tel.No. Zd 3 LICENSED CONTRACTORS DECLARATION Hood _ Fan Other_ I hereby, affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE o Class. (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER Professions Code,'and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. PROCES Y Size& Type HP,KW,KVA,or KVAR �t License Number Lic.Class Up to 1 Incl FINAL 0. Over 1 to 10 Incl. DATEf� VALIDATION =U Contractor Date wddddd Over 10 to 50 Incl. ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. gy W B.&P.C.for this reason Over 100 CL' Services,Swbd.,MCC& Panelboards ® l Z 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. SINGLE FAMILY Temp. Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ' a I hereby affirm that I am exempt from the Contractor's License Law i f t• )�e s ' for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits _ Code): 330 7 15.00 { I,as owner of the property,will do the work and the structure Misc.Conduits& Conductors I T�I EMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). �, TO I AL m00 CONSTRUCTION LENDING AGENCY CHECK 15.0 1 hereby affirm that there is a construction lending agency for the CHANGE .00 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). .PLAN CHECKING FEE Lender's Name 010100-000 1 13 /27/89 PERMIT ISSUING FEE ,� y�=f;� a Lender's Address 1 1 AM 3°15 I certify that I have read this application and state that the above TOTAL FEE D information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County t Venter upon the above-mentioned propertyfor inspe ion purpose SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur of Permittee Date • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0003200043 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL 1D: FEES PAID BUILDING ADDRESS: TR: 11218 LT: 10 BL: E 5317 LOMA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803002 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE 5388-007-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 13.00 OUT 25.35 TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 58.95 03/20/00 UT 09/16/00 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: LOPEZ ALBERT J;MARTHA J (626) 287-7338- �7 5317 LOMA AV TEMP 917803002 DE RI TI N OF WORK ELECTRICAL FOR EXTENTION OF LIVING ROOM APPLICANT: TEL. NO: LUIS MOTA (626) 806-6876- 542 N. SUNSET AVE. SPECIAL CONDITIONS: AZUSA, CA 91702 - �� c® CONTRACTOR: TEL. NO: � �� APPROVALS DATE INSPECTOR SIGNATURE LUIS M MOTA GENERAL CONTRACTOR 818969283 542 N SUNSET AVE LIC. NO TEMPORARY POWER POLE AZUSA, CA 91702 623955 B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND / LIC. N0: ROUGH CONDUIT� ROUGH WIRING �a (1 MAIN WATER LINE I'I C PLAST I C Y/N METAL Y/N UTILITY COMPANY NOTIFIED 0 LJ El Li REPORT ID: DPR265 ROUTE TO: BS0508