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HomeMy Public PortalAbout5418 LOMA AVE_Electrical__ 76A663 CE 606R I0,77 APPLICATION f OR ELECTRICAL PEIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB , ire BUILDING AND SAFETY DIVISION ADDRESS FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Pools EACH NO. FEE NEAREST 1 &2-Family,Sq.Ft. $ .025 — $ CROSS ST. NE' Multi-family Sq. Ft. 02 M— OFIRM N RE �y ✓lam' ` �V Residential Swimming Pools 25.00 MAIL ADDRESS Outlets:Rec Light/Sw. CITY Tel. No. First 20 50' — PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY jel. o. 30 PERMIT Total No.�_ Additional APPLICANT. Fixed Appliances Not Over 1 HP ADDRESS Range—Heater_D.W._ CITY Tel. No. Oven_Dryer—W.M. LICENSE OR ` Top —FAU W.H._ REG.NUMBER J V Class. _'�� Hood_Fan _/_Other I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE D IS p. - ROOT Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUf RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to 1 Incl. 2.50 THE LEGAL OWNER OF T BBOOVE DESC BED RESIDENTIAL RO RTY. n' Over 1 to 101nc1. 5.00 PERMITTEE Over 10 to 50 Incl.. 12.50 o SIGNATURE Over 50 to 100 Inc. 25.00 Over 100 40.00 DISTRICT No. ROCES ED BY Services ' 0-200 Amp. Under 600 V 12.50 INSP TOR'S \ 201-1000 Amp.Under 600 V 25.00 APPROVALS DATE SI ATURE Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK • Temp. Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING �� J� Z R Misc.Conduits&Conductors 10.00 FIXTURES 2( 7A Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL 1a. PERMIT FEE (Sub-TotaU NOTES, ' PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE [[�� pp (���11,,5� CSC/�p�� ®� 5 5v c a 76 e, 906 8-62 AlT PLICA 0 N F® ELEC7WCAL PERK ll CBUNTY AF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDIG Np BUILDING AND SAFETY DIVISION ADDRESSRepr JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITYs��� �%T NEAREST FOR APPLICANT TO FILL IN CROSS ST. Q7 RECEPT ;Lq TOTAL NO. EACH FEE OUTLETS FIRST 20gO $2O $ Q® OWNER d Q LIGHT r6 MAIL �3 ADD'L ate}, -f0 wf� ADDRESS �T SWITCH. 16 OVER 20 33 .r7 � TOTAL CITY TEL NO. LIGHTING L_t3__ F1rtsT 20I .20 Q � /FIXTURES ADD'L 1O ELECTRICIAN • 140VI 14 OV R 20 (J a ' RANGES CLO /DRYERS WTR HTRS. 1.00 ADDRESS �O 7 �� F O w eM �Z 14 S o GARB.DISP 'STA.COOK ��- / CITY �O� TEL NO / I 2O DlsHwwsH / AUTO-WASH STATE SPACE HTRS I STA.APP.I'/.H.P.MAX .50OO LICENSE NO. MOTORS. OVER NOT OVER HP. DIST}ICT�O. GROUPNE =OCESSED Y O 1 1.00 JV 1 3 150 INSPECT ION RECORD 3 S 200 8 15 250 7 15 50 3.00 A-) _ 50 100 5 00 0 SIGNS: NO.TRANS IY NO LAMPS Q H SERVICE 0.60OV-Nor OVER 200A 1.00 Q uf L) CL SERVICE 0.60OV-OVER 200 A. 2.00 cA Z SERVICE OVER 600V 5.00 — MISC. PERMIT ISSUING FEE 200 Q� SUPPLEMENTARY PERMIT ISSUING FEE 100 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 ♦ _-// / „�„�y/�/� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WI RI NG(/j�� 7 ��/FD Com/ l`J^�/(/✓ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY L08 ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AMtyZOWNER OF THE ABOVE �+ DESCRIBED RESIDENT POWER / ,y SIGNATURE - UTILITY CO.NOTIFIED OF PERMITTEE ),� r FINAL l �LI O CAS SUPERVISING R C. VETT ClS� MO CASH SUPERVISING ELE RICAL ENGINEER LNUO 4 5 6 6 MAY 13 2 D 1 4.�Q WOR<El25'CQ/VIPENSATION DECLARATION 76A663 1081 APPLICATION FOR ELECTRICAL PERMIT I here.y affirm tha'i I have a certificate of consent to self CE-806G insure, ora certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY . or a 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 ADDRESS 0 Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft, $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST ,Q CROSS ST. c�LC• Residential Swimming Pools _ Date Applicant FIRM IRM N ME 6-1/!�� ��.- CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec­i/-Liht 5w. ' MAIL g , _ COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Total No. CITY Tel. No. the permit is for one hundred dollars ($100)or less.) Additional ^� 313 jl� I certifythat in the performance 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 Wor rs' ompensation Laws. Lighting Fixtures First 20 ADDRESS J Total No. Additional Q CITY el. No. Date v Applicant � � Fixed Appliances Not Over 1 HPPERMIT NO• CE APPLICANT: If, after raking this Certificate of APPLICANT 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 with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood Fan _Other— LICENSED Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCCSD BY and Professions Code, and my license is in full force and effect. Size &Type HP, KW, KVA, or KVAR I V License Number Lic. Class Up to 1 Incl. FINAL t0 Over 1 to 10 Incl. DATE VALI ATION If Contractor Date Over 10 to 50 Incl. ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. 4BY LU B.&P.C. for this reason Over 100 Services, Swbd., MCC& Panelboards Date: 0 -200 Amp. Under 600 V V� a Signature 201 - 1000 Amp. Under 600 V r ❑ Over 1000 Amp. or Over 600 V e ; Exemption for Reg. Maint. Elect. �Rb SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit o 0 2 a 5 Q I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and o 0 0 2 8 5.�, Professions Code): I, as owner of theproperty, will do the work and the Misc. Conduits &Conductors e Other See Complete Fee Schedule)- 7044, chedule o7.09--8-5 structure is not intended or offered for sale (Section ( p )— , 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) Im (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address n I certify that I have read this application and state that the TOTAL FEE L12 IJ 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 th abo -�ntrimed_propPrty for ins ectio purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature tee Do e COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT - DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9803100049 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 7796 LT: 19 5418 LOMA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803003 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5388-001-038 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75 TENANT: H2 RES GRBG DISP LT 3HP 1.00 DIS 10.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 48.30 03/10/98 UT 03/10/99 OWNER: TEL. NO: FINAL DATEFINAL BY: CODE: HWANG YEU TYAN;HUANG CHING TSANG (818) 286-5537- 5418 LOMA AV b TEMP 917803003 DESCRIPTION OF WOR NEW GFCI'S AND GARBAGE DISPOSAL APPLICANT: TEL. NO: AMPB CONSTRUCTION (626) 284-3260- 1600 ORANGE ST. SPECIAL CONDITIONY. ALHAMBRA, CA CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE AMPB GENERAL CONSTRUCTION (818) 284-3260- 1600 ORANGE STREET LIC. NO i, TEMPORARY POWER POLE ALHAMBRA, CA 5490618 UNDERGROUND CONDUIT i ARCHITECT OR ENGINEER: TEL. N0: - r UFER GROUND i f LIC. N0: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT 'DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9805150042 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 7796 LT: 19 `5418 LOMA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803003 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5388-001-038 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY G2 LIGHTING FIXTURES 2.00 LGT 3.90 TENANT: H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES,;ON: H2 RES GRBG DISP LT 3HP 1.00 DIS 10.80 05/15/98 UT 05/15/99 H3 RES DISHWASHR LT 3HP 1.00 DIS 10.80 OWNER: TEL. NO: H4 RES RANGE HDS LT 3HP 1.00 H00 10.80 FINAL DATE FINAL ie BY • CODE: HWANG YEU TYAN;HUANG CHING TSANG (818) 286-5537- H7 RES EXHAUST FANS 1.00 EX 10.80 ��!� 5418 LOMA AV TOTAL FEES 85.65 TEMP 917803003 DESCRIPT ON OF WORK ` ELECTRICAL FOR KITCHEN REMODEL APPLICANT: TEL. NO: AMPB GENERAL CONSTURCTION (626) 284-3260- 1600 ORANGE SPECIAL CONDITIONS: ALHAMBRA, CA 91803 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE AMPB GENERAL CONSTRUCTION (818) 284-3260- 1600 ORANGE STREET LIC. NO TEMPORARY POWER POLE ALHAMBRA, CA 549061B - UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: _ UFER GROUND LIC. N0: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508