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
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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