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HomeMy Public PortalAbout5521 LOMA AVE_Electrical__ "�5- ®® {� gj A� 76AG63-CESOO 3.56 A 9 B �9 C A`�'�®fid FOR ELECTRIC PER fly 0 T COUNTY OF LOS ANGELES - •r DEPARTMENT OF COUNTY ENGINEER BUILDING / BUILDING AND SAFETY DIVISION ADDRESS 7 /✓�©C?Q�INI�G� JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY /C Q l d' . - FOR APPLICANT TO FILL IN NEAREST E�c�iii PERMIT FEES CROSS ST. i ® ITEM NUMBER EACH FEE OWNER en 04. `' LOICHTsT RECEPT sw. MAIL $ ,Ip $ ADDRESS ,p ' LIGHTING FIXTURES %� 10 �jO CITY TC TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL NO. GARBAGE DISPOSERS AUTO.- [[� STATE / !, -� WASHERS STA COOKING UNITS 25 J LICENSE NO. ` r/ V3 3 MOTORS: OVER INC HP DISTRICT NO. GR P Z NE PR CESSED BY� 0— +i2 -r ;L :25 50 1/2— 2 .50 INSPECTION RECORD 2— 5 100 5— 15 1.50 Is— 50 250 50-200 1500 NO TRANS. , Y c SIGNS: NO LAMPS SERVICE 0-600V 1.00 (� A SERVICE OVER 600V 500 MISC. e WIRING PERMIT 1.00 ,2O f Y /77 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT .50 TOTAL FEE $12 ITS-- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT � -22 3-i n ELECTRICAL WIRING. c WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI OPERTY. POWER SIGNATURE UTILITY CO.NOTIFIEDrl L G3 OF PERMITTE FINAL ®p A pDATION ARTHUR C VEIT, CK Mo cAeei SUPERVISING ELECTRICAL ENGINEER LAio 8 1 0 6 WA 2 3 2 A 12.5 5 76A&63/CE806 10-61 A MN FOR ELECT( AL PERNT COUNTY OF L S ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING • e FOR APPLICANT TO FILL IN 1 T E M NO. EACH FEE OUTLET (FIRST 20) $ OWNERMs. LIGHTS RECE PT. 3. W. .20 $ MAIL r OUTLETS. (ADD'L UNITS) 1O ADDRESS ,Z R LIGHTS RECEPT. SW, ' LIGHTING FIXTURES. (FIRST 20) 'j .20 / CITY �C� TEL NO LIGHTING FIXTURES: (ADDITIONAL) J .10 - fv ELECTRICIAN y `P// avll /*rncLk b1 .3 RANGES CLO.DRYERS WTR HTRS. 1.00 ADDRESS © / /'2. Ld bVeJY 7_IR�C4 fU, s k, GARB DISP STA COOK CITY t047C TEL. NO. 3 o ,I DISHWASH AUTO-WASH. STATE SPACE HTRSBTA.APP.(yi H P.MAX) .50 LICENSE NO p MOTORS. OVER NOT OVER H.P. DIST CT W. GROUP ZONE PROCE Y J O 1 1.00 �J t 1 a 1.50 /I INSPECTION RECORD, o r 3 8 2.00 " y / 4 8 15 2.50 50 100 5.00 9L NO TRANS 1 U) SIGNS- NO.LAMPS - Z SERVICE 0-600V-Nor OVER 20OA 1.00 - N�• 7j SERVICE 0.60OV-OVER 200 A. 2.00 '�. SERVICE OVER 600V• 5.00 MISC. PERMIT ISSUING FEE 200 ®Q - SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE k 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY }� CONDUIT rr / / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / �`•y�j� v ELECTRICAL WIRING• 4 R',iT✓7\ n/ '/��ff-/`f�Y„ T C , a WIRINGS L 'l F 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR / { LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL OP Y. e� POWER +/J SIGNATURE, UTILITY CO NOTIFIEDOj OF PERMIl 1, �j� ` FINAL E/ LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER .tet LA 3 3-6 AU6 2 2 2 U ,c� ,g�.� IV WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 u APPLICATION FOR ELECTRICAL PERMIT �J I hereby affirm that-1 have a certificate of consent to self Insure, or a certificate of'Worker's Compensation,Insurance, or a certified COUNTY OF LOS,A_NGEI ES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C), " Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS �� •` r Certified copy Is hereby furnished New Residential Bldgs- &Pools NO EACH FEE ED $ $ LOCALITYhl 7: Certified copy Is filed with the county building Inspection 1 &2-Family,Sq Ft _ NEAREST department Multi-family Sq Ft CROSS ST 13 kei'AD(,.,J Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec _Light Sw OWNER OR < y N P COMPENSATION INSURANCE FIRM NAME e� Ci First 20 MAIL � (This section need not be, �Y completed If the work Involved by the Total No Additional ADDRESS Z ��rr1 permit is for one hundred dollars($100)or less) ' I certify that In the performance of the work for which this permit CITY .? L p — �J el No Is Issued, I shall not employ any person In any manner so as to PLAN CHECK become subject to the Wor ers'Compen n Laws Lighting Fixtures First 20 APPLICANT Total No Additional � - ADDRESS Date r `� Applic t= RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If, aft aking this ertificat, of CITY Tel No Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP y provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall'be deemed revoked Power Apparatus&Large Appliances APPLICANT _ C— LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that'I am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY Professions Code, and my license is In full force and effect Over 10 to 50 Incl Over 50 to 100 Ind LICENSE R L' (� �i Class S REG NUMBER J f� 4/ss / Over 100 DISTRICT NO PROCESSEQ BYI --_ License Number � �+ LIc Class � L C.� [p Service/s�S bd C&Pa el�a�o[ards/� , D c�, Contracto�L r e Q > u�`'+ 9P Un�e?50tTV� ` 3 DATE O ❑ I am exempt under Sec 400-1000 Amp Under 600 V ��— VALIDATION W Over,1000 Amp or Over 600 V FINAL LU B&P C-for this reason BRANCH CIRCUIT FEES BY f � Date 15A,or 20 ,120V,Lighting o R c/ I/ t 1 , ) _ 1 To 10 Branch Circuits i Signature 11 To 40 Branch Circuits El Exemption Or More Branch Circuits 7 Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits AC:4T n 4 , SINGLE FAMILY Temp Power Pole&Appurtenances _,.,� 827.TryVV HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 330 1 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 1 ITEMS iSS Code) ' ElTOTAL 1,332 m 70 I,as owner of the property, will do the work and the structure Misc Conduits&Conductors ty� p is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) NECK $?•70 and Professions Code) - _ 000 CHANGE CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the 0 performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) 0000-0001 4/ 4/9 6 Civ C) " PLAN CHECKING FEE 5701 1 PM12:06 Lender's Name PERMIT ISSUING FEE Lender's Address 7h I certify that I have read this application and under penalty of purjury state TOTAL FEE V that the 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 ent on the above-mentioned property for inspe urposes _ _ SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATE O ERM E DATE