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Home My Public Portal About5664 LOMA AVE_Electrical__ CITY O Y -1-�FYhPL1' G ITF\( {� 76A663-CE80611-71 APPLICATION FOR ELECTRICAL PERMIT u COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS LOCALITY - NEAREST v FOR APPLICANT TO FILL IN CROSS ST. 7EP TS NO. EACH FEE $ $ OWNER L: JL MAIL FIRST 20 25 ADDRESS TOTALCITY TEL. N0. OVER 20 .10 PLAN CHECK LIGHTINGFIRST 20 25 APPLICANT TOTAL ADDRESS FIXTURES OVER 20 10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT &I M AL GIG. STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY L C TEL. N0. 3.31-3 - J/ CLOTHES WASH. DISHWASH. LICENSE N0. 26 & 41eCLASS. C FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH 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 THAT I AM THE LEGAL OWNER OF, AND INTEND TO O oN l 1 - 1Q 3.00 RESIDE IN, THE ABOVE DES RIBED RESIDENTIAL PROPERTY. J v 0 V SIGNATURE � 10 - 50 5.00 OF PERMITTEE�/� O 50 - 100 10.00 ~ DISTRICT NO. CLASS ZONE PROCESSED BY . u 100 - 500 15.00 SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER600 VOLTS OR200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.001 1 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE f FINAL PERMIT ISSUING FEE 3.00 100 TOTAL FEE 6.00 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONOK M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 768663-CE80610,72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS ' I C BUILDING AND SAFETY DIVISION d i _ LOCALITY NEAREST I�' �•R FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR / S S FIRM NAMEa -� �'✓�i� RECEPT% _ MAIL lw FIRST 20 r ADDRESS LIGHT TOTAL 25 cA TO , CITY TEL. NO /! SWITC L OVER 20 ,10 PLAN CHECK LIGHTING FIRST 20 .25 APPLICANT TOTAL — ADDRESS FIXTURES OVER 20 10 RESIDENT L APPLIANCES CITY TEL. No. PERMIT RANGE DRYER_WTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE ORCLASS. REG. NUMBER FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA 0R THAI I AM THE LEGAL OWNER OF THE ABOVE Y 1 — 10 3.00 OESCRIII. ED i RESIDENTIAL PROPERTY. p� /� O PERMITEE /`��)) �� V 10 — 50 5.00 'SIGNATURE!2._3G .a�'d" ` "' 10 ti O 50 — 100 10.00 U DISTRICT NO. ED BY LLJ 100 — 500 15.00 , SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS v DATE INSPECTO SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICE OVER 600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING _ i 2 TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES y POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL �•�. .. �, �• �`••,.- ^� PERMIT FEE (SUB TOTAL) NOTES: V A PLAN CHECK FEE PERMIT ISSUING FEE 3.00 c��•,' TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M . CASH o; 5.7 MAR 14 2 0 62- 518 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE8061-67 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ` BUILDING AND SAFETY DIVISION ADDRESS l7Nye, JOHN A. LAMBIE, COUNTY ENGINEER f/( COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Pr he— NEAREST FOR APPLICANT TO FILL IN CROSS ST. w e RECEPT, 1 TOTAL No EACH FEE I OUTLETS FIRST 20 $.20 $ OWNER �/�rsr1 �e-yA,61 LIGHT J} MAIL �O P.+ SWITCH AD1 D'L O ADDRESS �J(p(� �,E'i OVER 20 TOTAL FIRST 20 .20 r- CITY P/ CA EL. NO. �- LIGHTING 1 FIXTURES FIXTURES )( ADD'L CONTRACTOR ow �` OVER 20 •10 [- RANGES DRYERS WTR.HTRS. 1.00 ADDRESS .J(p 6 -+ /�,Q� /•J��- GARB.DISP. STA.COOK / CITY L' TEL.NO. CP DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APPL. 50 LICENSE NO. MOTORS: OVER NOT OV ER H.P. DISTRIC5 N GR 'Z E IP O 1 1.00 + r 1 3 1.50 INSP CTION REC RD 15 50 3.00CL �! 50 100 5.00 O _ V SIGNS-- NO.i'RANS NO.LAMPS O V SERVICE�-600V•NOT OVER 200A 1.00 � LU SERVICE b-60OV-OVER 200 A. 2.00 0. U) SERVICE OVER 600V 5.00 z OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIC TION UNDERS LAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO' POWER RESIDE IN,THE ABO E DES BED RES DENTIAL PROPERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL VALIDAT ON JOS PH C. ROOHAN CK M SUPERVISING ELECTRICAL ENGINEER CASH k.A—W. j .a SEPI_ 4 2 D 4.60- 76A663 DBS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS - ,� ' < ` 't Ti's I`'L:Jl3FIRST INSPECTION CITY TEL NO.,x"✓Y . r:� COUNTY LICENSE N0. � .d EXPIRES F, ��'%�'s 7 BUILDING li - PERMIT FEES NUMBER EACH FEE LOCALITY o. LIGHT OUTLETS NEAREST CROSS ST. •,/> — C-,,-,:� C.'I �" RECEPTACLES =:f WALL SWITCHES /° _ OWNER TOTAL OUTLETS L=r a SC $ �; d+ MAIL' --- ELEC. RANGES 25 ADDRESS ELEC. HEATERS / 25RI /• og� CITY ��IS�"=f1✓` i%IO TEL. NO. FIXTURES5 MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MAPPLICATION 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 NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER gpCH OF THE RESIDENTIAL PROPERTYrDESCRIBED ABOVE. } NEW !'MVD. HP OVER INC. %2 & LESS $ .25 SIGNATURE OF PERMITTEE / �` _-�C"e.�.�i`t, .'f°--�•� 1/2: 2 2 5 1.00 INSPECTION RECORV 5 15 1.50 is 50 2.50 50 200 5.00 2130 500 10.00 J 500 1000 15.013 Z OVER 1000 20.00 Ij M.G. HET/FREQ. CHANGER-HP (Y WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIB.) MOVED MOTORS (75% of ORIS.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DAZE' INS/PECTOR'SNAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES $1.00 ',f �t/�� WIRING SUPPLEMENTARY .50 FIXTURES POWER 79 TOTAL FEE $ 9. FUTILITY CO.NOTIFIED ; n-1- --/ FINAL V/ 76A663 DeS 5A 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NCO. ELECTRICIAN ,�cA Ga l (+' t? /�9ytt elf G� ? - RECEIVED BY READY FOR DATE ISSUED ADDRESS �%/� S L Ill�, 'r1 S�/ F ��l FIRST INSPECTION 1 TEL. No. t IV (//9 // COUNTY VLICENSE NO. r' �a EXPIRES A1e5/! BUILDING 4 PERMIT FEES ADDRESS NUMBER EACH FEE LO CAL IT LIGHT OUTLETS , . NEAREST G` A CROSS ST. RECEPTACLES WALL SWITCHES O OWNER TOTAL OUTLETS r 5c $ MAIL ELEC. RANGES 25 ADDRESS ® ELEC. HEATERS - 25 CITY// -��_'`7j�� d TEL. NO. FIXTURES —13—P�E 6 I HEREBY ACKNOWLtDGE 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 1 POSSESS THE ABOVE VALID LOS NuMeER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw �M^vo.qq HP OVER INC. EACH OF THE RESIDENTIAL--PROPERTY DESCRIBED ABOVE. � V L1iU 11 V2 s LESS $ .25 5-9) SIGNATURE OF PERMiTTE r IV, 2 .50 A �---^ 2 5 1.00 INSPECTION 5 15 .1.50 15 50 2.50 50 200 5.00 - 200 500 10.00 J 500 1000 15.00 Z r OVER 1000 20.00 (j M.G. SET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIG.) MOVED MOTORS (75% UF DRIG.) 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 $ ® UTILITY CO.NOTIFIED FINAL V � i' �MORKERS' COMPENSATION DECLARATION 10/81 CE-806G APPLICATION FOR ELECTRICAL PERMIT I4',.by attirm that I have a certificate of consent to self CE-806 in9LA-, or a cesiLficalo of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No 6003 2,/Company L; A/ i / FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ _ $ LOCALITY ' ��I�� "- tion department. Multi-family Sq. Ff. NEAREST �� ti 1 " lv�L� ✓ i^ ••�' Residential Swimming Pools CROSS ST. W Date <� '��—"�(� Applicant/ Ir til Z4" t1f, g OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw.L4_ MAIL r7 COMPENSATION INSURANCE First 20 �� / oD ADDRESS �!C1 /L/ r f4 (This section need not be completed if the work involved by Total No. Additional i 7 r CIT ,NPL E C Tel. No. the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this 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 � ��' �-i ADDRESS Total No. �•t� Additional �— CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT L✓ /t✓Jet? � /� 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.— ADDRESSN with comply with such provisions or this permit shall be Top _ FAU —W.H. — ! deemed revoked. CITY d !] 1/ Hood Fan _ Other_ Tel. No G ` LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER L ()O 1 Class. —J(} (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. R C SED BY, t1 Power Apparatus& Large Appliances and Professions Code,and my license is in full force and effect. � D � U �/r Size&Type HP, KW, KVA, or KVAR License Numbers/��C� Lic. Class JJ U ,�l"Up to 1 Incl. �'�"�O O FINAL �p f �� •: CC �� ad J 1 p/ Over 1 to 10 Incl. DATE V l O Contractor' i7Z�]aJV��=T ate 0 CI L� �ALIDATION,3 '� 0 Over 10 to 50 Incl. FINAL W I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 Z Services, Swbd., MCC & Panelboards ► Date: 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over1000Amp. or Over 600 V Exemption for Reg. Maint. Elect. co, sue PI-NEL _ SINGLE FAMILY Temp. Power Pole &Appurtenances ��d U`� ✓� HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby off irm that I am exempt from the Contractor's License Additional Sign Branch Circuits ;25267A Law for the following reason (Section 7031.5, Business and Professions Code): # o o o o:0 2 I, as owner of The property, will do the work and the Misc. Conduits&Conductors ) o o rf 5,7 5 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044, Business and Professions Code). 0 0 0 ] ]5 v CONSTRUCTION LENDING AGENCY O a18-86 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.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE U Lender's Address I certify that I have read this application and state that the TOTAL FEE r `� 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 the above-mentioned property for inspection purposes. _ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permitfee Date