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HomeMy Public PortalAbout5665 LOMA AVE_Electrical__ 76A663 DSS 5A 3-50 �64 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �7 COUNTY OF LOS ANGELES�.�,,&¢$s iso ELECTRIC i WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT N.O. ELECTRICIAN SSAf ly/ e, dg. (� ( s[S'. 1/J�SiO R,= (J,{�� RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION f CITY , ( ji�� p�7 A/yByP TEL NO. -;y®/r�O,p�� K4N / a COUNTY LICENSE NO. 6 Y g EXPIRES Z®H D BUILDING PERMIT FEES ADDRESS �JJ�(b g�<fP�I FEE ' QLD NUMBER EACH LOCALITY a 62'7 ' ,fie 9 LIGHT OUTLETS J NEAREST RECEPTACLES - CROSS ST. Y® tel C'��lJ'Q WALL SWITCHES B OWNER f�1d�� �" TOTAL 'OUTLETS SC $ MAIL 5; 17 E / 0&Y-®�W,p ELEC. RANGES � 2g ADDRE;jS�JS ee!! b.,.(� r0• ELEC. HEATERS 25 �'�' CITY` ��4- eeXV 1O1TEL. NO. FIXTURES _ 51N 1 HER Y ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WIT14 ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I 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 RESIDENTIAL PROPERTD Y SCRIBED ABOVE.;. ETQ7f I/2 LESS $ .25 SIGNATURE OF %z 2 .50 PERMITTEE - �'�•�°�/�� _ 2 5 1.00 INSPECTJO RECORD 5 is 1.50 i, is so 2.50 50 200 5.00 200 BOD 10.00 J Soo 1000 15.00 Z OVER 1000 20.00 O M.G. SET/FREQ. CHANGER-HP Q; 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 DATE INBPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 ® ® CONDUIT FIXTURES $1.00 ® WIRING SUPPLEMENTARY .50 FIXTURES SS POWER TOTAL FEE $ d UTILITY CO.NOTIFIED 1/7 FINAL v G� 76A663-CE806 9-67 APPLICATION FOR ELECTRICAL PERMIT,„ ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS idia_ z57 ao” ll JOHN A. LAMBIE, COUNTY ENGINEER � COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO. EACH FEE FRECEPT. $ S OWNER TQ�i¢SS/ MAIL TOTAL FIRST 20 .20 ADDRESS -5z,/H OVER 20 .10 // CITY'�� (�l/' TEL. NO. LIGHTING TOTAL FIRST 20 .20 40 CONTRA40R FIXTURES f-5--r—OVER 20 .10 ADDRESS RANGEDRYER—WTR.HTR.— CITY TEL. NO. STA.COOK_OISP._F.A.U._ LICENSE NO. SPACE HTR. AIR COND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WAS H._DISH WAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANG ES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I-AM THE L GAIL OWNER OF, AND INTEND TO IND. HEATERS, ETC.- HP. KW. KVA. RESIDE IN, THE AB OV DESC I E ESI DE NTIAL PROPERTY. SIZE & TYPE OVER TO SIGNATURE I/\ fI 0 - 1 1.00 OF PERMITTEE � �� d 1 - 10 3.00 DISTRICT NO GR Z _NE R O� ESSED Y 0 10 - s0 5.00 ,.--*' .� u,"-' -i :JL. -rst. ,d O '90 - 100 110.00 1 NOTES: t) W 100 - 500 15.00 H TUBE, OR SIGN AND ONE CIRCUIT 3.00 z MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT N^ --/ ISSUING FEE 2.00 pd WIRING FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED � PERMIT FEE UTILITY CO.NOTIFIED, PLAN CHECK FEE (50% PERMIT FEE) FINAL TOTAL FEE JOSEPH C. ROOHAN I J SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LAUO2987"ZOU FEs 7 2 0 4.80 v IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 7 A663 DOS-5A APPLICATION FOR ELECTRIC PERMIT �. DOS-5A 3.55 r9 T"'► DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles ADDRESS ���� /.�.� O G��1) o WM.J. FOX, COUNTY ENGINEER /0, o� CASSATT D.GRIFFIN. SUPT OF BUILDING I LOCALITY d -•,.:,0 M I c FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. NUMBER EACH FEE OWNER S / o LIGHT OUTLETSAIL 2 RECEPTACLES ADDRESS (� (: _'I°�-J 6�e®amu ° WALLSWITCHES ° TOTAL OUTLETS _ 5d $ CITY ��' �� N TEL. NO. ELEC. RANGES 25 $ ELECT RIC&N�Og �jI Is��QOge- 14-2° _ELEC. 1i6 'S 25 ADDREESSSc?f Y 7 P'I'PL-I? p� KW EA CITY f/C"a;;••.9p�'� y0 _ TEL.NO. `(li:Pily} FIXTURES 5 LICENSE NO iY'� f NUMBER OF LIGHT CIRCUITS - DISTRRIiT NO. I GROUP I ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS "7 I MOTORS FEE f NUMBER HORSEPOWER INSPECTION RECORD NEW MVD. HP OVER INC. EACH LESS $ .25 1/2 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. NO.SIGNS NO_TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING 51.00 FIXTURES S 1.00. SUPPLEMENTARY .50 APPROVALS TOTAL FEE S © %W(� DATE INSPECTORS SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I 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 THE ABOVE POWER DESCRIBED RESIDENT[ LOP JR RTY. SS In I I SIGNATURE l UTILITY CO.NOTIFIED I } OF PERMITTER a P ° FINAL WILLIAM J. FOX. COUNTY ENGINEER VALIDATION A. C. VEIT,CHIEF ELECT. INSPECTOR 1425 ©u 17 2 1 .550 0 A .. t 6A663-CE806 5-62 APPLICATION FOR -ELECTRICAL PE , ITT E , MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING t BUILDING AND SAFETY DIVISION ADDRESS' L54 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM'A. JENSEN,'SUP'T OF BUILDING LOCALITY i - NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT T� TOTAL NO. EACH FEE -` - OUTLETS FIRST 20 $.20 $ OWNER LIGHT MAIL ADD'L ADDRESS SWITCH. --Cffi OVER 20 .10 TOTAL CITY TEL.NO. LIGHTING FIRST 20I .20 FIXTURES, } ADD!L. I.0 ELECTRICIAN OV R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS ,O GARB.DISP. STA.COOK - »/cr ' _CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS._ .. STA.APP.(%H.P.MAX.) .50 LICENSE NO. w MOTORS: OVER NOT OVER H.P. DIST}31CT 'O. GROUP ZONE PR /CSE •ED Y O 1 1.00 .// 1 3 1.50 INSPECTION RECORD 3 - 8 2.00 - 8" 15 2.50 - d O 15 50 3.00 V 50 100 5.00 O H SIGNS: NO.TRANS- U NO.LAMPS d' N SERVICE 0.60OV.NoT OVER 200A 1.00 - Z SERVICE 0.600V.OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMITjSSUING FEE 1.00 TOTAL FEE $ r, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATI N APPROVALS - DATE INSPECTORS SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL "COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING ! If(/.I �11! �lf•�.�.f.�4.c' 1 HEREBYCERTIFY THAT I 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 RESIDENTIAL PROPERTY. POWER l SIGNATURE - UTILITY CO.NOTIFIED OF PERMITTEE FINAL �`7 '�� I ''rK-t�..�-,•�/' . VA IIDATION ARTHUR C. VEIT I CK MO CASH SUPERVISING.ELECTRICAL ENGINEER L DA 9 0 0" SEP 2 7 2 D 2.40 Q P 16A663-CEB064.60 APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY TEMPLE CITY FOR APPLICANT TO FILL IN NEAREST ] CROSS ST. PERMIT FEES OWNEF 1 TEM NUMBER EACH FEE MAIL OUTLETS: $ $ 52 ADDRESS LIGHTS RECEPT. SW. .10 SAhE LIGHTING FIXTURES 10 CITY —1 TEL.NO. A ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER H EATERS .50 ADDRESS LJ ELEC.SPACE HTRS. DISHWASHERS CITY t TEL.N rjj-6 7040 GARBAGE DISPOSERS AUTO.. STATE — "W" ASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC, H.P. 25 DISTRIX T NQS GROUP I Z�2N, E PESSED BY vz — 2 ,50 INSPECTION RECORD 2 5 1.00 5 — Is 1.50 0 is 50 2.50 O so — 200 5.00 U W NO TRANS. a SIGNS: NO. LAMPS N Z SERVICE 0.600V 1,00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 1 00 SUPPLEMENTARY PERMIT ,50 TOTAL FEE S /0 's 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 ELECTRICAL WIRING. 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 RESIDENTIAL PROPERTY. + POWER SIGNATURE U�M UTILITY CO. NOTIFIED OF PERMITTE FINAL VALIDA!�ZH�e ARTHUR C.VEIT, CK MO SUPERVISING ELECTRICAL ENGINEER 76A663 CE 8D6R 10,177- APPLICATION FOR ELECTRICAL PERMIT �. . M Y COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB FADDRESS �lD Al, %LI BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN Y �C V4- , 7Residential Bldgs.&Pools EACH NO. FEE- $ .025 — $ CROSS ST. 7 Sq. Ft. OWNER OR Sq. Ft. .02 — FIRM NAME E/� 0A-' 6 AZwimming Pools 25.00 MAIL ADDRESS [o b S Outlets: Rec Lighf—LSw. d f CITY C Tel. No. r� �jr First 20 .50 0 /� tO PLAN CHECK Total No. �C-6 Additional .30 K, 2 V16 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel, No. Additional .30 PERMIT / Total No. APPLICANT 9.00 6 S A/lsd 62 61 LI, 1 P Fixed A lionces Not Over 1 HP ADDRESS-,..t��n :�_ P P ...cam.-�...-�'� l�O / �M11pillgi Range—Heater—D.W. CITY�'�j .� Tel. No. 7 99 7 424 Oven Dryer_W.M. LICENSE OR Top —FA W.H._ REG.NUMBER -(,9/. ESO Closs.c-/6 Hood Fan _Other_ �^ (� HEREBY ACKNOWLEDGE THAT I,HAVE READ THIS APPLICATION AND STATE Disp. L Room Air Cond. 2'50 t" /7 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 2.50 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM a Up 10 1 Incl. THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O Over 1 to 10 Incl. 5.00 v Over 10 to 50 Incl. 12.50- PERMITTEE o Over 50 to 100 Inc. 25.00 SIGNATOR t3 Over 100 40.00 DISTRICT NO. PRO SED N Services 0 200 Amp. Under 600 V 12.50_,' ` INSPECTOR'S 201-1000 Amp.Under 600 V 25,00 APPROVALS SIGNATURE DA E 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 2.00 WIRING Additional Sign Branch Circuits Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Schedulei POWER AUTHORIZED UTILITY CO.NOTIFIED _ FINAL PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Feei y PERMIT ISSUING FEE $7.00 /�3,«, ,• N ` TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK: M.O. CASH " I l4 SEE BACK OF APPLICATIOFOR COMPLETE SCHEDULE/" WORKERS' COMPENSATION DECLARATION CEE---8663 06G 10i81 APPLICATION FOR ELECTRICAL PERMIT I herby affirm that I haves a certificate-of conserit to self insure, o�a gartificate of Workers' Comppnsationlirsurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec. 3800,Lab. C,) Policy N,'� Company FOR APPLICANT TO FILL IN JOB ❑ Certified co Is hereby furnished. EACH NO. FEE ADDRESS copy Y New Residential Bldgs.& Pools F-11 & 2-Family, Sq.Ft. $ — $ LOCALITY JLjm- Cexfified copy is filed with the county building inspection department. Multi-family Sq. Ft. — NEAREST f �� Residential Swimming Pools CROSS ST. l i Date Applicant OWNER ORn ccgg,,��yy FIRM NAME, V f `� '� J CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Re1w Light 11Sw. MAIL Sn/_� COMPENSATION INSURANCE ADDRESS l!1 S � �c (This section need not be completed if the work involved by the First 20 No Total . Additional permit is for one hundred dollars($100)or less.) l CITY Tel.No. � 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 ADDRESS Total No. Additional CITY Tel.No. Date Applicant Fixed Appliances l4ot Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range, Heater_ D.W. _ APPLICANT 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 6�& W.H. LICENSED CONTRACTORS DECLARATION CITY Tel.No. Hood — Fan _ Other_ .-y I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. l 6 LICENSE OR (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER Class. Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. PRO D BY Size&Type HP,KW,KVA,or KVAR 0 License Number Lic.Class Up to 1 Incl. FINAL 1 V Over 1 to 10 Incl. DATE '[ p: Contractor Date 1� VALIDATION 0 E] Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY V B.&P.C.for this reason Over 100 D- Services,Swbd.,MCC & Panelboards , Z Date: 0- 200 Amp.Under 600 V � e� Signature 201 - 1000 Amp.Under 600 V F-1Over 10 Amp.or Over 600 V Exemption for Reg.Maint.Elect. +� SINGLE FAMILY Temp.Power Pole& Appurtenances L HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCT.e I hereby affirm that I am exempt from the Contractor's License Law T for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits p Code): - M07 In I,as owner of the property,will do the work and the structure Misc.Conduits& Conductors 1 ITEM is not intended or offered for sale (Section 7044, Business Other (See Complete Fee Schedule) _ _ DOTAL _e c and Professions Code). : CONSTRUCTION LENDING AGENCY CHECK 82 .25 C% GE hereby affirm that there is a construction lending agency for the GE .110 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE vp f+�6' Lender's Name 89 PERMIT ISSUING FEE 5357 1 RM 8:17 Lender's Address 1 certify that I have read this application and state that the above TOTAL FEE information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representativ s of this County to enter upon the above-mentioned property for spe ion purposes. c� SEE REVERSE FOR EXPLANATORY LANGUAGE ign�ermittee � to