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Home My Public Portal About5717 LOMA AVE_Electrical__ }. APPLICATION Q/�_/per p��gg ELECTRIC . PERMIT 76663 APY L.14/P�` ION FOR. ELECTRIC 0 _ER IT DBS-5A 12-54 ' 1. DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING WM.J. FOX. COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN LOCALITY PERMIT FEES NEAREST CROSS ST. ' NUMBER -EACH FEE LIGHT OUTLETS OWNER RECEPTACLES Q MAIL (ny/�,,Q ADDRESS ��'��r ^. � WALL SWITCHES - TOTAL OUTLETS _ _ 5¢ -S CITY TEL. NO. ELEC. RANGES 25 ELECTRICI.A ELEC. HEATERS 25 ADDRESS KW EA CITY TEL. 73 FIXTURES /�J 5 LICENSE 0 ISM NUMBER OF LIGHT CIRCUITS" DISTRICT NO. IIfI GROUP II ZONE f`I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWER _ FEE INSPECTION RECORD NEW MVD. HP OVER INC.. EACH d 112&LESS S .25 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 t\ FOR EACH PERMIT: 'WIRING $1.00 V FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT A. ND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS. REGULATING WIRING ELECTRICAL WIRING.` Y 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF i - CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENT PROPERT a �l /� p SIGNATURE UTILITY.CO. NOTIFIED OF PERMITTEE FINAL 4 WILLIAM J. FOX, COUNTY ENGINEER _!qF VA. T `5'n ., 2 65, BY - - DEPUTY WORKERS'CCgMPENSAIfON DECLARATION 76-863 0781 APPLICATION PP IC/!TION FOR E.�ECTRIC q L PERMIT - � - - CE-806G•' - f'! 1—L /-9 1•'S ii f'91V� .. .� or a certificate of Workers' Compensation Insurance, or a certified, l.nereby,,etTirm that I have.a•certificate of consent td self insure d' COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab. C.) . Policy,No; Company FOR APPLICANT TO FILL_IN JOB j ❑ MA Certified co s hereby,furnished.- EACH NO:' FEE ADDRESS 1. �b copy Y, New Residential Bldgs:& Pools LOCALITY ,. ElCertified copy is filed with the-county building inspection 1 & 2-Family, Sq.Ft. $. — L ' NEAREST - , department. . Multi family Sq.Ft. LA _ CROSS.ST Date, Applicant. Residential Swimming Pools OWNER OR tf3' _ w FIRM NAME._ N rte„ ,. CERTIFICATE OF'EXEMPTION FROM WORKERS'... - ` MAIL Outlets: Rec Light Sw. COMPENSATION INSURANCE - .. ADDRESS' (This section need not be completed if the work involved b the First 20 ., _ �'� G! p Y tj CITY ' Tel.No. _t�3 Total No. Additional �� -L2 G�. ,permit is for,one hundred'dollars ($100)_pr less.). PLAN CHECK 1 certify that in the.perfor.mance.of`th6 work.•for which,this permit 'F APPLICANT -' is issued, I shall not employ,any person'in,any manner'so as to P B. ADDRESS become subject to the.Workers'Compensation Laws Lighting Fixtures First 20, Additional Total`No._ CITY Tel.No. Dat Applica V Fixed Appliances Not Over 1 HIP PERMIT NO CE TO APPLICANT: If, after- aking this G tificate of �) (r� 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 6 3 Q #Y&4 el provisions or this permit shall be deemed revoked. Top .: FAU W.H. 7 CITYf_g, I�NL Tel.No. LICENSED CONTRACTORS DECLARATION Hood —.`Fan 1_ Other_ I hereby,affirm that l am.licensed under provisions of Chapter 9 Disp. Room Air,Cond. LICENSE OR Glass. (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER O O Glp . Professions Code,and my license is in full force and effect. Power Apparatus& Large„Appliances DISTRICT NO. PROCESSED Size&Type HP,KW KVA,or KVAR 0 License Number �`7 n Up to 1 Incl. FINAL }�' C � Lic.Class J �p l Over 1'to 10 Incl `� e) DATE VALIDATION Contractor✓A�Lam. Over 10 to 50 Incl. z ❑ FIN- I am exempt under Sea • Over 50 to,100.Inc. . BY �,' �.' B.&P.C. for this reason Over 100 U `Services, Swbd.,'MCC& Panelboards Z,' Date:' ”. 0- 200 Amp.Under 600 V . - '• � U� Signature 201 - 1000 Amp.Under 600 V " Over 1000 Amp.or Over 600 V Exemption for Reg.. aint.Elect. SINGLE FAMILY Temp.. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION • Sign 'with One Branch Circuit I hereby affirm that'I am exempt from the Contractor's License Law• for the following reason (Section 703 1.5, Business and Professions Additional Sign Branch Circuits Code): • -. - Vic:�jfrc ❑ ' Misc.Conduits'&'Conductors I,as owner of the property,will'do the work and the structure l d h S Fee ee ceue) - is not intended or offered for sale (Section 7044, Business Other(See Comp •,._��. and Professions Code): P1111". - -- CONSTRUCTION LENDING AGENCY c•" fi s I hereby,affirm that there'is.a construction lending agency for the performance of the work for which this permit is.issued.(Sec.3097, PERMIT FEE (Sub-Total) 'f f .Civ.C.). , PLAN.CHECKING FEE r Lender's Name ,` Iltie ti PERMIT-ISSUING FEE Lender's Address w f+4aSi I certify that I have read this'application avid state that the above TOTAL FEE _ Lp, r - 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 EXP_LANATORY.LANGUAG_E. Sign re dT Permitte Date WORKERS'COMPENSATION DECLARATION 76-663 10/81 CE-806G APPLICATION FOR ELECTRICAL PERMIT I Hereby affirm that I have a certificate of consent to self insure, or,a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy No. Company .FOR APPLICANT TO FILL IN - JOB 1 El Certified copy is herebyfurnished. EACH NO. FEE ADDRESS/7 c7(/f1Q ` New Residential Bldgs.& Pools ❑ 1�& 2-Family,Sq.Ft. $ — $ ' LOCALITY Certified copy is 'filed with the county building inspection �- department. Multi-family Sq.Ft. NEAREST - CROSS ST. Tu�IQS. Date Applicant' Residential Swimming Pools OWNER OR' t/ FIRM NAME (0O /•) t� ) A Outlets:Rec Light Sw. CERTIFICATE OF EXEMPTION FROM WORKERS' � ZZ, MAIL • COMPENSATION INSURANCE t / ADDRESS ( ' ��kM 4{JJQ This section need not be completed if,the`work-involved b the ,/ First 20 T ( by Total No. Additional CITY /e Tel.No. permit is for one hundred dollars.($100)or less.). I certify that in the performance of the work for which this permit PLAN CHECK 4 t .is issued, I shall not employ any person in any manner so as t0 APPLICANT, (Qj OaV become subject to the.Workers'Compensation Laws. Lighting Fixtures First 20 4 ADDRESS Additional Total No.. CITY f \ Tel.No. S _ C=33 .Date Applican Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation Range Heater- D.W. _ APPLICANT 11'11'60A) provisions of the Labor Code, you must forthwith,comply with such Oven -,I— �Dryer _ W.M._ ADDRESS (til- U provisions or this permit shall be deemed revoke . Top FAU W.H. � Q Hood Fan Other_ LICENSED CONTRACTORS DECLARATION CITY G { Tel.No.".�g 1 hereby affirm that I.am licensed under provisions of,Chapter 9 Disp. Room Air Cond. 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. PROCESSED BY Size& Type HP,KW,KVA,or KVAR \ �= License Number Lic.Class Up to 1 Incl. FINAL / U Over 1 to 10 Incl.. DATE r `� Contractor Date VA -TION O ❑ Over 10 to 50 Incl. I am exempt.under Sec. Over 50 to 100 Inc. FIN L U �8a69A w B.&P.C.for this reason Over 100 / p_ Services, Swbd.,MCC& Panelboards. # 0 0 0-.0 0 2 co Date: 0- 200 Amp.Under 600 V Z ems Signature 201 - 1000 Amp.Under 600 V 0 0 6250 ❑ Over 1000 Amp.or Over 600 V_ Exemption for Reg.Maint.Elect: 0 0 0 625 0 v SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign,with One Branch Circuit ' 2 1 -8 7 I 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 Code): Misc.Conduits& Conductors I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ 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(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). e PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above• TOTAL FEE ba information is correct. 1 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 Si ature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0612270016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: - - FEES PAID BUILDING ADDRESS: TR: 12977 LT: 5 BL: .001 - 5717 LOMA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802453 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5387-022-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY:'TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 28.00 OUT 49.80 TENANT: G2 LIGHTING FIXTURES 8.00 LGT 15.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: . H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 12/27/06 _VG 06/25/07 H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 FgNALIDAT FI B CODE: TSAI, WEN CHI (626) 576-7123- - TOTAL FEES 126.00 5717 LOMA AV _ TEMP 917802453 DESCRIPTIO14 OF WORK ELECTRICAL FOR ADDITION AND RELOCATION APPLICANT: - TEL. NO: FAN (626) 454-0816- 355 54-0816 355 PEACH ST #A - SPECIAL CONDITIONS: MONTEREY PARK 91754 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE WU WU CONSTRUCTION - (626) 487-2884- 4518 HORNBROOK AVE LIC. NO TEMPORARY POWER POLE - BALDWIN PARK 91706 864088 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING s MAIN WATER LINE .. PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508