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Home My Public Portal About5725 LOMA AVE_Electrical__ covlaTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENVOF COUNTY.ENGINEER DIYISIOly-OF BUILDING'`&,,SAFETY ELECTRIm WILLIAM J:'FOX, COUNTY ENGINEER FOR A?,PLICA T. TO F Ly-IN DISTRICT NO: GROUP ZONE PERWIT�N�JO. ELECTRICIAN ADDRESS. j RECEIVED BY .READY FOR DATE ISSUED FIRST INSPECTION- CITY. STEL. NO', COUNTY LICENSE`NO.. - EXPIRES' `. 0= BUILDING r PERMIT FEES-, ADDRESS NUMBER.EACH � - - LOCALITY LIGHT OUTLETS - - `- NEAREST . RECEPTACLES - CROSS ST. WALL SWITCHES IAY OWNER i� ✓�4(� TOTAL OUTLETS - 56 .� MAIL •• , ELEC:. RANGES 25.-' -/ S_ ADDRESS' ELEC. HEATERS FIXTURES - 5 CITY TEL. NO. MISC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBEROFLIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBERAF-R. CEFTACLECIRCUITS - - AND`STATE. LAWS REGULATING ELECTRICAL WIRING. MOTORS = .. -' 1 CERTIFY .THAT I POSSESS THE ABOVE VALID .LOS NLJMDER -. HORSEPOWER FEE ` ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER New' MVO:'. Hyp Oven. Iric. EwcH - OF THE RESIDENTIAL PROPERTY DESC ED ABOV - LEs9 $ SIGNATURE OF �/ -�/z°• •-.2 .50 PERMITTEE z 5- .`i oo INSPECTION RECORD . .15 - SO. 2.50.-: - 50 200. 'S.00 200. . .500 - -10.00; W 500 1000 - 15.00 Q . OVER 1000' 20.00 U J 'M.G: SET/FREQ..CHANGER-.HP - - 0- 'WELDERS:..AC-wKVA - - Q GENERATORS 'KW J -TRANSFORMERS-KVA TEMP.-r-MOTORS. (75%.OF ORIG:) .' MOVED MOTORS (75%LOF BRIG.) NO. NO.rTRANS:- NO. APPROVALS '.. ,.-'NO. LA - z M:.> - DATE , NSPECTOR'S NAME FOR EgCH�PERMIT .: WIRING - $7'..00 -(� 'CONDUIT !�/.�?_ �i--/i^Y-;;rtTi.,f/�./A.j .FIXTURES. $1.00 WIRING SUPPLEMENTARY w:, .50- FIXTURES ` POWE R .TOTAL FEE'' $ J UTILITY CO. NOTIFIED. ;S!/ FINAL 9 ,'76A 669 ;DBS# SA 4-62' COUNTY OF LOS ANGELES. ' APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING & SAFETY ELECTRI'C' '.. . WILLIAM . FOX,- COUNTY ENGINEER FOR APPLICAW(TO a LL.IN, DISTRICT NO. GROUP /ZONE PERMIT NO. . ELECTRICIA ADDRESS "p' __ -' RECEIVED BY READY'FOR ,DATE IBSUED� _ � � •�r ,,{17/4',/ f� FIRST INSPECTION ' CIT Y• �. _ - TEL. NO m L'�'{`,1{,I(Jk*'U.frl'}.'3•'� COUNTY.LICENSE-NO EXPIRES ® BUILDING PERIVIIT FEES ADDRESS NUMBER EACH', FEE .. LOCALITY . LIGHT OUTLETS NEAREST RECEPTACLES - WALL.SWITCHES ,OWNER TOTAL OUTLETS - 5c.. $ MAIL .. ELEC: .RANGES 25 ADDRESS ELEC. HEATERS 25' - _ 'CITY FIXTU TEL: NO: SES e 5 MIS 1 .HEREBY ACKNOWLEDGE„ THAT ,1 HAVE READ THIS NU ERF LIGHT CAkQUITS ,'APPLICATION AND STATE"THAT THE. ABOVE IS CORRECT AND AGREE TO COMPLY,,WITH ALL-' COUNTY ORDINANCES NUMBER-OAF RECEPTACLE CIRCUITS .. AND STATE,LAWS REGULATING'ELECTRICAL WIRING. MOTORS I CERTIFY THAT I .POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR t AM THE LEGAL OWNER NEW MVD. HP OYER I 1Nc.. EAc!'1 OF THE RESIDENTIAL PROPERTY IBED ABOVE. 1/2&.LESS' $ 25 •.. _ �'. SIGNATURE.OFjw. _. 1/2 2 .50: - PERMITTEE z. . . s 1.50 0 5 1.5 . . INSPECTION,RECORD 5 •1 ,- 15 • 50 2..50 50 200 5.00 200.1 500 '10.00 500 1000. 15.00 _Z OVER'1000 ' 20.00 M.GE.SET/FREQ.. CHANGER-HP WELDERS: AC-KVA 0 GENERATORS.-KW , -TRANSFORMERS-KVA TEMP: MOTORS (75% OF ORIG.) MOVED MOTORS (75%'OF ORic.) MISC. SIGNS NO. NO.TRANS.• NO. ' N0. LAMPS.. APPROVALS FOR.EACH PERMIT: DATE INSPECTOR'S NAME WIRING •$1._00 —CONDUIT. ,t FIXTURES - $1.`00 WIRING SUPPLEMENTARY - .50 —FIXTURES .. • _ POWER - _. TOTAL FEE $ p UTILITY CO. NOTIFIED - . .. FINAL'' _ 76A 683 DBS#'9A 4-52 -I -•- - WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT L1 ' - - -. I hereby affirm that I.have a certificate of consent to self insure, or a certificate of.Worker's Compensation Insurance, or a certified .COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof,(Src.3800 Lab: C:) Policy No. Company FOR APPLICANT TO FILL IN JOB _ ADDRESS a 0 Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE $ $ LOCALITY Certified copy-is filed with the county building inspection 1 &2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. CROSS ST. yr Date Applicant Residential Swimming Pools ASSESSOR SS SSOR _ PAGE PARCEL CERTIFICATE OF EXEMPTION,FROM WORKERS'• Outlets: Rec._Light Sw. ORM NAME WNER OR UN COMPENSATION INSURANCE . First 20 ° MAIL (This section need not be completed if the work.involved by the Total NoAdditional ADDRESS permit is for one hun .dred dollars(S100)or less.) p I certify that in�the performance of the work for which this permit _ CITY Tel.No: is issued, 1 shall not employ any person in any manner So as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP.. NOTICE TO.APPLICANT: If, after .making this Certificate of 3 CITY Tel.No. Exemption,you should become subject"to the Workers',Compensation OTHER APPLIANCES.NOT OVER 3 HP. provisions of the Labor must forthwith comply with Such PERMIT P P y _ APPLICANT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that l am licensed'under provisions of,Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of'Division 3 o the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to,50 Incl. LICENSEClC' Over 50 t0 100 Incl. REG.NUMBER Class. a Over 100 - DISTRICT NO. PROCESB License Number Lia Class D (� Services,Swbd.,MCC&Panelboards 0-399 Amp.Under 600 V FINAL ,p`/ Contractor Date DATE ` • I� ❑ -- - 400-1000 Amp.Under 600 V ~ I am exempt under Sec. VALIDATION V Over 1000 Amp.or Over 600 VFINAL LU B:&P.C:for this reason BRANCH CIRCUIT FEES BY Date: 15A,or 20A,120V,Lighting or Recept.' Z 1 To 10 Branch CircuitsDU W JL Signature 11 To 40 Branch Circuits El - 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A.20A,208V TD 277V Lighting Br.Circuits 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 7031.5, Business and Professions. Additional Sign Branch Circuits Code): - -. I, as owner of the property, will do the work and the structure Misc.Conduits&Conductors 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) ;t_h'I_ _E_ TJi.. i Civ. C.) PLAN CHECKING FEE sM f Lende'r's Name � (.1 �! 1�E `I }-I PERMIT ISSUING FEE Lender's Address certify that I have read this application and under penalty of purjury state TOTAL FEE /2 ` that the above information is correct. I agree to comply with all Count I S'#':,l�E-! € €,` `+ 7 f'.?_I 9 P Y Y _ =i;� : ordinances and State laws regulating Electrical wiring,and hereby authorize 01651 representatives of this County to enter upon the above-mentioned property for Inspe do urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIG D rE COUNTY OF LOS ANGELES - TEMPLE CITY "# 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0609130028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: - - - FEES PAID. BUILDING ADDRESS: TR: 12.977 LT: 4 5725 LOMA.AV FEE DESCRIPTION.: QUANTITY: UOM: AMOUNT: TEMP CA 917802453 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5387-022-004 Al PERMITISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C - - F1 120V, 15/20A BR CKTS 5.00 BR 86.25 TENANT: - - - G2 LIGHTING-FIXTURES 10.00 LGT 19..50 . ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: _. HA.FAU LESS 3HP 1.00 FAU 1095 09/13/06 JK 03/12/07 H1 RES ELEC OVEN LT 3HP - 1.00 OVE 10.95 OWNER: - - TEL. NO: H2 RES GRBG DISP.LT 3HP 1.00 DIS 10.95 FINAL DATE FINAL BY: CODE: THAM, ANN (626) 274-3248— H3 RES DISHWASHR LT 3HP 1.00 DIS. 10.95itTe, 5725 LOMAAV H4 .RES RANGE HDS LT 3HP 1.00H0O 10.95 20 TEMP 917802453 HS RES WASH .MACH LT 3HP 1.00 WAS 10.95 DESCRIPTION-OF WORK ` H7 RES EXHAUST FANS 1.00 EX 10.95 ELECTRICAL'-FOR ADDITION JB AC UNITS +3-10HP _ 1.00 AC 19.65 APPLICANT: TEL- NO: TOTAL .FEES 229.80 LEE (626) 274-1248- 138 E. ALTA ST. SPECIAL CONDITIONS: ARCADIA, CA 9106 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HY CONSTRUCTION., CO. (626) 221-9698- 919 S. PALM AVENUE LIC. NO TEMPORARY POWER POLE SAN GABRIEL, CA 91776 680979 B ' UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL- NO: UFER GROUND LANTRIK DEVELOPMENT LLC (626) 379-4900— - 744 BONITA DRIVE LIC. NO: ROUGH CONDUIT _ SOUTH PASADEN, CA 9130 NONE TROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508