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HomeMy Public PortalAbout5737 LOMA AVE_Electrical__ 89 5WA 6-46 DIDEPARTMENT OF BUILDING AND SAFFM A�g'LICA�'d®PT FOR I'EIBNIIT COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER NAME � �„ ]DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS. ),,4 g#'49�' RECEIVED BY READY FOR DATE ISSUED CITY ' TEL.NO. FIRST INSPECTIONIII J COUNTY _19 W CERT.NO. EXPIRES qp 31d Y 6� .APPLICANT FILL IN HEAVILY OUTLINED PORTION 6NLY (DESCRIPTION OF WORD A DRESS NUMBER OF OUTLETS ON CIRCUITSJ LOCALITY LOCATION BY ROOMS NEAREST ' LIGHT OUTLETS lsw. PLUGS I FIXT CROSS ST. CF-t?lcl� CIRCUIT A B C D E F G I H w NAME A1A� I 6 Z MAIL ADDRESS 3 O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS JL ANGELES COUNTY CERTIFICATE C)� QUALIFICAY N.. /lsE�✓1 .�Ul — ELECTRICIAN. i AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS 0 ` � i �. J It Q Z_ U O TOTAL A 4► NO. OF OUTLETS ^D $ APPROVALS NO. OF FIXTURES r $ &0 DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING �® NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER G o/ PERM IT FEE $ 1'��o UTILITY CO.NOTIFIED TOTAL FEE :3t.7 FINAL 76A663 'DBS'SA 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN OISTRIL' NO. GROUP ZONE PERMIT NO..C,V ELECTRICIAN ' — I —1 k RECEIVED BY I READY FOR / DATE ISSUED ADDRESS ✓ FIR PECTION CITY /� TEL. NO. 4o B! COUNTY LICENSE NO. D /7:5--EXPIRES BUILDING ---RESS PERMIT FEES FEE /NUMBER EACH _LOCALITY LIGHT OUTLETSNEAREST RECEPTACLES a CROSS ST. _ WALL SWITCHES (/� OWNER TOTAL OUTLETS 5c $ MAIL ELEC. RANGES 85 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 113 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 I 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 PROPERTY DESCRIBED ABOVE. V2 6 LESS $ .25 SIGNATURE OF %2' 2 .50 PERMITTEE 2 s 1.00 INSPECTION RECORD _ s is 1.50 1s_ 50 2.50 �+- 50 200 5.00 C'.dGG /,-PA94--e' s nri.c7" 200 500 10.00 J Soo 1000 75.00 / , / Az OVER 1000 20.00 0 M.G. SET/FREQ. CHANGER-HP Fx WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVo. _ TEMP. MOTORS (75% OF ORI[;.) _ MOVED MOTORS (75% OF ORIS.) MISC. -- —_—' SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING _ $1.00 CONDUIT P� FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES ^ POWER TOTAL FEE $ f G►� UTILITY CO.NOTIFIED FINAL LJ WORKER'S COMPENSATION DECLARATION 20-0019 DPW(72-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT L1 1-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.(Sec..3.800 Lab..C.) Policy No. Company FOR APPLICANT TO FILL IN JOB 'ADDRESS COMA.' , . Ceriified"copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH, FEE LOCALITY 1 &2-Family,Sq.Ft. — $ $ `� Certified copy is filed with the county building inspection _ NEAREST depar3ment. Multi-family Sq. Ft. CROSS ST. !\/� Residential Swimming Pools ASSESSOR Date Applicant c MAP-� � � - - /7- ' PAGE PARCEL CERTIFICATE.OF EXEMPTION FROM.WORKERS', G� Z OWNER OR COMPENSATION INSURANCE' Outlets:Rea_Light Sw. FIRM NAME First 20 MAIL ^^^ (This section need not be completed if the work involved.by the Total No. Additional ADDRESS. Y v permit is'for one hundred'dollars(5100)or less.) 1 certify that in the m perforance of the work for which t s ermit CIT Tel.No. 1 C.� is issued, l shel not employ any person in any mannerNso PLAN CHECK become subject to the Workers', m ti Laws. Lighting Fixtures� First 20 APPLICANT Total No. Additional •.: ADDRESS_ Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTiC TO APPLICANT: If, after making this.Certificat f I CITY Tel.No. Exemption,you should become subject to the.Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you forthwith'com with such PERMIT .P Y P Y APPLICANT - - pro"visions 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 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 1(\ � Tel.No.,Pj Professions Code, and my license is in full force and effect. Over 10 to 50 Incl.- �''� LICENSE .Class. } ' ��t\\.JJ/.� Over 50 to 100 Incl. REG.NUMBB ER Over 100 DISTRICT NO. � ESSED BY License Number L a Class Services,Swbd.,MCC&Panelbcards Contractor 0-399 Amp.Under 600 V ore 400_'1000 Amp.Under-600 V ❑ I am exempt under SeaVALIDATION LU Over 1000 Amp.or Over 600 V FINAL a B:&P.C.for this reasonBRANCH CIRCUIT FEES 6Y Date: 15A,or 2U_1 20V,Lighting or Recept. Z_ PIPE 1 To'10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,,208V To 277V Lighting Br.Circuits x SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION a Sign with One Branch Circuit _ I hereby affirm that I am exempt from the Contractor's License Law Sig for the following reason (Section-7031.5, Business and Professions Additional Sign Branch Circuits _'=• j1 s-' Code):' Ts ;j ❑ I,as owner of the propertyIwill do the work and.the structure -Misc.Conduits&Conductors is not intended or-offered for sale (Section 7044, Business Other(See Complete Fee Schedule) i i1 i ISl- 52 = 95 -and Professions Code): ; CONSTRUCTION LENDING AGENCY 2E CHANGI 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.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE (p i i AM Lender's Address 'I certify that have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I agree to comply with all County ; ordinances and State laws regulating Ele trical wiring,and hereby authorize t6rntatives of this County to enter u n the above-a -p 'poses: SEE REVERSE FOR•EXPLANATORY LANGUAGE RE OF PERMITTEE ATE . / \ . WORKERS' COMPENSATION DECLARATION '76A663 6A663 DPW 3187 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self ceeo6G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec.'3800, Lab. C.) /^ Policy No� CompanyFOR APPLICANT.TO FILL IN JOB ❑Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS �/v/ Z~ ®'Certified copy is'filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST CROSS Date �' Applicp f� Residential Swimming Pools OWNERST.OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecLight SW. MAIL COMPENSATION INSURANCE ADDRE SS J�fJ f (This section need not be completed if the work Ivo►ed by Total No. First 20 CITY Tel. No the permit is for one hundred dollars ($100) ess:) Additional �- /JC PLAN CHECK I certify that in the performance of the ork for which this APPLICANT permit is issued, I shall not employ person in any manner so as to become subject to,the rkers'Compensation Laws. Lighting Fixtures First 20 ADDRESS p 7Additional. Total No.�cL CITY Tel. No. Date pplicant Fixed Appliances Not Over 1 HP PERMIT NOTICE-TO APPLI NIT:'If, after making this Certificate of APPLICATION Exemption, should become subject to the•Workers' Range_— Heater—D.W.'— Compens n provisions of the-Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with. ply with such provisions or this permit shall be Top .— FAU —W.H. d ed revoked. Hood — Fan —Other_ CIT rR Tela N40< ,�_%? LICENSED CONTRACTORS DECLARATION . LICENSE OR f I hereby affirm that I am licensed under''provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER �/ Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus &Large Appliances ADISTRIC NO. PR SSED BY >_ and Professions Code,and my license is in full force and effect: d j> Size &Type HP, KW, KVA, or KVAR Q License Number Lic. Class•C3 U Up to 1 Incl. IFINAL Contract a - U�/ Over l to 10 Incl. DAT E/,,?te 7" 0 VALIDATION I Over 10 to 50 Incl. FNA!//f ^ cam' ❑. I am exempt under Sec. Over 50 to 100 Inc. FW B.&P.C. for this reason Over 100 i1 Servi d..;MCC& Panelboards ® Z 61e 0-200 p. Under 600 V Z . Sign 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY. Temp. Power Pole &Appurtenances - HOME OWNER-BUILDER DECLARA N 8.T. I hereby affirm that I am exempt from ontractor's License Sign with One Branch.CircuiT ACC p Law for the following reason ion 7031.5, Business and Additional Sign Branch Circuits �_3,�, 7 -ems.a.+mac ,; Professions Code): T� + ❑ I; as ow of the property,_will do the work and the Misc. Conduits&Conductors 1 li stru a is not intended'or offered for sale.(Section 7044, Other (See its Fee Schedule)— ® T 3_I i A! p siness and Professions Code). CONSTRUCTION LENDING AGENCY + E"r"t • . � ' I hereby affirm that there.is a construction lending agency for E. Yi')(3 fly# the performance of the work for which,thi permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE # 13ri{ -0 t # `? r;`9 Lender's Name- PERMIT �s :�: PERMIT ISSUING FEE 7A,8101 1 AM 9:5-3 _Lender°s A drd ess I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County. ordinances and State laws regulating Electrical wiring, and hereby uthor'ze representatives of this County to enter upon_ the e-mentioned pro rty'for inspection purposes.- SEE REVERSE"FOR EXPLANATORY LANGUAGE a Signature of Permit e Date ©s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508.1306110057 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 12977 LT: 2 1 5737 LOMA AV IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802453 (ASSESSOR INFORMATION. NUMBER: I I NEAREST CROSS STREET: I 5387-022-002 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI 1G1 OUTLETS-LGT,SW,RECP 12.00 OUT 24.00 I 1 (TENANT: 1G2 LIGHTING FIXTURES 6.00 LGT 12.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 IH2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 106/11/13 SR IH3 RES DISHWASHR LT 3HP 1.00 DIS 11.00 1 10WNER: TEL. NO: IH4 RES RANGE HDS LT 3HP 1.00 HOO 11.00 1F A DATE FI BY: CODE: 1 IMR. A LEE - I TOTAL FEES 96.80 1 15737 LOMA AV ITEMP 917802453 1 IDESCRIPTION OF WORK 1 112 OUTLETS, 6 LIGHT FIXTURES, GARBAGE DISPOSAL, RANGE HOOD I 1 1AND DISHWASHER (APPLICANT: TEL. NO: { IFAN, JOHN (626) 622-9090- 15240 OAK AVENUE ISPECIALCONDITIONS: ITEMPLE CITY CA 91780 ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE IJOHN G FAN (626) 622-9090- 1 1 - 15740 OAK AVENUE LIC. NO ITEMPORARY POWER POLE ITEMPLE CITY CA 91780 702434 1 (UNDERGROUND CONDUIT 1ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND LIC. NO: IROUGH CONDUIT . .. - I ROUGH WIRING IMAIN WATER LINE IPLASTIC Y/N METAL Y/N 1UTILITY COMPANY NOTIFIEDI 1 I I I I I I I I I I I I I I I I I 1 1 II I 11 I I I I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE . IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1306170057 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAID 1 BUILDING ADDRESS: ITR: 12977 LT: 2 1 1 5737 LOMA AV 1 IFEE DESCRIPTION: QUANTITY: UOM:_ AMOUNT: 1 TEMP CA 917802453 1 ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: 1 15387-022-002 1A1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 1 1 (TENANT: I TOTAL FEES 66.70 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 106/17/13 SR 1 I I I I (OWNER: TEL. NO: 1 IF AL DATE FI BY: CODE: 1 IMR. A LEE - I 1 15737 LOMA AV I 1� � I ITEMP 917802453 1 1DESCRIPTI N OF WORK 1 1UPGRADE SERVICE PANEL TO 200 AMP I I I I 1APPLICANT: TEL. NO: I 1 IFAN, JOHN (626) 622-9090- 15740 OAK AVENUE I ISPECIAL CONDITIONS: (TEMPLE CITY CA 91780 1 1 I I I I I I I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE (JOHN G FAN .(626) 622-9090- 1 1 1 15740 OAK AVENUE LIC. NO 1TEMPORARY POWER POLE I I (TEMPLE CITY CA 91780 702434 I 1 I I 1 1UNDERGROUND CONDUIT I I 1 1ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND i I I LIC. NO: (ROUGH CONDUIT I I I I I I I 1ROUGH WIRING 1 1 1 I I I I I I 1PLAWATER LI STICYINMETAL YIN 1 1 1UTILITY COMPANY NOTIFIED( 1 I I I I�I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE 1 I I I I I I I I I I I I I I 1 (REPORT ID: DPR265 ROUTE TO: BS0508 1 1 I 1 1 _1 I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1306270035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 RHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 12977 LT: 2 5737 LOMA AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I TEMP CA 917802453 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15387-022-002 IA1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI IG1 OUTLETS-LGT,SW,RECP 30.00 OUT 52.40 1 1 TENANT: IG2 LIGHTING FIXTURES 5.00 LGT 10.00 JISSUED ON: PROCESSED BY: PLAN BY: I TOTAL FEES 90.20 106/27/13 SR I I I I (OWNER: TEL. NO: IIF N/ALD(1ATE FT Y: CODE: 1 1A LEE - I I�� 'CJ 15757 37 LOMA AV I 1- 1 ITEMP 917802453 I ID�SCRIPT ON OF WORK 1 118 OUTLETS, 12 SWITCHES AND 5 LIGHT FIXTURES 1 I I I I (APPLICANT: TEL. NO: I I IFAN, JOHN (626) 622-9090- I 1 I 15740 OAK AVENUE I ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 1 I I I I I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I IJOHN G FAN (626) 622-9090- 1 1 I 15740 OAK AVENUE LIC. NO 1 ITEMPORARY POWER POLE I I I ITEMPLE CITY CA 91780 702434 * 1 1 11 1 1 I (UNDERGROUND CONDUIT I 1 I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I II I - I I 11 I I LIC. NO: I IROUGH CONDUIT I I I 1 I 1ROUGH WIRING � 1 1 I IMAIN WATER LINE I 1 1 1 I IPLASTIC YIN METAL YIN I 1 1 I I I I I I 1 I IUTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1* ADDITIONAL DATA ON FILE I I I 1 I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 1 I I I I I I I I I