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HomeMy Public PortalAbout6029 LOMA AVE_Electrical__ ' 76A663-CE606 1-66 APPLICATION FOR EL-ECTRICAL PERMIT r'ELES DEPARTMENT OF COUNTY ENGINEER. BUILDING J �� BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 101 G G/ NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. IEACH FEE F - $ $ OWNERLI d � . RECEPT._1 - MAIL LIGHT ``TOTAL FIRST 20 .20 ADDRESS _4 SWITCH / OVE-R-20 .10 C6T'Yi,tlrE � TEL. NO.A'/ l7 PLAN CHECK LIGHTING TOTAL FIRST 20 .201 APPLICANT - FIXTURES OVER 20 .10 ADDRESS RANGE_ORYER_WTR.HTR.— CITY - TEL. NO. ool STA.COOK_DISP. F.A.U._ (.CONTRACTOR L•, �.� (,� SPACE HTR. _ AIR COND. ADDRESS _� YYI 1I ds CLOTHES WASH._DISHWASH._ CITY 6?-12G69-ni TEL. NO. 7--9s FAN—OTHER 1.00 LICENSE IJO.� / ,q CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. IHEREBY ACKNOWLEDGE THAT I'HAVE READ THIS APPLICATION AND STATE•THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. . 0 — 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 — 10 3.00 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF } CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF„AND INTEND TO D. 10 — 50 5,00 -RESIDE IN, THE /A B�O-V-E+ OESCRIP,ED RESIDENTIAL PROPERTY. O 50 - 700 10.00 SIGNATURE OF PERMITTEE t _ 100 - 500 15.00 i 0 DISTRICT O. GR�k1P,. ZO P O.0 E SIGN,GAS SIGN AND ONE CIRCUIT 3.00 1 TUBE, OR _ N MARQUEE ADDITIONAL CIRCUITS 1 .00 1 NOTES: Z SERVICE NOT OVER'600 VOLTS OR 200 AMP 2.00 (1 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 - PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 12 00 UTILITY CO.NOTIFIED� SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. cnsH . /O D �m� � �✓i c ics .5'2, o: 2 5 2 0 4.0 0 iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CE6061-68 Af PLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT-OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 6aZ Z JOHN A. LAMBIE,,COUNTY ENGINEER `COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST t FOR APPLICANT TO FILL IN CROSS ST. NO..EACH FEE 7E — LIGHT $ 5 OWNERMAILTOTAL FLRST 20 .20 , ADDRESS OVER 20 10 CITY T� jo TEL. NO. Al", PLAN CHECK LIGHTING TOTAL FIRST 20 .20 A, APPLICANT FIXTURES OVER 20 .10 ADDRESS ' RANGE—DRYER—WTR.HTR.— CITY TEL. NO. STA.COOK_DISP. F.A.U._ CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES-WASH._DISHW-ASH.._ CITY - C PV TEL. NO.19y //-�� FAN OTHER 1.00 LICENSE IJO l CLASS. 6—I MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH .ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -CALIFORNIA OR-THAT I AM THE LEGAL OWNER OF, AND INTEND TO a- 10 1 O - 50 5.00 RESIDE IN, THE All RIP-ED RESIDENTIAL PROPERTY. O 50 - 100 10.00 SIGNATURE / ��, V OF PERMITTEE Iw 100 - 500' 15.000 DIST ICT NO. GRMIP ZONE PROCESSED' BY S IGN,GAS SIGN AND ONE CIRCUIT 3.00 '/ W TUBE., OR CL MARQUEE ADDITIONAL CIRCUITS 1.00H NOTES: Z 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 WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED1 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 ©�� FINAL TOTAL FEE v JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH' CQI AD 5:2.:7 7 JUL., 12 D IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �y' 76A663 EBSSA 11-49 APPLICATION FOR. PERMIT . DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP NE PERMIT NO. ELECTRICl/A�NIS 0--,A/9 / �f.! aG.,� (,f, RECEIVED BY READY FOR DATE 68SUED ADDRESS - CITY �� .' # Kll V21t ... FIRST INSPECTION TEL. NO.B q� COUNTY LICENSE NO. 11) 7-7 EXPIRESCA `Ad-Z:I BUILDING PERMIT FEES ADDRESS FEE. NUMBER °OUTLETS EACH LOCALITY -LIGHT Sc $ NEAREST -- CROS ST. RECEPTACLES 5 �----S \ 7,.... �. FIXTURES 5 OWNER WALL SWITCHES 5 MAIL ADDRESS ELEC. RANGES 25 ELEC. HEATERS 25 CITY TEL. NO. _ MISC. S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS "NUMBER OF CIRCUITS INSTALLED: TOTAI APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES SAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. ' NUMBER HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEw MVE. HP EVER INC. EACH ANGELES COUNTY LICENSE, ORS 1 AMnHE LEGAL OWNER OF THE RESIDENTIAL PROPERTY. 1:DESCRIBED ABOVE. �I12 6 LESS $ •25 -1 I/2 2 :50 SIGNATURE OF 2 5 1;00 PERMITTEE-e A� j 5 is 1.50 INSPECTION RECORD// _ 15 50 2.50 v _ 50 200 5.00 - 200 1 500 10.00 _ �SOO 1 000 15.00 J OVER 1 000 20.00 - - z M.G. SET/FREQ. CHANGER-HP - (9 W LDERS:AC-KVA (Y GENERATORS - KW O TRANSFORMERS - KVA TEMP. •MOTORS (75% OF 0Rlr.) L- - MOVED MOTORS (75% E.FL ERIE.) - - MISC. SIGNS A _— 'TYPE: NO.TRANS• "TYPE: NO. LAMPSAPPROVALS ---- - -- DATE INSPECTOR'S NAME FOR EACH PERMIT: " _WIRING $1.00 ,Q - CONDUIT ' _FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE UTILITY CO.NOTIFIED FINALMAYMIM CCOMPLISH Q 8-15-5I WORKER S'COMPENSATIONDEC LAR!;TION 76A668 AppLICATIN ®R ELECTRICAL P"ER�IIIT CE-806G (2-80) I hereby affirm`that I have a'certificate of.consent to self COUNTY OF LOS ANGELES — BUILDING-AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thekeof(Sec. 3800,Lab."C.) FOR APPLICANT TO FILL IN Policy No. Company EACH NO. REE ADDRESS 'New Residential Bldgs;.&Pools ' a Certifiedreopy is hereby furnished. J 1 &2-Family,Sq. Ft.' + $ — $ LOCALITY C� Multi-family Sq. Ft. — NEAREST :.Certified copy is filed with the county building inspectionCROSS ST Q ' department. Residential Swimming Pools OWNER OR, L^ Date Applicant RM Fl NAME 0 pp Outlets:Rec_�tight�,S..to MAIL - First 20 ADDRESS CERTIFICATE OF EXEMPT ION.FROM WORKERS' Total No. Additional CITY Tel No.J. 7� COMPENSATION INSURANCE _ PLAN CHECK �. APPLICANT O (This section need not be completed if the work involved 0 ' by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Total No. Additional I certify that in the performance of the work for'which this Fixed Appliances Not Over 1 HP " CITY Tel No. o permit is issued; hsHall not employ any persori'in any mannerPERMIT / W so as.to become subject to the Workers' Compensation Laws. Range_ Heater_15A. APPLICANT L- Oven Dryer_ q IN M.— . lF iV�L~� �rLL� ADDRESS Date pplicant �! Top — FAU _W H.', Hood'_ Fan _Other,_ CITY d. Tel No. NOTICE TO APPLICANT: If, after making this CertificaSEte'of -Disp. _ Room Air Cond.— LICENOR Exemption, you should become -subject to the Workers' EG.NUMBER 42 Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCES ED BY with comply with such provisions or. this permit shall be t deemed revoked. Size&Type HP, KW, KVA,or KVAIR /7 Up to 1 Incl. 01 FfNAL r [/ Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50'11 nc 1. i `r�P VALIDATION I hereby affirm that I'am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL J 9 (commencing with Section 7000) of'Division 3 of the Busi- Over 100 BY, ness and Professions.Code, and my license is in full force and �- effect. Service License Number Q � A 0 200 Amp. nder.600 V a �. Lic.Class_ 201-1000 Amp. Under 600•V ��� . Contractor A//!�� Date W20/9 Over.1000 Amp.or Over 600 V r 2 �..�R �0,0 ?3 5 0 HOME OWNER.BUILDER DECLARATION Temp. Power Pole 8i Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following,reason (Section 7031.5, Busi- Additional Sign Branch Circuits • _ 8 �8�ness and Professions',Code): • i9,,0'd Misc.Conduits& Conductors O I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure.is not intended or offered for sale (Section 7044, Business 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 PERMIT FEE (Sub-Total)' issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE. (One-Fourth Permit Fee) Lender's Address -PERMIT ISSUING FEE 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 authorize representatives,of this.County to enter upon the above-ment'oned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu a of/Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0908100028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 FEES PAID I BUILDING ADDRESS: I. ITR: 5904 LT: 349 1 I' 6029 LOMA AV 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801926 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15384-014-021 1,A1 PERMIT ISSUANCE FEE 27.75 1. THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl IHA FAU LESS 3HP 1.00 FAU 10.95 I'. 1. (TENANT: IJB AC UNITS +3-10HP 1.00 AC 19.65 ('ISSUED ON: PROCESSED BY: PLAN BY: 1 TOTAL FEES 58.35 108/10/09 SR (OWNER; TEL. NO:. I IFINAL DATES BY- CODE: 1 1ZUO. P.. WANG (626) 292-1151- 16029 LOMA AV I ITEMP 917801926 1 - IDESCRIPTION OF WORK 1. 1 (ELECTRICAL FOR HVAC SYSTEM - 1 1APPLICANT: .TEL. NO: I . ITHIRD GENERATION & CONSTRUCTIONS (818) 533-6722- I -_- 112101 OLIVOS RD. I ISPECIAL CONDITIONS: 1 ISYLMAR,- CA 91342 I I I I CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I.THIRDGENERATION CONSTRUCTION, -INC. (818) 533-6722- 113469 LOS OLIVOS ROAD LIC. NO I ITEMPORARY POWER POLE I ISYLMAR, CA 91342 893694 I 1 I ' I 1 (UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER:. TEL. NO: 1. IUFER GROUND I I I I LIC. NO: 1 1'ROUGH CONDUIT 1 I I I I I I I IROUGH WIRING IMAIN WATER LINE I (_PLASTIC Y/N' METAL Y/N I I h J I I I. (UTILITY 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 l 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 If I I I I I I I f I I I I I I I I I I I I I I I I I I I I I f I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I