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Home My Public Portal About6037 LOMA AVE_Electrical__ 76AL68 DBS SA 5-49 ® APPLICATION.-FOR PERNUT•- - DEPARTMENT.OF BUILDING AND SAFETY COUNTY OF.LOS ANGELES `i' WILLIAM J. .FOX, CHIEF ENGINEER ELECRIC .1 FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT'NO. ZZ ELECTRICIAN" /-. CL' ELECTRIC. B 19 Q A AA n RECEIVE BY READY FOR DATE"ISSUED ADDRESS o?/v /r/aRCa® Aya. /� FIRSTINSPECTION CITY E L /�/ TC'"f./'� TEL.-NO. r� 'qDt/ -A/0!" ` COUNTY LICENSE NO. /®7 EXPIRES 4- 3�J V BUILDING a� ' - PERMIT FEES ADDRESS 'LI. /V � O MA -Ay - NUMBER OUTLETS EACH FEE LOCALITY T Y ZoJ ./ -LIGHTS- Sc IS .�Osr NEAREST , - //�� CROSSST. (�-%� �(� Pd�•L/J /. 4/ RECEPTACLES 5 I' I e FIXTURES 5 I' I,,®••�-5 OWNER •/ I , _. yG�._ I�1P I�i",��e3 WALL SWITCHES 5, - LLdI MAIL Ip� ELEC. RANGES 25 ADDRESS A• twis. ' I ELEC. HEATERS 25 CITY TEL. NO, MISC. I HEREBY ACKNOWLEDGE THAT' I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: APPLICATION. AND. STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY .ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING: Nuo-ieER HORSEPOWER J CERTIFY THAT 1 POSSESS .THE ABOVE VALID.• LOS FEE ANGELES COUNTY LICENSE, OR. I AM THE LEGAL OWNER' NEW MVD. HP OVER - INC. EACH - - ' I OF THE -RESIDENTIAL PROPERTY DESCRIBED ABOVE. 8 LESS $ .25 ///�� I/z 2 .50 SIGNATURE OF I PERMITTEE -�A`✓`�I'-I_ �yW�+G® 2 5 1.00 5 Is 1.50 INSPECTION RECORD is SO 2.50 _ '50 200 5.00 200 Soo 10.00 ' ` - - 500 1000 15.00 - Q OVER 1000 20.00 - _Z M'.G. SET/FREQ. CHANGER-HP - - �• WELDERS: AC-KVA O GENERATORS - KW - TRANSFORMERS - KVA - TEMP. MOTORS (75% OF ORIG.) I ' MOVED MOTORS (75% OF ORIG.) MISC. . SIGNS TYPE:. NO. TRANS. - TYPE: NO: LAMPS` APPROVALS „•,, - .DATE .INSPECTOR'S NAME FOR EACH PERMIT: WIRING $7.00 00 CONDUIT � ..•� I^^',."".`'/G.G.-L� FIXTURES $1.00 WIRING SUPPLEMENTARY' .50 FIXTURES - t POWER TOTAL FEE $ �5 UTILITY-CO. NOTIFIED FINAL MAC NIRI I5 TFI�' _T�i_ Y •76A663-0806 4-68 APPLICATION ELECOINIIT12AL P '? COUNTY OF LOS ANGELES DEPARTMENT BUILDING COUNTY ER AND SAFETY DIVISION AooREss 6037 NORTH LOMA JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY F MPT,F 2TTV NEAREST 7� �t AND �r-n T FOR APPLICANT TO FILL IN CROSS ST. LOI�GDON AND G:ARIHALDI NO. EACH FEE RECEPT._ $ $ OWNER 1VIR AND MS L SURDIRM MAIL LIGHT TOTAL FIRST 20 .20 4 ADDRESS 6037 NORTH LOMA (ANTH) SWITCH_ OVER 20 .10 CITY TEMPLE C1TITEL. NO.* 286-5692 PLAN C LIGHTING TOTAL FIRST 20, .20 20 APPLICANTK ' FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER_WTR.HTR._ CITY TEL. NO. STA.COOK_DISP._F.A.U._ CONTRACTOR _RT__T T OT TC r SPACE HTR. AIR COND. ADDRESS l F 7 CHESTNUT ST CLOTHES WASH._DISHWASH._ CITY ALHANDRA TEL. NO. 282-015) FAN—OTHER 1.00 LICENSE I.rO. 229847 CLASS. C 10 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 T 6 00 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 and 2 1 — 10 3.00 LICENSEDAS REQUIRED B ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I T LEGAL OWNE OF, AND INTEND TO 10 — 50 5.00 RESIDE IN, THE VE SC D R IDENT IAL PROPERTY. SIGNATURE _ >- 5CL 0 — 100 110.00 OF PERMITTE CL U 100 — 500 15.00 DIST ICT G UP NE PROCESSW BY TUBE, U OR SIGN AND ONE CIRCUIT 3.00 1AS O MARQUEE ! CL ADDITIONAL CIRCUITS 1.00 TES: - .(a� �j CL SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 - Z 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 TO WIRING FIXTURES PLAN CHECK FEE (507 PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 2 00 UTILITY CO.NOTIFIEDF-% SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE 8 60 JOSkPA C. ROOHAN SUPERVISING ELE ICAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION % M.O. CASH w .d ' ;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CE806y4.68 APPLICATION FOR ELECT CAL PER , � - COUNTY OF LOS ANGELES DEPARTMENT-OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 60 NORTH LOAD JOHN A. LAMBIE, COUNTY ENGINEER TEMPLE CITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS ST. LONGDON AND GARIBALDI NO. EACH FEE RECEPT._ $ $ OWNER ' MR AND MRS LLOYD SURDAM LIGHT TOMAIL TAL FIRST 20 .20 ADDRESS 6037 NOR�'H LOMA SWITCH_ 1 OVER 20 .10 CITY TEMPLE CIXL. N 0.286 5692 PLAN CHECK LIGHTING �TOTALFIRST 20 .20 APPLICANT, FIXTURES OVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK_DISP. F.A.U._ COiJTRACTOR CURINE, SPACE HTR. AIR GOND. ADDRESS1607CHESTNUT STREET CLOTHES WASH._DISHWASH._ CITYALBAMBRA p TEL. NO. 28Q2-0315 FAN—OTHER 1..00 LICENSE 1-40. 229847 CLASS. C 10 MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT 1 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 /1 A- PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS RED U IRED BXLOS NGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AIH THE EGAL OWNE OF, AND INTEND TO 10 - 50 5.00 RES IDE IN, THE ABOVE D CRI R .DENTIAL PROPERTY. SIGNATURE c� O 50 - 100 10.00 OF PERMITTEE U 100 — soo 15.00 DISTRICT NO GR L1P Z NE P O S 6Y TUBE, OR SIGN AND ONE CIRCUIT 3.00 O - U MARQUEE ADDITIONAL CIRCUITS 1.00 a- NOTES: GO SERVICE NOT OVER 600 VOLTS OR 200 AMP 1002 oo 2 100 z SERVICE OVER 600 VOLTS OR 200 AMP a.m 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 2.00 2 UTILITY CO.NOTIFIED' SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE s ZO JOSEPH C. ROOHAN SUPERVISING ELEC ICAL ENGINEER _PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH a READY FOR INSPECTION 3 ! , 5 i MIR-12 2 0 4 2 IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ERS'COMPENSATION DECLARATION 76-806 10/81 APPLICATION POR,ELECTRICAL PERMIT ' CE-806G /� E�B I her 1 that I fnve a certificate of consent to self insure, or e.of,Workers' Compensation Insurance, or a certified COUNTY'OF LOS ANGELES BUILDING AND.SAFETY cop,,thereof(S�j:`3800,Lab. C.) Policy Nr'!!.'• - `Company FOR APPLICANT'TO FILL IN _ JOB 0 Certified copy.is hereby furnished. New Residential'Bldgs:&•.Pools -EACH NO. FEE Y ADDRESS / a Certified'copy is filed•with the-county building inspection 1 & 2-Family,Sq.Ft. $ $ - � C_ department:; Multi-family Sq.Ft. LOCALITY ^� -REST Residential Swimming-Pools • CROSS ST Date Applicant OWNER OR ,.�. '..r. .s.... :. FIRM NAME /(� C .CERTIFICATE OF'EXEMPTION FROM WORKERS X1 49 Outlets:Re�dLight Sw:r - MAIL COMPENSATION INSURANCE ,,. l�. ;ADDRESS This section need,not be com leted if,the work involved by the First 20 loc .permit.is for one hundred dollars 1$100).or less.) - Total No. Additional `�' " �j CITY Tel.No. ..I ce'Ptif that in'the; erformance of the work for which this permit PLAN CHECK Y' p P .. APPLICANT �f' i. is issued, I shall not employ any person in any, manners as to become su fect to 'the.Workers'.Compen ation Laws, Lighting Fixtures First 20 �' � J ADDRES Additional' _ Total No. CITYMb V7 T.I.No. NOTICE O APPLICANT: 27 P If, after after making this.:-Certi icat Fixed Appliances Not Over 1 HP, e Of PERMIT • Exemption;'you should become subject to the Workers'Compensation Range_ Heater DW APPLICANT ei"[ ,j/��e provisions of the Labor Code; you rnusf-forthwith comply with'such Oven - :Dryer W.M. ADDRESS ('3 CY. .014 `. _. . . 40 provisions,or this permit shall be deemed revoked Top - FAU ,W.H. ^ LICENSED CONTRACTORS DECLARATION Hood'� Fan � Other_ CIT l � _Tel.No. �, I,.hereby"affirm that.l am licensed under provisions of Chapter 9 r LICENSE OR �� . Disp. Room Air Cond. Gass. (commencing with Section'7000)of 'Division 3 of the Business and REG.NUMBER Professions Code,and�my license is in full force'and effect - DISTRICT NO. �. PROCESSED BY r Rower & Large.Appliances. ff Size& Type HP,KW,KVA,or KVAR License Number r-- t Lia Class .Up to 1 Incl.' i FINAL U. _ /_ 6 V9 VALIDATION r - i may+ Over 1,to 10'Incl. DATE Contractor Date ` ` Over 10 to 50 Incl. U ❑ FINAL y I am exempt:under'Sec.' � - _ - Over 50 to 100,Inc. B.&P.C..for this"reason Over.100,.. N Services,Swbd.,MCO& Panelboards - Z Date: e-0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under'•600 V,,-- Over -•LL Over 1000 Amp.or Over'600 V. Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances ' HOME OWNER BUILDER DECLARATION " Sign with'One Branch Circuit � `" . I hereby•affirm that.1 am exempt from the Contractor's License Law 2 Y for the following,reason(Section 7031.5, Business and Professions : ,Additional Sign Branch Circuits C 1 w- Code): Mises Conduits & Conductors 9`�O� I,as owner of-the property,will do the work and the structure .7JV! is not intended or offered for"sale (Section 7044,Business Other(See Complete Fee Schedule) TOM, VIM and Professions Code). TOTAL �w00: ;CONSTRUCTION LENDING-AGENCY" NECK a+� n�� 1 hereby'affirm that there is a construction lending agency for the. 00 .1 performance of ane wo k for which this rm is issued(Sec.3097, PERMIT FEE, - (Sub-Totap /� - - �+rAfti; 'Civ.C.). PLAN:CHECKING FEE_ . Q _, 1n1 L'14'd( Lender's Name i, VVu�t1 v t? PERMIT ISSUING FEE �L Len'der's Address *7�!i 1q�i • 1 1 certify that I have read this application and state that the above , TOTAL FEE �C information is correct.•I agree to comply with all County ordinances a ate taws regulating Electra al wiring, and hereby authorize r pr s ties of this y to% rater upon,the 'above-' entioned ro ert• fo llaspectio i rp es. 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 1307240042 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 . PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID - ( BUILDING ADDRESS: I ITR: 5904 LT: 348 -1 I 6037 LOMA AV 1 I - IFEE DESCRIPTION.: QUANTITY: DOM: AMOUNT: ( TEMP CA 917801926 (ASSESSOR INFORMATION NUMBER: .1 1 NEAREST CROSS STREET: 1 15384-014-020 {A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI I IF1 120V, 15/20A BR CKTS 1.00 BR 17.30 ITENANT: IP2 PC RES PV,10KW _ 153.90 (ISSUED ON: PROCESSED BY: PLAN BY: I I IP3 INVRTR RES' PV<10KW 27.90 107/24/13 SR I TOTAL FEES 226.90 1 I (OWNER: TEL. NO: 1 I FWAT.,DATE -FINAL BY: CODE: 1 ILEE, YVONNE (626) 451-0463- I I /1nlr� 16037 LOMA AV ! 1 / ITEMP 917801926 I SLSCC�TI OF WORK 1 f IROOF MOUNTED SOLAR 12 PV 3.924 KW W/20A SOLAR BREAKER (APPLICANT: TEL. NO: IJACQUES, HAMZAH (951) 300-0768- 13080 12TH STREET I (SPECIAL CONDITIONS: 1 (RIVERSIDE CA 92507 I I I I I 1 I I (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I ISOLARMAX RENEWABLE ENERGY (951) 300-0768- 1 I 13080 12TH ST LIC. NO (TEMPORARY POWER POLE I I (RIVERSIDE, CA 92507 972048 (UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I . 1 LIC. NO: IROUGH CONDUIT II (ROUGH WIRING I I I I I I (MAIN WATER LINE I I (PLASTIC Y/N METAL Y/N 1 I I I I 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 I I I I I I I 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 1 I I I I I I i I I L (REPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I