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HomeMy Public PortalAbout6111 LOMA AVE_Electrical__ 7"663 DBSSA 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC �����' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. � •��' ELECTRICIAN 0 c RECEIVED BY READY FOR DATE ISSUED ADDRESS r^ . ��/�"�p/' ��� !� FIRST INSPECTION f. . CITY . __..v' -I'�,�- I�j`_l,,J'. TEL. NO.A �°) -'��{ G, COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS 1 IJ. FEE NUMBER OUTLETS EACH LOCALITY /.�;i� ,.;�[[�_.,. � ``,,i✓ - NEAREST Ln/1 L1 LIGHT, Sc $ CROSS ST. RECEPTACLES 5 FIXTURES 5 OWNER / c 1 1-,�'i.%-,o WALL SWITCHES 5 MAIL . ..✓ ELEC. RANGES 25 ADDRESS ._y��/J ,J/ ^•�/� v Ii'� �'� ELEC. HEATERS 25 CITY /�l-/iY"�- � I/� 1� TEL. NO. / / - 0�J MISC. 1 HEREBY �ACKNOWLEOGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: 1 TOTAL '�' APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WIT14 ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVZ VALID LOS NEw MVO. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. V2 & LEBB $ .25 I/2 2 .50 SIGNATURE OF // 1 2 S 1.00 PERMITTEE_ 5 15 1.50 INSPECTION RECORD is 50 2.50 50 200 s.00 200 500 10.00 ' 500 1 000 15.00 J Q OVER 10D❑ 20.00 Z M.G. SET/FREQ. CHANGER—HP - (g WELDERS:AC—KVA Q' GENERATORS — KW O TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIS.) MISC. _ SIGNS TYPE: NO.TRANS. I TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER f TOTAL FEE $ t . 1ILITYCO. NOTIFIED FINAL r I 76A663-CE806 4-65 APPLICATION FOR ELECTRICAL /- ERMTT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING i i ��q Ave BUILDING AND SAFETY DIVISION ADDRESS L JOHN A. LAMBIE,.COUNTY ENGINEER ny L COLEMAN.W. JENKINS, SUPT. OF BUILDING LOCALITY / L� NEAREST n FOR APPLICANT TO FILL IN CROSS ST. +-A yQ (3 I`�[LQ 1 RECEPTACLE TOTAL NO. EACH FEE _ ® OUTLETS $.20 $ _OWNER LIGHT FIRST 20 0 ice - 00 MAIL �* n� SWITCH �O OVER 20 _I40 .10 OD ADDRESS pp . �Q ,� V 1 TOTAL FIRST 20 .20 CITY hE C 8 EL. LIGHTING l FIXTURES 0w/� FIXTURES 1 ADD'L 70 CONTRACTOR OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADORES$ 6 ,[�)/ /J. `) A-7,, V a GARB.D1SP. STA.COOK .CITY I_ (�� ( EL. NO. '�V,. DISH WASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(y H.P.MAX.) •50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTgIT F G UP Z PR C IE BY O 1 1.00 (bVO/ 1 3 1.50 INSPECTION RECORD 3 B 2.00 8 15 2.50 > 15 50 3.00 O 50 100 5.00 U SIGNS: NO.TRANS- ev%'+�'-•—"��z, NO. LAMPS O 0 SERVICE 0.600V-Nor OVER 200A 1.00 d N SERVICE 0.60OV-OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 111 o APPROVALS OATS . INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT N WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - ' ([*, �- - ' ELECTRICAL WIRING. WIRING `� v W F 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES .,Q LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ' CALIFORNIA OR THAT I AM THE LEG OWNER OF,AND INTEND TO POWER �� RESIDE IN,THE ABOV SCRIBED 5 ENT( '?PROPERTY. SIGNATURE \/ ► UTILITY CO.NOTIFIED OF PERMITTEE OlL/ FINAL - VALIDAT N N JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER WWF 76A663—CE806 1 1_71 APPLICATIO FOR EL RICAL PERMIT LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUIL7-raWfOLS BUILDING AND SAFETY DIVISION ADDRj/ /O, V0AVE LOCAC'i-T NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS N0. EACH FEE OWNER 0S �� RECEPT._ MAIL j AveI.+ A LIGHT TOTAL FIRST 20 2ADDRESS c 5 CITY 6m- iT TEL.'NO. SWITCH OVER 20 ,10 PLAN CHECK LIGHTINGFIRST 20 25 APPLICANT TOTAL ADDRESS FIXTURES OVER 20 10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYERWTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY vv TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER a -6—pe6-( 1.00O'` I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION (J AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 0 1 — 1O 3.00 RESIDE IN, THE ABOVE DESCRIBESIDEN L PROPERTY. V 10 — 50 5.00 SIGNATURE D OF PERMITTEE ix O 50 100 10.00 r) ' DISTRICT NO. C1.A55 Z E � PROCE ED BY W 100 — 500 15.00 �- i N SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE N_OTOVER600VOLTS OR200AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED _ PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 G TOTAL FEE �U PLAN CHECK VALIDATION CK. O. CASH PERMIT VALIDATION CK. M.O. CASH n 2 24,3 fLb23 2 D 4.00M .14t SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663 CE-80616/78) APPLICATION FOR ELECTR AL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB it bm'a 4v- FAppl idential Bldgs.&Pools EACH NO. FEE ADDRESS -Family,Sq. Ft. $ .025 — $ LOCALITY -family Sq. Ft. .02 — NEAREST ential Swimming Pools 25.00 ROSS ST. OWNER OR ` FIRM NAME 1 Rec Light�Sw. MAIL First 20 .50 ADDRESS �l No. Additional 30 CITY el.N PLAN CHECK APPLICANT Fixtures First 20 .50 ADDRESS Additional .30 No. CITY Tel. No. pliances Not Over 1 HP PERMIT APPLICANT e—Heater_ D.W.ven_Dryer—W.M. ADDRESS Top _FAU —W.H. _ CIT �.' el. N Hood_Fan _Other_ LICENSE OR Disp._Room Air Cond- 2'50 REG.NUMBER Class. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS YP REGULATING ELECTRICAL WIRING. Up to 1 Incl. 2.50 0 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF %3 Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 50 to 100 Inc. 25.00 DESCRIBEDDENTIA OPERTY. �. 40.00 PERMITEE Over 100 SIGNATUR .4 Zn6LA(E&L Services DISTRICT NO. , CESS D BY 0-200 Amp.Under 600 V 12.50 � O Q 201-1000 Amp. Under 600 V 25.00 (a Over 1000 Amp.or Over 600 V 50.00 /�j� > Z O Temp. Power Pole&Appurtenances 10.006 Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > INFORMATION � Misc.Conduits&Conductors 10.00 ON REVERSE s 3 3 7 A Other(See Complete Fee Schedule) SIDE U Z o o 0. 0 0 2 Q J 2003200 PERMIT FEE (Sub-Totall0 0 0 3 2 C 0 CZ Z PLAN CHECKING FEE (One-Fourth Permit Fee) O Q 312 1 ?9 Q PERMIT ISSUING FEE $7.00 G J Q TOTAL FEE > r INSPECTIONNFINALED W date: By/:30&WIfZF'u Cv z. ©s 76A663 CE-806(6/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools ' EACH. . NO. FEE ADDRESS of LP ! 1 /v^ �✓�� 1 &2-Family,Sq. Ft. $ 025 — $ LOCALITY T oApL k I t V Multi-family Sq. Ft. .02 — NEAREST /_ Residential Swimming Pools 25.00 _ A9A 5Al„D 1 OWNER OR 6 /� FIRM NAME N lCQ -D., Ce1`E Outlets:Rec Light ADDRESS 11 � L-OMA AQE 2 MAIL Firstst 20 .50 Total No. Additional 30 CITY y�,J[ E r Tel.No.0-6 535 PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 ADDRESS Additional 30 Total No. CITY Tel. No. � Fixed Appliances Not Over 1 HP PERMIT Range—Heater—D.W. APPLICANT Oven—Dryer_ W.M. ADDRESS Top —FAU — W.H. _ CITY Tel, No. Hood_Fan _Other_ LICENSE OR Disp._Room Air Cond. 2'50 REG.NUMBER Class, IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. a Up to 1 Incl. 2.50 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 25.00 DESCRIBED RESIDENTIAL PROPERTY. Over 50 to 100 Inc.' Over 100 40.00 PERMIT SIGNATURE- t�O Services DISTRICT NO. 1 POCESS E BY 0-200 Amp.Under 600 V 12.50 t G -� 201-1000 Amp. Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 Z c O Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2.00 INSPECTION > Misc.Conduits&Conductors 10.00 INFORMATION u 3 01.9 AON REVERSE _ Other(See Complete Fee Schedule) SIDE u 0 0 0 0 6 o2 Z z 3, 200 'aaa32001-1 PERMIT FEE (Sub-Total) PLAN CHECKING FEE (One-Fourth Permit Feel O '0 6 9 PERMIT ISSUING FEE $7.00 7 C J TOTAL FEE > r ,INSPECTION FINALEDLU o�c date: �By ©s rr In 76A663C�CEe068 :,2,75 APPLICATION FOR ELE TRICAL PERMIT BUILDING AND SAFETY DIVISION Frst2FOR APPLICANT TO FILL IN X06 � o M .._ 0 idential Bldgs.& Pools EACH NO. FEE ADDRESS Finaily Sq. Ft. $ — $ LOCALITY �� � J amily Sq. Ft. — NEAREST ^�� CROSS ST. A ntial Swimming Pools OWNER OR FIRM NAME Ax �/ C Light, Switch& Receptacle ADDRESS n AOC MAI L 0 /'�� rbnal CITYE rLi-TTel. No.PLAN CHECK FixturesAPPLICANT 0 ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Lom4 j /l Range Heater_ D.W. ADDRESS (o 1!1 'v• L(l�+(!� Vtf— Oven Dryer W.M. �)—_�.✓1�J { Top FAU W.H. CITY77Z Tel. No J^��-7 Hood Fan LICENSE OR REG. NUMBER Class. Disp. A.C. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION I] ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LLI Size&Type HP, KW, KVA,Or KVAR ELECTRICAL WIRING. v7 Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY. K Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE DISTRICT NO. / PRO S D B Services 0-200 Amp. Under 600 V V 201 - 1000 Amp. Under 600 VAPPROVALS DATE INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED /,v PLAN CHECKING FEE (One-Fourth Permit Feel FINAL PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. MCASH 7 6 5--r--FEB 22 2 D WORKERS'COMPENSATION DECLARATION 76-663 1081 APPLICATION FOR ELECTRICAL PERMIT hereby affirm that I have a certificate of consent to self insure, CE-806G 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 �' �n ,f✓ ❑ Certified co is hereby furnished. EACH NO. FEE ADDRESS N /t copy y New Residential Bldgs.&Pools ❑ 1 & 2-Family,S Ft. $ — $ LOCALITY T�/yl(�LC C Certified copy is filed with the county building inspection y q department. Multi-family Sq.Ft. NEAREST Residential Swimming Pools CROSS ST. A R �Jh L-p i Date Applicant OWNER ORI , FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec— Light —/— Sw. MAIL / � qq / //,, COMPENSATION INSURANCE AV ADDRESS <v!Il • �aInA 40G (This section need not be completed if the work involved by the First 20 .permit is for one hundred dollars($100)or less.) Total No. Additional CITY'�7q�p I T Tel.No. I certify that in the performance of the work for which this permit PLAN CHECK APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional � Z Total No. CITY Tel. Date U Iy Applicant �t�f.ti6 �<Z-� Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If; after making this Certificate of APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS IV provisions or this permit shall be deemed'revoked.* Top — FAU W.H., LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Tel.No. �. I hereby affirm that I amlicensed under provisions of Chapter 9 Disp. — Room Air Cond. (CENSE OR Class. (commencing with Section'7000) of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. PRO S D BY }: Size& Type HP,KW,KVA,or KVAR License Number Lic.Class Up to 1 Incl. FINAL ' U Over 1 to 10 Incl DATE Contractor Date FINAL VALIDATION V ❑ Over 10 to 50 Incl. I.am exempt under Sec. \ Over 50 to 100 Inc. BY OW., B.&P.C.for this reason Over 100 � Z Services,Swbd.,MCC&Panelboards , Q 9 1.0 A Date: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V # 0 0 0 0 0 2 ❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V 0 0 2250 o 2250'9 SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION, Sign with One Branch Circuit Q 1 4-88 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): Mise.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) Poo. 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.). 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 ZZ s 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. �n SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date