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Home My Public Portal About6138 LOMA AVE_Electrical__ 76A663- 806 9-6` APPLICATION FOR ELECTRICAL PERMIT • ' COUNTY-OF LOS ANGELES I DEPARTMENT OF COUNTY ENGINEER I=AODDRESS BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LCALITY ` 1,e NEAREST ) FOR APPLICANT TO FILL IN CROSS ST NO EACH FEE S $ OWNER RECEPT MAIL LIGHT TOTAL FIRST 20 20 ADDRESS SWITCH 's OVER 20 10 CITY TEL. NO. LIGHTING �TOTAL FIRST 20 20O CONTRACTORL /FIXTURES OVER 20 10 ADDRESS Z,��✓ e tvi� w v L� RANGE_DRYER—/WTR HTR.— CITY a^40 n �rJ T]EL NO STA COOK_DISPI, F.A U — LICENSE NO Z. .J SPACE HTR AIR CONE) D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION J AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISH WASH L WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING FA NOTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGE 5 COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO IND HEATERS, ETC HP. KW KVA RESIDE IN, THE ABOVE DE SC RIB RE TIAL PROPERTY SIZE & TYPE OVER TO SIGNATURE O - 1 1 00 OF PERMITTEE O 1 - 10 3 00 DISTRICT NO I GRWJP ZONE PROCESSED BY U 10 - 50 5 00 ` o w O 50 - 100 1000 NOTES: G W 100 - 500 15 00 a N SIGN,GAS SIGN AND ONE CIRCUIT 3 00 TUBE, OR MARQUEE AODITIONAL CIRCUITS 1 00 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 Illy ROUGH CONDUIT 7 �/J A WIRING ISSUING FEE - 2 00 ,. FIXTURES SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED PERMIT FEE UTILITY CO NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL .� TOTAL FEE (j JO EPH C. ROO ti AN SUPERVISING ELECT L ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH Oi J 5 8c- A' Nuv30 ? D 7.20- V, SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE APW l 76Ae63, DBi 3A 5-49 DEPARTMENT OF BWL. ING AND SAFETY APPLICATION FOR PERMIT COUNTY'OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER ELECTRIC FOR APPLICANT TO FILL IN DISTRICT NO.' GROUP ZONE PERMIT NO. ® s ELECTRICIAN A ®� RECEIVED BY READY FOR DATE ,ISSUED ADDRESS ;2 e,rRhv� FIRST INSPECTION / CITY /T ,D TEL. NO. COUNTY LICENSE NO EXPIRES BUILDING PERMIT FEES ADDRESS FEE NUMBER OUTLETS EACH LOCALITY ' LIGHTS 5C Is ® NEAREST , !� I RECEPTACLES• 5 I � rd CROSS ST' FIXTURES 5 I OJ OWNER WALL SWITCHES 5 MAIL ELEC. RANGES 25 ADDRESS �`T �''•- �. ELEC. HEATERS 25 CITY TEL NO, MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS _ NUMBER OF CIRCUITS INSTALLED: 1 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. NUMBER HORSEPOWER I CERTIFY THAT *1 POSSESS THE ABOVE VALID LOS FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER I INC EACH „��I OF THE RESIDEN IAL PROPERTY ESCRIBED ABVE. &LESS $ .25 X0 !” '/z 2 50 SIGNATURE OFoll PERM ITTE 3 ' 2 5 1.00 5 15 1 50 INSPECTIOR RECORD 15 50 1 2 50 50 200 1 5.00 - 200, 500 10 00 ' 0 I 1000 15 00 J50 „—/l-.Sl �-Il Mi1�''- a OVER 1000 20.00 �/ G• ��'^� / M G SET/FREQ CHANGER-HP / ! .I�/NC y - WELDERS- AC-KVA ( , f rL4 o ln�/` GENERATORS - KW \ L r TRANSFORMERS - KVA PUD nll I 7'1` TEMP. MOTORS (75% of Q)9� O ) �/U.� /'a7f" M d-� �j r5kl rn MOVED MOTORS (75% of ORIRIG ) /7 �e�� q� MISC SIGNS / ff�� Pial I C %l I./v�✓s TYPE: NO. TRANS. TYPE: NO. LAMPS APPROVALS DATE INSPECTOR'S NAME ' FOR EACH PERMIT: WIRING $1 00 CONDUIT FIXTURES $1 00 Soa WIRING SUPPLEMENTARY 50 FIXTURES' dg POWER TOTAL FEE $ L UTILITY CO. NOTIFIED FINAL ILL 7)(L COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer ' DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Englneer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERN91T NO. / ELECTRICIAN /� /, /�iyY ,4i��/� ?�RECEIVED BY READY FOR DATE ISSUED ADDRESS if / ' //�/�}i/J�j � / FIRBT INSPECTION CITY i(/J� ) TEL. NO ,A Q 71 n J! COUNTY LICENSE NO. EXPIRES —la-o t BUILDING ADDRESS PERMIT FEES yy FEE NUMBER EACH LOCALITY it / LIGHT OUTLETS NEAREST RECEPTACLES CRD69 9T, i V WALL SWITCHES OWNER TOTAL OUTLETS ZAK SC _ MAIL ELEC. RANGES 25 ADDRESS r _ ELEC. HEATERS 2BL CITY TEL. NO. FIXTURES 8 S I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE*TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTn PROPERTY CRIBED ABOVE. I/2 s LESS >8 .25 1 SIGNATURE OF I�2 2 .50 PERMITTEE 2 s 1.170 INS ION RECORD 5 is 1.50 15 5O 2.50 50 200 5.00 200 BOO 10.00 _j 500 1ODD 15.00 Q Z 'OVER 1000 20.00 L7 M.O. SET/FRED. CHANGER-HP IY WELDERS: AC-KVA 0 _ GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORM.) _ MISC. SIGNS NO. NO.TRANS. NO. NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00J WIRING SUPPLEMENTARY .50 FIXTURES POWER /� TOTAL FEE #e \i UTILITY CO.NOTIFIED y � (FINAL 9 _�/ UV i�Il�17az� JrG 76A663 DBS##5A 4-52 - - -- 6AOE9-CESOO-11_57APPLICATION FOWELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BU I ADDRESS BUMDING AND SAFETY DIgViIaSION JOHN A.CASSATT D.GRIFFIN, Sup t of Building LOCALITY NEAREST �� G/�lG� ' FOR APPLICANT TO FILL IN CROSS ST Mb= FEES ITEM NUMBER1 EACH FEE OWNER 1 OUTLET $ $ MAIL LIGHTS RECEPT. SW. .10 ADDRESS LIGHTING FIXTURES .f0 CITY TEL NO AT (�:�t•3, ELEC RANGES CLO.DRYERS e ELECTRICIAN ` SQL^ WATER -H E A T E•R S 50 ELEC.SPACE HTRS. DISHWASHERS ADDRESS OO l+ GARBAGE DISPOSERS AUTO-, CITY r'' — TEL.NO. WASHERS STA COOKING UNITS •25 STATE LICENSE NO MOTORS. OVER INC H P 40 DI R C 70T ZONE � READY FOR INSPECTION •O — 1/2 25 '� 1/2 — 2 50 INSPECTION RECORD 2 — s 1 100 S — 15 1 50 15 — 50 2.50 50— 200 500 SIGNS NO TRANS NO LAMPS SERVICE 0-600V 100 SERVICE OVER 600V 500 MISC _ -- WIRING PERMIT 1 00 Q Q FIXTURE PERMIT - 160 ' SUPPLEMENTARY PERMIT 50 TOTAL FEE g 0 APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THA •I AM PROPERLY R E jAN R LICENSED AS REQUIRED LOS ANGELES TY A ST OF FIXTURES CALIFORNIA OR THAT 1 THE LEGA LE H ABOVE DESCRIBED RESIDFVTIA OPERTY. POWER SIGNATURE UTILITY CO NOTIFIED �O OF PERM ITT E y p. FINAL -/�O �J r .tiLlr✓ r!�ATION ARTHUR C.VETT. CASH SUPERVISING ELECTRICAL ENGINEER LAC, 11,.741,OR M 10 2-A, 2.8 0'- 76A669-CE806-6-87 APPLICATION FOR ELECTRIC PERMIT 1' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS r JOHN A.LAMBIE,COUNTY ENGINEER CA88ATT D GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST PERNIIT FEES OWNER l� LIGHTS RECEPTACLES SWITCHES NUMBERI ITEM EACH FEE MAIL ADDRESS TOTAL OUTLETS .10 $ ,G CITY TEL NO. CLOTHES DRYERS .SO 6 ELEC SPACE HEATERS, STAT'Y COOK• ELECTRICIAN �t INT UNITS, GARBAGE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER 25 LIGHTING FIXTURES .10 CITY TEL NO. MOTORS STATE LICENSE NO AJ HORSEPOWER ^ H P: OVER INC DISTRICT NO. GRO P ZQNF- READY FOR INSPECTION +/i IN LESS 25 VI/AC- 1/2 2 .50 INSPECTION RECORD 2 — 5 100 5 — Is 1 50 1s 50 2 50 50 — 200 500 SIGNSI NO.TRANS NO LAMPS SERVICE O-600V Too SERVICE OVER 600V Soo - WIRING PERMIT 1 00 10 FIXTURE PERMIT 1 00 i - SUPPLEMENTARY PERMIT 50 TOTAL FEE APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ] /J WITH ALL COUNTY, ORDINANCES AND STATE LAWS REGULATING j .. ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIA P PERTY. SIGNATURE UTILITY CO NOTIFIED OF PERM ITTEE FINAL JOHN A.LAMBIE. VALIDATION SUPERVISING ETHUR C. EECTRICAL ENGINEER COUNTY ENGINEER CK MO CABH ��0 3 3 6 4 OCT 1 5 2 1 ,6 0 WORKERS'COMPENSATION DECLARATION 76-663 10/81 APPLICATION PP IC TION FOR ELECTR�C q L PERMIT CE-806G 0�9 IT IL 6"i 0�E P'� PERMIT I her6b� affirm that I have a,certrfi"cate of consent to self insure, ,or,a,c*ffidate of Workers' Cbmpensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy tihereof(Sec 3800,Lab C) Policy No , • Company FOR APPLICANT TO FILL IN JOB ❑ ,Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS ❑ Certified copy is filed with the county building inspection 1 & 2-Family,Sq Ft $ _ $ LOCALITY department Multi-family Sq Ft NEAREST L .� - CROSS ST ' Date Applicant Residential Swimming Poo s OWNER OR �C FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' -F= MAIL Outlets Rec. Light SW r f�1 COMPENSATION INSURANCE S' ADDRESS (This section need not be completed if the work involved by the First 20 permd is for one.hundred dollars ($100)or less), • , Total No Additional CITY �� ! Tel No �� ,I certify'that in the performance of the work for which this permit PLAN CHECK is issued, I shall not,employ any person in any manner so as to APPLICANT become subject to the Workers'Co pensation Laws Lighting Fixtures First 20 j 7 I ADDRESS Total No Additional CITY o Date Apphc Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT, , If, iter making..this Certificate of PERMIT Exemption„you should become bject to the Workers'Compensation Range_ Heater_ DW _ APPLICANT provisions of the Labor Code, ou must forthwith comply with such Oven Dryer T W M _ ADDRESS provisions or this permit shall be deemed revoked Top FAU WH LICENSED CONTRACTORS DECLARATION Hood Fg<1Other CITY Tel No y� _ �, hereby-affirm that am licensed under provisions of Chapter 9 Disp Roobrfi"Air Cond 3V LICENSE 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 rx� PROCESSE Y Size& Type HP,KW,KVA,or KVAR / �, U 0 License Number Lic Class Up to 1 Incl C17 FINAL U Over 1 to 10 Incl [ DATE 7 �Z Contractor Date /s VALID ION 0 Over 10 to 50 Incl 0 FINAL ❑ I am exempt under Sec Over 50 to 100 Inc BY W Over 100 D B&PC for this reason fA Services,Swbd,MCC& PanelboardsSQ D Z Date 0- 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 2 7 5 8 1 A 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) #- 00002 I,as owner of the property,will do the work and the structure Misc Conduits& Conductors i l e'0 5 Q 5 0 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code) > oro ° 5 6 5 0 5 CONSTRUCTION LENDING AGENCY o7.31 t 8 7 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 5bf� information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize r resentatives of this County to enter upon the above-mentioned r perty for inspection purpo SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ture of Permittee Date WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91)76-663, (( I� �J�APPLICATION FOR, ELECTRICAL PERMIT �J I hereby affirm that.I have a certificate of consent to self Insure,, or a C,ytificate of Worker's Compensation Insurance, or a certified COUNTY-0F LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) Policy NO Company FOR APPLICANT TO FILL IN JOB ' ADDRESS J, Certified-copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE $ $ `. LOCALITY ❑l . Certified copy is filed with the county building Inspection 1&2-Family,Sq Ft NEAREST department Multi-family Sq Ft CROSS ST DateApplicant Residential Swimming Pools MAPESOOK S PAGE O PARCEL O d Y CERTIFICATE OF EXEMPTION FROM WORKERS' � OWNER OR �/ COMPENSATION INSURANCE Outlets Rec Light C�Sw FIRM NAME 0IFs /, /�G First 20 MAIL !' (This section need not be completed If the work Involved by the Total No _Z7_ Additional B_V ADDRESS � ,y. permit is-for one hundred dollars($100)or less] I certify that in the perfbrmance of the work for which this permit CITY lel Not��P6 Is issued, I 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'A IANC S NOT OVER 3 HP NOTICE TO APPLICANT If, after making this.Certificate of CITY Tel No Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code, you must forthwith comply with such PERMIT, p y Power Apparatus&Large Appliances APPLICANT provisions or this permit shall be deemed revoked , LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 r5 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code,and my license is In full force and effect Over 10 to 50 Incl LICENSE 0Class } Over 50 t0 100 IDCI REG NUMBER d. Over 100 DISTRICT NO PROCES D BY Q License Number Llc Class �� V r '" Services,S)wqbydd�f,DdCC&Panelboards 49 O'z 993/A`mp Under 600 V FINAL O Contractor Date DATE ❑ 400-1000 Amp Under 600V VALIDATION V am exempt under Sec Over 1000 Amp or Over 600 V FINAL - d B&P C for this,reason BRANCH CIRCUIT FEES BY Date 15A,or 20A, 120V,Lighting or Recept Z_ - 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 ? SINGLE FAMILY Temp Power Pole&Appurtenances T HOME OWNER-BUILDER DECLARATION `-'�' I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit _n 1_7 EI� for the'following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits Code) 1TEri" 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) i€-� `� 1_5 •' 60. andProfessions Code) CONSTRUCTION LENDING AGENCY i is ,00 I hereby affirm that there is a construction lending agency for the f� .3 performance of the work for which this permit is Issued (Sec 3097, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE iiwsl,_I'oLIC)i -'/?`t ' Lender's Name 7�)��, ;°7 PERMIT ISSUING FEE, Lender's Address / ,^ I certify that I have read this application and under penalty 0t purjury state TOTAL FEE that the above information Is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize rep entatives 0f this County to enter upon the above mentioned property fo i pectior purposes SEE REVERSE FOR EXPLANATORY LANGUAGE IGNATURE OF PERMITTEE ' DATE