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Home My Public Portal About6156 LOMA AVE_Electrical__ 76A663-CESOC 7.56 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engineer• B U I LD I N G County of Los Angeles ADDRESS �7 JOHN A. LAMBIE; COUNTY ENGINEER CASSATT D. GRIFFIN, SUR'T OF BUILDING' LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT.FEES' NUMBER - OWNER LIGHT OUTLETS - MAIL - ADDRESS RECEPTACLES - - - WALL SWITCHES - FEE CITY _TFL. NO. TOTAL OUTLETS @,S1 5ELECTRICIAN -ELEC. RANGES 25 A D D R E S$,, ELEC HEATERS 25- CITY TEL. NO.��66 KW EA STATE - LICENSE NO. FIXTURES 5 MOTORS ' - DISTRICT No. _IG ROU- ZONE READY FOR INSPECTION NUMBER .I,, HORSEPOWER 'FEE I NEW MVD HP OVER INC. -EACH 1/2&LESS $ .25 - 'INSPECTION RECORD 1/1 2 .50 2 •5 1.00 5 15 1.50 .- '/ 15 50 2.50 `Sv ��/� //d' if"-,? 'S 50 200 5 00 — o!V y /Y rlec/l/rs- MISC. NO. SIGNS NO. TRANS.' ' NO. SIGNS NO. LAMPS - FOR EACH PERMIT' h� ' WIRING PERMIT $1.00 V FIXTURE PERMIT $1.00 Q ' SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ Q p-DATEINSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP41CATIbN CONDUIT % `"3-L// AND WITH ALL COUNTYTHAT HE ABOVE 15 ORDINANCES AND STATECT LAWS AGREE REGU REGULATING COMPLY WIRING - -67 l7,e111J)VZ - ELECTRICAL WIRING. FIXTURES �3r /,/_ /�y1, D � 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT I A T L GAL OWNER OF THE ABOVE _ DESCRIBED RESIDE TI 0 T UTILITY CO.NOTIFIED .d SIGNATURE _ OF PERMITTEE � j. FINAL JOHN A. LAMBIE. I ARTHUR C. VEIT; COUNTY ENGINEER A SUPERVISING.ELECTRICAL ENGINEER Vwv MO CASH ' 9 4 6 6 JUN 2 0 2 4 .2 0 �� TEMPLE C9TV ' IEAEE2-CE80E 4-E0 APPLICAM V FOR ELECTRICAL PERMIT IT COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER BUILDING _ BUILDING AND SAFETY DIVISION e ADDRESS JOHN A.LAMBIE, COUNTY ENGINEER w WILLIAM A. JENSEN, SUP'TOF BUILDING s LOCALITY /- C.�h[✓ �' FOR APPLICANT TO FILL IN NEAREST CROSS ST 7� r PERMIT FEES OWNER 1 TE M NUMBER EACH FEE ` OUTLET MAIL t� $ $ ADDRESS d,r LIGHTS RECEPT. 8W. (�,., .IO LIGHTING FIXTUR S 10 c� CITY T L NO ELEC. RANGES CLO. DRYERS �1 ELECTRICIAN WATER H EATERS .50 ADDRESS ' ELEC.SPACE HTRS. DISHWASHERS 5 CITY_ -V\ 7 TEL.NO. it GARBAGE DISPOSERS AUTO.- r STATE F O LICENSE NO. WASHERS STA. COOKING UNITS .25 v , r MOTORS: OVER INC. H.P. u DISTR T NO. GROUP NE CESSED BY 0 — I/z .25 , ` / Ii2 — 2 .50 INSPECTION RECORD 2 5 1.00 /9 k,- / 5 — 15 1.50 �I C Cd O 15 — so 2.50 50 — 200 5.00 ' s U NO TRANS. UJ SIGNS: CL NO. LAMPS M Z u SERVICE 0.600V r 1,00 SERVICE OVER 600V 5.00 MISC. P � WIRING PERMIT 1.00 I FIXTURE PERMIT 1.00 r c 3 SUPPLEMENTARY PERMIT .S0 TOTAL FEE 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF " FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT I L ROPER t POWER SIGNATURE ` UTILITY CO. NOTIFIED ' OF PERMITTE /"LIDATION, ARTHUR C.VETT. (:x) x MO CASH SUPERVISING ELECTRICAL ENGINEER L 3o19710 Ja 19 20 5.45 M 7GA663-CE606 3-69 _ /1 APPLICATION FOR E�LECTRIAL PERd1A� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER a COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE ` h $ $ OWNER RECEIPT. I MAIL _ LIGHT TOTAL •FIRST 20 .20 ADDRESS CITY TEL.N0. SWITCH OVER 20 •10 PLAN CHECK LIGHTING L3-1 OTAL FIRST 20 •20 APPLICANT FIXTURES OVER 20 .10 ADDRESS CITY TEL.N0. RANGE_DRYER_WTR. HTR. .A STA. COOK_DISP. F.A.U. CONTRACTOR SPACE HTR. AIR COND. ADDRESSD gut v CLOTHES WASH.—DISH WASH. CITY S TEL.N0. FAN OTHER 1.00 LICENSE NO. 6 CLASS. MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. 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.' O — 1 1.00 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LIC ENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATEOF O 1 — 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO U RESIDE IN, THE ABOVE D SCRIBED RESIDENTIAL PROPERTY. 10 — 50 5.00 1 1. SIGNATURE 50 — 100 10A0 OF PERMITTEE () W 100 — SOO 15.00 DISTRICT NO.,, GRO ZO PRO E Y V) /VNO N SIGN,GAS SIGN AND ONE CIRCUIT 3.00 TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: - 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 W I R I N G I/I Xr-C)/,,T-V PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 OO UTILITY CO.NOTIFIED 7'(� 70 Aj ' SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL 7-3` i-70 97, TOTAL FEEJOSEPH C. ROOHAN � O SUPERVISING ELEA�CKM.O. NGINEER PLAN.CHECK VALIDATION CK._ M.O. CASH : PERMIT VALIDATION CASH 1 55 2 D 7.0 0^' 41",. SEE RACK OF APPLICATtn FOR COMPI_FTE FEE SCHEDULE - '4 P- WORKERS'COMPENSATION DECLARATION 76A663 10/81 A® B (� p A p g CE-806G P1111- PUCAMON F®R EILECTMICAL PERK G I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insur ce, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereo c.38C) Policy No - C any 00,La FOR APPLICANT TO FILL IN 'JOBEl •• ➢ n Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO FEE, ADDRESS Yarn ertified copy is filed with the ty building inspection 1 & 2-Family,Sq.Ft $ — $ LOCALITY . de art Multifamily Sq Ft. ` — NEAREST CROSS ST Date �� Applicant Residential Swimming Pools OWNER 0 FIRM NAME. CERTIFICATE OF EXEMPTION FROM WO RS'- Outlets Rec Light — Sw MAIL COMPENSATION INSURANCE ADDRESS This section need not be completed if the work involved b the First 20 ( p y Total No Additional CITY Tel permit is for one hundred dollars ($100)or less.) I certify that in the performance of the work for which this permit APPLICANT CHECKPLAN 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 Total No. Additional CITY Tel No Date Applicant 00 A Fixed Appliances Not Over 1 HP PERMIT, NOTICE TO APPLICANT If, after making this Certificate of APPLICA 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 _ I DDRESS ?� provisions or this permit shall be deemed revoked Top _ FAU W.H CIT Tel No LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp Room Air Cond. 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 DISTRICT NO '2 6ED BY Power Apparatus& Large Appliances Size& Type HP, KW,KVA,or KVAR --e License Num W 53q S-74L/ Lic.Class �/� Up to 1 Incl. 10,31 Over 1 to 10 Incl ATE `q VALIDATION Contractor Date Over 10 to-50 Incl / U ❑ FINAL I am exempt under Sec Over 50 to 100 Inc. BY W B.&PC for this reason Over 100 N Services s Z Date. Z. Signature 20 - nder 600 V ❑ - Over 1000 Amp or Over 600 V Exemption for Reg.Mamt Elect SINGLE FAMILY Temp Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit _ I herebyaffirm that I am exempt from the Contractor's License Lawr'r'� for the following reason(Section 7031 5,Business and Professions Additional Sign Branch Circuits =' -?- Code) '134.60 ❑ I,as owner of the property,will do the work and the structure Misc Conduits& Conductors i ��,�' is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). TOTAL 3 'V m 60 CONSTRUCTION LENDING AGENCY i. EC �.K ?y I hereby affirm that there is'a construction lending agency for the 1 performance of the work for which this permit is issued(Sec 3097, PERMIT FEE (Sub-Total) CHANGE Civ C.). PLAN CHECKING FEE Lender's Name , PERMIT ISSUING FEE Lender's Address rLl�� j { *`=17 I certify that I have read this application and'state that the above TOTAL FEE information is correct I agree to comply with all County ordinances and State law egulating Electrical wiring, and hereby authorize representativ,s o this County to enter upon the above-mentioned property for ns ctio purposes SEE REVERSE FOR EXPLANATORY LANGUAGE • Ib Ji - Signature of Permittee Dat