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Home My Public Portal About6234 LOMA AVE_Electrical__ 16A663-CES064.60 APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS co JOHN A.LAMBIE, COUNTY ENGINEER I WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN cRoss sr /r f3 A PERMIT FEES A� OWNER /-/ /4-iC.Lr 1 TE M NUMBER EACH FEE MAIL �s OUTLETS. $ $ ADDRESS LIGHTS RECEPT. SW. .10 LIGHTING FIXT E8 i0 CITY TEL.NO. ELEC.RANGES CLO. DRYERS ELECTRICIAN C C lG WATER HEATERS / .50 ADDRESS O g .C cp AVE. ELEC.SPACE HTRS. DISHWASHERS ? O- CITY vN� TEL.NO. V Al-0 GARBAGE DISPOSERS AUTO.. STATE t WASHERS STA. COOKING UNITS .25 LICENSE NO. /D S MOTORS: OVER INC. H.P. DI RICNO. GROUP I eNE I PR ESSED BY 1�2 — 2 .50 INSPECTION RECORD 2 5 1.00 5 — 15 1.50 O V 15 — 50 2.50 O 50 — 200 5.00 V SIGNS: NO TRANS. Uj NO.LAMPS Z SERVICE 0-600V SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUITR ELECTRICAL WIRING. WIRING L�11;�I Vllvv. 1 HEREBY CERTIFY THAT 1 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 RESIDENTI ROPERTY. POWER t SIGNATURE UTILITY CO. NOTIFIED OF PERMITT FINA / C 4 (DATION ARTHUR C.VETT, C MO CASH SUPERVISING ELECTRICAL ENGINEER LA" 6 4 74 SCP 15 . 2 D .5 0 --i `v 76A663.CE80610-62 APPLICAT ON FO LECTRICAL PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS om JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $20 $ / O OWNER rl LIGHT m MAIL ADD'L ADDRESS SWITCH. I VER 20 .10 TOTAL 9 CITY TEL. NO. LIGHTING FIRST 20 .20 ✓\d FIXTURES �— ADD'L ELECTRICIAN OVER 20 10 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL. NO. (O DISH WASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(%H.P.MAX.) .5O LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRIC NO. GRO P E PROCES ED BY O 1 1.00 0� C� 1 3 1.50 INSPECTION RECORD 3 8 2.00 ®' 8 15 2.50 8 im 15 50 3.00 O 50 100 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-60OV-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 QI QV SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ ,Z 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 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 All �r J 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR �'� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERT POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL /VA, IDATION ARTHUR C. VEIT-' ( CK, MO CASH SUPERVISING ELECTRICAL ENGINEER ;_149 rte:6 5 ,tau 5 2 D 2.8 0— 4. / ! .\ fir.. % /- '+, ✓I 76A663-CES06-11-51 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, County Engineer CASSATT D. GRIFFIN, Sup't of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES ITEM NUMBER EACH FEE OWNER OUTLETS•.. ,r1•., $ $ MAIL " LIGHTS iRECEPT.; i SW.6 �.' .10 `. ADDRESS -I LIGHTING FIXTURES"�.� .10 - 'CITY TEL.NO. , E LEC.RANGES CLO.DRYERS ELECTRICIAN W A T E R H E A T E R S .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO._ CITY TEL.NO. WASHERS STA.COOKING UNITS .25 STATE LICENSE NO.. MOTORS: OVER INC. H.P. o — +/2 .25 -DISTRIC O. G�UP ZONE READY FOR INSPECTION 1/2 — 2 .50 z — 5 1.00 INSPECTION RECORD 5 — 75 1.5,0 15 — 50 2.50 SCI— 200 5.00 SIGNS. NO.TRANS. - 1 NO.LAMPS X11 SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1,00 SUPPLEMENTARY PERMIT .50' TOTAL FEE ` D APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1—PAVE R THIS AP 1 I DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE T CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS R 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 RESIDENTIAL PROPERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL VALIDATION ARTHUR C.VEIT, CK MO CADH ( SUPERVISING ELECTRICAL ENGINEER .., c it 76A663C- CE8068 12/75 &PPL MOM FOR EdEO MUM PERM �2) 7 BUILDI G AND SAFETY DIV ON 7�7 LO FOR APPLICANT TO FILL IN JOB 62F N. 11"Vj�^ New Residential Bldgs.& Pools EACH NO FEE ADDR �Y1 1 &2 Finaily Sq Ft $ — $ LOCALITY TEKYLE CITY Multifamily Sq Ft — NEAREST ' Residential Swimming Pools O CROSS ST IJL�6v� � FRMEN AMORE PD4T� T7�TrT/�LT �7 /1[7 Outlets Light,Switch&Receptacle MAIL First 20 ADDRESSSAM L'i•?M�pT�+ TILT Additional CITY 1CIT Tel No 286-2611 PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Additional CITY Tel No PERMIT Fixed Appliances Not Over 1 HP APPLICANT TRANE HCC Range— Heater— DW Oven Dryer W.M ADDRESS Top FAU X WH CITY S. EL MONM Tel No 579-7982 ?- Hood FanLICENSE OR 50 a Disp A C REG NUMBER 969094Class _ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q AND 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 Cl- Up L cn U to 1 Incl z L p 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 'I LP Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELCOU NTV AND STATE OF CALIFORNIA OR THAT I AM T LE A OW R OF THE ABO Over 10 to 50 Incl. DESCRIBED RESIDENTI O RTY Over 50 to 100 InCI. PERMITEE Over 100 SIGNATURE DISTRICT NO P E ED BY. Services 0-200 Amp Under 600 V 4 0e5 201 - 1000 Amp Under 600 V APPROVALS DATE INSPECTOR'S Over 1000 Amp or Over 600 V SIGNATURE TEMP POWER POLE Temp Power Pole&Appurtenances UNDER-SLAB WORK Sign with One Branch Circuit ROUGH CONDUIT Additional Sign Branch Circuits (Other) WI R I'NG FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO NOTIFIED IUC619 A., PLAN CHECKING FEE (One-'Fourth Permit Fee) FINAL I( 1A PERMIT ISSUING FEE NOTES TOTAL FEE 15.00 CASH 0 2'fE.R ,rVA!pIDAT209I CK -t: MpgZj CASH POLICY HOLDER: ��F V4AJ5;W POLICY NUMBER: 49t IF,7 440 A>Ie774Z v WORKERS'COMPENSATION DECLARATION '20-663 DPW 3/87 APPUCATION FOR ELECT T U CAL PERWT O I hereby affirm that I have a certificate of consent to self ,CE-eo6G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800, Lab C ) Policy Not 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 inspec- 1 & 2-Family, Sq Ft $ _ $ LOCALITY tion department Multi-family Sq Ft NEAREST CROSS T '/q� �q��/� � � Residential Swimming Pools fate Applicant,L�l(fr�1 r OWNER OR D� ' FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec–S71-ight Sw MAIL / COMPENSATION INSURANCE 1, ADDRESS'�J Z3 dfGl� 4This section need not be completed If the•work Involved by First ti CITY I� ? � tiona the permit is for one hundred dollars ($100)or less.) Total No Add l �t2f��lr Tel PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Additional Date Applicant Total No CITY Tel No NOTICE TO APPLICANT If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range— Heater—D W — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W H — deemed revoked Hood — Fan —Other— CITY Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond Class REG NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PR SED BY >_ and Professions Code,and my license is in full force and effect 1 Size &Type HP, KW, KVA, or KVAR Q License Number Lic Class Up to 1 Incl FINAL U Contractor Date Over 1 to 10 Incl DATE /!O`! –q/ VALIDATION 0 ❑ Over 10 to 50 Incl FINAL / l F_ I am exempt under Sec Over 50 to 100 Inc BY W B&P C for this reason Over 100 64, t1 D Date Services, Swbd , MCC& Panelboards Z Z 0- 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V O Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp Power Pole &Appurtenances �! I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit C��$ Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code)G211 I, as owMisc Conduits &Conductorsner of the property, will do the work and the T TT�'hI•' Fee Schedule)— See Complete om structure is not intended or offered for sale(Section 7044, Other ( P )— Business and Professions Code) D T 0T.;IL 1_7 ® !E:;0 CONSTRUCTION LENDING AGENCY l,3, �• I hereby-iffirm that there is a construction lending agency for )he•performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ'C ) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE / 013100-0001 Lender's Address r a I certify that I have read this application and state that the TOTAL FEE \ 22?7 1 AN t o==r 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-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date e'