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Home My Public Portal About6245 LOMA AVE_Electrical__ 76A663 APPLICATION FOR ELECTRIC PERMIT DBS.5A 12.54 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING WM. J. FOX, COUNTY ENGINEER ADDRESS �� i/,S 4�►/I /l,/�i •`CLQ CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN LOCALITY PERMIT FEES NEAREST CROSS ST. �• 11/lA FEE NUMBER EACH LIGHT OUTLETS OWNER _ B RECEPTACLES MAIL • ADDRESS WALL SWITCHES ,y/� TOTAL OUTLETS _ 5o S CITY V/ ( TEL NO.>� 7Z4 O- ELEC RANGES 25 ELECTRICIA /Z't /19 �" o - ELEC. HEATERS 25 ADDRESS/'�y (A )F KW EA CITY Fis f_v,•r TEL NO FIXTURES 5 LICENSE NO V NUMBER OF LIGHT CIRCUITS DISTRICT NO GROUP Z E READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS / MOTORS' NUMBER HORSEPOWER FEE INSPECTION RECORD NEW, MVD HP OVER INC EACH _ 1/2&LESS $ .25 _ 1/2 2 50 __2 5 1.00 5 15 1 50 /'- r /C /PF r 15 50 2 50 �t7 �� !f "� I /-?•7.1.�/2�-+,�• _ 50 200 5 00 ne 04 ,}�nm'd /. C. a .f y' ,6, op,&.N�.0 ldekir'-UT M I SC. ..j'�C/li� 1� Tl..fi / I•^ Y •• ",+`'X ','�-9`t A4 if Aol.,Ac 'ejlo 1,0 p-,6,Q ,7u twp to t NO SIGNS NO TRANS NO SIGNS NO LAMPS - '•r J - /� D �v�•� FOR EACH PERMIT: AIN ri/9.' igAME WIRING $100 _� G(J /,L,� trr1:1� Gv`If'/.R�l.' AAs L!+¢•',H ' FIXTURES STOO - SUPPLEMENTARY 50yeyoirp A/00R lq r4Pdg @vin,APPROVALS /-,r e`d RP. TOTAL FEE S / DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT ,I AND•STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ' ELECTRICAL WIRING. 1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT[ PROPE 7Y UTILITY CO.NOTIFIED Rs SIGNATURE — OF PERMITTEE FINAL WILLIAM J. FOX, COUNTY ENGINEER VALIDATION Z .1 5 M tip 9 ® '' /DEPUTY '?BS S-A 2-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY 1, COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER Q NAME DISTRZT)�P. GROUP ZONE PERMIT NO. U ADDRESS _ ;&� CITY TEL.NO. i fBY READY FOR DATE ISSUED -FIRST INSPECTION ��O ,N1 COUNTY W CERT.NO. EXPIRES - APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB DESCRIPTION OF PORK ADDRESS U/ 1313 0&6 NUMBER OF OUTLETS ON CIRCUITS LOCALITY A LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST CIRCUIT A B C D 1 E F G H m NAME L �j Z MAIL 9 2A 1 ADDRESS CITY o. 1 AM THE LE POSSESSOR O iiE ABOVE LOS GF-LW COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THS LEGAL OWNER O PROP D CRIBED � ABOVB N CORRE IONS J — a z d TOTAL °9 NO. OF OUTLETS ® $ APPROVALS I NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT ,{ NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ UTILITY CO.NOTIFIED f i an TOTAL FEE FINAL_ r of r?KERS' COMPENSATION DECLARATION 76A663 10/81 ,p, {> P C /A MN ll ®� 1216f2��/�, L� PERMT I her'�by of that I have a certificate of consent to self CE-806G !T`81T L6 /� I1 CI IS E /Irl 6r I1�UHH insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (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 mspec_ 1 & 2-Family, Sq Ft $ — $ LOCALITYTf cZs C/ tion department Multi-family Sq Ft — NEAREST C 7A Date, ' ` Residential Swimming Pools •� �• CROSS S OWNER OR Date Applicant -'th�•: FIRM NAME a /—_//V CERTIFICATE OF EXEMPTION FROM WORKERS' - Outlets Rec Light Sw ' J -'r - MAIL COMPENSATION INSURANCE 20 ADDRESS This section need not be completed if the work involved b First ti ( p Y Total No Additional'- � CITY• Tel No the permit is for one hundred dollars (:100)or less.) I certifythat in the performance of the work for which this PLAN CHECK P 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 �Q Total No Additional Date y�(10 pplicant �JO�� C-�� CITY Tel No Fixed Appliances Not Over 1 HP. PERMIT q� pp�,// NOTICE TO APPLI ANT If,, after making this Certificate of APPLICANT AOW//`�yZ• ' Exemption, you should become subject to the Workers' Range_ Heater_D W — Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W M — ADDRESS_(6_'-f/V, 'jj, 11, 161j11. with comply with such provisions or this permit shall be Top _ FAU —W H — deemed revoked CITY 1�� Tel No /� LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ Dis _ Room Air Cond LICENSE OR q I hereby affirm that I am licensed under provisions of Chapter 9 p REG NUMBER ¢��0' Class 42 (commencing with Section 7000) of Division 3 of the Business DISTRICT NO OCES D BY d and Professions Code,and my license is in full force and effect Power Apparatus& Large Appliances O Size&Type HP, KW, KVA, or KVAR (J V License Number `*'" Lic Class Up to 1 Incl FINAL �ZV �= q��j� l �Qj� Over 1 to 10 Incl DATE ' VALIDATION �. Contractors e FINA/' • W ® Over 10 to 50 Incl I am exempt under Sec Over 50 to 100 Inc BY fn Over 100 B&P C for this reason z Date Seryices, Swbd , MCC& Panelboards 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ 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 I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and Professions Code) ❑ I, as owner of the property, will do the work and the Misc Conduits& Conductors structure is not intended or offered for sale (Section Other (See-Complete Fee Schedule)_ D 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY 7-3 1 2 A I hereby affirm that there is a construction lending agency for czi the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE Z 0�5•�� t Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State jaws 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 Si ature of Permittee Date WORKERS'COMPENSATION DECLARATION " ADPW 3/87 AkPPLICAT MN FOR ELEC TMICAd pC�1�MY O I hereby76663 affirm that I have a certificate of consent to self CE-9061, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800, Lab C ) 11 Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished 'New Residential Bldgs & Pools EACH NO FEE ADDRESS 64?4N, LOM g _ $ LOCALITY 7'E/�( G-T ElCertified copy is filed with the county building inspec- 1 &2-Family, Sq Ft — Tion department Multi-family-Sq Ft NEAREST - Residential Swimming Pools CROSS ST Date Applicant OWNER OR /�MiQ FIRM NAME- L m/ // CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ MAIL COMPENSATION INSURANCE ADDRESS li�'Z s /V 401'119 A4LC This section need not be completed if the work involved b First 20 ( A y CITY - 4G C7 T Tel No -�!� the Permit is for one hundred dollars ($100)or less.) Total No Additional j PLAN CHECK 1 j/v I certify that in the performance of the work for which this APPLICANT 'Z/� / �/T/, permit is issued, I shall not employ anyPin any manner �� jV o ZeMA so as to become subject to the Workers''Co Com ens io Lighting Fixtures First 20 ADDRESS ��yy• Additional IN /ArCp?licant Total No CITY 7&�l�• ( 'Ir Tel No 4 jW a?7- 04?Date Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after ing this Certificate of APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D W Compensation provisions of the Labor Code, you must forth- Oven _ Dryer —W M _ ADDRESS t<z4s with comply with such provisions or this permit shall be Top — FAU —W H — i deemed revoked Hood — Fan —Other_ CITY `� e j Tel No�/�Z� Q� 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 SED BY l- and Professions Code,and my license is in full force and'effect I Q. Size &Type HP, KW, KVA, or KVAR a sL✓_� Q License Number Lic Class Up to 1 Incl FINALCc U Over 1 to 10 Incl DATE l J _ I �G] I VALIDATION Contractor Date l ( 1 El - Over 10 to 50 Incl FINAL I am exempt under Sec Over 50 to 100 IncgY LUV 100 CL B &P C for this reason - Over � D `o Services, Swbd ,-MCC&,Panelboards a 0- 200 Amp Under 600 V / O Z Signature-- 1+/ 201 - 1000 Amp Under 600 V Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY �,PA '} UjC HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances •y I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Hr{•{ ,s Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code) {(X,I I, Section 7044, Other (See Complete Fee Schedule)_ 3 as owner of the property, will.do the work and the Misc Conduits 8 Conductors 1 ii = " structure is not intended or offered for sale hj ( Business and 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 PERMIT FEE (Sub-Total) ` 4,Z) (Sec 3097, Civ C ) PLAN CHECKING FEE i' lis Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County 1 ordinances and State laws iegulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentione r inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signafafe ofPermittee Date (�)' l COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0808250019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID I BUILDING ADDRESS 1 ITR 5904 LT 244 I I 6245 LOMA AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801635 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LONGDEN 1 15384-009-020 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 5 00 OUT 9 75 1 TENANT 1G2 LIGHTING FIXTURES 2 00 LGT 3 90 11SSUED ON, PROCESSED BY: PLAN BY EXPIRES ON 1H2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 108/25/08 SR 02/21/09 1H3 RES DISHWA_SHR LT 3HP 1 00 DIS 10 95 1 1OWNER TEL NO IH4 RES RANGE HDS LT 3HP 1 00 HOO 10 95 IFINAL DATE FINAL BY. CODE. 1 ILIN HARRY H,JULIE K - TOTAL FEES 74 25 16245 LOMA AV 1 ^ ID Yl TEMP 917801635 1 IDIESCRIPTIONIOF WORK (ELECTRICAL FOR KITCHEN REMODEL AND 5 OUTLETS AND 2 LIGHT FIXTURES 1 1APPLICANT TEL NO ICALIBER CONSTRUCTION & RESTORATION (714) 529-1133- 1 1552 LOFT S BREA BL ISPECIAL CONDITIONS (BREA, CA 92821 (CONTRACTOR- TEL NO I JAPPROVALS DATE INSPECTOR SIGNATURE 1 ICALIBER CONSTRUCTION & (714) 529-1133- 1 1 IRESCORATION INC LIC NO ITEMPORARY POWER POLE 1552 LOFT S BREA BLVD 915437 B I (BREA, CA 92821 1 (UNDERGROUND CONDUIT 1ARCHITECT OR ENGINEER TEL. NO 1 IUFER GROUND (CASABLANCA DRAFTING SERVICES (818) 359-5932- 1 1 14651 CALADA AVENUE LIC. NO 1 IROUGH CONDUIT IPICO RIVERA, CA 90660 NONE 1 I TROUGH WIRING M 1 1 _ 1 IMAIN WATER LINE v✓ I IPLASTIC Y/N METAL Y/N 1 1 1 1 1UTILITY COMPANY NOTIFIEDI 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 (REPORT ID DPR265 ROUTE TO BS0508 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0812090012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID. FEES PAID BUILDING ADDRESS ITR 5904 LT 244 6245 LOMA AV IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801635 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LONGDEN 15384-009-020 IA1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, Cl I IF1 120V, 15/20A BR CKTS 4 00 BR 69 00 ITENANT IF2 208, 277V LGT BR CKT 8 00 BR 218 40 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1 1 IG1 OUTLETS-LGT,SW,RECP 10 00 OUT _ 19 50 112/09/08 SR 06/07/09 I IG2 LIGHTING FIXTURES 15 00 LGT 29 25 1 1 (OWNER TEL NO I TOTAL FEES 363 90 IFINAL DATE FIN CODE I ILIN HARRY H,JULIE K 16245 LOMA AV 1 1 TEMP 917801635 IftSCRIPTI011 OF WORK 1 (ELECTRICAL FOR 2 BEDROOMS, LIVING ROOM AND KITCHEN 1APPLICANT TEL NO ICALIBER CONSTRUCTION & RESTORATION (714) 529-1133- I 1 1 1552 LOFT S BREA BL I ISPECIAL CONDITIONS 1 IBREA, CA 92821 1 1 1 ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 CALIBER CONSTRUCTION AND (714) 529-1133- 1 1 IRESCORATION INC LIC NO I ITEMPORARY POWER POLE I I 1552 LOFT S BREA BLVD 915437 B I I I I 1 IBREA, CA 92821 I (UNDERGROUND CONDUIT I 1 1 1ARCHITECT OR ENGINEER TEL NO I 1UFER GROUND ICASABLANCA DRAFTING SERVICES (818) 359-5932- 1 1 I 1 1 14651 CALADA AVENUE LIC NO I IROUGH CONDUIT 1 1 1 IPICO RIVERA, CA 90660 NONE I I 1 1 1 IROUGH WIRING I 1 1 I I I I I I 1 1 IMAIN WATER LINE I 1 1 1 1 IPLASTIC YIN METAL YIN I 1 1 I 1 1UTILITY 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 I I I I I I I 1 IREPORT ID DPR265 ROUTE TO BS0508 I 1 1 1 I I I I I I