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Home My Public Portal About6411 LOMA AVE_Electrical__ elf4 - i8A868-CE8084.80 APPLICATIC) .FOR ELECTRICAL PER IT 1 COUNTY OF LOS ANGELES diam DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS lf/ JOHN A.LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST ir CROSS ST. PERMIT FEES OWNER ITEM _ NUMBER EACH FEE MAIL OUTLETS: $ S ADDRESS C.O LIGHTS RECEPT.. BW. .10 LIGHTING FIXTURES 10 CITY a4a 71 TEL.NO.ZM6 ELEC. RANGES CLO. DRYERS ELECTRIC N WATER HEAT ERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. Ste' GARBAGE DISPOSERS AUTO.- STATE O WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO. G UP NE PFJ 9CESSED BY O I/2 .25 lie -- 2 .50 INSPECTION R CORD 2 — 5 1.00 CL s — 1s 1.50 OV 1s — so 2.50 so — 200 . 5.00 O V SIGNS:' NO TRANS. W O. NO. LAMPS N Z SERVICE 0.600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 550 TOTAL FEE 0 1HEREBY ACKNOWLEDGE THAT 1 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 CONDUIT ,/;,. ELECTRICAL WIRING. V d �+ (.,,F'J ✓ca WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLYREGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL NER OF THE ABOVE DESCRIBED R I PROPERTY. POWER SIGNATUREr OF PERMIT UTILITY CO. NOTIFIED —�—� FINAL `N"Jcg (�lJi !Vi..YI` �B l/ - r VALIDATIIN---., ARTHUR C.VEIT. CK MO 1/CAV�SHH SUPERVISING ELECTRICAL ENGINEER 7SA669-CEB069-59 APP..LI CATION FOR- ELECTRIC PERMIT. 1 _ COUNTY OF,LOS ANGELES DEPARTMENT. OF COUNTY ENGINEER BUILDrNGO / �I� BUILDING AND SAFETY DIVISION ADDRESS cry �yntt, JOHN A. LAMBIE: COUNTY ENGINEER T. CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY It'. FOR.APPLICANT TO FILL- IN, NEAREST PERMIT FEES CROSS ST. c�.�.cx�J OWNER IT E M NUMBER EACH FEE MAIL. ri - OUTLET y }y - $ •f0 $ � -ADDRESS - LIGHTS RECEPT.I SW. - sjc•P , LIGHTING"FIXTURES' 10 -� CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIIJA�Ny ,/+..y�� 04—kA— WATER $..kA—WATER .H EATERS .50 ADDRESS. (, sj.d �,,, ELEC.SPACE HTRS. DISHWASHERS CITY TEL..NO. GARBACcE.,DISPOSERS l AUTO.- - - STATE / /� WASHERS STA.COOKING UNITS' l .25 LICENSE.NO.. d6. I 9 MOTORS: OVER INC. H.P. DISTRICT GR__ URI ZONE I P CESSE BY - O 1/2 .25 1/2 2 .50 .• - - INSPECTION RECORD 2— 5 1.00 5—' 15 7.50 r 15— 50 2.50 0 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00_ FIXTURE PERMIT 1.00 / SUPPLEMENTARY PERMIT .50 TOTAL FEE. S 7 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ'THIS APPLICATION APPROVALS DATE IN SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLY WITH ALL COUNTY `ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING.- - 1 HEREBY CERTIFY THAT 1 AM PROPERLY-REGISTERED AND/OR WIRING LJCE NSED' AS REQUIRED BY LOS ANGELES COUNTY AND'STATE OF ..FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF'THE ABOVE DESCRIBED-RESIDENTIAL'PROPS -Y. POWER - SIGNATURE `/2 J1 , UTILITY•CO.'NOTIFIED > use) 3, OF PERMUTE - FINAL' .- .►�3�}. _-;J' 4. _.-;;�!` ®P. LIDATION ARTHUR C.VEIT, SUPERVISING ELECTRICAL ENGINEER CK Q:, CASH. . r= 2A .6 i1 1 WORKERS'-COMPENSATION DECLARATION 76A663 -10/81 Ihereby affiym that I have a certificate of consent_to self.insure, CE-806G APPLICATION FOR�•ELEC'RICAL PERMIT or'a certificate of W&IZers' Compensation Insurance, ora-certified COUNTY OF LOS ANGELES, BUILDING AND.SAFETY copy thereof(Sec. 3800,Lab.C) Poli y'No:�� :7 Cpmp Siy �✓ ' Certified;copy,is hereby furnished. New Residential Bldgs &FPoo saPLIC` ANT TO FILL JOB EACH •, NO. FEE ADDRESS` ` F Certified copy is"filed with the county building 'inspection 1'& 2-Family, Sq:Ft., :,•: WORKRS'COMPENSATION DECLARATION 76- 10/81 CE-806G o APPLICATION FOR ELECTRICAL ,PERMIT `I�•�tygreby-affilrf,that I have a cer=iFcpte.of=consent to self insure, 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 ❑ Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS ❑ 1 & 2-Family,Sq.Ft. $ _ $ LOCALITY, Certified copy is filed with the county building inspection NEAREST department. Multi-family Sq. Ft. CROSS ST. 644 r Date Applicant Residential Swimming Pools OWNER OR p FIRM NAME H CERTIFICATE OF EXEMPTION FROM WORKERS' � MAIL COMPENSATION INSURANCE Outlets:Rec Light t 2 ADDRESS This section need not be completed if the work involved by the First 20 ( P No. / > permit-is for one hundred dollars($100) or less.) Total No./_7__--.�-� Additional, CITY Tel. �i► �6 PLAN CHECK I certify that in the performance of the work for which.this permit -APPLICANT is issued, I shall not employ any person in any manner so as:to become subject to the Workers'Compensaion Laws. Lighting Fixtures First 20 - Z. ADDRESS Total No. Additional CITY Tel.No. Date C Applicant 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._ ADDRESSF- provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ CITY -r L Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR Disp. — Room Air Cond. REG.NUMBER Class. . (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. DISTRICT NO. - PROCE D By Power Apparatus& Large Appliances a Size& Type HP,KW,KVA,or KVAR ( , ,es U License Number Lic.Class Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE ✓ / V LIDATION w Contractor Date Over 10 to 50 Incl. ❑ V I am exempt under Sec. Over 50 to 100 Inc. FINAL W B.&P.C.for this reason Over 100 co Z Services, Swbd.,MCC& Panelboards / Date: 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 ;271 &6A 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 #',0'0 0 0 0 2 Code): ❑ Misc.Conduits& Conductors -° ° 3 6 7.5 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) ° o ° 3 6.7 5 5 and Professions Code). poll. 6,.0 2 8 7 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) 107 ZZ PLAN CHECKING FEE Lender's Name n PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE G/, information is correct. I agree to comply with all County ordinances 3ISI and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned prope or in pec' n p po = ..SEE REVERSE FOR EXPLANATORY LANGUAGE b-2-- JF 7 ignature of Permittee Date • ACOUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1305020055 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: 1 FEES PAID I BUILDING ADDRESS: ITR: 5904 LT: 350 I 6021 LOMA AV I _IFEE DESCRIPTION: QUANTITY: UON.: AMOUNT: ( TEMP CA 917801926 (ASSESSOR INFORMATION NUMBER: I _ NRARES'P CROSS STREET: 15384-014-022 JAI PERMIT ISSUANCE FEE x._27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI I _JHA FAU LESS 3HP 1.00 FAU 11.00 1 (TENANT: JJB AC UNITS +3-10HP 1.00 AC 19.70 JISSUED ON: PROCESSED BY: PLAN BY: I I I TOTAL FEES 58.50 105/02/13 SR I I I- I DOWNER: TEL. NO: J 1FINALAT FI AL Y: CODE: 1 ILO (626) 689-5883- I - � 16019 LOMA AV I 1 1 1TEMP 917801926 I ID C'RIPTIO OF WORK I IA/C AND FAU SYSTEM I (APPLICANT: TEL. NO: IRAMIREZ, CONNIE (626) 815-1632- 11017 W FOOTHILL BLVD I (SPECIAL CONDITIONS: J IAZUSA CA 91702 I I I ICONTRACTOR: TEL. NO: J - JAPPROVALS DATE INSPECTOR SIGNATURE I (COMFORT CLIMATE CONTROL INC (626) 815-1632- __ I 11017 W FOOTHILL BLVD LIC. NO I ITEMFORARY POWER POLE I I I JAZUSA CA 91702 641060 I 11 1 I I JUNDERGROUND'CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IUFE}; GROUND I I LIC. NO: 1 IROUGH CONDUIT I I ROUGH WIRING I I I I I I I I IMAIN WATER LINE I 1 1 (PLASTIC YIN METAL YIN . i (UTILITY 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 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 IREPORT ID: DPR265 ROUTE TO: BS0508 I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1305080068 BUILDING AND SAFETY '/ LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: 1 FEES PAID BUILDING ADDRESS: ITR: 5904 LT: 350 I - 1 6021 LOMA AV I jFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801926 . 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15384-014-022 lA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI I ILA 100 AMP PANELS, MCC 1.00 PAN 38.90 I - I (TENANT: I TOTAL FEES 66.70 IISS'JED ON: PROCESSED BY: PLAN BY: 1 I 105/08/13 SR I OWNER: TEL. NO: j I F• AL FI IgA CODE: - --.. ILO (626) 689-5883— 16019 LOMA AVL ITEMP 917801926 I IDESt.'RIPTION OF WORK I I 1UPG- 0E PANEL 100 AMP (APPLICANT: TEL. NO: 1 I I \ INEVAREZ, RAMON (951) 505-4286— (4242 LA MADERA AVE 1 ISPECIAL CONDITIONS: I IEL MONTE CA 91732 I I (CONTRACTOR: TEL. NO: 'I 1APPROVALS DATE INSPECTOR SIGNATURE I ID AND D ELECTRICAL (562) 688-6126— I 1 1 ,14242 LA MADERA AVE - LIC. NO I ITEMPORARY POWER POLE I IEL MONTE CA 91732 896697 1 1— I —I I IUNDE'RGROUND CONDUIT _ I ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND 1 I I— I LIC. NO: I IROUGH CONDUIT I IROUGH WIRING 1 1 1 (MAIN WATER LINE 1 I 1 1 IPLASTIC YIN METAL YIN I I (UTILITY COMPANY NOTIFI I-_ I I i i 1 I I I I I I 1 I i I I I 1 a I I i I I 1 I I II I 1 I I I I I 1 - 1REPORT ID:"DPR265 ROUTE TO: BS0508 I I 7