HomeMy Public PortalAbout6423 LOMA AVE_Electrical__ 78A883Cff806 12/75 APPLICATION FOR ELECTRICAL PERMIT
' COUNTY OF LOS ANGELES OB 7
DEPARTMENT OF COUNTY ENGINEER jj
BUILDING AND SAFETY DIVISION ADDRESS ({Ji
r
F Pp LOCALITY �
New Residential.Bldgs& Pools EACH NO. FEE NEAREST /
1 & 2-Family, Sq Ft $ .025 — $ CROSS ST.
OWNER OR
Multi-family Sq Ft •02 — FIRM NAME C '
Residential Swimming Pools 20.00 MAIL
ADDRESS 64f---.
Outlets- Light, Switch & Receptacle 40 CITY
First 20 PLAN CHECK
Additional .30 APPLICANT
ADDRESS
Lighting Fixtures
CITY Tel.No.
Fust 20
Additional .30PERMIT p�
APPLICANT ,R 1 Y pO I J
Fixed Appliances Not Over 1 HP ADDRESS `r7 y! ,PAP
Range_Heater_D.W CITYG flca,n Tel.No. 96�_-3 C7
_ LICENSE OR
OvenDryer_W.M._ O
Top _ FAU _WH REG.NUMBER � Class.e —s
Hood_ Fan _
200 I HEHEBI ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
.
Dlsp._A C. ___ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
Power Apparatus& Large Appliances i -
Size& Type HP, KW, KVA, or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
L SO LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /"'
' Up to 1 Incl. CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
" OESCRIrED RESIDENTIAL PROIPERTY O
Over 1 to 10 Incl. dr 1 r V
Over 10 to 50 Incl 10.00 PERMITEE
SIGNATURE N
Over 50 to 100 Incl 20.00 p6
Over 100 30.00 DISTRICT Nb R E SYYBY. 0
`Services 51 0 W
} 0- 200 Amp Under 600 V 12.50 INSPECTOR'S
APPROVALS DATE SIGNATURE H
201-1000 Amp Under 600 V 25.00
Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE
UNDERSLAB WORK _
Temp Power Pole & Appurtenances 10.00 ,
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING rn
(Other) ' \
FIXTURES
POWER AUTHORIZED 1
UTILITY CO.NOTIFIED
FINAL ` �y
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE
TOTAL FEE 9
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CI MO. CASH
4 3.9%L0_"AUG• 3 2 A . 1 2.9 0 n-9t
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 1/v
78A863
DBS-5A 3.55 APPLICATION°TION FOR ELECTRIC PERMIT
T .i
DIVISION OF BUILDING AND SAFETY - -
Department of County Engineer
County of Los Angeles
FDG 623 LOMA
WM.J. FOX. COUNTY ENGINEER CASSATT D.GRIFFIN. Sua,,r of BUILDINGY TEMPLE CITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CRosS ST
.* NUMBER EACH FEE
OWNER W . P1 O
LIGHT OUTLETS - r,R�
pDonnell
MAI L
RECEPTACLES ADDRESS6423 LOl•lti
WALL SWITCHES '
TOTALOUTLETS 5¢ $ CITY TR.MPT.R rT9'V TTEL NO CU3-600
ELEC RANGES 25 ELECTRICIAN W.B. JONES ELECT.CO.I
_ELEC HEATERS 25 ADDRESS
KW EA I I
- CITY SO, Parr ca PYIa TEL NO
FIXTURES 5 LICENSE NO.3 52226
NUMBER OF LIGHT CIRCUITS - DISTRICTNO. IGROUPI
ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS C L
]
MOTORS. J t + I
NUMBER HORSEPOWERFEE INSPECTION RECORD
NEW MVD HP OVER I INC . EACH
I/2 R LESS $ .25
12 5 1 00
5 15 1.50
15 50 2 50
50 200 500
T kt 7-
misc.MISC.
1 «A - /alt=
NO.SIGNS NO TRANS •' - '
NO SIGNS NO LAMPS ������
FOR EACH PERMIT:
WIRING $1 00 '� 1
FIXTURES $1 00
SUPPLEMENTARY 50 =L6c,-r--APPROVALS--/4/0gk q)/_&r
TOTAL FEE $ I DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL 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 PROP TY.
UTILITY CO.NOTIFIED Z.r7 T'
SIGNATURE
OF PERMITTEEFINAL
WILLIAM J.FOX. COUNTY ENG EER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR
iAa7 3 0 5 SPR l 2 2.2 5
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0710220045
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID. FEES PAID I BUILDING ADDRESS- 1
ITR 12504 LT 28 I I 6423 LOMA'AV' - I
I IFEE DESCRIPTION- QUANTITY UOM AMOUNT- 1 TEMP CA 917801332 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET-
5382-018-015 IA1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID H1 LOCALI'T'Y- TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 60 00 OUT 93.00 I
TENANT- IG2 LIGHTING FIXTURES 2 00 LGT 3 90 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON
IH2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 110/22/07 SR 04/19/08
1IH3 RES DISHWASHR LT 3HP 1 00 DIS 10 95 I
(OWNER TEL NO IH4 RES RANGE HDS LT 3HP 1 00 HOO 10 95 IFINAL DA BY CODE
ESTRADA, DAVID (626) 625-4033- IH5 RES WASH MACH LT 3HP 1 00 WAS 10 95 11
6423 LOMA AV I TOTAL FEES 168 45 1 EXPIRED
ITEMP 917801332 I IDESCRIPTION OF WORK 1
I I (ELECTRICAL FOR ADDITION AND REMODEL I
I I I I
(APPLICANT TEL NO I I 1
IAZUKA EGUN (818) 968-0334- I I 1
19814 BEACHY AVE I ISPECIAL CONDITIONS. 1
1PACOIMA, CA 91331 _
I I
I I
ICONTRACTOR: TEL NO. I (APPROVALS DATE INSPECTOR SIGNATURE I
(BAS ASSOCIATES CONSTRUCTION (818) 968-0334- I I I
19814 BEACHY AVE. LIC. NO I ITEMPORARY POWER POLE I I I
1ARLETA, CA 91331 610162 B I 1 I 1 I
I I (UNDERGROUND CONDUIT I I I
I I I_ 11 I
(ARCHITECT OR ENGINEER TEL NO. I IUFER GROUND I I I
I - I I 11 I
I LIC NO I IROUGH CONDUIT Ir I I
I I IROUGH WIRING 1` / �I
I I IMAIN WATER LINE I 1
I IPLASTIC Y/N METAL Y/N I I 1
I 1 1-1 I
I 1UTILITY-COMPANY NOTIFIED( I I
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