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Home My Public Portal About6442 LOMA AVE_Electrical__ ,r 7c6A663-C E806 11-71 61"'![] PLIC "'V 0 ION FOR ELECT ICAL PERMIT U ; COUNTY OF LOS ANGELES �,T DEPARTMENT OF COUNTY ENGINEER ;ABU DILD DRESS s BUILDING AND SAFETY DIVISION LOCALITY (� FOR APPLICANT TO FILL IN CROSSSS T. OUTLETS NO EACH I FEE OWNER �"r �` RECEPT. $ $ �� MAIL FIRST 20 ESS ADDRESS LIGHT TO 25 Tyk �r !/�J CITY i � � TEL. N0. �•�� SWITCH IO OVER 20 PLAN CHECK LIGHTING FIRST 20 Z5 APPLICANT - TO AL OVER 20 ADDRESS FIXTURES 10 RESIDENTIAL APPLIANCES CITY TEL. NO, PERMIT RANGE DRYER_WTR HTR_ APPLICANT STA COOK DISP F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS, ETC HP KW KVA 'ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PR OPE EGIS TER AN /OR } O - 1 IDO LICENSED AS REQUIRED BY LOS ANGEL CO TY AN STAT OF d CALIFORNIA OR THAT AM 7 LEGAL WNE OF, AN (NTE TO Q 1 - 10 300 RESIDE IN, THE (ASO VE' SCRIBE 1DENTIA PR RTY V /� ,.. SIGNATURE J 10 - 50 500 OF PERMIT. Q 50 — 100 1000 DI STRI CT NO CLASS ZO PRO //SjjED�� Lu 100 — 500 15000 N SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: TUBE, OR MARQUEEADDITIONAL CIRCUITS 100 SERVICENOTOVER600 VOLTS OR 200AMP 300 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AM P 1000 - TEMP POWER POLE " TEMPSERVICE,POLE, &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 300 ROUGH CONDIUT � � � �d WIRING V/45-77-s FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE ' PERMIT ISSUING FEE 300 FINAL /h 7 TOTAL FEE PLAN CHECK VALIDATION CK M O CASH PER IT ALIDATION cK M D CASH 23 t ..F cI3 2 6 2 D 7.75 N v ' r SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-00610/72 APPUCATl6VF R ELECTRICAL PERMIT � COUNTY OF LOS ANGELES / DEPARTMENT OF COUNTY ENGINEER 7' RN O BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN /c.. �D 4 OUTLETS NO EACH FEE �!A /�f /jlT� S s &b �J RECEPT . LIGHTFIRST 20 �� ADDRESS TOTAL 25_ CITY TEL NO SWITCH OVER 20 10 PLAN CHECK FIRST 20 APPLICANT LIGHTING TOTAL 25 OVER 20 ADDRESS FIXTURES 10 RESIDENTIAL APPLIANCES c1rY D PERMIT RANGE DRYER_WTR HTR APPLICANT STA. COOK DISP. F A U. ADDRESS SPACE HTR. AIR COND CITY TEL N0. CLOTHES WASH. DISHWASH. LICENSE OR CLASS. REG. NUMBER FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS'jETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY R ISTE ED AND/ O — 1 100 LICE NSEO AS REQUIRED BY LOS ANGELES COU TY A STAT OF CALIFORNIA OR TH I AM THE LEGAL OW THE r 1 — 10 300 L'r,l DESCRIP,ED REST IAl OPERTY O tDISTRICT E V 10 — 50 500 E t- 50 — 100 1000 NO. PRO ESSED BY W 100 — 500 1500 1 SIGN, GAS SIGN AND ONE CIRCUIT 500 ROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL J 3 PERMIT FEE (SUB TOTAL) NOTES. L— PLAN CHECK FEE PERMIT ISSUING FEE 300 2 00 TOTAL FEE �U PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALI A'TIQNcK M o CASH IArL 9 4 7 273 'MAR 8 • 7.0 Q SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE / ✓ 1 '76A663"-CE806 1-66 APPLICATION . FOR ELECTRIC A RMIT �� • 'iM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AN-D SAFETY DIVISION ADORES oAl JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCA ITY NEA EST or FOR APPLICANT TO FILL IN CRO $T Uc NO EACH FEE RECEPT `� - $ $ OWNE AIL LIGHT ,(TOTAL FIRST 20 20 ADDRESS SWITCH 1 OVER 20 10 CITY TEL. NO. PLAN,CHECK LIGHTING 1 TOTAL FIRST 20 20 APPLICANT FIXTURES I OVER 20 10 ADDRESS RANGE—DRY RWTR HTR._ CITY TEL NO ' STA COOK DISP F A U COI�TRAC T-OR jUAA SPACE HTR AIR COND Of 'ADDRE CLOTHES WASH DISHWASH CITY TEL NO ,e) FAN OTHER 1 00 O LICENSE NO CLASS. MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 0 - ,1 1 00 HEREBY CERTIFY THA AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REQUIRED OS ANGELES COUNTY AND STATE OF } CALIFORNIA OR THAT I HE LEGAL OWNER OF, AND INTEND TO O. 10 - 50 5 00 RESIDE IN, THE A 0 E OE5rRIRED ,RESIDENTIAL PROPERTY O SIGNATURE V 50 - 100 10 00 OF PERMITTEE �g 100 - 500 15 00 0 DISTRI � GR P Z E. P ESS D BY SIGN,GAS SIGN AND ONE CIRCUIT 3 00 , f UJ TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 i SERVICE OVER 600 VOLTS OR 200 AMP 5 00 - TEMP SERVICE, POLE, &APPURTENANCES 3 00tTEMP OVALS DATE INSPECTOR'S SIGNATURE _ ER POLEB WORK ROUGH CONDUIT WIRING / ��/ LCJ ✓"'`'+�`�"�-a�__ - PERMIT FEE - (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 UTILITY CONOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 ]FINAL ,TOTAL FEE U JO EP;H C. ROOHAN SUPERVISING EL EC I AL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH l}{,O 4,8 5,0- MAY 2 0 2: D 8,.b Q01 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 4 76AGGS-CEBOG-11-10� APPLI CATION FOR- ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUMDING AND SAFETY DIVISION ADDREss JOHN A. L1tNID1E.C S ty Engiaeer ! C SSATI D. GffiFFIN,89pt of$j&2 LOCALITY /. NEAREST FOR APPLICANT TO FILL IN CROSS ST PERMT FEES ITEM NUM13ERI EACH FEE OWNER j OUTLETS. S $' MAIL LIGHTS RECEPT SW 10 AQ ADDRESS LIGHTING FIXTURES .10 CITY TEL NO ELEC.RANGES CLO DRYERS ELECTRICIAN 0 WATER HEATERS 50 / (' ELEC.SPACE HTRS. DISHWASHERS - ADDRESS iJ J TEL.N GARBAGE DISPOSERS AUTO- I CITY / WASHERS STA COOKING UNITS .25• STATE LICENSE NO o MOTORS. OVER INC H P _ DIS R C O READY POR INBPfi OTION ' O — I/z 25 1/2 — 2 50 z — s 1 00 INSPECTION RECORD 5 — 15 ISO 15 — 50 250 SO— 200 500 SIGNS- NO TRANS NO LAMPS SERVICE 0-600V 100 (aQ SERVICE OVER 600V 500 MISC WIRING PERMIT 100 Q(, FIXTURE PERMIT 1 00 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE' READ%THIS APPLICATION" 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 IHEREBY 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 RESIDENTIAWF �� POWER .y �n SIGNATURE UTILITY CO NOTIFIED f L57 �I /e>y IJdf r OF PERM ITTE FINAL /VALIDATION ARTHUR C.�/EIT , ( SUPERYISING CLE I L ENGINEER CI MO CASH LACO 7 6 3 9 JUN 8 2 A 2.2 0 �° TEMPLE CITY ;1 76AG63-CE80610-39 APPLICATION FOR ELECTRIC PERMIT , COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER ` WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN c"Ross sr —�(PE PERMIT FEES OWNER A / ITEM NUMBER I EACH FEE OUTLETS: $ $ MAIL // j ff , LIGHTS RECEPT. SW. 1O ADDRESS(,T /�/i (�Q/V( U 1 LIGHTING FIXTURES 10 CITY c/ TEL NO ELEC RANGES CLO.DRYERS ELECTRICIAN W -r WATER HEATERS .501 ADDRESS Al, &OIM 09 ELEC.SPACE HTRS. DISHWASHERS ' CITY TEL NO GARBAGE DISPOSERS AUTO- STATE , WASHERS STA COOKING UNITS .25 LICENSE NO. MOTORS OVER INC. H P DISTRIC NO. GROUP ZONEP CESSED BY O— 1/2 25 1/2— 2 5o INSPECTION RECORD 2— 5 too 5— 15 150 is— SO 250 50-200 5 00 �Gv I.ERl 01 �g SIGNS. • NO.LAMPS ,•� ��/C fJ•7" -y SERVICE 0-600V 1.00 ---sM 721) SERVICE OVER 600V Soo e)�lf ^11-47 MISC. 142,7-4/9 1-740tv 1199hek-- WIRINGPERMIT 1.00 �i ,1;� 1A- ' �S FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 50 TOTAL FEE S t 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 CONDUIT �t �- A '- ELECTRICAL WIRING. WIRING --4U 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 IM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI -MY. POWER SIGNATURE UTILITY CO.NOTIFIED / v/ G PERMITTE �� FINA OF ARTHUR C.VETT, CK MO CK Mo cwsH SUPERVISING ELECTRICAL ENGINEER ��o �� 1 5 SEP 14 2 D 2:5 0 �' that I h76A663 COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT • I f%preby affirm that have a certificate of consent to self Insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUaLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec 3800 Lab C) Policy NO Company FOR APPLICANTITO FILL IN JOB ADDRESS Certified,copy Is hereby'furnished New Residential Bldgs &Pools NO EACH FEE $ $ LOCALITY T0- Certlfied'co Is filed with the count buildin inspection 1 &2-Family,Sq Ft PY county-building P - NEAREST •' department- Multi-family Sq Ft CROSS ST Date Applicant Residenbal Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecLi ht Sev / NER OR COMPENSATION INSURANCE — g / fi0 FIRM NAME I[IomaS (Ili L hA Brcnn4ll First 20 o (This*secMAIL ^n,.`d Ave, tiori need not•be completed rf the work Involved by the ADDRESS 6 1 ✓v 7( t Total No Additional permit'Is for one hundred dollars($100)or less) CITY�r C $j� 6 I certify that in the performance df the work for which this permit Tel N S/Sj Is,Issued, I shall not,employ any peFson in any manner'so;as t0 PLAN CHECK become subject to the Workers' Compensation Laws Lighting Fixtures First 20 APPLICANT- Total No Additional • - •. ADDRESS - Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If, after making this Certificate of CITY Tel No Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP rovisions of the Labor Code, ou-must forthwith comply with such PERMIT P, Y P Y 'APPLICANT provisions or this permit shall be deemed revoked' �' Power Apparatus'&Large Appliances _ LICENSED CONTRACTORS'DECLARATION Size&Type HP,KW,KVVAA, r�R p ADDRESS 1 hereby affirm that'I am'licensed under provisions'of Chapter 9 Over 3 t 10 Incl �a (commencing with Section 7000) of Division 3 of the Business and CITY Tel No Incl Professions Code,and-my-license Is In full force and effect Over 10 to 50 - � SE OR Over 50 to 100 Incl REG NNUMBER -' Class - Over 100 DISTRICT NO P O SED BY O License Number Lic Class Services,Swbd,MCC&PanelboardsFINAL d �✓ t�" Contractor Date 0-399 Amp Under 600 V DATE O ❑ ° 400-•1000 Amp Under 600 V V I am exempt under Sec VALIDATION LLI Over 1000•Amp or Over 600 V FINAL 0- B&P C-for this reason BRANCH CIRCUIT FEES BY W Date 15A,or 20A, 120V,Lighting or Recept Z - -- 1 To 10 Branch Circuits Signature 1,1 To 40 Branch Circuits El 41 Or More Branch Circuits Exemptlon'for Reg Malnt Elect 15A,20A,208V To 277V Lighting Br Circuits L SINGLE FAMILY Temp Power Pole&Appurtenances F HOME OWNER-BUILDER DECLARATION ! '-(-+-=Ir I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits Code) iTEME t I,as owner of the,property, will do the work and the structure Misc Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ° ) — and Professions Code) _' _ _ ,i �• 43.75 CONSTRUCTION LENDING AGENCY- I hereby affirm-that there is a,constructlon lending agency for the �— performance of the work for-which this permit Is Issued (Sec 3097, PERMIT FEE (Sub-Total) a ' Civ C PLAN CHECKING FEES f' 1.f: �7� Lender's Name PERMIT ISSUING FEE i f _t„rtc Lender's Address - I certify that I have read this application and under penalty of purjury state TOTAL FEE S that the 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 igspec�tioonn purposes SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNAT RE'J OF PERMITTEE DATE/• �� - r '