The URL can be used to link to this page

Home My Public Portal About6463 LOMA AVE_Electrical__ TEMPLE CITY 76A663-CES0610-61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER fADDRESS UILDING BUILDING AND SAFETY DIVISION / r JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING OCALITYEARESTFOR APPLICANT TO FILL IN ROSS ST. :• r 1 T E M NO. I EACH FEE OUTLETS:. (.FIRST20) $20 $ OWNER y y LIGHTS RECEPT. SW. MAIL OUTLETS: (ADD'L UNITS) 1O ADDRESS (p .,,). �/ j ' LIGHTS RECEPT. SW. LIGHTING FIXTURES: (FIRST 20) ,20 CIT _ L' Cf� TEL. NO. LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN e c RANGES lCLO.DRYERS WTR.HTRS. ' 1.00 ADDRESS GARB.DISP. STA.COOK CITY C TEL. NO. DISHWASH. AUTO.-WASH. STAT f SPACE HTRS. STA.APP.(+/z H.P.MAX.) .50 LICENSE NO. / MOTORS: OVER NOT OVER H.P. DISTt31CT NO. GROUPONE P ESSED BY O 1 1.00 -G� 1 3 1.50 INSPECTION RECORD >- 3 8 2.00 8 75 2.50 _- 'W-O 15 50 3.00 - VVV -- , .f 0 50 100 5.00 SIGNS: NO.TRANS. ! i Z 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 x 010 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR /! LICENSED AS REQUIRED BY LOS ANGELES COUNT AND STATE OF FIXTURES / CALIFORNIA OR THAT I AM THE LEGAL OWN F THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITT Nm FINAL �� LIDATION d,RTHUR C. VEIT .CK MO CASH SUPERVISING ELECTRICAL ENGINEER 2:1 :2.4Q. JUL25 :2 D 4.00 ?WORKERS' COMPEh�SATION DECLARATION CE-8o6G 63 10ie1 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm thaY`I h6ve`a certificate of consent to self CE-8 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. QQ7&C3Company I FOR APPLICANT.TO FILL IN JOB Certified co s hereby furnished. EACH NO. FEE ADDRESS Q ' copy Y New Residential Bldgs. & Pools 1''& 2-Famil S Ft: $ — $ LOCALITY ® Certified copy is filed with the county building inspec- y. 9 'NEAREST — tion department. Multi-family Sq. Ft CROSSST. Date Pp ��rl O �. - /�cE�A licant,�A%)&�lh) Residential'Swimming Pools' OWNER OR ..FIRM NAME ` CERTIFICATE OF EXEMPTION FROM WORKERSOutlets: Rec Light Sw,_ MAIL, COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by First 20 Total No.' CITY' Tel. No the permit is for one hundred dollars ($100)or less:) Additional >� I certify that in the performance of the work for which this PLAN CHECK 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 • Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT .NOTICE TO:APPLICANT: If, after making this' Certificate of � APPLICANT � n�t/'.f `/ 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 a with comply with .such provisions or this permit shall be Top FAU W.H. — ; deemed revoked. - CITY Tel. Hood_ Fan _ Other_ LICENSED CONTRACTORS DECLARATION, ( LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond., REG. NUMBER .171D Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PRO nCE S BY and Professions Code,'and my license is in full force and effect. Power Apparatus& Large Appliances j Size & Type HP, KW, KVA, or KVAR ` O License Numberyd 1�� Lic. Class Up t'o'1 Incl, FINAL �/ C�C Over 1 to 10 Incl. .L-0 DATE —/ VALIDATION O Contractor/ LCl.�7 iDate �' — Y FINAL4, V UJ ❑ Over 10 to 50 Incl„ I am exempt under Seca Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 � Services, Swbd., MCC & Ponelboards Date: 0 -200 Amp. Under 600 Vq Signature 201"- 1000 Amp. Under 600 V• ; • lb 0 ❑ Over 1,000 Amp or Over 600 V J L Exemption for Reg Maint. Elect. _ SINGLE FAMILY Temp. Power Pole& Appurtenances HOMEOWNER-BUILDER DECLARATIONQ 1.0 2=8 5 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): El1, 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)_ 7044, 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) (Sec. 3047, Civ. C.). PLAN CHECKING,FEE ° Lender's Name PERMIT ISSUING FEE /0 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 laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon .the above-mention d property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of,Permittee Date - COUNTY OF LOS ANGELES TEMPLE CITY - - # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0610230009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ' PHONE: (626) 285-0488 EXT: LEGAL ID: - FEES PAID BUILDING ADDRESS: TR: 12504 LT: 34 6463 LOMA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801332 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EMPEROR 5382-018-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE.: 596 GRID: H1 LOCALITY: TEMPLE CITY, C F1 120V, 15/20A BR CKTS 1.00 BR 17.25 TENANT: G1 OUTLETS-LGT,SW,RECP 30.00 OUT 52.50 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: G2 LIGHTING FIXTURES 15.00 LGT 29.25 10/23/06 JK 04/21/07 LA 100 AMP PANELS, MCC 1.00 PAN 38.85 OWNER: TEL. NO: TOTAL FEES 165.60 FINAL DATE FINAL BY: - CODE: HARD FRANCES C (626) 287-3033- /Of iyj �9c� 6463 .COMA AV TEMP 917801332 - DESCRIPTION OF WORK REWIRE SINGLE FAMILY RESIDENCE AND UPGRADE SERVICE TO 100 AMP APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO I TEMPORARY POWER POLE " UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: I ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 R COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9811090018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (818) 285-0488 EXT: LEGAL ID• FEES PAID BUILDING ADDRESS: TR: 12504 LT: 34 6463 LOMA AV FEE DESCRIPTION: QUANTITY:-UOM: AMOUNT: TEMP CA 917801332 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5382-018-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY HA FAU LESS 3HP 1.00 FAU 10.80 TENANT: JB AC UNITS +3-10HP 1.00 AC 19.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 58.35 11/09/98 UT 11/09/99 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: HARD FRANCES C (626) 287-3033- ��rOQ� 6463 LOMA AV TEMP 917801332 DESCRIPTION OF WORK ELECTRICAL FOR CHANGE OUT OF HVAC APPLICANT: TEL. NO: E L PAYNE HEATING COMPANY (818) 988-8110- SPECIAL CONDITIONS: CONTRACTOR:HEATING COMPANY TEL. N988-8110 APPROVALS DATE INSPECTOR SIGNATURE 23725 ROSCOE BLVD. LIC. NO TEMPORARY POWER POLE WEST HILLS, CA 91304 120228 C20 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: I 1111111 ROUGH CONDUIT L ROUGH WIRING D-) C 00u--lK MAIN WATER LINE - PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED 0 ✓� REPORT ID: DPR265 ROUTE TO: BS0508