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HomeMy Public PortalAbout10684 LORA ST_Electrical__ 75A6.8C-C6a0sB 18/75 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JO B New Residential Bldgs.&Pools. EACH NO. FEE ADDRESS 1 &2 Finaily Sq. Ft. $ — $ L-OCALIT Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST:7592 OWNER OR FIRM NAME }_ Outlets: Light,Switch&Receptacle MAI L First 20 U ADDRESS Additibnal 00 CITY Tel. No. PLAN CHECK Lighting Fixtures APPLICANT First 20 0 Q ADDRESS Additional CITY Tel.N PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D.W. ADDRESS Oven _ Dryer _ W.M. Top _ FAU W.H. _ CITY Tel.No. Hood Fan REG NUMBER. / Class. • (/ p D.isp. A.C. d c.2 1 NEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION W AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY CD Power Apparatus&Large Appliances -WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. LI.I a Up to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR Over 1 to 10 Incl. LICENSED AS RE,OUIRED BY LOS ANGELES COUNTY AND STATE OP CALIFORNIA OR THAT I AM THE LEGAL 'OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY. Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE D:ISTRICT NO. PFMCE ED BY Services v�-- Q 0-200 Amp. Under 600 V !J 191 201 -1000 Amp. Under 600 V APPROVALS IIATE INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE IF MP.POWER POLE Temp.Power Pole&Appurtenances DERSLAB WORK Sign with One Branch Circuit . Additional Sign Branch Circuits UGH CONDUIT t; (Other) . . RING XTURES WER AUTHORIZED PERMIT FEE (Sub-Total) I LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) NALPERMIT ISSUING FEETESTOTALFEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 10 4 N JhN 1 D 2 1.10 IAG63-CESO6 I0-60 APPL-ICATIO 000R. ELEC ICAL PERMIT 1 . COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING. BUILDING AND SAFETY DIVISION ADDRESS Lori JOHN A.LAMBIE. COUNTY ENGINEER nn WILLIAM A.JENSEN,SUPT OF BUILDING - LOCALITY NEAREST FOR APPLICANT TO FILL• IN CROSS ST. y57 PERMIT FEES OWNER r I T E M Numarml EACH FEE MAIL - UT _ b L'. a•Y•i LIADDRESS GHTS RECEPT. . 6w. / Ao CITY O Q, TEL. NO. LIGHTING FIXTURES 130 ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .SO ADDRESS R D ffC�JJ''�� ELEC.SPACE HTRS. DISHWASHERS TEL N0.6+1J CITY GARBAGE DISPOSERS AUTO.- - STAT _ WASHERS STA.COOKING UNITS •,a$•' . LICENSE NO. Morons: 0M INC H.P. DIST GRO JP ZONE IPR ESSED BY 0 ..as _ 6 1/2— a .so INSPECTION RECORD a 5— 1s I.so Is— so a.so so— zoo _ 9.00 y ! / SIGNS: NOTRANS. ��yii' NO.LAMPS /6 SERVICE 0_60OV 1.00 SERVICE OVER 800V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT BO TOTAL FEE i HEREBY ACKNOWLEDGE THAT I 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 STATB LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR j LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OFABOVE=' - DESCRIBED RESIDENTPROP TY. -POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL .�n VALIDATION ARTHUR C.VEIT CK NO CASH SUPERVISING'ELECTRICAL ENGINEER 11_1 �r'j 2 7 0 SEP ' 6 ' 2 0 2.8.0 i 76A663A-CE806A 4/72 APPLICATION 7irOk ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FADDRE {� BUILDING AND SAFETY DIVISION j7Z!.4j d,%e !<'1 FOR APPLICANT TO FILL IN CROSS NEAREST. J r L6 G; �o`vA_r_ � OUTLETS NO. EACH FEE OWNER✓4l�tF'�,L/.�0�/�I�iBL�IQG" RECEPT._ $ 5 ADDRESS /V414 Q A/j LIGHT TOTAL FIRST 20 p OVER 20 CITY �Wi�e TEL. NO. SWITCH_ PLAN CHECK LIGHTINGTOTAL FIRST 20 APPLICANT FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT O WNL STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR CONP. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C.7 IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF C~.7 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 — 10 .RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. H Z 10 - 50 SIGNATURE OF PERMITTEE 50 - 100 DISTRICT NO. CLASS 20N PROCEqbp BY 100 - 500 0 SIGN, GAS SIGN AND ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVI CENOTOVER 600 VOLTS OR 200 AMP SERVICEOVER 600 VOLTS OR 200AMP APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM ROUGH CONDIUT e WIRING FIXTURES PERMIT.FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE TOTAL FEE t9o PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION OM.O. CASH 50.7rOeT 5 2 g � 9.00A!k WORKERS'COMPENSATION DECLARATION -80toiel APPLICA� ION FOR ELECTRICAL PERMIT I hereby•affirm that is CE-806G or a certificate of Workers' Compensation Insurance,or a certified, COUNTY OF LOS ANGELES BUILDING AND-SAFETY copy, thereof(Sec.3800,Lab.C-) Policy N0. Company FOR.APPLICANT TO FILL IN JOB ADDRESS /10"Z111Sr E] CerCertified copy 'is filed with. the 'county building inspection tified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ❑ 1 &2-Family,Sq.Ft. $ — $ LOCALITY��iyJ department. Multi-family Sq.Ft. — NEAREST n Residential Swimming Pools CROSS 8T Q� L Date Applicant OWMNER OR FlRNAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec-Light`� Sw.4 MAIL .�� COMPENSATION'INSURANCE First 20 D ADDRESS 1w/} �i69- ;o (This section need not be completed'if the work Involved by the �/ CITY Tel.No. permit is for one hundred dollars($100)or less.) Total No.—Ea- Additional �A7�G?� y� I certify that in the performance of the work for which this.permit PLAN CHECK G APPLICANT a[t//Y/W is issued, I shall not employ any person tri arty'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 NOTICE TO APPLICANT% If, after making this Certificate of PERMIT Exemption,you should become subject.to the Workers'Compensation Range_ Heater_ D.W. APPLICANT provisions of the,Labor Code,.you must forthwith comply with'such Oven _ Dryer_ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top — FAU _ W:H. LICENSED CONTRACTORS DECLARATION CITY Tel.No. Hood Fan _ Other_± I .affirm that I am licensed under provisions. of Chapter 9 0 LICENSE OR (commencing with Section 7000)of Division 3 of the Business and Disp.. L Room Air Cond: ® REG.NUMBER class. Professions Code,and my license is in full force and effect. DISTRICT NO: PRO ED B.Y • Power Apparatus&Large Appliances � } Size&Type HP,KW,KVA,or KVAR ® ' 0 License Number Lic:Class Up'to 1 Incl. FINAL' U _ Over 1 to 10 Incl: 7 DATE -- VALIDATION O Contractor Date Over 10 to 50 Incl. FINAL , ❑ ''I am exempt under Sec. Over 50 to 100 Inc: BY W B.&P.C.'for this reason Over 100 N Services,Swbd.,MCC&Panelboards Z Date: 0-200 Amp.Under 600 V Signature 201 - 10.00 Amp.Under 600 V � ❑ Exemption for Reg:Maint.Elect. Over 1000 Amp.or Over 600-V SINGLE FAMILY Temp..Power Pole&Appurtenances HOME OWNER-BUILDER.DECLARATION Sign with One Branch Circuit y I hereby affirm that I am exempt from.the Contractor`s License.LawC`-' •e' for the following.reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits ACC{n F ,Code): -%70117 I,as owner of the property,'will do the work-and the structure Misc.Conduits&Conductors }, ;.T`M is not intended or offered for sate (Section 7044,,B.usiiness Other(See,Complete Fee,Schedule) _ .and Professions.Code). pop. ;.�f 1�� +rjl.�' � iJ- CONSTRUCTION LENDING AGENCY r, �_r `�'pyj.'_;, I.hereby affirm that there is a construction lending agency for the 0 performance of the work for whish this permit is issued(Sea 3097, PERMIT'FEE (Sub-Total) 4r1t?NGE ,.L}► Civ.C.). PLAN CHECKING FEE' , Lender's Name �.� Q DL� i -CI7�i O 's Cl' PERMIT ISSUING FEE � ` Lender's Address C,I]+ 1 j< All 8-46 I certify that I have read this application and state that the above TOTAL FEE i information is correct.I agree to comply with all County ordinances and State taws 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 ' 7—if Signature of Permittee Date I ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306190011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING ADDRES&i--- TR: 12585 LT: 8 10684 LORA ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803429 ASSESSOR INFORMATION N NEAREST CROSS STREET: PAL MAL 8585-030-008 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 1.00 BR 17.25 TENANT: LA 100 AMP PANELS MCC 1.00 PAN 38.85 ISSUED : PROCESSED B LAN BY: EXP S 0 LN OTHER PNL 0-39§ AMPS 1.00 PAN 38.85 06/19/03 JK 12/16/03 TOTAL FEES 122.70 SONNEOWNER: TEL. N0: FINpL DAT FI L B CODE: 10684 LORA JACK M;SANDRA U - ( _ lf_ (�I, -n �� Q�� 10684 LORA ST �O �O V� �V Y V"�tr' TEMP 917803429In-ar-rT- ,, OF WORK INSTALL SOLAR PHOTOVOLTAIC SYSTEM APPLICANT: L. 0• AMECO (562) 595-9570- 3909 ELM AVENUE SPECIAL CONDITIONS: LONG BEACH 90807 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE AMECO (562) 595-9570- 3909 ELM AVE LIC. NO TEMPORARY POWER POLE LONG BEACH CA 90807 6493 B/L UNDERGROUND CONDUIT ARCHITECT RENGINEER: TEL. NO: UFERGROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITYCOMPANY NOTIFIED * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508