Loading...
HomeMy Public PortalAbout9231 WEDGEWOOD ST_Electrical__ COUNTY OF LOB ANGELES A3T*=T= FOR PST DMSDepIOarNbO WILLIAM L FOX. 0010b Eoolnew ELECTRIC i FOR APPLICANT TO FILL IN DIWMIOT NO. OIROLIP ZONE PERMIT NO. Y91- 17 5LERICIAN _ 1 LIVED ■Y READY FOR DAT! MINIMUM FIR■T IN■PEOTION TEL.MO. OOUNTY LIC NO. CKPIMCM SUILDIN■ FEBWT FESS FCC ADORE■■ NUM■ER EARN LOCALITY LI■NT OUTLET■ _L NIARE■T RECEPTACLES ml =w SWITCH!, OWNER TOTAL OUTLET■ an MAILQ ELiO. RANGE■ 25 ADDNUNN Z Ll6 L CLEC. NEATER■ SO CITY 'RL N0. FIXTURE■ ■ Q 1 HEREBY OWLEDOE THAT I HAVE READ TNI■ 1 APPLICATION AND ■TAT! THAT THE ABOVE 10 CORRECT MUMMER OF LI■HT OIROUIT■ AND ACRE! TO COMPLY WITH ALL COUNTY ORDINANCES MUMMER OF RECEPTACLE CIRCUIT■ AND STATE LAW■ RECULATIND ELECTRICAL WIRIMIL MOTORS 1 OERTIFY THAT 1 POSES■ THE ABOVE VALID LOR NUMiii HRRSEPOWKM !EE AMINCLE■ COUNTY LIEEM06 OR 1 AM THE LEMAL OWNER Hcw MVD. HIS OVER INE. rAn" OF THE 1lEBIDE PROPERTY DEBORI■ED ANVIL vs i Lfii .25 ■IMMATURE 2 .60 PERMITT z._- 2 ■ 1.00 13 OS RECOM s �s 7.60 1■ ■o 2.S0 sosaD s.nO son s® 1 R.Co saR Imo 1s.Dn Z OVER 1000 20.00 p His. err/rnci& CNAM■ER-HP R WELDER■1 AO-KVA O ■ENERATOR■ - KW TRANBFoRMER■ - KVA _ TEMP. MOTORS OR ORI■ MOVED MOTOR■ 19 or ORI■ M ISO. 91O1NE NO. NO.TRANL APPSOVAA NCL LAMM FOR EACH PERMIT! DATE IN■PECTORP■NAME WIRIND IAO Q C CONDUIT _ FIXTURO *1,010 1 WIRIN■ UKTARV ALL FIXTURE■ POWER TOTAL FEE • a UTILITY CO.NDTIFIm FINAL "am DHS#LL •WORKERS'COMPENSATION DECLARATION 7GA66 G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate,of consent to self COUNTY OF LOS ANGELE AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN i JOB / Policy No. Company EACH NO. F ADDRES B [1' New Residential Bldgs.&Pools _ Certified copy is hereby furnished. $ — $ LOCALITY--/.e! ❑ P 1 &2-Family,Sq. Ft. ❑ Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection Residential Swimming Pools CROSS ST department. OWNER OR �j i FIRM NAME Date Applicant Outlets: Red—&ight Sw. ` L �t3U / ADDRESS First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' ^ ^ Total No. Additional CITY Tel } COMPENSATION INSURANCE PLAN CITECK fa APPLICANT O (This section need not be completed if the work involded Lighting Fixtures First 20 v V by the permit is for one hundred dollars ($100) or less.) ADDRESS Total No. Additional Ix I certify that in the performance of the work for which this CITY Tel No. O permit is issued I shall not empi n person in Fixed Appliances Not Over 1 HP p p y p y manner PERMIT so as to become subject to the ars'Compe i ws. Range_Heater D.W._' APPLICANT oJJ- /' n /Applicani Oven Dryer_W.M._ ADDRESS .: U) Dat4 �� _60� Top FAU _W.H.._ CITY el IVo �1 Hood Fan _Other— NOTICE TO APPLICANT: If, after making this Certificate of Disp. Room Air Cond.— LICENSE O. Exemption, you should become subject to the Workers' REG.NUMBER Class —�� Compensation provisions of the Labor Code, you must forth- Power Apparatus$&Large Appliances DISTRICT NO. P SED BY with comply with such provisions or this permit shall be deemed revoked. . Size&Type HP,KW,KVA,or KVAR (Z^0, Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 1.0 Incl. DATE , ' VALIDAT t ON Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division•3 of the Busi- Over 100 BY fV ness and Professions.Code,and my license is in full force and effect. Services 0-200 Amp.Under 600 V 60C License Num 'r / Lic.Class ` 201-1000 Amp.Under 600 V Contracto ` ate ^�.s �/ Over 1000 Amp.or Over 600 V % oag � HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances C� I hereby affirm that I am ekempt from the Contractor's Sign with One Branch Circuit zg4 79,0 A License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits 0 0 Hess and Professions Code): 0 0. p, Misc.Conduits&Conductors ❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule).— 2 ' ' 3.3.0 0 structure is not intended or offered for sale (Section 7044,,Business and Professions Code). c e o 3 3,0 G;s) CONSTRUCTION LENDING AGENCY 'I hereby affirm that there is a construction lending agency . 4. 1 5-81 for the performance of the work for which this permit is ,PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). Lender's.Name I. CHECKING FEE (O.ne-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that I have read this applicatibn and state that the TOTAL FEE �..' above information is correct.I gree to comply with all County ordinanc and State laws ulati Electrical wiring, and hereb thorize repre ant is Co ty to enter upon the e-mentio op f pact' purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE 1 Signatur of Permittee ate 1 ' I WORKERS'COMPENSATION DECLARATION i 10ie1 APPLICATION FOR ELEC`T'RICAL PERMIT I Fyereblr a$iirm that I have a certificate of consent to self CE-806�� CE-8066 I insure, or a certificate of Workers'Compensation Insurance, I, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) C f,, Policy No. Company I FOR APPLICANT TO FIIN JOB EACH­ L CH NO. FEE ADDRESS �a3) L� '.SA -e�'D� S Certified copy is hereby furnished. New Residential Bldgs. &Pools ' NV Certified copy is filed with the county building insp - 1 &2-Family, Sq. Ft. $ — $ LOCALITY eVg� t� Cl tion department. ,• I Multi-family Sq. Ft. — NEAREST /' �i V Residential Swimming Pools CROSS ST. Dafe�"`�' Applicant OWNER OR FIRM NAME 9XIMI 1 e T CERTIFICATE OF EXEMPTION FROM WORKERS'' IL g Outlets: Rec Light Sw._ ADDRESS R2.a7) C. �tC( -¢-fi✓V;4 7'r COMPENSATION INSURANCE First 20 74 ` '� (This section need not be completed if the work involved by Total No. Additional CITY �@ ct Tel. No.- the permit is for one hundred dollars($100)or less.) j I certify that in the performance of the work for which this PLANCHECK �LTVIl 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 Total No. Additional CITY Tel. No. Dat.4—fCI^frz —.Applicant lu.���lw: Gl�t> V { 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' Range_ Heater—D.W. — V Compensation provisions of the Labor Code, you must forth- + Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top FAU —W.H. _. CITYTel. No. deemed revoked. Hood _ Fan —Other_ LICENSED CONTRACTORS DECLARATION i LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the BusinessDISTRICT NO. P ED BY and Professions Code,and my License is in.full force and effect. Power Apparatus&Large Appliances O }� Size&Type HP, KW, KVA, or KVAR O O License Number Lic. Class FINAL V Up to 1 Incl. Over 1 to 10 Incl. DATE VALIDATION B` Contractor DateOver 10 to 50 Incl. U FINAL I am exempt under Sec. Over 50 to 100 Inc. BY d Over 100 BAP.C. for this reason N 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. Mainf. Elect. • SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION 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): 1, as owner of the property, will do the work and the I Othe Conduits&Conductors �7 2 a 3 A structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). # 0 0 0 0 0 2 + CONSTRUCTION LENDING AGENCY i N o o 1 1.25 1 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) o--.- 1 1.255 (Sec. 3097, Civ. C.). PLAN CHECKING FEE I 061. 9187 Lender's Name PERMIT ISSUING FEE ) Lender's Address I certify that I have read this application and state that the I 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-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE j Signature of Permittee Date i ; ` WKERS'COMPENSATIONDECLARATION CE806G (2.80) APPLICATION FOR ELECTRICAL PERMIT "fl I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES /7 BUILDING A SAFETY insure, or a certificate of Workers'Compensation Insurance,or �/// (C �} . a certified copy thereof(Sec.3800,Lab.C.) L/ FOR APPLICANT TO FILL IN �Og Policy No. Company ADDRESS New Residential Bldgs.&Pools EACH NO. FEE V\ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY ❑ Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME ` `'+r Date Applicant Outlets: Rec..1Light_Sw. AIL First 20 ADDR i CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY �i�Z ��� Tel COMPENSATION INSURANCE PLAN CHECK CL (This section need not be completed if the work involved APPLICANT O by the permit is for one hundred dollar* ($100) or less.) Lighting Fixtures First 20 ADDRESS C) Total No. Additional tr I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. O permit is issued, I shall not empi ny person in any manner PERMIT ~ so as to become subject to the e�Compe i Laws. Range— Heater_D.W. APPLICAN U — W [1. Dryer_W.M. ADDRESS �� to Dat __ Applica Top FAU _W.H. — Wr Hood _ Fan _Other_ CITiY Te S NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond._ LICENSE OR Exemption, you should become subject to the Workers' REG. NUMBE lass C Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. P E BY with comply with such provisions or this permit shall be Size HP,KW, KVA,or KVAR �� `y deemed revoked. Up to 1 Incl. C/ FINAL Over 1 to 10 Incl. DATE VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINA 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ness and Professions Code, and my license is in full force and effect. Services �—/0 0-200 Amp. Under 600 V License Numb Lic.Class 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors � I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 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 PERMIT FEE (Sub-Total) issued(Sec. 3097,Civ.C.). de Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE above information is correct. 1 agree to comply with all County ordinances and State la&4a Electrical wiring, and hereb horize rid'es County to enter uponthe -mention tion urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE r ` Signature o Pe mrttee ate � K � COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1307230044 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 7485 LT: 16 1 9231 WEDGEWOOD ST I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802437 I [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18588-001-018 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 4.00 OUT 8.00 I 1 [TENANT: IG2 LIGHTING FIXTURES 3.00 LGT 6.00 [ISSUED ON: PROCESSED BY: PLAN BY: I I IHS RES WASH MACH IT 3HP 1.00 WAS 11.00 107/23/13 SR I TOTAL FEES 52.80 1 [ [OWNER: TEL. NO: [ IFMATE FINAL BY: CODE: IGRAINGER WILLIAM K;LOA L - [ 1 [ 19231 WEDGEWOOD ST [ 1 [ TEMP 917802437 1 ]DESCRIPTION OF WORK I [ [ 14 OUTLETS, 3 LIGHT FIXTURES AND WASHING MACHINE [APPLICANT: TEL. NO: [ [ [ IPAUL DAVIS RESTORATION OF SO CAL (714) 228-0895- I I I 114670 FIRESTONE BLVD [ ISPECIAL CONDITIONS: ] ILA MIRADA, CA 90638 ]CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ]PAUL DAVIS RESTORATION OF SO CAL (714) 228-0895- I 1 114670 FIRESTONE BLVD SUITE 406 LIC. NO ITEMPORARY POWER POLE ] I ILA MIRADA, CA 90638 510431 * I 1 I I [ (UNDERGROUND CONDUIT [ I I 1ARCHITECT OR ENGINEER: TEL. NO: I LIFER GROUND I I I I _ I I [ [ LIC. NO: I IROUGH CONDUIT I ] TROUGH WIRING I I I I I MAIN WATER LINE [ I IPLASTIC Y/N METAL Y/N 1 ] [ ]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 1 I I I I I I* ADDITIONAL DATA ON FILE 1 I I I I I I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 [ [ ] I I I I I I I