HomeMy Public PortalAbout9231 WEDGEWOOD ST_Electrical__ COUNTY OF LOB ANGELES A3T*=T= FOR PST
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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
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I I I ] ]
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1 I I I I
I I* ADDITIONAL DATA ON FILE 1 I I
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1 IREPORT ID: DPR265 ROUTE TO: BS0508 [ [ ] I
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