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HomeMy Public PortalAbout9240 WEDGEWOOD ST_Electrical__ ;pWpT*ENT OF BIDING AND SAFETY= nrr,�aa.r.aavl� rar • e rr.>tunii "" COUNTY OF IAS•ANGELES ' 'ELECTRIC' WMA. J. FOX CHIE ENGINEERI ' Z2 /NAME . DISTRICTTNO:- GROUP ZaONE PERMIT NO. U AbDRESS d S...� -�' . it- �','�•e c•,f �k F`_r� - """" - Y. ® � RECEIVED BY READY FOR DATE ISBU D CITY FIRST INSPECTIONCOUNT CRT.Nb. EXPIRES APPLICANT FILL IN HEAVMF OUTLINED PORTION ONLY ` (DESCRIPTION "OIF WORK JOB CITY ' 1 Aq�M��THE LE04 POSSESSOR OF THE 'ABOVE LOS ANO LES COUNTY CERTIFICATE OF QUALIFICATION.. �" } ELECTRICIAN. 1 AM THE LXGAL OWN RIBED ABOVE 1 a O OWNER. GORRECTIONV ! VA,/ o f*� 6 2 lZ Y " TOTAL NO. OF OUTLETS `cam , : APPROVALS NO. OF FIXTURES S DATE INSPECTOR'S NAME NO. OF MOTORS H.P. G CONDUIT NO. OF SIGNS TRANS. ffi WIRING 4�,J NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS ffi POWER PERMIT FEE ffi UTILITYCO.NOTIFIED TOTAL FF 9 § FINAL C .DEB SSA ZSMM SETS �8-47 ��7��p�/�1 • APMCATION #0R'PEj WW -"-DEM- THENT OF BU"ING AND SAWff saw a�ELECTRIC COUNTY OF LOS ANGELES M. J. FOX CHIEF ENGINEER DISTRIC NQ._... GROUP' ZONE PERMIT NO. ADDRESS _ /%/ CITY tiNO. RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION C9L CERT.NO. EXPIRES �' t: 6/ APPLICANT FILL IN DEAVILY OUTLINEDP �ORTION ONLY DESCRIPTION OF WORD ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY• 6iAd?-0, W LOCATION BY ROOMS • .NEAREST LIGHT OUTLETS JSW. PLUGS. M , CROSS ST. / 'lr 1H•!it C/1� CIRCUIT A 113 1 C I D I E F IG JH E NAME 3 ADDRESS - O •� I AM THE LJBGAL POS9jkdSOR OF THE ABOVE LOS GE_XS COUNTY CERTIFIMkTE OF QUALIFICATION.. ELECTRICIAN. 4 AM THE LEQA7. ER OFF,THIS PROPERTY:DESCRIBED 'ABOVE OWNER. GORmCTIONS Q _Z L7 • - O TOTAL:::j NO. OF OUTLETS AN ffi JAPPROVALS NO. OF FIXTURES ffi g DATE INSPECTOR'S NAME NO. OF MOTORS H.P. ffi CONDUIT ?? NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS ffi FIXTURES MISCELLANEOUS a S ( .POWER PERMIT FEE ffi �t _ UTILITY CO.NOTIFIED TOTAL FEE 0 a FINAL OBS S-A S-46 •. n'u��®li FOR �II'/Y01i8t1.�, - - :-�;D9EPARTMENT OF BUILDINGAND AND W= _\ COUNTY.OF LOS. ANGELiES - EWTI� f� WM. J. FOX'CHIEF ENGINEER .� NAME DISTRICT GROUP 20 NIE �PERMIT NO. U -ADDRESS ' CITY TEL.NO. REC BY READY FOR DA ISSU D FIRST INSPECTION .I COUNTY 41 -CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DDESCiREMO�Y OF WORK ADDRESS rr� NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS R17iT. -CROSS ST CIRCUIT A B C D E F IG H ,•W NAME �! Z MAIL � ° ADDRESS.!• CITY 1 AM THE `AIL POSE OR OF THE ABOVE LOS ANGELES COUNTY- CERTIFICATE OF QUALIFICATION.. - ELECTRICIAN. "AIAN BO 6 THE LEGAL OWNER OF THE P PF,IiTY DES IBED ��p y�py.�g Q O NER. - _ CORRECnoiNS - J _ Q Z IY OTA NO. OF OUTLETS :6 APPROVALS.. NO. OF FIXTURES S DATE INSPECTOR'S NAME 1 NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS'- S FIXTURES MISCELLANEOUS S POWER PERMIT FEE S / �L6 CO.NOTIFIED TOTAL FEE ` FINAL WORKERS'COMPENSAtION cerci DECLARATION 7 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers'Compensation Insurance, j COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) S gb'��2-g �cy No. Componyy Qmlxs FOR APPLICANT TO FILL INJOB EACH NO. FEE ADDRESS(� C rtified copy is hereby furnished. New Residential Bldgs. &Pools $ $ 1 8 2-Family, S FtLOCALITY Certified copy is filed with the county building inspec-, y q' . NEAREST tion department. Multi-family Sq. Ft. CROSS ST. ReslAential Swimming Pools Date q_%&A Applicant N..j OWNER FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec3� aa SwMAIL First 20 - COMPENSATION INSURANCE I �Light . DDRESS (This section need not be completed if the work involved by Total No. Additional CITY Tel. . the permit Is for one hundred dollars($100)or less.) PLAN CHECK 1 certify that in the performance of the work for which this 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 Total No. 3 Additional CITY Tel. No. Date Applicant '. 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. Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS y ` with comply with such provisions or this permit shall be Top — FAU W;H . — • deemed revoked. Hood — Fan Other— CIT VILA Tel. IV LICENSED CONTRACTORS DECLARATION 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 Business DISTRICT NO. PROCESS BY and Professions Code,and my license is in,full force and effect. Power Apparatus&Large Appliances i Size&Type HP, KW, KVPt; or KVAR' 0�J License Number Z8 SR SEN Lic. Class cz--s I Up to 1 Incl. FINAL ,/ 6j `' Date L•��` �"�! Over 1 to 10 Inc[. DATE ���' ��i'v/ VALIDATION 0 Contractorc)b , y S�[Z ❑ Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason I Over 100 7 Z Services, Swbd., MCC&Panelboards / D 0 -200 Amp. Under 600 V tot) U Signature11Z - 201.- 1000 Amp. Under 600 V G ❑ Over 1000 Amp: or Over 600 V Exemption for Reg, Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances 0,5 9 b A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's LicenseAdditional Sign Branch Circuits 'a a a o j Law for the following reason (Section 7031.5, Business and I Professions Code): .1 Misc. Conduits&Conductors r r,a ' a I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)— - ,' j . -,z u 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. 3097, Civ. C.). - PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE �() 6 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-me Toned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE d-A—Ol Signature of Permittee Date WORKERS'COMPENSATION DECLARATION C-806 ; 10/81 A�PLIC TION FOR ELECTRICAL PERMIT CE-808G'i L�@1 Al �1 /"1 fl�Y� I'i1�eb9-.affirm1'th9t I`fiave a certificate of consent to self insure, o or a cerffil9Qa�te of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy:ihereollSec.3800,Lab.C.) Policy No. 0 Company FOR APPLICANT TO FILL IN JOB E] Certified NO. FEE ADDRESS��LJ Certified copy is hereby furriished. New Residential Bldgs.&Pools Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ LOCALITY�� cal_ $ department. Multi-family Sq.Ft. NEAREST C OSS ST .���11�� ► Date Applicant Residential Swimming Pools OWNER ORA FIRM NAME ®� i CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL , Outlets:Rec�Light�Sw.� ww COMPENSATION INSURANCE I ��1 First 20 / D lAePC ADDRESS4i�WG (This section need not be completed if the work Involved by the Total No. dy Additional CITY-"�pL E ei Tel.No. permit Is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit PLAN CHECK is issued, I shall not,employ any person in a an so as to APPLICANT become subject to the Wor ompen Lighting Fixtures First 20 ADDRESS f '4-910 Additional t Yu Total No. CITY Tel.No. Date Appli' Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT ® CS L0L�r� 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 P®Gov «COCl provisions or this permit shall be deemed revoked. Top FAU _ W.H. _ CITY G� Tel.No.7,s?�Z,Q LICENSED CONTRACTORS DECLARATION Hood _.0__ Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR d Disp. Room Pilr Cond. REG.NUMBER Class.GI� (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO.�"" p PROCESSED BY Size&Type HP,KW,KVA,or KVAR u• �O _ Q LicensAe Lic.Class Up to 1 Incl. FINAL V Over 1 to 10 Incl. DATE � �� VALIDATION Contrac Date v i Over 10 to 50 Incl. FINAL ❑ I am exempt under Sec. Over 50 to 100 Inc. BY d BAP.C.for this reason Over 100 to Services,Swbd.,MCC&Panelboards / Z Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign 4th One Branch Circuit 4. I hereby affirm that I am exempt from the Contractor's License Law � for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits y'•-rei Code): 3307 2 e ltd ❑ Misc.Conduits&Conductors I,as owner of the property,will do the work and the structure y I,T is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). I�i� � `,� . CONSTRUCTION LENDING AGENCY ew:HECK 72.111 I hereby affirm that there is a construction lending agency for the s t l�_ ti j i performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) © G?,�NGE Civ.C.). i PLAN CHECKING FEE Lender's Name 1106-011301 11► 6/90 PERMIT ISSUING FEE Lender's Address +� 367 I i '.A ! u a i I certify that I have read this application and state that the above TOTAL FEE a�•�(J information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize property for ins In purpose s County ant ove-mentioned \ ., �® SEE REVERSE FOR EXPLANATORY LANGUAGE \vl I r Signature of Permittee Da e WORKER S'COMPENSATION DECLARATION iCE-806G (2-80) APPLICATION 'FOR ELECTRICAL PERMIT I hereby affirm that I. have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate,of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) + I FOR APPLICANT TO FILL IN JOB Policy No. Cpmpany EACH NO. FEE ADDRESS New Residential Bldgs.&Pools E] Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY �j GL4 Certified cy B inspection'copy is filed with the.count building Multi-family Sq. Ft. — CROSSST NEAREST department. Residential Swimming Pools OWN R OR FIRM NAME //J�/�✓ /?�/ Gi�f Date Applicant Outlets: Rec..—Light ADDRESS Firstrst 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY �7Jne� Tel �---� COMPENSATION INSURANCE PLAN CHECK n}. (This section need not be completed if the work involved APPLICANT V by the permit is for one hundred dollars ($100) of less.) Lighting Fixtures First 20 ADDRESS Total No. Additional O Fixed Appliances Not Over 1 HP I certify that in the performance of the work for which this CITY Tel No. permit is issued, I shall not employ any person in any manner PERMIT W so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT C: Oven _ Dryer.—W.M._ ADDRESS to Date Applicant" Top _ FAU _W.H.,_ Hood — Fan _Other— CITY a No. 'NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room.Air Cond.— ' LICENSE OR 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. PR ED BY with comply.with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE VALIDATION Over 10 to 50 Incl. Y { 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 ness and Professions•Code, and my license is in full force and effect. ServicesLe � I 0-200 Amp.Under 00 /Gyllcy /11 'Al.-elli License•Number 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 amexempt from the Contractor's Sign with One Branch Circuit License for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness an rofessions Code): ' � Misc.Conduits&Conductors �O 0�b� I, as owner of the. property, will do this work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section o;b o b o 2 7044,Business and'Professions Code). , - CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 o o'1 9,5 0 for the performance of the work for which this permit is _ PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). o 0 0 1 9,5 0 K Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 0'608-81 ' Lender's Address PERMIT ISSUING FEE 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-mentioned proper for inspe ti rposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permitte to