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HomeMy Public PortalAbout9509 WEDGEWOOD ST_Electrical__ '76A663-CE.806 10172 APPLICATION FOR ELE elU PER lr" COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS pp BUILDING AND SAFETY DIVISION LOCALITY r+ � t NEAREST FOR APPLICANT TO F'ILL IN CROSS ST. OUTLETS 'NO. EACH FEE OWNER OR $ $ FIRM NAME L cv - rf/ RECEP_T._ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. NO. SWITCH_ OVER 20 •10 - .PLAN CHECK , LIGHTINGTOTAL 25 FIRST 20 APPLICANT , FIXTURES OVER 20 .101 1 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE . DRYER_WTR. HTR. APPLICANT STA. COOK' .DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR CLASS. REG. NUMBER FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES -COUNTY AND. STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF TtlE ABOVE 1 - 10 3.00 DESCRIBED RESIDENTIAL PROPERTY. 40 PERMITEE 1 V 10 - 50 5.00 SIGNATURE O 50 - 100 10.00 DISTRICT 40. PROCEED BY W 100 - 500 15.00 rle/- z SIGN, GAS =SIGN AND ONE CIRCUIT 5.00 ,APPROVALS DATE INSPECTOR'S SIGNATURE e TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE' SERVICE'NOTOVER600VOLTS OR200AMP 3.00 UN13ERSLAB WORK SERVICE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.06 WIRING V V"L TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED. ����� FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUI.NG.FEE &00 dv' TOTAL 'FEE 6 PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VA LIDATIGN . CK. M.0. CASH 2 .1 6AMAR 25 2 0 6.0 0 A5d SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE "°e3 ae a°°R 104" , APPLICATION FOR ELECTRICAL PERMIT ` -COUNTY OF LOS ANGELES •OEPARYMENT OF COUNTY ENGINEER JOB. �® BUILDING AND SAFETY DIVISION. ADDRESS FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Pools EACH NO: FEE NEAREST $ . r 1 &2-Family,Sq.Ft. .025 .-—_ $ CROSS ST.- _OWNER OR Multi-family Sq.Ft. j ••02 — FIRM NAME Residential Swimming Pools r 25.00 MAIL ADDRESS Outlets:Re= �� Light Z Sw.7� CITY - Te First 20 _ .50 PLAN CH K ` Total No. Additional .30 APPLICANT. ADDRESS (J Lighting Fixtures First 20 .50 _ CITY' I.No. Additional 30 r' PERMIT Total.No. APPLICANT Fixed Appliances Not Over 1 HP ADDRESS hom -ru Range_Heater_D.W.— CITY I.No. - g -Oven_Dryer—W.M. LICENSE OR Top —FAU _W.H. REG.NUMBER Class Hood_Fan —OtherT— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. —Room Air Cond. 2.50 "• THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP,KW;KVA,or KVARI HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS •,REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Uptol Incl. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C Over 1 to 101ncl. 5.00 a CM Over 10 to 50 Incl. 12.50 PERMITTEE o Over 50 to 100 Inc. 25.00 SIGNATURE U Over 100 40.00 DISTRICT O. PROC DtBY' ti Services Z 0-200 Amp.Under 600 V 12.50 APPROVALS DATE INSP ATOURE 201.1000 Amp.Under 600 V 25.00 Over 1000 Amp,or Over 600 V 50.00 TEMP.POWER POLE Temp.Power Pole&Appurtenances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT 2.00 WIRING Additional Sign Branch Circuits Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL :Z PERMIT'FEE (Sub-Total) NOTES ,/,, PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE $7.00 TOTAL FEE �. PLAN CHECK�I'A�I�A1+�L vP CI��:��MJIVO�V CASH PERMIT VALIDATION '' r M.O. CASH 9 3 5-ro-JUL' 26 2 0 3 2.0 0 ass POLICY HOLDER: , _�/�`,� - 5 410/ 10 FOR COMPLETE SC_H_ED LE Ott" 1VMtrv:Efa ray . WORKERS:-COMPENSATION DECLARATION CE-606G 10/81 APPLICATION FOR ELECTRICAL PERMIT I'hereby affift that I have a certificate of consent to self insure, ore certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY �J copy thereof(5'ec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN ,JOB ADDRESS ❑ Certified copy is hereby furnished. New Residential Bldg's.&Pools EACH NO. FEE ❑ 1 &2-Family,Sq.Ft. $ — $ LOCALITY Certified copy is filed with the county building inspection NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' � MAIL Outlets:Rec Light t 2 S� COMPENSATION INSURANCE f � ADDRESS (This section need riot be completed If the work Involved by the First 20 Total No. Additional CITY Tel.No. permit Is for one hundred dollars($100)or less:) PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT 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. CITYTel.No. Date ? !3' Applicant , NOTICE TO APPLICANT: If., after making this ertificate o Fixed Appliances Not Over 1 HP PERM APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ provisions of the Labor Code,you must forthwith comply with such Overi _ Dryer_ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top ' — FAU _ W.H. ,LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Tel.No. I hereby affirm that I am licensed under provisions of Chapter 9 Disp: Room Air Cond. LICENSE OR 2 Gass. REG.NUMBER (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. PR�(// xD:BY Size;&Type HP,KW,KVA,or KVA.R License Number � 7_7�_Lic.Class c� p FINAL Uto 1 Incl. Over 1 t 1. Incl. DATE Contractor to 45 " 3 05 . VALIDATION O Over 10 to,50 Incl. FINAL �j ❑ 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 nA. 4 01-2.00 Amp.Under 800 V Signature " 201 - 1000 Amp.Under 800 V b • Over 1000 Amp.or Over 800 V ' ❑ Exemption for Reg.M in.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit A'C`C'f'a4 I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits _,� for the following reason(Section 7031.5,Business and Professions �� � Code): 30.75 ❑ 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 1 ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ TOTAL and Professions Code). 30-. 75 CONSTRUCTION LENDING AGENCY CCK 30.7,r. 1 hereby affirm that there is a construction lending agency for the ►ti GS performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub Total) .00 Civ.C.). PLAN CHECKING FEE � _f►ntsi 29 Lender's Name �— 89 PERMIT,ISSUING FEE /O 5207 t�L! 1 � $�34 Lender's Address 1 certify that I have read this application and state that the above TOTAL FEE J information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize 4 representatives oft ' Cou to ter upon the above-mentioned prop r�inpecF pur eSEE REVERSE FOR•EXPLANATORY LANGUAGE ��_S n ture ittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1108050011 BUILDING AND SAFETY LAM DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9509 WEDGEWOOD ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:j TEMP CA 917802517 (ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: 18588-006-003 lAl PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID- J4 LOCALITY: TEMPLE CITY C111 I JLB 200 AMP PANELS, MCC 1.00 PAN 38.80 ITENANT: TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: 1 108/05/11 SR I I {OWNER: (FINAL DATE FINA YI, KEN (626) 512-6437- 1 L 9509 WEDGEWOOD ST 1��O BY CODE: ITEMP 917802517 I ID&CRIPTION OF WORK (PANEL UPGRADE FROM 100AMP TO 200AMP IAPPLICANT: TEL. NO: AMPTECH ELECTRIC INC (SPECIAL CONDITIONS: (CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE JAMPTECH ELECTRIC INC (877) 683-7444- 1 1 110636 BURBANK BLVD LIC. NO (TEMPORARY POWER POLE INORTH HOLLYWOOD CA 91601 947712 1 I (UNDERGROUND CONDUIT JARCHITECT OR ENGINEER- TEL. NO: JUFER GROUND LIC. NO: ROUGH CONDUIT IROUGH WIRING I IMAIN WATER LINE (PLASTIC YIN METAL Y/N I JUTIL---TY COMPANY NOTIFIEDI IREPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1102070005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I I ON FILE I I 9509 WEDGEWOOD ST I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802517 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18588-006-003 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 31.00 OUT 53.70 1 1 (TENANT: IG2 LIGHTING FIXTURES 9.00 LGT 17.50 [ISSUED ON: PROCESSED BY: PLAN BY: IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.90 102/07/11 SR I I [H4 RES RANGE HDS LT 3HP 1.00 HOO 10.90 1 I (OWNER: 1 1 /�/`/� I I IELECTRICAL FOR KITCHEN REMODEL, REPLACE LIGHT SWITCHES AND I (OUTLETS, REPLACE 20 AMP BRAKER WITH 20 AMP GFI BREAKER AND I (APPLICANT: 1 I [CONTRACTOR: TEL. N0: (APPROVALS DATE INSPECTOR SIGNATURE I 1SBL CONSTRUCTION INC. (626) 512-5748- 1 1 I 19173 SOUTHVIEW ROAD LIC. NO I ITEMPORARY POWER POLE I I I ISAN GABRIEL CA 91775 754301 B I I I [ (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I LIC. NO: i TROUGH CONDUIT [ I TROUGH WIRING I I MAIN WATER LINE PLASTIC YIN METAL YIN I I I (UTILITY COMPANY NOTIFIED( 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 1 I I I [ 1* ADDITIONAL DATA ON FILE I I I I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0405040026 BUILDING AND SAFETY / LAND DEVELOPMENT TErPLE CITY CA 91780 PHOUIE: (626) 285-0488 EXT: LEGAL ID: FEES PAID B I DING ADDRESS: ON FILE 9509 WEDGEWOOD ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802517 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8588-006-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C HA FAU LESS 3HP 1.00 FAU 10.95 TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON:­PROC BY: PLAN BY: EXPIRES ON: TOTAL FEES 58.35 05/04,104 VG 10/31/04 OWNER: � 9509 WEDGEWOOD ST TEMP 917802517 ESCR PT10N OF WOR ELECTRICAL FOR HVAC APPLICANT: TEL. 0: CONNOR AIR CONDITIONING (626) 286-3157- CONDITIONS: CONTRACTOR: TEL.. tl0: LS DATE INSPECTOR SIGNATURE CONNOR AIR CONDITIONING (626) 286-3157- 4931 ENCINITA AVE LIC. NO TEPPORA Y POWER POLE TEMPLE CITY, CA 91780 403735 C20 UNDERGROUND CONDUIT ARCHITECT OR NGINEER: TEL. NO: UF= 13ROUND LIC. NO: ROUGP CONDUIT RUMP.' W I R I NG MA[N WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508