HomeMy Public PortalAbout9512 WEDGEWOOD ST_Electrical__ AGEE
D:S-BA 8•B9APPLICATION FOR ELECTRIC PERMIT 1
DMSION OF BUILDING AND SAFETY
r Department of County Englneer �p �,�AJ�,
County of Los Angeles . BUILDING t� ®� B'vB!TEL
f�eMa�f�►
WM.J. FOX.COUNTY ENGINEER ADDRESS CASSATTD.GRIFFIN.6 P'TOFBUILDINGLOCALITYFOR APPLICANT TO FILL IN NEARESTPERIVlIT FEES CROSSST.NUMBER EACH FEEMAIL
;i LIGHT OUTLETS OWNER s �RECEPTACLES ADDRESS ! Il �' tb a0Pl 0
WALL SWITCHESTOTAL OUTLETS lid 5¢ S CITY /�C�`' NO.ELEC.RANGES 25 ELECTRIC AN i 'rM Q
ELEC. HEATERS 25 ADDRESS re6KW EA CITY p+ �� LrITEL.NO
FIXTURES -•5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRIC NO. GROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS I I SbCI o
MOTORS ��JJ
,NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
lh Sc LESS $ .25
/2 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC.
NO.SIGNS NO.TRANS.
.I NO.SIGNS NO.LAMPS
{ FOR EACH PERMIT:
WIRING $1.00 ! 0 d
FIXTURES $1.00 14170,
i SUPPLEMENTARY .50 APPROVALS
TOTAL FEE g ® DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT 1 \ 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY +
a WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
�c.9 •.�0��t�'�►QJ!/4-'"
ELECTRICAL WIRING. y �,
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
x LICENSED AS REQUIRED BY LOS ANGELES COUNTY ND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNE F THE ABOVE POWER
DESCRIBED RESIDEN L OPE 7.
SIGNATURE t v8 a UTILITY CO.NOTIFIED
OF PERMITTEE FINAL Iq41-1
WILLIAM J.FOX.COUNTY ENGINEER WMATION A.C.VEIT.CHIEF ELECT.INSPECTOR
8 1 .5 9 u' JUL 1 3.3 S in
OS
D -WA 9.85 APPLICATION FOR ELECTRIC PERMIT 1
DOS-WA ,
DIVISION OF BUMDING'AND SAFETY
Deportment of County Engineer �+ _ o
County of Los Angeles ADDRESS 7y� G�����^ ®�c�
WM.J.FOX,COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING c
LOCALITY
FOR APPLICANT TO.FILL IN NEAREST
PEBb= FEES CROSS ST.
NUMBER EACH FEE (�
OWNER 1° . sw
LIGHT OUTLETS AL
RECEPTACLES ADDRESS aS�®-d— e�OOtJ
WALL SWITCHES
TOTAL OUTLETS g¢ $ CITY 2E 6TEL.NO,
s ELEC.RANGES 25 ELECTRI IAN
ELEC. HEATERS 25 ADDRESSq.2 A;2eP
KW EA CITY- &O—NO/6 C.° TEL.NO.M— '®0 ®
FIXTURES 5 LICENSE NO.
STRICT NO
NUMBER OF LIGHT CIRCUITS - DI . I GROUP ZONE, I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
7NIOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
a NEW MVD. HP OVER INC. EACH '
Ih&LESS IS :25 I-
I
1h 2 .50
2 5 1.00
5 15 1.50 .
15 50 2.50
SO 200 5.00
t
MISC.
bv- °
r
NO.SIGNS' NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00 8®
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE g �� DATE/ INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT' 1 AM PROPERLY .REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANJGELES COUNTY AND STATE' OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWN OF THE ABOVE POWER
DESCRIBED RESIDENT( L PROM TY/.
SIGNATURE UTILITY CO.NOTIFIED
I:
OF PERMITTEE ° 4 FINAL r
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION . A.Q VEIT.CHIEF ELECT.INSPECTOR
'�� 9 5 8 9R Nc24 2 125 �
WORKERS'COMPENSATION DECLARATION 176A863 10/81 APPLICATION FOR EL��CTRICAL PERMIT
fi IT
'hereby,affirm that I have a certificate of consent to self insure, CE-806G
or a certificate of Workers'Compensation Insurance, or a certified COUNTY OF LOS ANGELES j BUILDING AND SAFETY
copy thereof(Sec.3800,Lab.•G.)
Policy No. Company FOR APPLICANT TO FILL IN JOB ��pp
❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ADDRESS .S �z Gv,5:Q a ',wOOv
$ $
1 &2-Family,Sq.Ft. /yQG�
❑ LOCALITY
Certified copy is filed'with the county building inspection —
department. Multi-family Sq.Ft. — NEAREST �� f✓��G
CROSS ST.
Date Applicant R%idential Swimmir�g�ols OWNER OR
t P9/E/ABL`_ SS FIRM NAME ��7 ' /LG A
CERTIFICATE OF EXEMPTION FROM WORKERS' I Outlets:Rec��Lig ._� MAIL
ht!SW
COMPENSATION INSURANCE I ADDRESS :Cl7, " 'L!'4��.�
(This section need not be completed if the work involved by the First 20 Tel.No.
���
ECK
I certify that in the performance of the work for which this permit -AEPPLAUCCAHNT
is issued, I shall not employ any person in any manner sofas to
become sub ct to the Workers'Compen P Laws. i Lighting Fixtures First 20 / ADDRESS
Additional
Total No.
CITY Tel.No.
Date U + Applican I
NOTIC TO APPLICANT: If,, after making this ertificate of Fixed Appliances Not Over 1 HP PERMIT
Exam ion,you should become subject to the Workers'Compensation I Range Heater D.W. APPLICANT
provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer'_ W.M._ j ADDRESS
provisions or this permit shall be deemed revoked. I Top — FAU _ W.H.
LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Tel.No.
AW
I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR
Disp. - Room Air Cond. REG.NUMBER Class.
(commencing with Section 7000)of Division 3 of the Business and '
Professions Code,and my License is in full force and effect. i Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY
i Size&Type HP,KW,KVA,or KVAR
I �
License Number Lic.Class I Up to 1 Incl. FINAL5, U
Over 1 to 10 Incl. DATE ✓ VALIDATION0
Contractor Date + Over 10 to 50 Incl. FIN I—
❑ 1 am exempt under Sec. Over 50 to 100 Inc. BY LLI
B.&P.C..for this reason Over 100• Z
I 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 !
El Exemption for Reg.Maint.Elect. 1
SINGLE FAMILY Temp.Power Pole&Appurtenances 2
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit M g
I.hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits Code):
for the following reason(Section 7031.5,Business and Professions Additional
Code): 3307
Misc.Conduits&Conductors 1 ITEM
I,as owner of the property,will do the work and the structure
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ ® TOTAL35o DIED
Professions Code).
CONSTRUCTION LENDING AGENCY MECK 35.0
I hereby affirm that there is a construction lending agency for the eCME 00
performance of the work for,which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) ' 2 u
Civ.C.).
5
PLAN CHECKING FEE
Lender's Name 1 8/14/89
PERMIT ISSUING FEE , 10 17
Lender's Address
1 AH
1 certify that I have read this application and state that the above f TOTAL FEE !O
information is correct.I agree to comply With all County ordinances
and State laws regulating Electrical wiring, and hereby authorize J !
representatives of this County to enter upon the above-mentioned IJ
property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE I
Signature of Permitte ! DeLt
► COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0402230008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
GA EES PAID BUILDING 9512 WEDGEWOODSST
TR: 13806 LT: 3
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802516
ASSESSOR INFORMATION NUMOCK1. NEAREST CROSS STREET: CLOVERLY
8588-005-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 39.45 02/23/04 VG 08/21/04
OWNER: TEL. N0: FI NAL BY: CODE:
WAN, KEVIN ( �/
ELECTRICAL FOR NEW BATHROOM
APPLICANT" TEL. NO:
CHIANG (626) 202-5145-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CHIANG, YEN (626) 202-5145-
2317 CARWILE DR. LIC. NO TEMPORARY-POWER POLE
ALHAMBRA, CA 91803 788141 B
UNDERGROUND CONDUIT
ARCHITECT OR ENGIN ER: TEL. 0: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COM-PTRY-TUIPTO
REPORT ID: DPR265 ROUTE TO: SS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0310230001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
S PAID
BUILDINGR S:
TR: 13806 LT: 3 9512 WEDGEWOOD ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802516
ASSESSOVINFORMATIONNEAREST CROSS STREET: CLOVERLY
8588-005-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED EXPIRES ON:
JA HEAT PUMPS +3-10HP 1.00 HT 19.65 10/23/03 JK 04/20/04
TOTAL FEES 61.05
OWNER: TEL.
9512 WEDGEWOOD ST / r
TEMPLE CITY 91780b L-`k ITT ON OF WORK
CONVERT PATIO TO BEDROOM
APPLICANT: L. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0:
APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO y;� �' POR POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER., UFERGROUND
LIC. Nb: ROUGH CONDUIT
- / 2,
' 0 G RING '
AIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMP N NOT D
REPORT ID: DPR265 ROUTE TO: BS0508