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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