HomeMy Public PortalAbout9532 WEDGEWOOD ST_Electrical__ ' COUNTY OF LOS ANGEM APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER
DIVISION'OF BUILDING& SAFETY ELECTRIC 7
- " WII.LI1K1V1 J. FOS, COUNTY ENGIN=
FOR APPLICANT_TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO,.
ELECTRICIAN• . ��/ `g
ADDRESS P•� R C$IVED BY READY FOR DATE ISSUED
``_�',/ FIRST INSPECTION
CITY , t �• ¢ TEL. N JV 2�
CGUIN4'LICENSE NO. f' D EX IR BUILDING cc�
ADDRESS V /�1 P
iaiL�1L
NUMBER EACH FEE
LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES ROSS ST.
WALL SWITCHES OWNER .
TOTAL OUTLETS Sc S
MAIL .
ELEC. RANGft 25 ADDRESS
ELEC. HEATERS 25
FIXTURES { CITY TEL. NO.
S'
MISC_ A.m 1f n.s�e.f:�' I HERESY. ACKNOWLEDGE THAT I HAVE READ THIS
e. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID- LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP ovm I IN,. BACK OF THE RESIDENTIAL PRO ERTY DESCRIBED ABOVE.
_ a a L6ss S .25 SIGNATURE OF
eh 2 .50
PERMITTEL, d
2 5 1.00
dlMCTIqlq RECORD
5 15 1.50
to 50 2:50l
SO Poo 5.00
Poo 50o jo.00 J
15.00 a
soo t000
Z
OVER 1000 20.00 (�
. M.G. SET/FREQ. CHANGER-HP O
WEL.DE86i AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% of oRlo.)
MOVED MOTORS (75% of oRla.)
MISC.
SIGNS
NO. NO.TRANs. APPROVALS
NO. NO. LAMPS
FCR EACH PBRMITs - - DATE . INSPECTOR'S NAME '
WIRING Shoo CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY s0• FIXTURES
POWER
TOTAL FEE se / UTILITY CO, NOTIFIED l` a. . x wy-
FINAL e
76A 688 DBS# SA. 4=82
WORKERS'COMPENSATION DECLARATION -8t0/81
a C APPLICATION FOR ELECTRICAL PERMIT
' Itiher� affirm thatel have a certificate of consent to self sure, CE-806G
orya oertilic.tc.of V4rorkcrs Compensation Insurance, ora ortified COUNTY OF LOS ANGELES BUILDING AND SAFETY
bopy whereof(Sec.3800 Lab.C)
Policy No Company FOR APPLICANT TO FILL IN JOB
ADDRESS �J7
Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE
$ _ $ LOCALITY
Certified copy is filed-with the county budding in action 1 & 2-Family,Sq.Ft.
NEAREST M N Jj`
department Multi-family Sq Ft. CROSS ST %Ir 1 aye
Date Applicant Residential Swimming Pools OWNER OR f�� � f-- I -�
//� FIRM NAME b
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets. Rec L"&Light �Sw. r MAIL C Denr
COMPENSATION INSURANCE � 4 ADDRESS �7 s�� ��- �' '� K
(This section need not be completed If the work involved. y the �� AddiFirsttional
20 CITY Tel.
permit is for one hundred dollars($100)or less.) Total No. Additional �e ��
I PLAN CHECK
I certify that in the performance of the work for which this permit APPLICANT
is issued, I shall rot employ any person in any manner so:as to
become subject to th Workers Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. Additional Z CITY Tel.No.
Date Apol.cant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT If, after making this Certificate of
Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. _ APPLICANT
provisions of the Labo;Code, you must forthwith comply with such Oven _ Dryer W.M._ ADDRESS
provisions or this permit shall be deemed revoked. Top — FAU W.H.
CITY Tel.No.
LICENSED CONTRACTORS DECLARATION Hood — Fan Other_
I hereby affirm that I :.m I,:c:nscd under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR Class.
(commencing with Sec::e,. 7000)of Division 3 of the Business and REG.NUMBER
Professions Codi,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRIX` PROCE BY
Size&Type HP,KW,KVA,or KVAR ID-
License Number Lic Class Up to 1 Incl. FINAL (�
Over 1 to 10 Incl. DATE - VALIDATION
Contractor Dat: Over 10 to 50 Inc[. V
❑ FINAL
I am exempt under Sec. Over 50 to 100 Inc. BY W
Over 100 M
BAP.C.for this reason Cl)
Services,Swbd.,MCC&Panelboards R
Date. 0-200 Amp.Under 600 V
Signature 201 - 1000 Amp.Under 60.0 V
❑
Exemption for Reg.Mamt.Elect. Oi,6r 1000 Amp.or Over 600 V
SINGLE FAMILY Temp.Power Pole&Appurtenances A ^ A
HOME OV,, L;
NER-BUILDER DECLARATION Sign with One Branch Circuit l CLV
I hereby affirm tnat I::m ow mpt from the Contractor's License Law Additional Sign Branch Circuits 37,307
5 ^�
for the following rc.-sort(Section 7031.5,Business and Professions sg7 e3+r
Code):
Misc.Conduits&Conductors
IN
I,as owner of the property,will do the work and the structure -�+
is not intonded or off:red for sale (Section 7044, Business Other(See Complete Fee Schedule) TOT(,L :5 av o��
and Prcfass-ons Coda) 39.25
CONSTRUCTION LENDING AGENCY .,�`.;LME
1 hereby affirm th;:- In,,,- in a constr„ction lending agency for the U`
performance of tri; vio k for which tnis permit is issued(Selo.3097, PERMIT FEE (Sub-Total)
Civ.a).
PLAN CHECKING FEE 0 2-01x91 10/31f49
Lender's Nameq 8 �o2,
PERMIT ISSUING FEE :jui%
(S�t � �Oy�
Lender's Address_ C+
I certify that I have reed this application and state that the above TOTAL FEE "
information is correct I agree to comply with all County ordinances
and Spate 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
Sign re Permittee ate .
COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 ELECTRICAL PERMIT
i DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0405180002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 13806 LT: 7 9532 WEDGEWOOD ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802516
ASSESSOR TIO NUMBER: NEAREST CROSS STREET: CLOVERLY
8588-005-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 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: PROCESSED BY: PLA BY: EXPIRES ON:
TOTAL FEES 58.35 05/18/04 VG 11/14/04
OWNER: TEL. NO: FINAL DATE FINAL Y• CODE:
LY, VICTORIA (
9532 WEDGEWOOD ST Cv�
TEMP 917802516 DESCRIPTION OF-W-0749-
ELECTRICAL
FWOYELECTRICAL FOR HVAC
APPLICANT: TEL. N0:
PRAM (323) 528-4489-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
PHAM, HOA NGOC (323) 528-4489-
2453 RICHELIEU AVE. LIC. NO TEMPORARY POWER POLE
LOS ANGELES, CA 90032 634800 C20
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO:-- UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508