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Home My Public Portal About9542 WEDGEWOOD ST_Electrical__ 'SAS63-CEBOG iD-Sp -APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING d,' E' BUILDING AND SAFETY DIVISION ADDRESS ' 2 LueC• c() 'a JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY 4.(= " FOR APPLICANT TO FILL IN CROSS ST. C RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 ffi ffi OWNER 0` /G 6 LIGHT // '� o '2O MAIL OVER 20 .10 �r TOTAL CITY - TEL.NO. LIGHTIN FIRST 20 .20 FIXTURES ADD'LLL?_I OVER 20 .10 ,ELECTRICIAN G RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS d GARB.DISP. s-rA.COOK ,y �p y 5y DISHWASH. AUTO.-WASH. CITY (,�r) �•7� � TEL.NO. �✓r T STATE SPACE HTRS. !31'A.APP.(ys H.P.MAX.) .SO LICENSE NO. MOTORS: ovER NOT OVER H.P. DISTRICT NO. G E P O D O 1 1.00 S 1 a 1.50 INSPECTION R CORD 3 s 2.00 8 is 2.50 U is 50 3.00 im so 100 5.00 O SIGNS: NO.TRANS. d. NO.LAMPS h z SERVICE O-SOOV-NoT OVER 200A 1.00 SERVICE 0-000V-OVER 200 A. 2.00 SERVICE OVER GOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 12— SUPPLEMENTARY 2 -SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE ffi 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY]FINAL CONDUIT WITH ALL COUNTY.ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING ), 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR i/14 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFFIXTURES CALIFORNIA OR THAT 1 E LEGAL OW77--m OVE ✓ /•.1 .�• DESCRIBED RESIDENTI PERTY. POWERSIGNATURE ^�-."44UTILITY CO.NOTIFIED F�V►L'lit,'v fir` ✓ ,. OF PERMITTE rF/a 4 ' ;rte V . IDATION ARTHUR C. VEIT . ' Z CK MO CASH SUPERVISING ELECTRICAL ENGINEER- LA' 0 6 8 a� ,�u�3 0 2 0 17.1 Oy-, c" i 76A663-CE806 9-64 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING J BUILDING AND SAFETY DIVISION ADDRESS JP- ewo ad JOHN A. LAMBIE, COUNTY ENGINEER ✓ 1 COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY 1 1 M. NEARESTMae- '' J FOR APPLICANT TO FILL IN CROSS ST.�'j I. - vjA-w ael lP cl RECEPT. TOTAL NO. I EACH FEE LIGHT OUTLETS, FIRST 20 $20 $ OWNER A-,a IC @ NSO'U MAIL ADO'L ADDIIES8 J �Z [�� •PG(J,faO� SWITCH. OVER 20 .10 / LIGHTING TOTAL I )RST 20 .20 CITY Plhl IP _r TEL.NO. �� FIXTURES _ ADD'L ELECTRICIAN C� 111 O V R 2 0 .101l 1 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS �N 'INS? �� ✓f(�_ GARB.D18P. 6TA.COOK CITY TEL.NO. J 0r DISHWASH. AUTO.-WASH. STATE /1�� SPACE HTRS. STA.APP.(Ve H.P.MAX.) .50 LICENSE NO. �L//�(ff MOTORS, OVER. NOT OVER H.P. DISTRICT GR ZONE P D O f 1.00L VU 1 3 1.50 INSPECTION R C RD s 8 2.00 8 15 2.50 u 1S s0 3.00 Cd so 1o0 1 5.00 1 b W SIGNS, NO.TRANS. 1 N NO.LAMPS Z SERVICE 0.000V-NOT OVER 200A f.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER SOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT /f WITH. ALL-COUNTY ORDINANCES.AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY.CERTIFY T I AM P ERL EGISTERED AND/OR FIXTURES LICENSED AS REpU1R D LOS A EES O NTT AND STATE OF CA LI FS RNIA OR THA I THE L OW R OF, A INTEND TO RESIDE IN,THE AB D CRISED ES ENT/\L PROPE Y. POWER - SIGNATURE \ UTILITY CO.NOTIFIED / OF PERMITTEE DATION JOSEPH'C. ROOHAN v 6:K )MO CASH SUPERVISING ELECTRICAL ENGINEER 1 1 LA[;D 2i 2 4 1 G JUN 3 2 D 3.0 0 f 76A889 CE eR 10,77 APPLICATION F R .ELECTRICAL PERMIT ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 'I B BUILDING AND SAFETY DIVISION ADDRESS FOR APPLICANT TC FILL IN LOCALITY New Residential Bldgs.&Pools EACH _ NO. FEE CROSS ST. 1 &2-Family,Sq.Ft. $ .025 — $ OWNER T. OR Multi-family Sq.Ft. 02 — FIRM NAME A4 8VULAt) Residential Swimming Pools 25.00 ADDRESS iii' . 45 J-6 A. Outlets:Rec Light—Sw. CITY Tel.No. �r First 20 50 PLAN CHIECK Total'No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50- CITY Tel.No. Totol.No. Additional 30 APPLI&NT Fixed Appliances Not Over 1.HP ADDRESS Range_Heater_D.W.— CITY ,V Tel.No. Oven_Dryer_W.M. LICENSE OR Top —FAU —W.H._ REG.NUMBER Closs. Hood_Fan _Other— 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 KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF RNIA OR THAT I AM `r Up to 1 Incl. 2.50 THE LEGAL OWNER OZTHEAE RI BED RESIDE A ROPERTY. f �- Over 1 to 1.0Incl. 5.00 S UO Over 1 Oto 50 Incl. 12.50 PERMITTEE 1 c Over 50 to 100 Inc. 25.00 SIGNATURE U Over 100 40.00 DISTRICT N6. O BY f y Services 0.200 Amp.-Under 600 V 12.50 / 2 ]- TEMP. INSPECTOR'S 201-1000 Amp.Under 600.V25.00 APPROVALS D SIGNATURE Over 1000 Amp.or Over 600 V 50.00 POWER POLE Temp.Power Pole&Appurtenances 10.00 — U N D E R S LA B WORK Sign with One Branch Circuit - 10.00 ROUGH CONDUIT 2.00 WIRING Additional Sign Branch Circuits Misc.Conduits&Conductors- 10.00 FIXTURES Other ISee Complete Fee Schedule) POWERAUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-.Totol) NOTES PLAN CHECKING FEE Ione-Fourth Permit Fee) PERMIT ISSUING FEE $7.00 TOTAL FEE �i S PLAN CHECK VALIDAATIIO�N� � CK M.O. CASH PERMIT VAL AT CK. M.O. CASH 91� Gv G lS / $ 0 X.r�PR 10 2 1 2 4.5 0 a r .�. SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE O ' } WORKERS'COMPENSATION DECLARATION 20.0019 DPW 3/87 APPUCATMN FOR ELECTRICAL PERMIT I her�y affirm that I'have a certificate of consent to self CE-8MG insJfe, or a Certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS for a certified copy thereof(Sec. 3800, Lab. C.) ,Policy No. Company FOR APPLICANT TO FILL IN JOB Sq Z Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ❑ ❑Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ = $ LOCALITY tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST. C!O Date Applicant OWNER OR Q FIRM NAME _Deaei S 131-(✓ ✓� CERTIFICATE OF EXEMPTION FROM WORKERS' � U MAIL Oytlets: Rec Light Sw._ syq �-+ .L COMPENSATION I SURANCE DDRESS (This section need not be comp l ed if the work Involved by �� First 20 s CITY G Tel. No- the permit is for one hundred olla s($100)or less.) Total No. Additional rJ I certifythat in the erforma a of the work fo which this PLAN CHECK P APPLICANT permit is issued, I shall not em Loy o y perso manner ^ so as to become subject to th Wor ers'Co ns t' n Laws. Lighting Fixtures First 20 {J ADDRESS Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after maki this Certificate of Exemption, you should become s feet. to the Workers' Range.— Heater—D.W. — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION I=ALICENSE 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 Power Apparatus&Large Appliances DISTRICT NO. P SED.BY >_ and Professions Code,and my license is in full force and effect.• d Size&Type HP, KW, KVA, or KVAR r O License Number Lic. Class Up to 1 Incl. FINAL U Contractor Date Over 1 to 10 Incl. DATE Z7 VALIDATION � ❑ Over 10 to 50 Incl. I U FINAL I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C, for this reason Over 100 d Date: I Services, Swbd., MCC&Panelboards r N Z ' 0- 100 Amp. Undermp. Under #0(346 199 Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V t( 0 . 3400 Exemption for Reg. Maint. Elect. SINGLE FAMILY o ° 0 3 IL 0 0,0 HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances 1 hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit 0 9 0;T-8 8 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ 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.). Lender's Name PLAN CHECKING FEE aPERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE foove information is corrdct. I agree to comply with all County ances and State laws regulating Electrical wiring, and her y authorizep sentatives of this County to enter.jupern the bove-ment ne to rty for inspection p' Pas SEE REVERSE FOR EXPLANATORY LANGUAGE 1 re oLIXimittee D to 81 WORKERS'COMPENSATION DECLARATION :76A669UPW3/e7 "PLICATION FOR ELECT ECRL PERMIT O F I hereby affirm that I have a certificate of consent to self :CE430 ir5sure, or,a,certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a•certified copy thereof (Sec. 3800, Lab. C.) F°olicy N.. Company FOR APPLICANT TO FILL IN JOB r� ❑Certified co is hereby furnished. ' I EACH NO. FEE ADDRESS C/ C✓ PY Y N.ew Residential Bldgs. &Pools Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ —is LOCALITY NEAREST tion department. Multi-family Sq. Ft. CROSS ST: Date Applicant Residential Swimming Pools OWNER OR FIRM NAME /�C� �✓ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Recti htg Sw._V_ MAIL O COMPENSATION INSURANCE ADDRESS f First 20 (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 I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation-Laws. Additional a Total No.� CIN' Tel. No. DateAppli.carit Fixed Appliances-Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION I 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 with comply. with such provisions or this permit shall' be Top FAU —W.H. — deemed revoked. Hood CITY Tel. No. — Fan .LOther— LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. Room Air Cond. _ REG.NUMBER Class. I hereby affirm that I am licensed under provisions of Chapter 9 (commenci.ng with Section 7000),of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. ESSED BY >- and Professions Code,and my license is in full force and effect. �� U Size&Type HP, KW, KVA, or WARc� License Number Lic.-Closs Up to 1 .Incl. FINAL Contractor Date Over 1 to 10 Incl. DATE $ 3t/<� VALIDATION 0 Over 10 to 50 Incl. FINAL U I am exempt under Seca Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 a- Services, Swbd., MCC&Panelboards ,. Z Date: 0-200 Amp. Under 600 V Signature 20.1 - 1000 Amp. Under 600 V Exemption for Reg. Main't. Elect. Over 1000 Amp, or Over 600 V ,• SINGLE FAMILY Temp. Power Pole&.Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ris' oa I.hereby affirm that•I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 33077 Professions Code): Ail Misc: Conduits&Conductorsas owner of the property, will do the work and thef. ,ucture is not intended or offered for sale(Section 7044, Other(See Complete Fee'Schedule)_ {O{P _�,o 21D Business and Professions Code). C+tj „. 15.22131 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for CHANGE a Ll:l the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE (-111 :i }E- 41 Lender's Name PERMIT ISSUING FEE ' fru ; Jr'5- Lender's Address f I certify that I have read this application and state that the TOTAL FEE �7 abov,pri6formation is correct. I agree to comply.with all County orcl an es and St aws regulating Electrical wiring, and he by authoriz a sentatives of thi City to enter upon th .a ve-me d property spec ion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE . y �SNnature of ermittee Date , ®a