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HomeMy Public PortalAbout9552 WEDGEWOOD ST_Electrical__ 76A563-ES06 11-71 APPLICATION FOR ELECTR AL;kRMIT A COUNTY OF LOS ANGELES I EPARTMENT OF COUNTY ENGINEER ADIL DRESS 9552 Wedgewood BUILDING AND SAFETY DIVISION e� LOCALITY i® City EST N FAR FOR APPLICANT TO FILL IN CROSS T. E• Cloverly OUTLETS N0. EACH FEE OWNER D, zimer RECEPAIL LIGHT! ._ $ $ ADDRESrS�9552 Wed ewood LIGHT' TOTAL FIRST 20 •25 CITY T. City TEL. NO. SWITCH OVER 20 ,10 PLAN CHECK LIGHTINGTOTAL FIRST 20 .25 APPLICANT OVER 20 ADDRESS FIXTURES .f0 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT Raywr Electric Comp RANGE DRYER_WTR. HTR. APPLICANT �+ STA. COOK DISP. F.A.U. ADDRESS315 $. San Gabriel B d SPACE HTR. AIR COND. CITY San .Gabriel TEL. NO. 297-Cl --' CLOTHES WASH. DISHWASH. LICENSE N0. 51206 CLASS. d0 FAN• OTHER1.00 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 f�11M PROPERLY REGISTERED AND/OR 0 - 1 1,00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IAM THE LEGAL 0 NER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOV D CRIBED ESTIRTY. V SIGNATURE Im 10 - 50 5.001 OF PERMITTEE O 50- 100 10.00 DISTRICT NO. ICLASS ZONE PRO ESSED BY Lu 100 - Soo 15.00 z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 490 SERVICE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,IN APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED' UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00• TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.• M.O. CASH- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ' CORRECTED COPY TEMPLE CITY BA663-CEBOS 10-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERf DING 95 2 Wedgewood BUILDING AND SAFETY DIVISION ESS JOHN A. LAMBIE, COUNTY ENGINEER Temple Cit WILLIAM A.JENSEN,SUPT OF BUILDING LITY FOR APPLICANT TO FILL IN T. Cloverl REc[D'r. TOTAL NO. EACH FEE OUTLETS FIRST 20 20 $.z0 ER E. Ribeiro & L. WebbSWITLIGII • O .fo ESS FIXTURES I 17 ADD' 1O TRICIAN E & R Electric C 1 OVER 20 E. 'p o. RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 0 E• Broa GARB.DISP. STA.COOK CITY San GabrielTEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.Cl/a H.P.MAX.) 5 .50 2 50 LICENSE NO. 201816 MOTORS, OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED BY O 1 1.00 I 8 1.so INSPECTION RECORD _ s S 2.00 >- d s is 2.50 0 15 so 8.00To -replace voided Permit 0 p� so 100 5.00 ND.TRANS. validated incorrectl -for . X17. 0. SIGNS: NO.LAMPS Inclauied in 0, )4399 for N SERVICE 0-600V-NoT OVER 200A 1.00 951,30, deposit of-6/30/64. Z SERVICE 0-600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 O 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECT'OR'S SIGNATURE' ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. ✓ �y /r' ✓.:! 'r WIRING >,i.9► r•� Y r:..; rf r 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR //D _ r� f ✓ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES $A`.�Ea ,4 .�7.a��7' CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE F f /' DESCRIBED RESIDENTIAL PROPERTY. POWER �,,�r SIGNATURE UTILITY CO.NOTIFIED Y) tlOFPERMITTEE, r p g __51- ;,,. y FINAL �l oA 7:.1 - "Fid.: LIDATION ARTHUR`C.VEIT r CK/ MO CASH SUPERVISING ELECTRICAL ENGINEER LAC0 0 7 4 '3% JUL 1 2 D 1 7.10- 9 BA663-CESOG 10-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING f ' c!/ BUILDING AND SAFETY DIVISION ADDRESS SS o E JOHN A. LAMBIE, COUNTY ENGINEER �+ WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY C, NEAREST FOR APPLICANT TO FILL IN CROSS ST, zlb • CJ- RECEPT. TOTAL NO. EACH FEE - LIGHT /� OUTLETS FIRST 20 Z� S.20 $ d0 OWNER �, � / FIXTURES I ADD'LCC 71 G OVER 20 .10 ELECTRICIAN ly RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. e STA.COOK �i� I, rr ,- J . CITY 1 'IJ l TEL.NO. DISHWASH. AUTO.-WASH. STATE �I SPACE HTRS. STA.APP.(1/$H.P.MAX.) V .50 2 LICENSE NO. 7-0 MOTORS: OVER NOT OVER H.P. DISTRICT N GR E P O ES O 1 1.00 1 a 1.50 IN. R CORD 8 S 2.00 o. s 15 2.50 is so s.00 Am 50 100 5.00 O SIGNS: No.TRANS. d NO.LAMPS H SERVICE O-BOOV-Nor OVER 200A 1.00 SERVICE 0-600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. 9 PERMIT ISSUING FEE' 2.00 ,I' SUPPLEMENTARY PERMIT ISSUING FEE 1.00 n TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS!! Z DATE -INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 THE LEGAL OWN OF THE ABOVE DESCRIBED RESIDENTI OPERTY. / POWER SIGNATURI OF PERMI R .[i...t,, ' UTILITY CO.NOTIFIED FINAL LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LPLO 0 6 9 0 JUN 3 0 2 D 17 8 ON 2 �,: t�U ll Tl U t�=utJ I L�,L21L_�I!_J '86A663-CESOBy1/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES IIIIIIIII -DEQARTMENT'OF COUNTY ENGINEER pDDRE S BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS N0. EACH FEE OWNER RECEPT._ $ $ MAIL , FIRST 20 ADDRES D � LIGHT TOTAL r �J OVER 20 CITY TEL. SWITCH .10 PLAN CHECK LIGHTINGTOTAL FIRST 20 APPLICANT OVER 20 ADDRESS FIXTURES .f0 APPLIANCES CITY TEL. NO. RANGE DRYER_WTR. HTR. APPLIICAN GAG/ / STA. COOK DISP. F.A.U. ADDRESS f��SA /r f&_ SPACE HTR. AIR COND.� CITY 31 EL. N0. 7O CLOTHES WASH. DISHWASH. LICENSE N0. CLASS. �— FAN OTHER1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 19 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND T 1 — 10 3.00 RES DE IN, THE ABOVE DESCRIBED REBID NTIAL PROPE SIGNATURE 10 — 50 8.00 OF PERMITTEE V 50 — 100 10.00 � AdD19TRICTNO. CLASS GROUP ZONE P OCESSED BY O 100 — S00 18.00 G SIGN, GAS SIGN AND ONE CIRCUIT 00 NOTES: �� H TUBE, OR Z MARQUEE I ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER600VOLTSOR200AMP .00 SERVICEOVER600VOLTSOR200AMP .00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES .00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED / PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 00 FINAL .0 JOSEPH ROOHAN TOTAL FEE SUPERVI IN ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDA 10 CK. M.0. CASH ULp 0 2 0 34-4 OCT 4 2 DIN, 4,0oN SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE } WORKERS'have a ceS lbI to of con RATION CE-806G 10/81 APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm"that (have a certificate of consent to self Insure, CE-SosG LI or a certificate of Workers' Compensation Insurance,or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy No.—.Company FOR APPLICANT TO FILL IN JOB Certified copy is herebyfurnished. EACH NO. FEE ADDRESS New Residential Bldgs.&Pools ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ — $ LOCALITY department. Multi-family Sq.Ft. — NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' J- MAIL Outlets:Rec Light t 2 COMPENSATION INSURANCE � ADDRESS (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars($100)or less.) Total No. Additional PLACITY Tel.No. I certify that in the performance of the work for which this permit A PNICANT CHECK is issued, 1 shall not employ any person in any manner so as to r become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS � �, 6V PWJ�� m 1! r Total No. AdditionalclTyTemlle Date Applicant �lX Fixed Appliances Not Over 1 HP PERMIT �, Tel NOTICE TO APPLICANT: If, after ma this Certificate of 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 Oven _ Dryer_ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ LICENSED CONTRACTORS DECLARATION Hood Fan OtherCITY Tel.No. _ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR Class. (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. PROIM4 5ED BY _ Size&Type HP,KW,KVA,or KVAR �J a88 License Number Lic.Class Up to 1 Incl. FINAL (� Over 1 to 10 Incl. DATE ., VALIDATION n' Contractor Date Over 10 to 50 Incl. 41 V FINAL ❑ I am exempt under Sec. Over 50 to 100 Inc. BY W B&P.C.for this reason Over 100 r Services,Swbd.,MCC&Panelboards ® ! Z Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit a I hereby affirm that I am exempt from the Contractor's License Law additional Sign Branch Circuits ACCT°Q for the following reason(Section 7031.5,Business and Professions Code): 07 160M ❑ 1 ITriS I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ I� and Professions Code). 11-1 ® TOTAL :.6 c Z50 CONSTRUCTION LENDING AGENCY Ci{ECK 16c!311 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097, PER T FEE (Sub-Total) 44sriL. Civ.C.). Lender's Name PLAN CHECKING FE 9/ 5/899 PERMIT ISSUING FEE Lender's Address � �v�ry 1 Ail u0032 I certify that i have read this application and state that the above TOTAL FEE information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned prop,AKIN for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE s --r9 Signat of Permittee Date