Loading...
HomeMy Public PortalAbout9565 WEDGEWOOD ST_Electrical__ 76A663-CEBO6 B-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER - WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. (J vew RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ OWNER Yv, ytI i- LIGHT MAIL SWITCH. OVADD'LER 20 .10 ADDRESS G/7Cr'E OU TOTAL CITY E f✓I TEL.NO. LIGHTING l FIRST 2O .20 c-7r� FIXTURES 1 .10 ELECTRICIAN R OVVER 20 2 RANGES CLO.DnRRItEuRRSS.n,a�WTR.HTRG. 1.00 ADDRESS GARS.DISP. _—_ ff 7 CITY G / TEL.NO. -G DISHWASN. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(V=H.P.MAX.) .50 a LICENSE NO.MOTORS:. OVER NOT OVER H.P.i DISTRICT NO. G$QUP ZONE P�R--rOC SSE BY O 1 1.00 11131 o I s I.so 1 INSPECTION RECORD 3 8 2.00 S 18 2.50 IS s0 13.00 '50 100 5.00 0 SIGNS: NO.TRANS- Ix NO.LAMPS Q SERVICE 0.600V-NOT OVER 200A 1.00 b SERVICE 0.60OV•OVER 200 A. 2.00 y SERVICE OVER 600V 5.00 Z MISC. PERMIT ISSUING FEE 2.00 00 SUPPLEMENTARY PERMIT ISSUING FEB 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INGPECTOK'S SIGNATURE AND.STATE THAT THE ABOVEIG CORRECT AND AGREE TO COMPLY CONDUIT ...Rd WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 Am /.FaR /�� ,. • 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR NN ` lC 1 '/I-- I/" LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 'l'1 6 �� d:\"r✓ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL FJWPERTY. POWER SIGNATURE , • OF PERMITTEE n•/ UTILITY CO.NOTIFIED FINAL. /s, r- _•'„,. -..- fs r tl 4 LIDATION ARTHUR C. VEIT Up CK O CASK SUPERVISING ELECTRICAL ENGINEER L".Os74%-D 3 2D 5.24~ 76AGS3 DBS BA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN �+ _ w 2 93X ADDRESS I�J //►►L GG RECEIVED BY READY FOR FIRST INSPECTION DATE ISSUED CITY TEL. NOV 67 U .Ti;4 N v /,`� COUNTY LICENSE NO.10040 EXPIRES 6 c3 D%3 L3 BUILDING PERMIT FEES ADDRESS /D V NUMBER EACH FEE LOCALITY LIGHT OUTLETS ry NEAREST L RECEPTACLES OL CROSS ST. WALL SWITCHES �o ` J OWNER TOTAL OUTLETS Sc ffi to MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. 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 HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED AS VE. NEW MVD. HP OVER INC. EACH Ird- 1/2 9 LESS $ .25 L tL� SIGNATURE OF 1/2 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD S 1s 1 1.50 1s so 2.50 so 200 s 00 200 500 10.00 J Boo 1000 15.00 Z OVER 1000 20.00 M. G. SET/FRRQ. CHANGER-HP Ir WELDERS:AC-KVA O GENERATORS-KW' TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (7s%OFORIG.) MISC. SIGNS __41 NO. NO.TRANS. I I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: ` CONDUIT WIRING $1.00 WIRING FIXTURES $1.00 el— SUPPLEMENTARY Q SUPPLEMENTARY .50 FIXTURES I POWER UTILITY CO.CO. NOTIFIED p�'j•I���" i_� C-n ._ TOTAL FEE ffi 4- lop ® FINAL ©—it L ap d 6A669CE-806•NF8/76 APPLIC N R ELECTRIC IT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANTTO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1 &2-Family,Sq.Ft. Sr — $ LOCALITY Multi-family Sq.Ft. — NEAREST _ CROSS ST. Residential Swimming Pools OWNER OR .• . � Outlets:Rec� � LightSw. MAIL . First 20 FIRM NAME �d 0 ADDRESS Total No. Additional CITY Tel.No. PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS I Total No. Additional CITY Tel.No. I Fixed Appliances Not Over 1 HP PERMTT APPLICANT Range—Heater—D.W. ADDRESS Oven—Dryer_W.M.— Top FAU —W.H._ CITY � Tel.No.l 75� Hood L Fan _Other_ Disp._Room Air Cond. REGNNUMBER�/6/..50 Class. [.'/O I HEREBY ACKNOWLEDGE THAT I HAVE:READ THIS APPLICA- Power Apparatus&Large Appliances f TION AND STATE THAT THE:ABOVE IS CORRECT AND AGREE TO' Size&Type HP,KW,KVA,of KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS YP REGULATING ELECTRICAL WIRING. Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF U Over 10 to 50 Incl. CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP Y. Over 50 to 100 Inc. LiCnl OPERMITEE Over 100 SIGNATURE G? Services DISTRICT PR BY g 0-200 Amp.Under 600 V .2 ,01 201-1000 Amp. Under 600 V Over 1000 Amp.or Over 600 V / Temp.Power Pole&Appurtenances � Sign with One Branch Circuit Additional Sign Branch Circuits INSPECTION Misc.Conduits&Conductors INFORMATION Other(See Complete Fee Schedule) ON REVERSE 0 0 o 0 o2 SIDE Z 5 2 . - 1600 001 (to)C PERMIT FEE (Sub-Total) z 07,02-80 PLAN CHECKING FEE (One-Fourth Permit-Fee) O i` PERMIT ISSUING FEE 17o TOTAL FEE r INSPECTION FINALED date: 5.►-����A By f. -�e..a_�� ` es ON J hEF � Rm th CI Gve aAcerrificcaeLof colnnsent to self C 806G 10/81 APPLOCATION FOR ELECURICAL PERMIT insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS65Sr Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ❑ 1 A 2-Fam l LOCALITY � Certified copy is.filed with the county building inspec- y, Sq. Ft.- $ — $ d tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. Y Date Applicant Residential Swimming Pools OWNER OR l A r FIRM NAME U 10 1 CERTIFICATE OF EXEMPTION FROM WORKERS' 4 -L IA!! AIL Outlets: Rec Light Sw. ` ADDRESS COMPENSATION INSURANCE j — First 20 Ir/ (This section need not be completed if the work Involved by Total No. Additional CITY"f Tel. the permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this APPLICANTK P ermit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixture First 20 ADDRESS ppAApp����y..��-- pp Total No. Additional Date pplicantbLgfM_�.��,®f CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range_ Heater—D.W. _ APPLICANT 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 — PAP —W.H. — CITY Tel. IVo. deemed revoked. Hood _ Fan _Otherr LICENSED CONTRACTORS DECLARATION LICENSE 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 BusinessDISTRICT NO._ PROCESSED BY and Professions Code,and my license is in full force and effect. CL Power Apparatus&Large Appliances Size&Type HP, KW, KVA, or KVAR' �� License Number Lit. Class Up to 1 Incl. �U� FINAL09 u Over 1 to 10 Incl. DATE O VALID TION Contractor Date Over 10 to 50 incl. FIN ❑ 1 am exempt under Sec. Over 50 to,1.0.0 Inc. B W B.&P.C. for this reason Over 100 vii Services, Swbd., MCC& Panelboards D Date: 0 -200 Amp. Under 600 V S.dd Signature201 - 1000 Amp. Under 600 V #0 0 D 0 3 ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. ) o o l a•]5 SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit o o o 1 a 7 5 Q' I hereby affirm that I am exempt from the Contractor's License Additional Sin Branch Circuits.Law for the following reason (Section 7031.5, Business and Q a 3 O—8 5 Professions Cganccus ode): 1, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ D 7044, 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.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE above 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 property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE c i Signature of Permitle Dole