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Home My Public Portal About9712 WEDGEWOOD ST_Electrical__ 76;16(53-CE-806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 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. RECEPT. A&I TOTAL NO. EACH FEE OutETS FIRST 20 S.20 S OWNER LIGHT � MAIL SWITCH. ADD'L .10 ADDRESS �� OVER 20 f LIGHTING TOTAL �ADD 8T 20 .20 CITY %� FIXTURES I � ER'2 10 ELECTRICIAN R'L RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRB. STA.APP.(+/e H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DI$T�,21C N G Z NE P D O 1 1.00 1 S 1.50 INSP CTION RECORD 5 8 2.00 8 15 2.50 Is 50 5.00 ao too 5.00 O - � - (r i O u SNO.TRANS SIGNS: f NO.LAMPS / SERVICE 0-60OV-NoT OVER 200A 1.00 W SERVICE O.600V-OVER 200 A. 2.00 y SERVICE OVER 600V 5.00 ? MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE ti I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION APPROVALS 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL VALIDATlPN ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER r, Lf:I,.J 7B DBS-SA-SA 8-SS APPLICATION FOR ELECTRIC PERMIT 1 DMSION OF BUILDING AND SAFETY • Department of County Engineer County of Los Angeles BUILDING WM.J. FOX.COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SI1...T OF BUILDING 33, a -rs�� .y - LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. C NUMBER EACH FEE 'i- OWNER LIGHT OUTLETS ` RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ S CITY TEL.NO. ELEC.RANGES 25 ELECTRICIAN c y ._ELEC. HEATERS 25 ADDRESS KW EA CITY TEL.NO FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS DISTRICT O. I G I Z NE, READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS y NUMBER HORSEPOWER INSPECTION RECORD FEE t' NEW MVD. HP OVER INC. EACH VA i; ]F2&LESS S .25 16 2 .50 Fy _ 2 5 1.00 5 15 1.50 15 50 2.50 t. 50 1 200 5.00 M ISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING 51.00 FIXTURES 51.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE S DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT 4 AND.STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY i WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING `rte e en ELECTRICAL WIRING. - F 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTER AND/OR FIXTURES LICENSED AS REQUIREDLOS ANGELES C T A SATE OF CALIFORNIA OR THAT I A THE LEGAL N T B•VE POWER DESCRIBED RESID IAL PERTY. ° ° UTILITY CO.NOTIFIED K SIGNATURE w {y OF PERMITTEE IN WILLIAM J.yF .COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR 1kCO2 4 8 0 UN rEs 3 2 6.5 5 DBS-S8 BA 9•SS APPLICATION FOR ELEC'T'RIC PERMIT 1 DBS• DMSION OF BUMDING AND SAFETY Department of County Engineer County�of Los Angeles BUILDING / WM.J.FOX COUNTY ENGINEER ADDRESS •' ST CASSATT D.GRIFFIN,SUPT OF BUILDING - LOCALITY k FOR APPLICANT TO FILL INNEAREST � j PERMIT FEES CRNARE OSS ST. NUMBER.EACH FEE OWNER LIGHT OUTLETS RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTALOUTLETS 5¢ $ CITY B TEL.NO. _° ELEC.RANGES 25 ELECTRICIAN F: ELEC.HEATERS 25 ADDRESS +t ' KW EA CITY y 5� TEL.N 4,41. FIXTURES 5 LICENSE NO.B �9 NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP ZQNF- READY FOR INSPECTION - NUMBER OF RECEPTACLE CIRCUITS I MOTORS NUMBER HORSEPOWER FEE INSPECTION VECORD f NEW MvD. HP OVER INC. EACHjr , ]fa&LESS S .25 I/2 2 .50 x 2 5 1.00 5 15 1 1.50 15 50 2.50 50 200 5.00 i MISC. r sI[/lI NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERM IT: n WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE S DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATI /n{ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �. CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 10 lO Ldp _ s ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED LOS ANGELES AND S TE OF I CALIFORNIA OR THAT THE LEsa' L•fOI�IER OF T ABOVE POWER DESCRIBED RESIDE TIA P OPERTY;,•�,��f off �/yy • �'Wr UTILITY CO.NOTIFIED V ® .- SIGNATURE ( /I �� ¢ii ay n� jl,',��¢li� OF PERM �• 1'•• FINAL V WILLIAM J.it k COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR 7 5Yc, OCT 9 2 1.25 p vjt pp WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12.91) LLLIII I hereby affirm that I have a certificate of consent to self insure, 7,M663 APPLICATION FOR ELECTRICAL PERMIT or a certificate of Worker's Compensation Insurance, or a certified I COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS 'BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab..C.) Policy NO. Company FOR APPLICANT TO FILL IN - JOB ADDRESS Certified copy is herebyfurnished. NO. EACH FEE, New Residential Bldgs.&Pools LOCALITY ❑ Certified co 1&2-Family,Sq.Ft. _ $ $ �� `�' copy is filed with the county building inspection NEAREST department. Multi-family Sq.Ft. CROSS STG0-umes3 'W L�^a�r Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. F�Mi 'v`� COMPENSATION INSURANCE First 20 (This section need not be completed if the work Involved by the ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional �� '�- I certify that in the performance of the work for which this permit CITY -�.� rel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. rovisions of the Labor Code, you must forthwith comply with.such PERMIT p Y p y APPLICANT Q provisions ar this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR d Over 50 to 100 Incl. REG.NUMBER Class. Over 100 DISTRICT NO. POWESSED BY 0 License Number Lic.Class / V Services,Swbd.,MCC&Panelbo via + �a O .k t2 Contractor Date 0-399 Amp.Under 60� aG4 1 DATE O ❑ I am exempt under Sec. 400-1000 Amp.Under 600pV VALIDATION W Over 1000 Amp.or Over 600 V FINAL IL B.&P.C.for this reasonBY BRANCH CIRCUIT FEES co Date: 15A,or 20A,120.V,Lighting or Recept. _— 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 7 SINGLE FAMILY Temp.Power Pole&Appurtenances ACCT 3L HOME OWNER-BUILDER DECLARATION with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Sign 3303 65°60 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits - Code): 1 ITEMS IEKI,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 65 .60 Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). pop- CHECK 655.60 CONSTRUCTION LENDING AGENCY CHANGE °00 I hereby affirm that there is a construction lending agency for the ' performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) 0000-0001 6/ 6/96 PLAN CHECKING FEE 6774 1 AM 9:21 Lender's Name PERMIT ISSUING FEE -2 ZJY0 Lender's Address /�6 I certify that I have read this application and under penalty of purjury state TOTAL FEE (� that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize 1 representatives of this County to an upon the above-mentioned property for inspection rpos s I SEE REVERSE FOR EXPLANATORY LANGUAGE � i SIG RE clP PERMI DATE � r f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICA_LP_ER DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNASVL 9702120027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: - LEGAL FEES PAID BUILDING ADDRESS: TR: 21833 LT: 4 9712 WEDGEWOOD ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802535 ASSESSOR INFORMION B : NEAREST CROSS STREET: SARA MAR LANE 8588-010-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY HA FAU LESS 3HP 1.00 FAU 10.80 JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED 0N: PROCESSED : PLAN BY: EXPIRES-ON: TOTAL FEES 58.20 02/12/97 TC 2/12/98 OWNER: TEL. NO: FINAL DATE FINAL B CODE: KOLBERG E P;DIANA M TRS ( 9712 WEDGEWOOD ST 2 TEMP 917802535 DESCRIPTIUN DESCRIPTIONUF WORK ELECTRICAL FOR NEW HEAT./AIR COND. SYSTEM APPLICANT: EL. CONNOR A/C (818) 286-3157- -LESLE c SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: � � APPROVALS DATE INSPECTOR SIGNATURE CONNOR AIR CONDITIONING AND REFRIG. (310) 286-3157- 4931 NORTH ENCINITA LIC. NO �y ` �® TEMPORARY POWER POLE TEMPLE CITY, CA 91780 403735 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UMUGROUND LIC. NO: i ! 'r1,d`1 I /``l' ROUGH CONDUIT ROUGH WIRING ' - N I % •• 11 M1 - y; -� MAIN WATER LINE + PLASTIC Y/N METAL Y/N REPORT ID: DPR265 ROUTE TO: SS0508