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HomeMy Public PortalAbout5318 WELLAND AVE_Electrical__ 76A663 CE-806 NF6/78 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDINOAND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS . 5318 Welland 1 &2-Family,Sq� -Ft.' $1 — $ LOCALITY Temple CitV Multi-family Sq.Ft. — NEAREST Residential Swimming Pools. CROSS ST. Freer OWNER OR FIRM NAME lvbfarlaud Outlets:Rec - Light Sw. MAIL First 20 ADDRESS - 5318 Welland Total No. Additional CITYTem 1 Cit Tel.No-579—o642 PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Fixed Appliances D.W.ces Not Over 1 HP PERMIT Range_Heater_ APPLICANT Morales Electric _ Oven—Dryer=W.M. ADDRESS 88-43 Ni:i.ssion Drive Top._FAU —W.H._ CITY Rosemead Tel.No-280-_426-0 Hood_Fan —Other LICENSE OR Disp._Room Air Cond. REG.NUMBER 2279 62 Classcjo I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA. Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size$.Type HP,KW,KVA,.or KVAR COMPLY WITH ALL .COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. �1—== 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 LINTY AND STATE OF. CALIFORNIA OR THAT I.AM.TH LEG ER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPER Over 50 to 100 Inc. PERMITEE ,. Over 100 SIGNATURE Services DISTRICT NO. ESSE Y g 0-200.Amp.Under 600 V � p8 201.1000 Amp. Under 6.00 V Over 1000 Amp.or Over 600 V Temp.Power Pole&Appurtenances •./�-�"7 3S JOG 7 Sign with One.Branch Circuit j} Additional Sign Branch Circuits INSPECTION MINFORMATION ON Conduits&Conductors Yi ON REVERSE s Other(See.Complete Fee Schedulel SIDE u g �j588.9A d # 0 0 0 0 0 2 PERMIT FEE (Sub-Totall 2 o o 2&5 0 PLAN CHECKING FEE (One-Fourth Permit Feel O PERMIT ISSUING FEE 7 )0 p 0a02-79 TOTAL FEE 24.5 > F INSPECTION FINALLEED date: d�I�/ BY IL ®s 78A88H-CE8087-88 A►PPLICA►TION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ,QJ JOHN A. LAMBIE, COUNTY ENGINEER �• CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FGARBAGE OR APPLICANT TO FILL IN NEAREST ✓ P MWr FEES CROSS ST. I T E M NUMBER EACH FEE OWNS • $ $ MAIL RECEPT. SW. ` .10 ADDRESS G. FIXTURES. 1 . .10 � CITY TEL. NO. GES CLO. DRYERS ELECTRICIAN "aP� T_6 R HEATERS .50 ADDRESS CE.HTRS. DISHWASHERS CITY TEL. NO: O� DISPOSERS AUTO.- STATESTA. COOKING UNITS .2S LICENSE NO.: OVER INC. H.P. DISTNT NO. GROUP z NE =,E!SE�BY O— V2 .25 va— 2 so. M=CnON RECORD' 2— 5 1.00 5— Is 1.50 IS— So° 2.50 d � SO-200 5.00 SIGNS: NO. TRANS. )0' cl 1-?e_'r GI GG L "7.5", NO. LAMPS SERVICE 0-600V I.00 q1 SERVICE OVER 600V 5.00 MISC. `/.J /Gr G-`". G^' / [./� /`�o% -•(!1i �• i WIRING PERMIT 1.00 00 FIXTURE PERMIT i 1.00 1O SUPPLEMENTARY PERMIT .50 TOTAL FEE $ APPROVAL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY OROINANCES_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 7 'mac CALIFORNIA OR THAT I AM THE LEG OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER ' SIGNATURE ''-UTILITY CO.NOTIFIED '7 OF PERMITTEE FINA • / KSON ARTHUR C. VETT, Mo OABH SUPERVISING ELETRiCAL ERGINEER � Co6 9 3 1 Wly ?2 . 2 A •9.90 vl.� - WORKERS'COMPENSATIONDECLARYTION E-B76AG63 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self I COUNTY OF LOS ANGELES /) BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or l (� , a certified copy thereof(Sec.3900,Lab.C.) ( e. Mpg Policy No. Company FOR APPLICANT TO FILL IN 2 New Residential Bldgs.&Pools EACH NO. FEE ADDRESS J ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY N ❑ Certified co is filed with the count building inspection Sq. Ft. NEAREST copy y gins action CROSS ST department. Residential Swimming Pools Date Applicant FIRM NAMEbl"VV\s? C 1 Outlets: Rec ti t w. f ADDRESS �/ t° 1 � At C— First 200— CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY ���� Tel No. -06 y COMPENSATION INSURANCE PLAN CHECK CL (This section need not be completed if the work involved PPLICANT 0 by. the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Additiorial Total No. 0 I certify that in the,performance of the work for which this CITY Tel No. ermit is issued, I shall not em Fixed Appliances Not Over 1 HP H p employ y an y person in any manner PERMIT 0 so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT O. Oven Dryer_W.M._ ADDRESS CO)Top _ FAU W.H. Z Date Applicant CITY Hood _ Fan Other_ NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond— ICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PR ES BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE VALIDATION Over 10 to 50 Incl. .I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL B,Y 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 ness and Professions•Code, and my license.is in full force and effect. Services License Number n Lic.Class 0-200 Amp:Under 600 V 201-1000 Amp.Under 600 V bt r Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's Additional Sign Branch Circuits License Law for the following reason (Section 7031.5, Busi- r'3 LI 6 ness and Professions Code): . . Misc.Conduits&Conductors [a,,, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— jt o 0 0 0 0 structure is not intended or offered for sale (Section 2 o o 1 9.30 7044,Business and Professions Code). _ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency ° ° ° 1 J` c=. for the ,performance of the work for which this permit is PERMIT FEE (Sub-Total) i �r 2 issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (Oris-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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 inspe tion purposes. , SEE'REVERSE FOR EXPLANATORY LANGUAGE nature of Permittee Date