HomeMy Public PortalAbout8711 WENDON ST_Electrical__ ,eAa�.�Eeoae.>i>, APPLICATION FOR ELECTRIC PERMIT 1
COUNTY'OF LOS ANGELES ;• o:
DEPARTMENT,OF COUNTY ENGINEER: BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 77 e
JOHN A. LAMBIECOUNTY ENGINEER LOCALITY
CASSATT D.GRIFFIN,SUPT of BUILDING
FOR APPLICANT TO F1L61N NEARES. �-��>�'Tx 6•� J
PERMIT FEES CROSS
ITEM NUMBER I EACH FEE OWNER
+ MAIL
L016HTST RECEPT. SW. fr!�� $ ,(O Q ADDRESS }�,
LIGHTING FIXTURES IO CITY �• 7 _SEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN & —.F /w � (i C.
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY . v.s k TEL.NO.
GARBAGE DISPOSERS AUTO.- STATE /�
WASHERS STA.COOKING UNITS .25 LICENSE NO. , `
MOTORS: OVER naa H.P. DISTRICT NO. I J?GR NE C ED Y
0—
7e aj
r
— z .50 (� INSPECTION CORD
2— s 1.00
1.00
Is— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NG.LAMPS
SERVICE O-BOOV 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .s0
TOTAL-FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND ACRES TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING )):JJ��
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF FIXTURES J—.L"-- r• � E
CALIFORNIA OR TH APRN THE LEG B
WNER OF THE AOVE
DESCRIBED RESID 1 OPERTY. POWER
SIGNATURE { UTILITY CO.NOTIFIED - 3r
OF PERMITTE
FINAL
9a ION / qRTHUR C.VEIT.
DAT
CK mq CASH / bUPERVISING ELECTRICAL ENGINEER
,moo 0 6 9-10' AUG 16 2 R
2.9 0 �
76A663 USE 5A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 3
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER ELECTRIC I
FOR APPLICANT TO FILL IN
DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIANd'-P .. r RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY Sp11/1(:;. '�/ TEL NO. ' �/(�v �� Jy/�
COUNTY LICENSE NO. ff d 6'- EXPIRES BUILDING 9711
U4,x 4-,t �\
PERMIT FEES ADDRESS (�(/
�
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS O NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES 1 -7 OWNER / Q
TOTAL OUTLETS SO !p ;-0 p MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5 d 1HEREBY 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
NUMBERHORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVD. HIS I OVER INC. EACH OF THE RESIDENTIAL PROPER ESCRISED ABOVE.
%g a LESS $ .25 SIGNATURE or
2 .5b PERMITTEE
z 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
2013 50o 10.00 J
5130 1000 15.00 z
OVER 1000 20.00
M.O. BET/FREQ. CHANGER-HP Q�
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or Cala.)
MOVED MOTORS (75% or CRIB.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
No. NO.LAMPS
FOR EACH PERMIT: DATE INBPECTORPS NAME
WIRING $1.013 WO CONDUIT
FIXTURES $1.00 00 WIRING
SUPPLEMENTARY .50 FIXTURES
c
POWER
TOTAL FEE UTILITYCO.NOTIFIED
FINAL u '63
. � JJ _ t
76p653-CE.806 10/72 APPLICATI O ELEC 1C L. PERMIT
COUNTY OF LOS ANGELES GG /
DEPARTMENT OF COUNTY ENGINEER. FADDRESS 711 �i•-• � I��
BUILDING AND SAFETY DIVISION
YT FOR APPLICANT TO FILL IN T.OUTLETS .NO. EACH FEE R �• /) P /] re)
$ $ FIRM NAME ` C t G✓�
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
OVER 20 CITY < TEL. NO 7- s.
SWITCH f0 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
OVER 20ADDRESS
FIXTURES , .10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. . F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO.
CLOTHES.WASH. DISHWASH. LICENSE OR
REG. NUMBER CLASS.
FAN OTHER 1.00 1HEREBY 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 AM PROPERLY REGISTERED AND/OR
0 — 1 1.00. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAII 'AM THE L L OW ER OF THE ABOVE
1 — 10 3.00 OESCRIRED RESIDENTIAL PROPERT
O
PERMITEE Ci
10 50 5.00 SIGNATURE
O
50 - 100 IOAO DISTRICT NO. OC BY is
W
100 - 500 15.00 �c 0. y
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE'
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOT OVER 600VOLTS OR200AMP 3.00 3,0 0 UNDERSLAB WORK
oz
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT .y
LEE,POLE,&APPURTENANCES 5.00 WIRING r�► r v. _q ,e:��.�,�I
OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED.
UTILITY CO. NOTIFIED Q
FINAL
(SUB TOTAL) NOTES':
FEE
ING FEE 3.00 6 D
E
'PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION- CK. M.O. CAS.
3 4 7 Z o 6.0 p ®�3
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76AG63-CESOG 10/72 APPL.ICATIO FO EL.E.C.TRI L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT'OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
LOCALITY
FOR. APPLICANT TO FILL INc OSSS T. ONEDEN AO/V
OUTLETS NO. EACH FEE OWNER OR �yJ /s
FIRM NAMElle(IgG I L r A
RECEPT.,� $ 5 AMAIL DDRESS - G/v {J ��
LIGHT TOTAL '/ 9
FIRST 20 ,25 oZg
OVER 20 CITY .q/V RI .I- TEL.
SWITCH 10 PLANCHECK
LIGHTING: TOTAL
FIRST 20 25 APPLICANT
O
FIXTURES 10 OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY &4W TEL. NO.
CLOTHES WASH. DI.SHWASH. LICENSE OR
REG. NUMBER CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE. LEGAL W'NER OF THE ABOVE
1 - 10 3.00 DESCRIBED RESIO TIAL P OPERTY.
CD
PERMITEE v
10 - 50 5.00 SIGNATURE
O
50 - 100 10.00 DISTRICT NO. fED BY W
100 - S00 15.00 ej
c
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATIRIF
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER'600VOLTS OR200AMP 3.00 UNDERSLAB WORK'
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 'ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES. 5.00 WIRING /t C
TEMP LIGHT OR RECEPT, SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO.'NOTIFIED
FINAL
PERMIT FEE (SU.B,TOTAL) NOTES':
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00. Q0.
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALID TION CK. M.O. CASH
1 6 1�t31EL 2 0 4.2 5,,&-%
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
1 '
WORKERS'COMPENSATIONDECLARA76-663
M 0; APPLICATION FOR ELECTRICAL PERMIT
•� . , CE•SA6G (2.601'
I hereby affirm that I have a certificate of consent to self ) COUNTY OF LOS ANGELES. BUILDING ANVSAF1ETY '
insure,or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec.3900,Lab.C.) �
Policy No. Company• i FOR APPLICANT TO FILL IN JOB
gDDRESS $711 E. TfIT9ndE7n Street
New Residential Bldgs.&Pools EACH NO. FEE
Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ 1 LOCALITY Temple City
Multi-family
' Sq.Ft. NEAREST
Certified copy is fled with the count building inspection CROSSST
Longden and Avon
department. Residential Swimming Pools. OWNER OR
FIRM NAME °• CACil A. Jeffery
Date Applicant Outlets: Rec.3_Light Sw.3 ADDR
First 20 ESS 8711 E• WendOn St et
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. 6 Additional CITY San Gabriel Tel No. 287-9353
COMPENSATION INSURANCE PLAN CHECK a
.(This section need not be completed if the work involved Lighting Fixtures First 20 APPLICANT 0
by the permit is for one hundred dollars ($100) or less.) Total No. W— ADDRESS
— -Additional
I certify that'in the performance'of the work for which this CITY Tel No. O
permit is issued, I shall not employ any person in any manner Fixed.Appl.ianhes Not Over 1 HP
PERMIT
so as to become subject to the Workers'Compensation Laws. Range—'Heater—D.W._ APPLICANT CL
Oven _ Dryer_W.M. ADDRESS rn
Z_
Date Applicant Top — FAU _W.H.._
.Hood _ Fan _Other CITY Tel No.
NOTICE TO APPLICANT: If, after making this Certificate of Disp. —Room Air Cond._ LICENSE 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. PAOCEPED BY
with comply with such provisions. or this permit shall be
deemed revoked.
Size&Type HP,KW,KVA,or KVAR Up to 1 Incl.. 5^
Over 1 to 10 Incl. FINALDATE
LICENSED CONTRACTORS DECLARATION Over 10 Lo 50 Incl. i 7a VALIDATION,
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL
9 (commencing with Section 7000 of Division 3 of the Busi- BY
( g ) .Over 10,0
ness and Professions.Code, and my license is in full force and
effect. Services
0-200 Amp.Under 600 V
License Number Lit,Class 201-1000 Amp.Under 600 V
Contractor -Date Over 1000 Amp.'or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
'I hereby affirm:that I am`exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness and Professions Code): ` '
� Misc.Conduits&Conductors
LYJ 1, as owner of the property, will do the work and the Other(See Complete Fee Schedule)—
structure is not intended or offered for sale (Section
7044,Business and Professions Code).
CONSTRUCTION LENDING AGENCY r 3 7 4 4 A
I hereby affirm that there is a construction lending agency
for the performance of-the work for which this permit is
issued(Sec.3097,Civ.C:).
PERMIT FEE
(Sub-Total) # 0 0 0 0 0 2
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 2 0 -1 650
Lender's Address
PERMIT ISSUING FEE 000165035
.
I certify that, have read this application and state that the TOTAL FEE , 01- 14-81
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
0
Signature of Permitt // Date A
U. lY + ..
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0301240010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
• PHONE: (626) 285-0488 EXT:
• FEES G D S:
TR: 17963 LT: 3 8711 WENDON ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752628
SS INFORMATION R: NEAREST CROSS STREET: LONGDEN
5 86-006-003 Al PERMIT ISSUANCE FEE 27,75 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP 1.00 FAU 10.95
TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 TSSUED ON: -PROCESSED BY: PLAN B N:
TOTAL FEES 58.35 01/24/03 JK 07/23/03
OWNER: TEL. N0: -FTNAL DATE -2-1-7 CIN L Y: CODE:
TONG;JAMES K.W. (626) 497-8809-
8711 WENDON ST
SAN GABRIEL 91775 UESCRIPTION OF WORK
NEW HVAC SYSTEM
APPLICANT: TEL. 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY--POWER-POLE
�. UNDERGROUND CONDUIT
ARCHITECT 0 GI R: ER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH R G
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY C P OT E
REPORT ID: DPR265 ROUTE TO: BS0508