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Home My Public Portal About9818 WENDON ST_Electrical__ MTV �M@248906 4.110 _ APPLICATION POP, ELECTRICAL .PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEE4..EST ILDING BUILDING AND SAFETY DIVISIONDRESS JOHN A.LAMBIE,COUNTY ENGINEER WILLIAM A.JENSEN. SUPITOF BUILDINGCALITY FOR APPLICANT TO FILL INAR ® ,� 8 ST PERMIT FEES OWNER ITEM NUMBER EACH FEE MAIL OUT , '�j' E $ ADDRESS T Li TS % RECEPT. SW. �!? .10 /1 c.� LIGHTING 140, FIXTURES t0 O CITY-' �' L+ TEL.NO - J EIEC.RANGES. CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. OM13AGE DISPOSERS AUTO.. STATE LICENSE NO. WASHERS STA.COOKING UNITS .25 MOTORS: OVER INC. H.P. DWRI T G . rpWOWED B 0 — %a .29 1/: — 2 .50 8 INSPECTION RECORQ 511/1 2 — s t.00 JAII ! / a V • O: i5 — 50 2.80 Q ISO— 200 5.00 V W NO TRANS, O. SIGNS: NO.LAMPS Z SERVICE 0.800V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE.PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE 8 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S:dI.lATURI AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUITWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING )))////g�ELECTRICAL WIRING. WIRING G�W '-VA il...A/ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR TH ' A AM THE LEGAL OW OF THE ABOVE DESCRIBED RESIDE AL PROPER POWER SIGNATURE UTILITY CO.NOTIFIED -_-r OF PERMITTE pffrm FINA IDATION ARTHUR C. EIT: / CK MO CASH SUPERVISING ELECTRICAL ENGINEER l`��LPP,o 1 6 1 71 ALG 1 '7 2 D 4.70 r W.O.KER�'COMPENSATIONDkCLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT' r I hereby affirm that I have a certificate of consent to self ' COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,ora certificate of Workers'Compensation Insurance,or / a certified copy thereof(Sec.3800,Lab.C.) JOB Policy No. Company pp FOR APPLICANT TO FILL IN ADDRESS % 19 New Residential Bldgs.&Pools EACH NO. FEE r _ Certified copy is hereby furnished. 1 &2-Family.Sq.Ft. $ — $ LOCALITY '� i.-ii e GT� Multi-family Sq. Ft. — - NEAREST a Certified copy is filed with the county building inspection CROSS ST Q department. Residential Swimming Pools OWNER OR FIRM NAME Date _ Applicant Outlets: Rec.,2,Light�Sw.3 J� 00 ADDRESS First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY No. �. COMPENSATION INSURANCE PLAN CHECK a APPLICANT V (This sLighting FixturFirst 20 section need not be completed if the work involved e by the permit is for one hundred dollars ($100) or less.) Total No. Additional ADDRESS O I certify that in the.-pei•formance of the work for which this ,CITY Tel No. 0 permit is issued, I shall not employ an Fixed Appliances Not Over 1 HP p p y g person in any manner PERMIT so as to become subject to the Workers'Compensation Laws. I Range_Heater D.W._ APPLICANT —TV (C a Oven _ Dryer_W.M._ ADDRESS Z� ` C/3 Date 7 vZ �BApplicant eCi�GC,1r6LC Top _ FAU _W.H.._ Hood _ Fan —Other CITY T No. S 7 + NOTICE TO APPLICANT: If, after making this Certificate of Disp. —Room Air Cond._ LICE NS OR G f Exemption, you should become subject to the Workers' REG.NUMBER b Class • Compensation .provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit shall be deemed revoked., Size&Type HP,KW,KVA,or KVAR L,57, r Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATEVALIDATION Over 10 to 50 Incl. �+ �• I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL f �j,rU,•^ 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professigns.Code,and my license is in full force and effect. Servicesi,,, a License Number!2 9W8�Lic.Class- C'-t! 201-1000 Amp.Under 600 V 0-200 Amp.Under 600 V � _ /lA ��ate'• � lGL )� 7 �,4-9P Over 1000 Amp.or Over 600 V Contractor x HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am .exempt from the Contractor's Sign with One Branch Circuit Additional 1 3 L ;. License 'Law for the following season (Section 7031.5, Busi- ness and.Professions Code): 0 0 0 ,V • Misc.Conduits&Conductors � ❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— c 1 structure is not intended or offered for'sale (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 7,i - r for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE t � , t 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 bove-mention d roperty for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE j ZZ 0 Signatu of Permittee EDate �i WORKER'S COMPENSATION DECLARATION ?0060 DPW(12-91) P�,ICATI®IV FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, �� . •' _ , or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS Ar GELES DEPT.OF PUBLIC;•WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company —POII AP.,!CANT TO FILL IN JOB 1 G a de /��y ADDRESS 1 G i/ W E {f/(� V� Certified copy is hereby furnished. New Residential Bldgs.&Pools s' P EACH FEE $ $ LOCALITY T"e� �e CITY ❑ Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. NEAREST p n Y "� department. Multi-family Sq.Ft. I GROSS ST. 6. V Eri yv 65 r Date Applicant Residential Swimming Pools ASSESSOR C, 5 t^ //,� s� MAP BOOK ,1 3 PAGE O-2 7 PARCL00 7 CERTIFICXTE OF COMPENSATIONION FROM INSURANCE First 2. I OWNER OR �� + TC) OUtIetS:RBC._Light SW. ' FIRM NAME u (This section need not be completed if the work involved.by the MAIL i permit Is for one hundred dollars($100)or less.) Total No. Additional ADDRESS j we tv 1 certify that in the performance of the work for which this permit I CITY F j Cid Tel.No, 2'B57- 3906 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 Tei.No.. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. + provisions of the Labor Code, you must forthwith comply with such PERMIT provisions of this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT 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 I CITY Tet.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSEClass. �' • Over 50 to 100 Incl. REG.NUMBB ER a Over 100 DISTRICT NO. PR ED BY Q License Number Lic.Class U Services�C Pa el ards de 0 Contractor Date 99 mp.Unde 00 V DATE ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V VALIDATION V Over 1000 Amp.or Over 600 V FINAL d B.&P.C.for this reason BRANCH CIRCUIT FEES Date: 15A,or 20A,120V,Lighting or Recept. I Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits I 2 El41 Or More Branch Circuits a. Exemption for Reg.Maint.Elect. 15A,20A,20 VV To 277V Lighting Br.Circuits ! ACCT n r SINGLE FAMILY Temp.Power Pole&Appurtenances �,?DJ 65.60 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 ITEMS hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits TOTAL m' '0 Code): MR I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors CHECK 65.60 is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) CHANGE 00 and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the 0000-0001 2/ 1/96 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) 4680 1 PM 5°o54 Civ.C.) PLAN CHECKING FEE Lender's Name ' PERMIT ISSUING FEE � /y O, Lender's Address TOTALFEE �(p I certify that I have read this application and under penalty of purjury state that the 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. p SEE REVERSE FOR EXPLANATORY LANGUAGE 2- I- 1� • SIGNATURE OF PERMITTEE V DATE