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HomeMy Public PortalAbout9830 WENDON ST_Electrical__ C 70663'-CE806 1/70 APPLICATION FOR ELECTRICAL ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILD .ING BUILDING AND SAFETY DIVISION ADDRESS • JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT.*3 S $ MAIL LIGHT_ TOTAL FIRST 20 .P0 ° ADDRESS SWITCH I` OVER 20 IO CITY TEL. N0. y PLAN CHECK TOTAL LIGHTING FIRST 20 1J .20 a foo APPLICANT FIXTURES �C3 OVER 20 10 ADDRESS CITY TEL. N0. APPLIANCES PERMIT G� RANGE DRYER_WTR. HTR. APPLICANT (� STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE N0. CLASS. FAN OTHER 1.00 a. 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 PR LY REGISTERED AND/OR 0 — 1 1.00 LICENSED AS REQUIRED BY LOS AN LES COUNTY AND STATE OF CALIFORNIA OR THAT I M THE,LEG OW ER OF, AND INTEND TO 1 — 1O 3.00 RESIDE IN, THE VE 0 CRIBE RSINTIA PROPERTY. SIGNATURE a 10 — 50 5.00 OF PERMITTE 0 50 — 100 10.00 DIST CTN CLAS6 a ZONE � P C SSE BY 0 100 — 500 15.00 �/IJI•Q 0 ri SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: UJ a TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200 AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 3.00 UNDERSLAB WORK Af TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 Q SUPPLEMENTARY PERMIT ISSUING FEE fA0 FINAL jI5Sf9PH C. ROOHAN TOTAL FEE f SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.o. CASH 1 0 5 6c JUS!2 5 2 D 5.80- SEE .80 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - 1 �I pWORKERS'COMPENSATION DECLARATION I CE-806 10/8l APPLICATION OOR ELECTRICAL PERMIT 01'hereby affirm that I have a certificate of consent to self CE-806G 7� insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY lul or a certified copy thereof(Sec. 3800, Lab. C.) l Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools j EACH NO. FEE ADDRESS (✓ _/(�e�lr,rf ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY tion department. ' Multi-family Sq. Ft. — NEAREST / CROSS ST. (Pi J ' Date Applicant Residential Swimming Pools OWNER OR /y FIRM NAME /L e CERTIFICATE OF EXEMPTION FROM WORKERS' MAR Outlets: Rec Light Sw._ l COMPENSATION INSURANCE ADDRESS Ef1�141(,,.'V (This section need not be completed if the work Involved by First ti CITY + the permit is for one hundred dollars($100)or less.) Total No. Additional gLf 0�� - Tel. No. I certify that in the performance of the work for which this APPLICANTK permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Total No. CITY Tel. No. Date /��Is_- pplicant� ; Fixed Appliances Not Over 1 HP PERMIT f' NOTICE TO APPLICANT: If, after making this Certifica(e ofl FERMI ANTA.! ' )i .¢y Exemption, you should become subject to the Workers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth Oven _Dryer _W.M.— ADDRESS 93"3,..2. with comply with such provisions or this permit shall be; Top _ FAU —W.H. — �� E ,, deemed revoked. � CITY Tel. ko� '� " .�'� LICENSED CONTRACTORS DECLARATION Hood _ Fan _p. _ Other— LICENSE OR CC/ DisRoom Air Cond. ` ryCla /�� I.hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER �L/ (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCE d. Power Apparatus&Large Appliances and Professions Code,and my license'is in full force and effect} O � i Size&Type HP, KW, KVA, or KVAR' //- License Number-_ r/.3347•-kLic. Class /7— Up to 1 Incl. FINAL � I / Over 1 to 10 Incl. DATE Contracto ..f tar e L " W.-- a�- r/ f� C3 VALIDATION ❑ ,t�� etl Over 10 to 50 Incl. FINALI am exempt ad I Over 50 to 100 Inc. BY BAP.C. for this reason I Over 100 z Date: I Services, Swbd., MCC&Panelboards 0 -200 Amp. Under 600V393.,1 A Signature ' 201 - 1000 Amp. Under 600 V ti ❑ Over 1000 Amp. or Over 600 V J # o o: 0 0 0 2 Exemption for Reg. Maint. Elect. I `[ f - - 2550 SINGLE FAMILYr _1000255050 HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances ( Sign with One Branch Circuit � I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits /// 1.27-86 Law for the following reason. (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors )% structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). ! CONSTRUCTION LENDING AGENCY i 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.). I PLAN CHECKING FEE Lender's Name I PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that tAe' TOTAL FEE SO 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 abov -m ntioned property for inspection purposes I SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permittee Date l -DEC " �I WORKERS' 16ve a cerci irate RADON 20-0019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT 1.1 hereby affirm that I ave a certificate of consent to self 764WcE-806G O insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES SEPT. OF PUBLIC WORKS or a certifiedcopythereof(Sec. 3800, Lab. C.) J�_>61icy•No. Company FOR APPLICANT TO FILL IN SOB Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS V Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. NEAREST EARS ST/ r�— AVE.p Date Applicant Residential Swimming Pools CROSOWNER OR T. L l / V FIRM NAM CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets: Rec Light Sw._ CJ COMPENSATION INSURANCE First 20 ADDRESS - (This section need not be completed if the work Involved by Total No. Additional CITY A Tel. No. the permit is for one hundred dollars($100)or less.) PLAN CHECK .101 1 certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Additional Date Applicant Total No. 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. — APPLICATION 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 — FAU —W.H. — deemed revoked. CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood — Fan —Other— Disp. — Room Air Cond. _ LICENSE Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT O. P ES D BY >-• and Professions Code,and my license is in full force and effect. d Size&Type WP, KW, KVA, or KVAR ,—.5ot J Q License Number Lic. Class Up to 1 Incl. FINALU Over 1 to 10 Incl. DATE 41 WVALIDATION Contractor Date a Over 10 to 50 Incl. FINAL 0 I am exempt under Sec. Over 50 to 100 Inc. BY LU 100 B.&P.C. for this reason Over � Date: Services, Swbd.; MCC•&Ponelboards Z 0-200 Amp. Under 600 V — Signature 201 - 1000 Amp. Under 600 V Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V � SINGLE FAMILY HOME OWNER-BUILDER DECLARATIONTemp. Power Pole&Appurtenances i I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit A ��e Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 75,51I ri. ons Code): 1 ITEMS as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ TOTAL 25 .50 Business and Professions Code). CHECK 25.50 CONSTRUCTION LENDING AGENCY HA �E .00I 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 13000-0001 12/12/839 Lender's Name 1`rq/ � 7lt•-� 1 AM Qo1f �— 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 authoriza atives of this County to enter upon the above-menerty for inspection purposses. SEE REVERSE FOR EXPLANATORY LANGUAGE L L�� Si ure of Pe mitt Date ®' n• p p g+ w� y~ WORKERS'COMPENSATION DECLARAtION 76A,669�PW 3/.s7 APPLICATION ION FOR ELECTRICAL PERMIT O I hereby affirm that I have 6 certificate'of consent fo self cE insure,;or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof(Sec. 3800, Lab. C.) .., Policy No. Company FOR APPLICANT TO FILL IN JOB y Certified copy-is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS O�O C �� Certified co is filed with the count building LOCALIT PY Y 9 inspec- 1 8 2-Family, Sq. Ft. $ _ $ NEAREST' e G tion department. Multi-family Sq. Ft. CROSS ST. u L =� Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light_1_Sw.._ II_ MAIL COMPENSATION INSURANCE 4 ADDRESS First 20 (This section need not be completed if the work Involved by Total No. 2 Additional CITY Tel. No. the permit Is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so'as to become subject to the Workers'Compensation Laws. � Additional Dat Appllcan dele mow... Total No. CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLI ANT: If, after making this Certificate of APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — DryerM.— ADDRESS with comply with such provisions or this permit shall be Top — FAU �.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION 56 LICENSEOR Disp. _ Room Air Cond. — Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT O. PR CESSED BY >_ and Professions Code,and my license is in full force and effect. /r G U Size&Type HP, KW, MVA, or KVAR (J License Number Lic. Class Up to 1 Incl. FINAL Over 1 to 10 Incl. DATEVALIDATION Contractor Date Over 10 to 50 Incl. 0U ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 /l/7/ Date: Services, Swbd.,MCC&Panelboards ® Z 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ' Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATION n I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ACCT Ar Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits ��oyq Professions Code): 1 ITEMS 0 I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ TOTAL 23.25 Business and Professions Code). CHECK 23.25 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for CHANGE .00 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE )Q1 12/15/89 Lender's Name PERMIT ISSUING FEE �© 7553 1 Ali 8:37 Lender's Address _?,o_0I 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 Signature of Permittee Date ®s WORKERS'COMPENSATION DECLARATION DPW 3/87 APPLICAVON FOR ELECTRICAL PER 'T , I hereby affirm that I have a certificate of consent to self c¢.eoeG, insure, or a certificate of Workgrs'Compensation Insurance, ° COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS � or a certified co y thereof(Sec. 3800, db. C.) Polis No.� d om an FOR APPLICANT TO FILL IN JOB - tt Policy p y ADDRESS '��® Wfi✓� IDN ❑Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO FEE Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft.—%2 O $ _ $ LOCALITY �� G NEAREST ion department. Multi-family Sq. Ft. CROSS ST GOldetl Datel__ Applicant Residential Swimming Pools OWNER OR ��.�....��.,,tt FIRM NAME J'Y�� dl2 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ AMAIL DDRESS COMPENSATION INSURANCE First 20 (This section need not be completed If the work involved by Total No. Additional CITY Tel. No. the permit Is for one hundred dollars($100)or loss.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of L APPLICATION (yD%^ QC.C_C'Ce�-C: Exemption, you should become subject to the Workers' Range-J— Heater—D.W. Compensation provisions of the Labor Code, you must forth- Oven — DryerL W.M. 4 ADDRESS with comply with such provisions or this permit shall be Top FAU W.H. — L•7$'.75 deemed revoked. Hood --L Fan i Other— CITYTel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. ` Room Air Cond. REG. NUMBER1����{� Clas G�(O (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT O. PR ESSED B d and Professions Code,and my license is in full force and effect. Size&Type HP, KW, KVA, or KVAR I 116K, O License Number 6 Lic. Class 2�ro G � Up to 1 Incl. FINAL rU Contractor NO-CAVA AC��- Date 6-�30-9 D Over 1 to 10 Incl. DATE VALIDATION 00 E] Over 10 to 50 Incl. FINAL ~ I am exempt under Sec. Over 50 to 100 Inc. BYJ"�/ U Over 100 LU B.&P.C. for this reason d Services, Swbd., MCC&Ponelboards Date: Z 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V A SINGLE FAMILY Temp: Power Pole&Appurtenances 6 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit Ay. T I hereby affirm that I am exempt from the Contractor's License u ° Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits a a • - el; Professions Code): T_ ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors Z 1 tr' structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)— 76,7 AL 160 o 50 Business and Professions Code). �� ti^ CONSTRUCTION LENDING AGENCY MECK °'6't I hereby affirm that there is a construction lending agency for +;`.i jf Mi" the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE 3 t[_l-l[1 1 2 K_, Lender's Name PERMIT ISSUING FEE Lender's Address ti ° 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 abov ention d �ertyor inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ." ;,2­9 0 Signature ff Permittee Dates