The URL can be used to link to this page

Home My Public Portal About9831 WENDON ST_Electrical__ RKERS'COMPENSATION DECLARATION CE-806 10/81 p, PP[t CA790N FOR E1 CU[ KAL PERMIT I l+oreby affirm that I have a certificate of consent to self CE 8066 li=d tL, El Ci 1. Ltd �o insure, or a certificate of Workers'Compensation Insurance, i COUNTY OF LOS ANGELES BUILDING A14D SAFETY or a certified copy thereof(Sec. 3800, Lab..C.) Policy No. Company FOR APPLICANT TO FILL IPI j JOB Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH. NO. FEE ADDRESS 1 &2-Famil: S Ft. $ — $ j LOCALITY Certified.copy is filed with the county building inspec- 1. Y. q tion department. I Multi-family Sq. Ft. — NEAREST ,j CROSS ST. Date Applicant i Residential Swimming Pools OWNER OR FIRM NAME/�CD �J ^ CERTIFICATE OF EXEMPTION FROM WORKERS' 7 Outlets: Rec' Light Sw.— ADDRESS � l9 COMPENSATION INSURANCE First 20 ti je (This section need not-be completed if the work involved by Total No. Additional CITY Tel. No-Z917 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 i so as,to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS ^ t � Total No. Additional CITY el. No. ✓ Date 4 –% Applicant- Fixed..Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, a. er making this Certificate of APPLICANT Exemption, you should become subject to The Workers' Range_Heater_D.W. — Compensation.provisions of the Labor Code, you must forth- Oven _Dryer�.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan _Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business. DISTRICT NO. y/ PROCESS BY and.Professions Code,and my license is in full force and effect. i; Power Apparatus&Large Appliances XU Size&Type HP, KW; KVA, or KVAR- O License Number Lic. Class Up to 1 Incl. FINAL DATE l Over 1 to 10 Incl. Contractor Date. ' ' y� VALID IOfI ❑ ! Over 10 to 50 Incl. ; FINAL V I am' exempt under Sec. Over 50 to 100 Inc. BY lld B.&P.C. for this reason Over 100 z Date: Services, Swbd., MCC&Panelboards 0 -200 Amp. Under 600 V D #;9 2 2+9.1 Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V d o o Q Exemption for Reg. Maint. Elect. o o.. '++ SINGLE FAMILY Temp. Power Pole&.Appurtenances 0605 - 85 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, -Business and P.rofes ' s Code): r I, as owner of the property, will do the work and the Mist. Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 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.). PLAN CHECKING FEE Lender's Name 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 authorize representatives of this County to enter upon he a ov -mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE .i Signature of Permittee Date TION A • ,Z viffi,rn .S'CONIve d certificate of corse 76A.669DPW3/87 APPUC A790N FOR ELECIrRICAL PERMIT ebyaffirm that-1.have d certificate of consent to self cE-8064 O insure, or a,certificate o:iWorkers'Compensation Insurance, j COUNTY OF LOS ANGELES - DEPT. OF PUBLIC WORKS or.o certified copy thereof(Sec. 3800, Lab. C.) • Policy No. Company FOR APPLICANT TO FILL IN JOB �. %5+P-466 �,� � r_1Cert[fied copy is hereby furnished. ADDRESS Ne Residential Bldgs. &Pools EACH NO. FEE , ❑Certified copy is filed with the county building inspec- &2-Family, Sq. Ft. $ _ $ LOCALITYT6m'01.45 NEARE tion department. I ulti-family Sq. Ft. CROSS ST. def Residential Swimming Pools OWNER OR Date Applicant rCI NAME....v G CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecL—Light 'S-Sw. IL ESS.gS� [TI COMPENSATION INSURANCE j (This section need not be completed if the work involved by oral No. First 20 the permit Is for one hundred dollars($1100)or less.) 1 Additional ' t�P� C Tel. No. 1'tJ•l�C:� that in the performance of the work for which this PLAN CHECK I certify P APPLICANT i permit is issued,I shall not employ any perso in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers' pensat' n aw 1� 2 Total No. Additional CITY Tel. No. Date Applicant F'l+Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after maki g this Certificate of PERMIT APPLICATION 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 with comply with such provisions or this permit shall be —— FAU —W.H. — deemed revoked. CITY Tel. No. Hood — Fan —Other— LICENSED CONTRACTORS DECLARATION I LICENSE OR — I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG.NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Po j er Apparatus&Large Appliances DISTRICT NO^ PROCESSED Y d and Professions Code,and my license is In full force and effect. ize&Type HP, KW, KVA, or KVAR '� 1 O License Number Lic. Class Up to 1 Incl. FINAL j Over 1 to 10 Incl. DATE 1 VAL ION 0 Contractor Date Over 10 to 50 Incl. F- FINAL ❑ 1 am exempt under Sec. i7j Over 50 to 100 Inc. BY B.&P.C. for this reason �I Over 100 d Serices, Swbd.,MCC&Panelboards / �q. Z. Date: 0-200 Amp. Under 600 V (/ Signature 201 - 1000 Amp. Under 600 V (( ❑ . ver 1000 Amp. or Over 600 V Exemption for Reg. Mainz. Elect. 11 SINGLE FAMILY Te HOME OWNER-BUILDER DECLARATION Ter Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's License Si61n with One Branch Circuit Law for the following.reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): ,I 1 11 z 1 3 119 ❑ 1, as owner of the property, will do the work and the Misc. Conduits&Conductors 0 0 0 0 0 structure is not intended or offered for sale(Section 7044, OtV)er(See Complete Fee Schedule)— 0 0 3075 Business and Professions Code). CONSTRUCTION LENDING AGENCY 0 0 0 3 O 7 5 U I hereby affirm that thereis a construction lending agency for I I n4 j Z 16''8 8 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) in 25, (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE ' Lender's Address I I certify that I have read this application and state that the TOTAL FEE 175 i above information is correct. I agree to comply with all County I ordinances and State. laws regulating Electrical wiring, and f I hereby authorize repres ativ f this County to enter upon the abo -m ti ed r p r inspection purposes. ;i SEE REVERSE FOR EXPLANATORY LANGUAGE Signa ure of Permittee Date I ®' T[g1'-41FL. l CH TT M663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT , COUNTY OF LOS ANGELES DEPARTMENT.OF COUNTY ENGINEER BUILDING q.%3 L ko BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN dkoss ST. LV RECEPT. TOTAL NO. EACH - FEE OUTLETS FIRST 20 6.20 8 OWN d LIGHT ' I'M MAIL ADD'L ADDRESS SWITCH. OVER 20 .10 ' LIGHTING TOTAL FIRST 20 .20 CITY TEL.NO. I/"7 2kFIXTURES }': ADD' ,1O :ELECTRICIAN Aq OVKR 20. RANGES- CLO.DRYERS WTR.HTRS. 1.00 ~ADDRESS ' GARB.DISP. STA.COOK ' CITY TEL.NO. DISHWASH. AUTO.AWASH. STATE # SPACE HTRS. STA.APP.(y$H.P.MAX:) .50 LICENSE NO. MOTORS, OVER NOT OVER H.P. DISTRICT OR XXUP I 'Z NE P ESSED BY O 1 1.00 1 s 1> 1.50 INSPECTION RECORD n S S 2.00 8 15 2.50 0. lot$ e" 1. r 15 SO $.00 50 i00 5.00 O as r V SIGNS, NO.TRANS. I e [p}� �"d { im NO.LAMPS A f [� i � �fs .V�r( 'W t ♦ - ' O SERVICEO•SOOV-NOT Oven200A 1.00 ;4,r - Ir 'QW; r` dy - W SERVICE0.600V-OVER200A. 2.00 d 1- SERVICE OVER 600V 5.00 L'- ir1/ Z MISC. ' r. s PERMIT ISSUING FEE SUPPLEMENTARY PERMIT ISSUING FEE 1.00 'TOTAL FEE i 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS:APPLICATION , 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 •n ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1. AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE '- DESCRIBED RESIDENTIAL*PROPERTY. POWER ,l //�t• _p p<�J gyp ./➢' 1.41 SIGNATURE UTILITY CO.NOTIFIED elylr'fiI�6 v'vfr `'1r'be�_ '.! . OF PERMITTEE ^- FINAL a'aA®e�0 I!/ r 5.'•:i VALIDATI ARITHUR C.'VEIT CK MO CASH SUPERVISING ELECTRICAL.ENGINEER 8 6 4:6 ;-:Ay 18 2 D 3.5 0- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0510310008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 11386 LT: 2 BL: A 9831 WENDON ST FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801727 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST 5385-022-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 10/3X/05 JK 04/29/06 OWNER: TEL. NO: FIt�i ATE FINAL Y: CODE: MALCYNSKI TIMOTHY D;SUSAN (626) 286-1755- 9831 WENDON ST TEMP 917801727 DESCaIPTION OF WORK UPGR'rE SERVICE PANEL 200 AMP APPLICANT: TEL. NO: II COLEMAN (626) 665-9017- 5004 BONNIE COVE AVE j SPECIAL CONDITIONS: COVINA, CA 91724 CONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE COLEMAN ELECTRIC (626) 665-9017- 5004 BONNIE COVE LIC. NO I TEMPORARY POWER POLE COVINA, CA 91724 819050 C10 I UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: , ROUGE: CONDUIT I ROUC3 WIRING MAIN: WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0105230003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL S PAID BUILDING ADDRESS: TR: 11386 LT: 2 BL: A 9831 WENDON ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801727 ASSESSOR IN OR T 0 ER: NEAREST CROSS STREET: GOLDEN WEST 5385-022-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 18.00 OUT 35.10 G2 LIGHTING FIXTURES 10.00 LGT 19.50 ISSUED ON: PROCESSED B : TOTAL FEES 82.35 05/23/01 UT 11/19/01 OWNER: TEL. NO: FINAL TE AL BY: CODE: MALCYNSKI TIMOTHY D;SUSAN (626) 286-1755- 9831 WENDON ST 6; pmfdl a-) TEMP 917801727 D SC 0 OF R RENEW PERMIT FOR BEDRM, BATHRM, LAUNDRYRM, & UPGRADE EXIST APPLICANT: EL. 0: SAME AS OWNER SPECIAL CONDITIONS: �r yam- �(-_- -- __•..., CONTRACTOR: TEL. 0: ��/�'' °i;= '+ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO �•�` TEMPORARY POWER UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: :,r' I - R GROUND LIC. NO: ! i ROUGH CONDUIT r MAIN WATER LINE PLASTIC Y/N METAL Y/N --- --- --- --- - - - UTILITY OMPA Y NOTIFIED REPORT ID: DPR265 ROUTE TO: SS0508