HomeMy Public PortalAbout9848 WENDON ST_Electrical__ 76A663-CAO6 3-69 9
APPLICATION . FOR ELECTRICL PERMITf
=•COU'NTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �i
BUILDING AND SAFETY DIVISION ADDRESS if dry
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. PS
NO. EACHFEE �"
S $ OWNER �t 1 l�+llCS
Se
RECEIPT. MAIL
LIGHT L� TOTAL FIRST 20 ,20 ADDRESS
SWITCH-1-1 1 OVER 20 10 CITY 7 �� TEL.NO. �37�
PLAN CHECK OF
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES } OVER 20 ,10 ADDRESS
RANGE DRYER WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U. CONTRACTOR
SPACE HTR. AIR COND., X ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.NO.
FAN_OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 — 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
1 — 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C
10 — 50 5.00 IL
SIGNATURE 13
50 — 100 10DO OF PERMITTEE c
100 — SOO 15A0 DISTRICT NO. pl GRO ZO PR C E t
u
SIGN GAS SIGN AND ONE CIRCUIT 3.00
TUBI1, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP S.00
TEMP SERVICE, POLE, IN APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT A I��n I✓Ar�i�a�_ '
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 &V UTILITY CO.NOTIFIED oo
hh pp
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 ot I FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
, Irf, 5 7 6 79 a.l 0 2 D 6./-0- Q
SEE BACK OF APPLICATION FOA COMPLETE FEF SCHEOULF
W.ORKERS'4COMPENSATIONDECLARATIOM CE-O 10781 :APPLICATION �FOR'ELECTRICAL PERMIT
I.hereby affirm tFuft I havft-certifiedte of consent to!self insure,
s or:a certificate of Workers'.Co mPensation.'Insurahce;or a certified COUNTY OF'LOS ANGELES' BUILDING AND SAFETY
copy thereof(Sec-9800,Lab.C.) !1
Policy No.. Company, FOR APPLICANT TO FILL IN JOB �j
�. ADDRESS . Yr
..Certified copy'is.'hereby.furnished. New Residential Bldgs:&Pools EACH NO.' FEE'
1 &.2-Family,Sq:Ft $. $ LOCALITY
❑ Certified copy is.filetl: with the county building inspection NEAREST
department.: Multi-.family Sq.Ft.' CROSS ST. gid G9Ir5• '
41 Residential Swimming'Pools OWNER,OR
Date Applicant h' FIRM NAME
masse
CERTIFICATE OF EXEMPTION FROM WORKERS.' ® AIL
Outlets:Rec�_Light Sw: -ADDRESS
COMPENSATION INSURANCE •
(This:section need not.be.completed if the work involyed by,the First 2:0 ,
permit is for one huntJred dollars($100)or less.) CITY -T- .T` Tel:No. „�
Total.No. Additional: ! 3
PLAN CHECK
I:certify that in the performance of.the work for which•this:permit APPLICANT
is,issued; I.shall not employ; anX person in any manner so.as to
become subject to.the Workers`Compensation Laws. Lighting Fixtures r First 20 ADDRESS
Additional
Total No.:. CITY Tel:No:
Date�! 1. 47 .Applicant. ...J
Fixed Appliances Not Over 1 HP
NOTICE- TO APPLICANT; .If, 'after making this 'Certificate. of.
Ekemption,you.should becoi ie subject to the Workers'Compensation Ranger. Heate •D.W APPLICANT
provisions.of the Labor.Code,yoii-must.forthwith comply, with such• Oven Dryer_ W.M. ADDRESS
provisions or-this permit shaii be deemed revoked., Top FAU _ 'W,H.
CITY Tela No.
LICENSED CONTRACTORS DECLARATION Hood _ Fan Other_
I hereby 'affirm.'that. I'am'licensed under provisions dfl Chapt6F 8 LICENSE oFt
`Disp, Room Air'Cond.
'(commencing with Seption 7000)of.Division 3 of the Business and REG.NUMBER c,Claw
Professions Code,.and';my:license is in full.force and effect: DISTRICT NO. PROLES
Power Apparatus&.Large Appliances
.,
• � Size&Type'HP,KW,KVA,'or KVAR• ( Q
License:Number Lic.Class Up fQ 1.Incl. FINAL ` U'
Over 1 to 10 Incl. DATE ✓ f
Contractor -' Date Over 10 to 50 Incl (/
• .: Over, to Ine; '• '
0 I am exempt.under Sec. , • ,
FINAL
..., -BY W•
Over.100
,BAP,C.for this reason = 01111—
Z
Services,,Swbd.,MCC&Panelboards
Date:, 0-'200 Amp.Under 600 V
Q 8 3
201-'1000 Amp.Under 600 V :,. Q 5 A
Signature '
Over 1000 Amp.:or.Over'600 V
❑ Exemption for Reg..Me fit.Elect. 4 # o 0 0 0,b.2
SINGLE'FAMILY Temp:Power Pole&Appurtenances 1 0 - 2325
HOME.OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm'that I am:exempt from the Contractor's License Law Additional Sign Branch Circuits o 0 0 2 2 5.70
for the following reason(Section,'7031..5,Business and Professions
Code): 11,0 b 87
)p( Misc.Conduits&Conductors
tpl
!,..as owner of the property,.will do the work.and the structure
is not intended.or offered for sale•.(Section 7044, Business Other(See Complete Fee Sehedule) _ Poo.and:Professions Code).
CONSTROCTION'LENDING AGENCY.
I hereby affirm that there is a'construction lending agency for the
performance of the work for which'this permit is issued(Sec.3097, PERMIT FEE (Sub Total)
Civ.'C.). M
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address
I certify .that I have read this application and state that.the above TOTAL FEE '' ,
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 LANGUgGE 4
Signature of Permittee, Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0302120006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID. FEES BUILDING SS:
TR: 11386 LT: 8 BL: B 9848 WENDON ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801726
ASSESSOR--fNMPMTIUN NUMBER: NEAREST CROSS STREET: LONDGEN
5385-025-008 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
F1 120V, 15/20A BR CKTS 2.00 BR 34.50
TOTAL FEES 62.25 I S 0 : PROCESSED RES ON:
02/12/03 JK 08/11/03
OWNER: TEL. NO: FINAL ATE / FINAL BY: CODE:
WESSEL WANDA L TR WANDA L WESSEL TR (626) 286-2376-
9848 WENDON ST 3
TEMP 917801726 DESCRIPTION
REPLACE ELECTRICAL DAMAGED BY FIRE
APPLICANT: TEL. 0:
CA CONSTRUCTION $ FIRE RESTORATION (626) 919-5353-
410 E MERCED AVE #C SPECIAL CONDITIONS:
WEST COVINA 91790
CONTRACTOR: TEL. N0: - APPROVALS DATE INSPECTOR SIGNATURE
CALIFORNIA CONSTRUCTION AND FIRE RE (626) 919-5353-
410 E MERCED AVE STE C LIC. NO of r , . `�-�", ORAPOWER-POLE
WEST COVINA, CA 91790 800231 B
�� i •+ rJ ! `. '•�• UNDERGROUND CONDUIT
ARCHITECT 0 ENGINEER: N0: "1'�� ,"-" :1 • �t N �� R OUND
1 LIC. NO:, ',, ,a_ ROUGH CONDUIT
I �' �J l'i ROUGH WIRING
r i r� ,-� - - _--{�� MAIN WATER LINE
PLASTIC Y/N METAL Y/N
�, - - - --- - - - - - UTILITY COMPANY 0 E
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508