HomeMy Public PortalAbout9854 WENDON ST_Electrical__ i.' •
TEMPLE CRT
GA °R80810-119 : APPLICATION FOR ELECTRIC PERMIT 1.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PFJWT FEES• CROSS ST.
ITEM NUMBER EACH FEE OWNER
OUTLETS: $ $ MAIL
LIGHTS .RECEPT. SW. .f0 ADDRESS
LIGHTING FIXTURES .10 CITY TEL.
ELEC.RANGES 'CLO.DRYERS / ELECTRICIAN
WATER HEATERS ` .50 `5—0 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.40 ^0 �s
GARBAGE DISPOSERS AUTO.. STATE
'HASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. `STRICT NO. P I �NE I PR C SED BY
0- 1/2 .25 ti
1/2— 2 .50 INSPECTION BkCogb
2- 5 1.00
5— i5 1.50
15- 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-SOOV 1.00
SERVICE OVER SOOV 5.00
MISC.
I
WIRING PERMIT 1.00 r (7 Q
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION I APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
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 THE
AL NKR OF THE ABOVE
DESCRIBED RESIDENT ERTY POWER
SIGNATUR
OF PERMEI7TE UTILITY CO.NOTIFIED
�. ATION ARTHUR C.VEIT,
cK Mo CASH SUPERVISING LECTRICAL ENGINEER
1 r uo 7 �. a AUG ?j r 2 D 2.5 U I°.
., r
a -WORKERS'COMPENSATION DECLARATION 117 DPW 3/87
i'hereby affirm APPLICATION FOR ELECTRICAL PERMIT that I have a certificate of consent to self CE.spya O
insure,.or a^certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES i DEPT. OF PUBLIC WORKS
or d'ce�tifietd copy thereof(Sec. 3800, Lab. C.)
Policy NoW CA0233ZCompany fil..- 4- -d—ea"'w"S' FOR APPLICANT TO FILL IN JOB
❑Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE
ADDRESS
"ified copy'is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY f fe(�,�,w e? T N W-era MOO—
`-'tion department. Multi-family Sq. Ft. — NEAREST m
rr CROSS ST. V ee.• ✓ s T
Date (Applicant � Z2 i!v✓ff Residential Swimming Pools OWNER OR
PP T----y + . FIRM NAME
CE TIFICATE OF EXEMPTION FROM WORKERS' �,C // �� MAILab ADDRESS 2-O D
Outlets: RecS�Light l�Sw.� $D �d r / t
COMPENSATION INSURANCE First 20 ` ze5.
' (This section need not be completed If the work involved by Total No� Additional D CITY N, Tel. No. &6 2 S`.Qv
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 �; Z.¢ a 'ILe
permit is issued, I shall not employ any person in any manner h
so as to Lighting Fixtures First 20
become subject.to Workers'Compensation Laws. ADDRESS a ev e. .0_o ACS 7`.e a Total No.� Additional ' CITY .' Tel. No. %
Dote ��m
� � Ice r Ap.licant ` •e'b �psP' Appliances
S°`i-'"`"C
Fixed Appliances'Not Over 1 HP' PERMIT
NOTIA PLICANT: I , after ma ing 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 Dryer —W.M:— ADDRESS �r� CCi/ ( /p,r�
with comply with such. provisions or this permit shall be Top — FAU —W.H.
deemed revoked. CITY �,, Tel. No.
Hood L Fan —Other— C u 86 2
LICENSED CONTRACTORS DECLARATION Dis LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9
p. Room Air Cond. — REG.NUMBER s2 7 79L C1ass.6
(commencing with Section 7000)of Division.-3 of the Business Power Apparatus&Large Appliances DISTRICT NO. P O ED BY
and Professions Code,and my license is in full force and effect. YP
Size&T' a HP, KW, KVA, or KVAR
License Number S Z 7 �//��� Lic:Class l Up to 1 Incl. FINAL
,an to L_o [ <( Over 1 to 10 Incl. DATE 7 Z`® VALIDATION 0
Contractor-Z iu . Date Over 10.to 50'Incl. S U
❑ FINAL
I am exempt under Sec. Over 50 to 100 Inc. BY LU
B.&P.C. for this reason Over 1.00 d
A
Services, Swbd.,MCC&Panelboards. , Z 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
SINGLE FAMILY Temp. Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit �. ,T a
Y P Esl• •s.z
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits
Professions Code): ";7 .`t.U e l r1
❑ 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)—
Business and Professions Code). , TO—_
1 AL 66. 60
CONSTRUCTION LENDING AGENCY t CHECK' tr$e.r1II
I hereby affirm that there is a construction lending agency for rr_
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) Q f_`. r' of+LE
(Sec. 3097, Civ. C.).
�/ PLAN CHECKING FEE
Lender's Name .
PERMIT ISSUING FEE Q'+ 1611/
Lender's Address we G►"P 7450 Ar 0'.
I certify that l 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 i•
the above-mentioned propert for inspection put oses. SEE REVERSE FOR EXPLANATORY LANGUAGE
®s
Sigpdfure ernYritee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRI'AL PrRMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 05nA 0409140020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285.0488 'EXT:
LEGAL I • FE ES-VA-1D BU LD NG ADDRESS:
TR: 11386 LT: 9 BL: B 9854 WENDON ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT, TEMP CA 917801726
ASSESSOR INFORMATION NEAREST CROSS STkL'ET:
5385-025-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
HA FAU LESS 3HP 1.00 FAU 10.95
TENANT: JA HEAT PUMPS +3-10HP 1.00 HT 19.65 ISSU_ ON: PROCESSED BY: PAN BY: EXPIRES ON:
TOTAL FEES 58.35 09/14/04 K 03/13/05
OWNER: TEL. NO: TINA FINAL BY CODE:
ARREDONDO RICHARD;REBECCA M (626) 286-8849-
9854 WENDON ST
TEMP 917801726 DSCP P IOI tK
ELECTRICAL FOR NEW HVAC SYSTEM
APPLICANT: TEL. 0:
CONNOR AIR. (626) 286-3151-
4931 ENCINITA AVE SPECIAL CONDITIONS: '--
TEMPLE CITY,CA 91789
i
I
CONTRACTOR: TEL. 0: 1AP ROVALS DATE INSPECTOR SIGNATURE
CONNOR AIR CONDITIONING (626) 286-3157-
4931 ENCINITA AVE LIC. NO JTEMIPORARY POWER POLE
TEMPLE CITY, CA 91780 403735 C20
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: EL. .0: — , FER GROUND I
LIC. NO: 'I+ROUGH CONDUIT
i
rcuU6H 4�RING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NO I TE
REPORT ID: DPR265 ROUTE TO: BS0508