HomeMy Public PortalAbout9860 WENDON ST_Electrical__ �BABBB.cEBGe�.HH APPLICATION FOR ELECTRIC PERMIT ],
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS. �. B
JOHN A. LAMBIE, COUNTY ENGINEER w
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN 'NEAREST ,.
PEMWr FEE CROSS ST 6✓
1 T E M NUMBER EACH FEE OWNER
OUTLETS: $ $ MAIL
LIGHTS RECEPT. SW. .10 ADDRESS
LIG FIXTURES .10 CITY TEL. NO.
LEC. RANGES CLO. DRYERS / /h' ELECTRICIAN ma Electric Ci• o
WATER HEATER 9 ! .50V ADDRESS �, jlYa,
ELEC.SPACE HTRS. DISHWASHERS
CITY ri TEL. NO. At a. oO l�
GARBAGE DISPOSERS AUTO.- �.�r
STATE 17��(
WASHERS STA. COOKING UNITS .25 -LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT O: GROU Z N CESSED SY
O— V2 .25
I/a— 2 50 INSPECinON RECO
2— 5 1.00
5— 15 1.50
15— 50 2.50 c(
50-200 5.00 - •a ?J �'� F/Cdr�l
SIGNS: NO. TRANS. -
NO. LAMPS
6
SERVICE 0-600V 1.007�
�{ AZI-221 F d GG D/r
SERVICE OVER 600V 5.00 Vz
MISC. > TiP A.1 1P✓7/Y
AfflA ' 70 In_fP,7
Ifo.rg/l_ — 'D i✓ 1471,lE
WIRING PERMIT _ 1.00 /� n^
FIXTURE PERMIT 1.00 } 9+ `� Imo. z0,1_rA4_r/ a-7'
SUPPLEMENTARY PERMIT .50 /A AM /.4/, rh .A7"7' /S'
TOTAL FEE $ APPROVALS lkjg . . .
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE .'
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING a, w
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGI!j%�iZD aAND/OR
LICENSED AS REQUIRED H LOS ANGELES UNTYrAY�IDiSTATE OF �: FIXTURES
CALIFORNIA OR THAT i A THE LE O HE OF HEe ABOVE POWER
DESCRIBED RESIDE TIAL OPE;lY
SIGNATURE UTILITY CO.NOTIFIED I _
OF PERM ITT / C-
FINAL
Affl=TION ARTHUR C.-YEIT,
CK Mo CASH SUPERVISING LECTRICAL ENGINEER
C
L.AUo 7 5 1 0 ,;uta 4 2 A 2.7 5
76AS53-CESOB 4.65 APPLICATION FOR ELeCTRIC PERMIT�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAR
ING
BUILDING AND SAFETY DIVISION SS Q
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN.W. JENKINS. SUPT. OF BUILDING ITY
STFOR APPLICANT TO FILL IN ST. ftgAl gMees
RECEPTAC TOTAL NO. EACH FEE
20
OUTLETS FIRST $.20 $ OWNER
t LIGHT / MAIL
E SWITCH ADD'L �O ADDRESS
OVER 20
LIGHTING
TOTALFIXTURES FIRST 20 .20. CITY TEL.NO.
FIXTURES ADD'L 10 CONTRACTOR
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS l '
GARB.DISP.I' STA.COOK r CITYTEL.NO.
AM
DISHWASH. j AUTO.-WASH. STAT //
SPACE HTRS. STA.APP.(y..N.P.MAX.) .SO D LICENSE NO.
MOTORS; OVER NOT OVER H.P. DISTRICT,n G P P E D
O 1 1.00
1 s 1.50 gp n INSPECTION RE RD p
s B 2.00
8 is 2.50 ✓ {
4P .r.Kill� V_ A,
ktir7
so too 5.00
SIGNSt NO.TRANS. J
NO.LAMPS
SERVICE O.600V•NOT OVER 200A 1.00 d
to
SERVICE O.600V-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 Q
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ �' �® APPROVALS DATE INSPECTOR'S 010HATURB
I
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB.WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUITP'r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL'WIRING. WIRING ' -L.•
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUN AND STATE OF
CALIFORNIA OR TH AM THE EGAL O AND INTEND TO POWER
RESIDE IN,THE A VE ESCRI RESI ROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
FINAL
VALIDATION--,HJOSEPH C. ROOHAN
CK MOO( H SUPERVISING ELECTRICAL ENGINEER
7 6 4 2", Nov30 2 n 5.0ON
lu
l
i
I � - =
DESCREMON OF WORK
NUMBER OF OUTLETS . 1'r►mac/ r�•
LOCATION BY ROOMS II
Is AKGMM COUNTY
%`!SGS■�Cl��d�l■■■i� �'�'�' ►''� _a
ABOVII
—■■■■■■■■■■':
—■■■■■■■■■ n■
MMIN■■ ■■■■■ ■
MMIE■ ■■■■■■■■■
RANGESNO. OF OR H ERBs _ NINE
WORKERS'COMPENSATION DECLARATION 20-0019 DPW 3187
76A663 APPLICATION FOR ELECTRICAL PERMIT
76A6y
I hdfeby affirm that I have a certificate of consent to self CE-8066
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.) 14
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS
❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ _ $ LOCALITY
tion department. Multi-family Sq. Ft. NEAREST
CROSS S
Residential Swimming Pools OWNEROR'i
Date Applicant FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light—A—Sw.—f— MAIL
COMPENSATION INSURANCE Z ADDRESS
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 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
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First ADDRESS
Additional F"'
1 ' s. Total No.�— CITY Tel. No.
Date'., •�•.i � Applicant.�r,- _ -
. ..+ . - w"-• Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: 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 — Dryer W.M.— ADDRESS
with comply with such provisions or this permit shall be Top — FAU 17W.H. —
deemed revoked. Hood — Fan —Other— CITY Tel. No.
LICENSED CONTRACTORS DECLARATION j` LICENSE OR
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 NO. PROCESSED BY °'
and Professions Code,and my license is in full force and effect. 0
Size&Type HP, KW, KVA, or KVAR ;, 0
License Number Lic. Class Up to 1 Incl. FINAL LU
�— Over 1 to 10 Incl. DATE / / VALIDATION ILL.Date Over 10 to 50 Incl. V
❑ FINAL
I am exempt under Sec. Over 50 to 100 Inc. BY
B.&P.C. for this reason Over 100 i
Services, Swbd., MCC& Ponelboards 0
Date' 0-200 Amp. Under 600 V , * O.
2
Signature 201 - 1000 Amp. Under 600 V LU
❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V
SINGLE FAMILY Temp. Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit „
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits
Professions Code):
❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors s
structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ ► ti.� ' ,, r
Business and Professions Code).
CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for it f?'JL
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 rt
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