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Home My Public Portal About9861 WENDON ST_Electrical__ 76A889-CE808 9-89 APPLICATION FOR ELECTRICAL. PERMI 'COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING.AND SAFETY DIVISION ADDRESS li JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO. EACH FEE , RECEIPT. $ $ OWNER °I, ' / 6 MAIL LIGHT TOTAL FIRST 20 ,20 ADDRESS Lop I,doij. Az uc-, CITY �j TEL.N0.2.gs b:� SWITCH OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES } / OVER 20 ,10 ADDRESS RANGE_DRYERJWTR. HTR. CITY TEL.NO. STA. COOK_DISP._F.A.U. CONTRACTOR G CX" SPACE HTR. AIR COND. ADDRESS ` CLOTHES WASH. DISHWASH. CITY TEL.N0. FAN_OTHER 1.00 h LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING J 1 HEREBY ACKNOWLEDGE THAT 1 HAVE 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 1 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 /Q RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. / 10 - SO 5.00 \( SIGNATURE 50 - 100 1000 OF PERMITTEE ��J C 100 - 500 15.00 DISTf.LST,NO. RT" 20N PRO E ED a� u SIGN GAS SIGN AND ONE CIRCUIT 3.00 �� R °u TUBE, OR - MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 '0 ® QAl SERVICE OVER 600 VOLTS OR 200 AMP 5.00 G TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK f� ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 1 goo UTILITY CO.NOTIFIED �� -7 ° vv / SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL YQ TOTAL FEE JOSEPH C. ROOHAN D 0 SUPERVISING ELEC ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION DK. M.D. CASH Ar- 2356% OGT 2 2 2 D 1 1 0 O N SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULF --7A-W/ WORKERS'COMPPNWrIONDECLARATION 76A663 80) APPLICATION FOR ELECTRICAL PERMIT I 14e "attii"that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY jnsurow a certificate of Workers'Compensation Insurance,or a certified copy-thereof(Sec.3800,Lab.C.): +'• i);';•, FOR APPLICANT TO FILL IN JOB Policy No. 6 Company ( ADDRESS `—' New Residential Bldgs.&Pools EACH NO. FEE Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — $ LOCALITY Certified copy is filed with the county buildin Multi-family Sq. Ft. NEAREST g inspection Residential Swimming Pools CROSS ST department. + OWNER OR yFIRM NAME to Date Applicant Outlets: Rect5Light.� Sw.i'ee_ �^ MAIL First 20 s' of - ! ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total SGS d COMPENSATION INSURANCE Total No.'_ Additional CITY Tel No. } PLAN CHECK a U (This section need not be completed if the work invoAPPLICANT lved Lighting Fixtures First 20 �'� ADDRESS by the permit is for one'hundred dollars ($100) or less.) Total Fixtures Additional 0 I certify that in the performance of the work for which thisCITY Tel No. 1— Fixed Appliances Not Over 1 HP i� permit is issued, I shall not employ any person in any manner PERMIT ' so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT d n Oven _ Dryer_W.M._ ADDRESS Dat Z '—�Applicant AJ/912 cle'i Top _ FAU —W.H..— Hood _ Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: If,after making this Certificate of Disp. _Room Air Condom � LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit shall be Size&Type HP,KW,KVA,or KVAR �^ O deemed revoked. `J Up to 1 Incl.- ` FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE 7 _Q VALIDATION Over 10 to 50 Incl. !� i hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FIN . 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professions.Code,and my license is in full force and effect. Services _ 0-200 Amp.Under 600 V License Number Lic.Class 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit 'License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors 23-1,6 A I, as owner of the property, will do the work and the Other(See Complete Fee Schedulel= structure is not intended'or offered for sale (Section # 0 0 0 0 0 2 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY _ I o o 5 2 O O I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). PERMIT FEE (Sub-Total) o 0 - 52005 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 06Z4=85 Lender's Address PERMIT ISSUING FEE 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 above-menti ad pro ty fo�mspe tion purposes. SEE•REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COMPENSATION DECLARATION 10'8 ' .,I 1W. F"t'hat I have a certificate of consent to self CE-806GAPPLICATION FOR ELECTRICAL PERMIT insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB / Certified copy is hereby furnished. NEACH NO. FEE ADDRESS ew Residential Bldgs. 8 Pools ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS 57. Date Applicant OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' 7 FIRM NAME A AL COMPENSATION INSURANCE Outlets: Rec Light •�Sw ADDRESS First 20 eZ e' (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 Work e s'Compensation Laws. Lighting Fixtures First tADDRESS c —7 ' Additional Total No. CITY Tel. No. Dat pplicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate f APPLICANT 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 —W.H. — deemed revoked. Hood _ Fan _Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I herebyaffirm that I am licensed under p Disp. _ Room Air Cond. Class:', provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. P C SED BY, a and Professions Code,and my license is in full force and effect. O Size&Type HP, KW, KVA, or KVAR �1 (/ 0 License Number Lic. Class Up to 1-Incl. FINAL �/_ Q Over 1 to 10 Incl. DATE VALIDATION a Contractor Date Over 10 to 50 Incl. FIN4 W ❑ I am exempt under Sec. Over 50 to 100 Inc. BY 8.8P.C. for this reason Over 100 i Cn Date: Services, Swbd., MCC&Ponelboards 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 Sign with One Branch Circuit I 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 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). 5 8 6 2 A CONSTRUCTION LENDING-AGENCY I hereby affirm that there is a construction lending agency for f# 0 0 0 0 0 2 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). J I ° ° 1 9.50 PLAN CHECKING FEE Lender's Name `PERMIT ISSUING FEE 0 0 0 1 9 5 0 CE / a v Lender's Address 1 1,04-- 86 1 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 a ove-mentioned pperty for i spection purposes. r SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee / Date—�