HomeMy Public PortalAbout9867 WENDON ST_Electrical__ 5;X8068 APPLICATION FOR ELECT CAL PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /�/
SUILDIN�C3 AND SAFETYsDIVISION ADDRESS W
JOHN A. LAMBIE, COUNTY ENGINEER �9-,-
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY rQ/
NEAREST \
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE n
RECEPT.� S S OWNER (,�Jf/y�d
MAIL
LIGHT. '� T�L FIRST 20 .20 ADDRESS !�V ?
SWITCH OVER 20 .10 CITY �lia.6l TEL.. NO. / -(D 731
LIGHTING FIRST 20 .20 0 PLAN CHEC APPLICANT
FIXTURES �.TOTAL
02
OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR._ CITY TEL. NO.
STA.COOK._DISP._F.A.U._ CONTRACTOR
SPACE HTR. AIR COND. ADDRESS `
CLOTHES WASH._DISHWASH._ CITY TEL. NO.
FAN—OTHER 1.00 LICENSE NO. CLASS.
MOTORS.TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPEOVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 — 1 1.00
ELECTRICAL WIRING.
I HEREBY CERTIFY. THAT I AM PROPERLY REGISTERED AND/OR
1 — 10 3.00 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 — 50 5.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
50 - 100 10.00 SIGNATURE
V
OF PERMITTEE CD
100 - 500 15:00 H
DIST C N GR P Z P D ¢ w
TUBSIGNE, OR GAS SIGN AND ONE CIRCUIT 3.00 y
MARQUEE Z
ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 -
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE -INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLA19 WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITYCO.NOTI.FIEED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 NFINAL V IXIINV\lj
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0 GASH
LAr 8722 M.R10 D 3.20'" co
:E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �� 9`�
78A863-CE80812-85 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER ,r
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING. LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT, 1 TOTAL
LIGHT J} NO: EACH FEE
I I OUTLETS I FIRST 20 $.20 $ d OWNER
MAIL
SWITCH ADD•L 1p ADDRESS
OVER 20
TOTAL FIRST 20 ,20 CITY TEL.NO.
LIGHTING FIXTURES ,
FIXTURES IDD-L 10 CONTR
OVER 20
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.N
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA. APPL. .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIS ICT O. GROMP ZO;y E PROCESSED BY
0 1 , 1.00 D K
1 a1.so INSPECTION RECORD 9>1
O
3 S 2.00 U
ad
8 15 2.50 r0
15 50 3.00 W
d
50 100 5.00 Z
SIGNS+ NO.TRANS.
NO.LAMPS
SERVICE O-BOOV.NOT OVER 200A 1.00
SERVICE 0-SOOV.OVER 200 A. 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'SSIGNATURE
TOTAL FEE 8
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS API
UNDERSLAB WORK ,n
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS RE
ELECTRICAL WIRING. IRINGtwo v
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTEREIXTURESLICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND IOWERRESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PRO ERSIGNATURE oTILITY CO.NOTIFIEDOF PERMITTEE vINAL
CIDATION JOS&H C.
K MO CASH SUPERVISING ELECT
RICAL ENGINEER
a
LhUo 3 7 8 2% JUL 2 8 2 D 4.00-
COUNTY OF LOS ANGELES - . APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEIiEt
DIVISION OF BUII.DING& SAFETY ELECTRIC 1
WILLIAM J. FOB, COUNTY ENG2UM
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONEPERMIT NO.
ELECTRICIAN �� 1 1r -r '`/' -7097#4
ADDRESS RECEIVED BY READY FOR DATE ISS ED
r/ FIRST INSPECTION
CITY TEL. NO. 9.ov
COUNTY LICENSE NO. Ul f EXPIRES SUILDIN
Pmw rm - ADDRESS 71llA
NUMBER EACH FEE LOCALITY c 1
LIGHT OUTLETS NEAREST
RECEPTACLES '2.. CROSS ST
WALL SWITCHES p, OWNER
TOTAL OUTLETS /® SC •$
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
5 CITY TEL. NO.
FIXTURES
FIXTESm Q3 P W6 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW Mvo. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
_ 1/2 a L68a $ .25 SIGNATURE OF
V2 2 .50 PEI
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00
Boo1000 1 15.00 Q
t
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP 0'
WELDERS: AC-KVA O
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. ' APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .SO FIXTURES
POWER
TOTAL FEE $ / V UTILITY CO. NOTIFIED
FINAL
7EA 068 Deal` 11A. a-aZ
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE°Cou»Tx ENGINEER „
WILLIAM A.JENSEN,Sul-T IF BUILDING LOCALITY
FOR APPLICANT TO FILL iN NREARES'$T
ST
COS
PERMIT PEES OWNER
OS
ITEM NUMBER EACH FEE MAI / �J
OUTLET S ADORESS&6 /y
LIGHTB RECEIPT. SW. S.
40
LIGHTING FIXTURE8 _1O () CITY L NO.
ELEC.RANGES CLO,DRYERS ELECTRi AN
WATER HEATERS .80 ADDRESS
ELM.SPACE HTRS. DISHWASHERS COY TEL.NO.
GARBAGE DISPOSERS AUTO.- STATE:
mm
WASHERS STA.COOKING UNITS .28 LICENSE NO.
MOTORS: OVER INC. H.P. DIST t GR P ZON PR Cs SEE)BY
0— i/a .28 °d
V_ — 2 .50 INSPECTION ORD
2 — S 1.00 !�
a
B -- is s.so V
is — BO 2.80 GG
so— 200 5.00 ' 0
NO TRANS.
SIGNS: NO.LAMPS
SERVICE 0.600V 1.00
SERVICE OVER 6001V 5.00
MISC.
WIRING PERMIT 1.00
F, FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .80
TOTAL FEE $
t I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
trAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING .CONDUIT
ELECTRICAL WIRING. WIRING 3`7.�""�0eAl U!?7,r V
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED 'AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL O ER OF THE ABOVE
DESCRIBED RESIDENTIAL PROP POWER
SIGNATURE •` UTILITY CO.NOTIFIED } I
OF PERMITTE
:FIUA6 I "IjIrl.1,14
LIDATION ARTHUR C.VEIT.'
( J Mo CASH SUPERVISING ELECTRICAL ENGINEER
04504 --7 7 2 D 5.20
Lh
COUNTY OF LOS ANGELES. APPLICATION.,FOR PERMT
DEPARTP¢ENT.OF-COUNTY ENGINEER
DIVISION)= BU=ING & SAFETY E L E C T R Irt :' �. 11
WII.LIAM J. FOX COUNTY ENGINEER .. �..�W .-r-
FOR APPLICANT 70• FILL IN DISTRICT NO. GROUP ZONB PERMIT,N0.
ELECTRICI C i� 1047I ovIA
ADDRESS /t 2/ j '��I%/✓ ,�/� RECEIVED BY READY FOR DATE ISSUED
-yam / FIRST INSPECTION / <
CITY TEL: NO. / II
tCOUNTY LICENSE NO. EX IRES BUILDING ff A,
PERW FEES ADDRESS
NUM ER EACH FEE
LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROS68T.
WALL SWITCHES OWNER ,
TOTAL OUTLETS 0V Sc
MAIL
ELEC. RANGES SS ADDRESS
ELEC. HEATERS 25
FIXTURES S O CITY TEL. NO.
MI C. - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
`NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW MVO. HP.1 OVER :Ne. EACHOF THE RESIDENTIAL PROPERTY :JESIBED ABOVE.
_ V2 a.LESS S i5 Iry SIGNATURB OF
4_1
V2 8 .50 PERM.TT
$ s 1.00 INSPECTION RECORD
5 is 1.50
is so 2.50
so 800 5.00
200 BOO 10.00 J
500 1000 15.00 Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA'
GENERATORS-KW
TRANSFORMERS-.KV.A
TEMP. MOTORS ,(75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS.
NO. NO..LAMPS APPROVALS
FOR EACH PERMIT: DATE tlINSPECTOR'S NAME
WIRING $1:00 O'd CONDUIT
FIXTURES $1.00 ®-d
WIRING i
SUPPLEMENTARY BO FIXTURES 2
POWER
TOTAL FEE S L� UTILITY CO. NOTIFIED 7 a - 1
FINAL
76A 663 ZMG# 8A. 4-81L '
WORKERS'COMPENSATION DECLARATION I CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm ,that I have a certificate of consent to self' CE-806G
insure, or a certificate of Workers'Compensation Insurance,I COUNTY OF LOS ANGELES (�, �ell-i BUILDING AND SAFETY
or a certified copy thereof(Sec. 3800, Lab. C.) I y��,�/
Policy No. Company 1 FOR APPLICANT TO FILL IN gDDRESS 7�cp/ � /�"
Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE
AMF
Certified copy is filed with the county building inspec- , -1 &2-Family, Sq. Ft. $ — $ LOCALITY
tion department. Multi-family Sq. Ft. — 'NEAREST r
Residential Swimming Pools CROSS ST.
OR
Date Applicant I OWNER FIRM NAM6��/tomVIyWV r.
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Ll'ght A Sw. MAIL
COMPENSATION INSURANCE ! .25--ADDRESS
This section need not be com leted if the work Involved b First 20
( p y Total No. �� Additional CITY Tel: Na4Z-,
the permit is for one hundred dollars($100)or less.)
I certify that in the performance a work for which this PLA
PPLICANTCHECK
permit is issued, I shall not empl any,eA
nner 2•
so as to become subject to th ork ' ws. : Lighting Fixtures First 20. ADDRESS
AdditionalDate/ pp Total No. (CITY Tel. No.
l� Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, er makingof APPLICANT
Exemption, you should ecome subjeers' Range_ Heater_D.W. —
Compensation provisions of the Labor Code, you m 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— CIN -Tel. No.
LICENSED CONTRACTORS DECLARATION ISQ �` 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 Power Apparatus.&Large Appliances DISTRICT NO. PROCES BY
and Professions Code,and my license is in full force and effect. ®,
Size&Type HP, KW, KVA, or KVAR' ��0 O
License Number Lic. Class Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE — _'? VALIDATION 09
Contractor Date Over 10 to 50 Incl. UG �
FINAL
I am exempt under Sec. Over 50 to 100 Inc. BY Lu
BAP.C. for this reason I Over 100
Date:
Services,Swbd.,MCC&Ponelboards ® ;9087. 1 p
0 -200 Amp. Under 600 V
Signature 201 -1000 Amp. Under 600 V # 0 0 0 0 0 2
Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect. I o o29.75
SINGLE FAMILY Temp. Power Pole&Appurtenances o
HOME OWNER-BUILDER DECLARATION
Sign with One Branch Circuit 0 o29,751,
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits a 2e--84
Law for the following reason (Section 7031.5', Business and
Professions Code):
INI, as owner of the property, will do the work and the �Misc. Conduits&Conductors
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
4—
I
hereby affirm that there is a construction lending agency for
the performance bf the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE
Lender's Name /v r
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and state that the TbTAL FEE ,
above information is correct. I agree to comply with all County
ordinance"nd State laws regulating Electrical wiring, and
hereb�y��euth99Fze representa.l"•iies of this County to enter upon ,
the kfove riientioned pro rty for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
00
• � 1
S' nature of Per ttee Date i
- f,67 .
1
WORKER'S COMPENSATION DECLARATION i 20-0019 DPW(12-91)
76A883 APPLICATION FOR ELECTRICAL. PERMIT
I hereby affirm that I have a certificate of consent to self insure, ,
or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANtELES'' DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec.3800 Lab.C.) I
Policy No. Company FOR APPLICANT TO FILL IN JOB
ADDRESS7FSO-7
Certified copy is hereby furnished. New Residential Bldgs.&Pools
NO. EACH FEE
F1. 1 &2-Family,Sq.Ft. $ $ LOCALITY -1-ISM�LrC ��
—, Certified copy is filed with the county building inspection _ NEAREST
department. Multi-family Sq.Ft. CROSS ST.
Date Applicant Residential Swimming Pools ASSESSOR PAGE PARCEL
MAP BOOKCERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OWNER OR
COMPENSATION INSURANCE FIRM NAME S"('eC�.l
(This section need not be completed if the work Involved by the First MAIL �+ -7
permit Is for one hundred dollars($100)or less.) Total No. Additional ADDRESS q p�0 1
I certify that in the performance of the work for which this permit CITY T"�MPIr� Tel.No.
is issued, I shall not employ any person in any manner so as to PLAN CHECK
become subject to the Workers'Co Lighting Fixtures First 20 APPLICANT
22 Total No. Additional ADDRESS
Date �' O�`J►pplic RESIDENTIAL APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No.
Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code, you must forthwith comply with such APPLMICANT
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 910-"IyL V-Z.Zq
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl.
(commencing with Section 7000)of Division 3 of the Business and CITY T��L,C 64 Tel.No.Z -�
Incl..Professions Code,and my license is in full force and effect. Over 10 to 50 IncLICENSE OR
Over 50 to 100 Incl. REG.NUMBER �.�P~S 7i c S Class.G� O
PJ09 2--74511AOver 100 DISTRICT NO. RROCLEIIED BY U
License Num Lic.Class p
ces,Sw,b�,d.,,M C�&�P nelboards Od
Contra ate fi 3 X-- T1Fder 600 V - FINAL
❑ 400-1000 Amp.Under 600 V U
I am exempt under Sec.
Over 1000 Amp.or Over 600 V VALIDATION W
FINAL Il
B.&P.C.for this reasoni BY ) co
BRANCH CIRCUIT FEES
Date: 15A,or 20A,120V,Lighting or Recept. I —
i
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
❑ I 41 Or More Branch Circuits y
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits
SINGLE FAMILY Temp.Power Pole&Appurtenances a i
HOME OWNER-BUILDER DECLARATION ``'
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit
for the following reason (Section 7031.5, Business and Professions Additional Sign.Branch Circuits {=( n 67.45
Code): j T T El I
❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors r 63 = 4- 5_.
is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® (t-I i I �- �`3 = 4- —�
and Professions Code). CHECK 63.45
CONSTRUCTION LENDING AGENCY F� �.;.GE sw)
I hereby affirm that there is a construction tending agency for the , CHANGE .
performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total)
Civ.C.)
PLAN CHECKING FEE 0000-0 901 ',I2/3t1/9411
Lender's Name / 3_ii 1 I AM 3:
I PERMIT ISSUING FEE d'rO
Lender's Address ' I
I certify that I have read this application and under penalty of purjury state TOTAL FEE � .
that the above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring,and hereby authorize
fives of this unt r Rt r upo bove-mentioned property
for inspection rposes SEE REVERSE FOR EXPLANATORY LANGUAGE
�2
SIG URE OF PERMITfE DATE