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HomeMy Public PortalAbout9872 WENDON ST_Electrical__ 78.0663-CEB06 10/74 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER a°o�REss ,2 BUILDING AND SAFETY DIVISION LOCALITY 'NEAREST FOR APPLICANT TO FILL IN CROSS ST. UT LETS N0. EACH FEE OWNER ORM RECEPT $ $ FIRM NAE LIGHT TOTAL Jam+ �T p FIRST 20 Zg ADDRESS d [�► (I� & - -7 �' OVER 20 CITY TEL. NO. SWITCH f0 PLAN CHECK FIRST 20 Zg APPLICANT LIGHTING TOTAL FIXTURES a •10 OVER 20 ADDRESS RESIDENTIAL APPLIANCESCITY TEL. NO. PERMIT RANGE DRYER,�WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS �w SPACE HTR. AIR COND. CIT TEL. NO. sL CLOTHES WASH..�_DISHWASH. LICENNSIE O R CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE C 1 - 10 9.00 DESCRIBED RESIDENTIAL PROPERTY. C7 PERMITEE91= 10 - 50 5.00 SIGNATUREgzvle/ C3 50 - 100 10.00 DISTRICT NO. ROCESSED BY Cu 100 - 500 15.00 ©"6% C � Z e SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC 'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP / 3.00 Cyb UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING lb r -/-s TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED .a UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: v �r PLAN CHECK FEE 6 ' PERMIT ISSUING FEE 3.00 1 Ob TOTAL FEEff • PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION\ CK. M.O. CASH �y 4 s 2-r-SEP 3 2 D 1 2.7 5 ®!;o SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE a 76A663-CE806 10/74 APPLICATION F t ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS I BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR FIRM NAME RECEPT._ $ MAIL LIGHT TOTAL /1y��u zL FIRST 20 ,25 ADDRESS �(J - _ OVER 20 CITY TEL. NO. SWITCH_ 10 PLAN CHECK LIGHTINGTOTAL FIRST 20 .25 APPLICANT FIXTURES •10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT �"""" RANGE DRYER_WTR. HTR. APPLICANT UJB GW A STA. COOK DISP. F.A.U. ADDRESS (Qf�i, SPACE HTR. AIR COND.� CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENS OR CLASS+ REG. NUMBE FAN OTHER 1.00 O 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF y CALIFORNIA OR THAI 1 AM THE LEGAL OWNER OF E ABOVE C7 1 - 1O 3.00 DESCRIBED RESIDENTIAL PROP RTY. C.7 PERMITEE CC 10 - 50 5.00 SIGNATURE CD 50 - 100 10.00 a DISTRICT NO. PRO ESSED H 100 - S00 15.00 U ? c SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSP R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00UNDERSLAB WORK SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED - UTILITY CO. NOTIFIED Ab FINAL 01 PERMIT FEE ('SUB TOTAL) NOTES: Vdad PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.0. CASH P MIT VALIDATION CK. M.O. CASH A 0 0 a2n,RCT 5 �: 6.0 0 ,&--o SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1 DIVISION OF BUMI)ING& 5AFM WILLU M 1. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN DISTRICT N . GROUP ZONE PERMIT NO. ELECTRICIAN � J�v ADDRESS RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION I� f-fh CITY TEL. N y1�,�+1 COUNTY LICENSE NO. EXPIRES BUILDINGp PERM FM ADDRESS NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS 5c $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 FIXTURES S CITY TEL. NO. MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS I Q 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 Nummit HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW. MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/a tr IE88 $ 25 SIGNATURE OFRMITTE I/a 2 .SO PE 2 s 1.00 INSPECTION RECORD s 1s 1.50 . l /•!� / y� is so 2.50 St! [�✓� !�'� / r �C s0 200 S.00 _711 200 Goo 10.00 .J Soo 1000 15.00 Q Z OVER 1000 20.00 M.G. SEP/FREQ. CHANGER-HP d' WELDERS: AC-KVA GENERATORS•KW TRANSFORMERS-KVA TEMP. MOTORS (75% OF OHIO.) MOVED MOTORS (75% OF ORIc;.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMITS DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT �) FIXTURES $1.00 WIRING my / � ►r 1i1 SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE ol UTILITY CO. NOTIFIED 1 FINAL 76A 603 DBS# SA. 4-8E 76A663 CE-60616/76) ' APPLICATION F -R ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND AFETY FOR APPLICANT.TO FILL IN JOB ' New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1 &2-Family,Sq.ft.- $ .025 — $. LOCALITY Multi-family Sq.Ft. •0$ — NEAREST 25.00 ' " ROSS ST. e Residential Swimming Pools OWNER OR FIRM NAME Outlets:Rec Light Sw. MAIL First 20 .50 ADDRESS Total No. Additional .30 CITY Tel.No: PLAN CHECK APPLICANT Lighting Fixtures First 20 •50 ADDRESS Additional. .3.0 Total No. CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT Range Heater—D.W._ APPLICAN LAVW ®AX Oven_Dryer_W.M. ADDRESS ,S` Top _FAU _W.H._ CITY Tel.No Hood_Fan __Other_ LI _ SE OR Disp._Room Air Cond. 2.50 REG.NUMBER i Classt�''y I HEREBY A LED THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE.TO Size&TYp HP,KW,KVA,or KVAR e COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS U y iL p 2.50 to 1 Incl. REGULATING I HEREB (RING. . TIFY PROPERLY REGISTERED AND/OR v Over 1 to 10 Incl. 5•GO '' 'LICENSED AS REQUI Y LOS GELES COUNTY AND STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR T T's TH LEGAL OWNER OF THE ABOVE DES TIAL PR 0 Over 50 to 100 Inc. 25.00 PERMITEE Over 1'00 40.00 SIGNATURE Services DISTRICT NO:. d- A�C�ESSDBY 0-200 Amp.Under 600,V 12.50 p 201-1000 Amp. Under.600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 f Z j IV O. Temp.Power Pole&Appurtenances 10.00' Sign with One Branch Circuit 10.00 J Additional Sign Branch Circuits 2.00 INSPECTION INFORMATION u p 3 5 2.0 F' Misc.Conduits&Conductors 10.00 ON REVERSE s Other(See Complete Fee Schedule) SIDE u >`* o 0 o o o 2 Z 2oo320.0 PERMIT FEE (Sub-Total). 2 E. PLAN CHECKING FEE (One-Fourth Permit Feel , O V I'0 2—7 c PERMIT ISSUING FEE $7,00 O TOTAL FEE Z' > INSPECTION FINALED date: 7//7 4 t.WORKER'S COMPENSATION DECLARATION SAIM,DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT I hereby affirmcthatOr have a certificate of consent to self insure, . �(I�]d or a dertificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3600 Lab.C.) policy No.6 7 a I.S0 3 .-,Company u tl T� UN/ FOR APPLICANT,TO FILL IN JOB ADDRESS a ertifled copy'I.hereby furnished. New Residential Bidgs.&Pools EACH NO. FEE $ _ $ LOCALITY certified copy is filed with the county building Inspection 1&2-Family,Sq.Ft.. ST department. Multi-family Sq.Ft. CR SS ST. -9 t Applicant Residential Swimming Pools ASSESsoR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM ORKERS' a� OWNER OR COMPENSATION INSURAN .E Outlets:Rec.vim-Light Sw. FIRM NAME First 20 © D (This section need not be completed If the work involved by the Total No. Additional 3 ADDRESS MAIL permit Is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tel.No. is issued, I shall not employ any person in any manner so as to 7� PLAN , become subject to the Workers'Compensation Laws. Lighting Fixture�,, ®� First 20 /70APPLICANT Total No.�-�1_ Additional A . ADDRESS Date Applicant 15 OR 20A;120V BRANCH CIRCUITS NOTICE TO APPLICANT: If, after making this Certificate of CINTel.No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACHERMIT' r1ril LA ab-A] provisions or this-permit shall.be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH APPLICANTS LIG 0 N LICENSED CONTRACTORS DECLARATION ADDRESS 8J 34 I hereby affirm that 1 am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH O (commencing with Section 7000)of Division 3 of the Business and CITY s Tel No. aai.s O V RrofeSSIGns-Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR L p c�fc/ Power Apparatus&Large Appliances REG.NUMBER 6 C� I S Class. � O �" _ License Number 3nLic.Class d Size&Tye HP,KW KVA, r A PROSED BY DISTRICT NO. f. Over 3 to 10 Incl. FINAL O. Contractor Date _9 7/ DATE C4 Over 10 to 50 Incl 0 I am exempt unLr Sec. Over 50 to 100 Incl. FINAL VALIDATION Over 100 BY B.&P.C.for this reason Services,'Swbd.,MCC&Panelboards Date: 0-06.Under 600 V .Signature 201-1000 Amp,Under 600 V ❑ !Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. w SINGLE FAMILY Temp.Power Pole&Appurtenances r""'' Z_ HOMEOWNER-BUILDER DECLARATION fit-+•: r i B Sign with One ranch Circuit I hereby affirm that D am exempt from the Contractor's License Law S ---�-7 .•r•-,. for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale(Section 7044, Business Oth as Complete Feq Schedule)— Ix-5.3 �" - and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the i" '" J performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.) _ PLAN CHECKING FEE L� 7 _�i i" is'Ii�F 6 11; 12 Lender's Name PERMIT ISSUING FEE Lender's Address TOTAL FEE I certify that I have read this application and state that the 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 pr party for ina ction purposes. A ! SEE REVERSE FOR EXPLANATORY LANGUAGE / r - 6 "/V- e(` SIGN E OF ADPLICANT OR AGENT DATE