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Home My Public Portal About9887 WENDON ST_Electrical__ 76ASS3 DBS SA 7-51 t. --__� APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY � � �� COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN J 0 ADDRESS REC IVED BY READY FOR DATE ISSUED FIRST INSPEC // q CITY !' TEL.N r✓d A.J6 ` ` P ��6 COUNTY LICENSE NO. EXPIRE O--*,0': ■ ADDRE BO 9'?r PERMIT FEE FEE LOCALITY NUMBER EACH LIGHT OUTLETS NEAREST RECEPTACLES Q 06W WALL SWITCHES OWNER , i TOTAL OUTLETS 5O $ Asal MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER A NEw MVD. HP OVER INC. EADN OF THE REHIDENTIAL P P.ERT'YSCRIBED ABOVE. V2 A LESS $ .25 SIGNATURE OF ^k�� . r�/�A %2 2 .50 PERMITTEE _ a s 1.00 INSPECTION RECOR f J _ 5 15 1.50 15 50 2.50 50 200 S.00 200 500 10.00 I Int/c;•+v..� ` f �+�' J 500 IOOO 15.00 - Q OVER 1DOO 20.00 �--�.$1r'.e -nes r elf/ f F- < / Z M.G. HET/FREQ. CHANGER-HP O / f17�I? ` r) Ai )t)/-/Jl fly/✓ WELDERS:AC-KVA �E'_(,}rh. / ��'.t11 p�r�f1„R'f1 F-'i O GENERATORS - KW TRANSFORMERS - KVA _ ALI ('Ml? /,9). 4!/K � Al TEMP. MOTORS (75% of ORIS.) / MOVED MOTORS (75% Or a.) A.rz) MISC. / // ` SIGN !!r' I�./. IJt1 � � 'ti'oT� Y .�R &e NO. NO.TRANS. APPROVALS NO. NO.LAMP9 FOR EACH PERMIT: DATE INSPECTORvS NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE B ` '� UTILITY CO.NOTIFIED _ ,,, eco FINAL COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIlTISION'OF BUILDING & SAFETY y A." WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NC- ELECTRICIAN ,e T a o s RECK BY READY FOR DATE ISSUED CITY ADDRESS� TEL.AN ?�(�t�'a�,"' FIRST INSPECTION% COUNTY LICENSE NO. EXPIRES/A4 -k 'T BUILDING ® A ne PERMIT - ADDRESS P FEE NUMBER EACH LOCALITY ' LIGHT OUTLETS NEAREST CROBB ST. RECEPTACLES - WALL SWITCHES 1I OWNER/ : /'S �. TOTAL OUTLETS' /_ 1/ So 41 ® MAIL CLEC. RANGES ✓ 25 ADDRESS ELEC. HEATERS 25 S� . CITY TEL NO- FIXTURES S , 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MIBC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS -AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS a 'I.CERTIFY THAT 1 POSSEBB THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AN THE LEGAL OWNER New MVC. HP oven �No. EACH THE REBIDENTI PRO E DESCRIBED ABOVE. .� Y %2 a LeeB SIGNATURE OF �� %2 2 .SO ' PERMITTE 4 I -� 2 s 1.aD_ INSPECTION RECO 5 15 1.50 15 50 2.50 IJ 50. 200 5.CO _ _ 200 500 10.00 J 500 10013 15.00 Qf f p �i Z OVER 1000 20.00 L7 M.G. BET/FRCQ. CHANGER-HP. T` O WELDERS:'AC-KVA - 13 GENERATORS - KW r '` / "c-I. TRANSFORMERS - KVA TEMP. MOTORS (75% or BRiB.) /'_S�p, MOVED MOTORS (75% of CRIB.) MISC. SIGNS. NO. N0.TRANS.• APPROVALS NO. NO.LAMPS DATE INSP,ECTO/R'S NAME FOR EACH PERMIT: WIRING $1.00 40tH CONDUIT FIXTURES 101.00 a WIRING �r,� / ✓i ;j SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE 8 UTILITY CO.NOTIFIED FINAL /-7 2�i1tii / I�bLC+� TBA663 DBS#5A.4-52 - a '%r COMPENSATION DECLARATION zp-oot9DPW 3/87 ��I®�B �'®� ELECTRICAL ��F�� J 'til hereby affirm that I have a certificate of con sen to elf caE" N `� insure, or a certificate of Workers'Compensat' nsurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof(Sec. 3800, La Poiky No. Com FOR APPLICANT TO FILL IN ,JOB ❑Certified copy is here urnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ❑Certified cc s filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ $ LOCALITY G tion d tment. Multi-family Sq. FT. NEAREST CROSS ST. Residential Swimming Pools OWNER OR Date—,_ Applicant 'FIRM NAME r CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL �j COMPENSATION INSURANCE Outlets: Rec Light Sw._ ADDRESS 9 r tThis section need not be completed if the work Involved b First 20 CITY Tel. No. he permit is for one hundred dollars($lob)or less.) Y Total No. Additional I certify that in the performance of the work for which this APPLICANT PLAN K permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTIdf/ro PLI ANT: If, after making this Certificate of Exemption, you should become subject to the. Workers' Range— Heater—D.W. _ APPLICATIO Compensation provisions of the Labor Code, you must forth- Oven — Dryer M.— ADDRESS with comply with such provisions or this permit shall be Top — FAL H. — deemed revoked. Hood — Fan —Other— CITY Tel. Ni LICENSED CONTRACTORS DECLARATION LICEN E OR 'I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. — REG. NUMBE /2- Class-/D (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PR9C ED BY d ,and Professions Code,and my license is in full force and effect. Q ^/ i Size&Type HP, KW, KVA, or KVAR r�O 0 .License Number Lic. C s Up to 1 Incl. I FINAL U I Over 1 to 10 Incl. (� DATE _ VALIDATION 0 Contracto Date Over 10 to 50 Incl. FINAL U ❑ LU I am exempt under Sec. Over 50 to 100 Inc. BY 0 B.&P.C. for this reason Over 100 U) Services, Swbd., MCC&Ponelboards Z Date: Z j 0-200 Amp. Under 600 V Signature / 1 201 - 1000 Amp. Under 600 V ❑ / Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole&Appurtenances HOMEOWNER-BUILDE CLARATION 1 hereby affirm that I am exem rom the Contractor's License Sign with One Branch Circuit Law for the following reas (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): ...•,, Misc. Conduits 8 Conductors I, as owner of a property, will da the work and the ivi --; — —L structure is no tended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ �7-d_II 9 �� Business an rofessionsCode). Lvi. NSTRUCTION LENDING AGENCY +_rtFtYl�� JIB I hereby offi that there is a construction lending agency for the perfor once of the work for which this permit is issued PERMIT FEE (Sub-Total) ®Q (Sec. 30 , Civ. C.). PLAN CHECKING FEE ICK-0-DOD 1';/ f'-' Lend 's Name •-5 a -..•- PERMIT ISSUING FEE �3 c'' i _ nj; :`�•�t` Lender's Address TOTAL FEE Q 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-Lnentioried prope for inspection p rposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ermittee ate