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Home My Public Portal About9226 KENNERLY ST_Electrical__ ` 76AS63 DB9 5A 11-SM APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN ELECTRICIAN R F W lton — ; 7L7 / REDY FOR ADDRESS 5134 N. Acacia Sto RECEIVED BY FIRST INSPECTION DATE ISSUED CITY San Gab, TEL. No.AT 68583 .COUNTY LICENSE NO. 1104 EXPIRES BUILDING H9226 Rennerly Ste _ PERMIT FEES FEE Temple City NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER Bs E. Turner TOTAL OUTLETS - SC $ MAIL ELEC. RANGES 2S ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY RESCRIBED ABOVE. !/2 $ LESS $ .25 SIGNATURE OF I/2 2 .50 PERMITTE 2 5 1.00 INSPECTION RECORD _ 5 is 1.50 15 50 2.SO 50 2100 5.00 _ 20O Boo 10.00 J 5OO 1 000 15-00 Q Z_ OVER 1000 20.00 V' M.G. BET/FREQ. CHANGER-HP m WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OR ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES _$1.00iS1) WIRING SUPPLEMENTARY .50 FIXTURES i POWER TOTAL FEE ffi UTILITY CO. NOTIFIED FINAL 76A663 DBS 5A I1-5O APPLICATION FOR PERMIT , DEPARTMENT'OF BUILDING AND SAFETY "- COUNTY' OF LOS ANGELESTIC 1 WILLIAM J. FOX, CHIEF ENGINEER ' ELjm FOR APPLICANT TO'FILL IN DISTRICT NO. GROUP ZONE PERMIT NO., ELECTRICIAN 1 tori o'a RECEIVED,BY - READY FOR, DATE ISSUED ADDRESS 5134 N Acacia 'St. FIRST INSPECTION CITY San Ga TEL. NQAT 68583 �+'Y✓l- ' �" �`� COUNTY LICENSE NO. 1-104 EXPIRES BUILDING. PERMIT FEES FEE - • Aamaze NUMBER EACH LOCALITY - - LIGHT OUTLETS NEAREST er CROSS ST. ' RECEPTACLES WALL SWITCHES OWNER 'et ' TOTAL OUTLETS Sc $ 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 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 V CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER• HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL.OWNER FEE NEW MVD. HP, OVER INC. EACH OF THE RESIDENTIAL PROP DESCRIBED ABOVE. I/2 a LESS $ .25 SIGNATURE OF I/2 50 2 . ,PERMITTE '2 5 1.00 INSPECTION RECORD ' 5- is 1.50 I . 15 50 2.50 50 200 5.00 200 Soo 10.00 500 1000 15.00 Q Z OVEF`1000 20.00 M. G. SET/FREQ. CHANGER-HP O WELDERS: AC-kVA GENERATORS-KW - - - TRANSFORMERS-KVA - - TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF ORIC.) _ MISC. - - SIGNS NO.. NO. TRANS. APPROVALS NO. NO. LAMPS _ 'DATE• INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT - WIRING $1.00 FIXTURES $1.00 WIRING SUPPLEMENTARY 50 �— FIXTURES j -POWER .. �, .. TOTAL FEE I $ j UTILITY CO. NOTIFIED I L ,� A �J/ /��• ® ' - I FINAL WORKERS'COMP.ENSATION DECLARATION CE-806G (2-80) APPLICATION . FOR ELECTRICAL PERMIT I heteby affirm that I have a 'certificate f consent-to self,' COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Com 'nsation Insurance„or , a certified copy thereof(Sec. 3800,Lal-C.) �P FOR APPLICANT TO FILL IN ' . JOB Policy No. Company �' + RES - ADDS L rh New.•Residential Bldgs.,&Pools EACH NO. FEE ❑ Certified copy is hereby uurnished; 1 &2,Family,Sq. Ft. r $` — $ LOCALITY ° Multi=family Sq. Ft. — NEAREST ❑, Certified-copy-is filod with the county building inspection CROSS ST G�, /� # Residential Swimming Pools- department: ools department. OWNER OR' FIRM NAME �GLvGC.(GL Date pplicant Outlets Rec.—Light Sw MAIL First 20 ADDRESS �2- (/ ,CERTIFICA- OF EXEMPTION FROM WORKERS'- Total No'._ Additional CITYiyrt e C'( Tel Nog D / C MPENSATION INSURANCE' PLAN CHECK a ,,(This section need not be completed ifIthe work involved APPLICANT - 0 by the permit'is for' one hundred,dollars,($100) or less.) Lighting Fixtures 'First 20 ADDRESS U Total No. Additional I certify that in the performance of the work for which this CITY, Tel No O ' Fixed Appliances Not Over 1 HP 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 1I jY ��N W a Oven _ Dryer:_W.M.= ADDRESS Date Applicant Top. FAU _W.H. Z -Hood Fan _Other_ CITY ,�V&ne n to Tel No. 5� �� NOTICE TO APPLICANT::If, after making this Certificate of Disp. _-Room Air Cond._ LICEWSE OR Exemption, .you should become subject to the Workers' REG. NUMBER s Class Y 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 deemed revoked. Size&Type HP,KW, KVA,or KVAR - Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION / VALIDATION. -- Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL r 9 commencin with Section 7000 of Division 3 of the Busi- BY ( g ) Over 100 ness and Professions Code, and my license is,m full force and. n effect. _ Services, /Q LrZ1►l s License Number Lic.Class _ 0-260-Amp. Under 600 V ' 201-1000 Amp. Under 600 V Contractor. Over 1000 Amp.or Over 600 V ry HOME OWNER-BUILDERDECLARATION Temp. Power Pole&Appurtenances I ,hereby affirm `that I am exempt from the Contractor's Sign with One Branch Circuit, Additional.Sign Branch Circuits License Law for the following reason”(Section 7031.5, Busi- ness and Professions Code): , I Misc.Conduits&'Conductors ❑ I, as owner of the property, will do the'work and the?` Othei (See Complete Fee Schedule)— 4 structure is hot- intended 'or offered for sale (Section 4t6 9 3 A 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY ) #.o oto"o 0 2 I hereby-affirm that there is a construction lending agency for the performance of-the work'for which this permit is 2-0 c 2.6'5 0 PERMIT FEE _ Aub-Total) :0!1 issued(Sec: 3097;Civ.C:) . . 2"�,5 0� Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) : . o lo'e =' Lender's Address 'PERMIT ISSUING FEE 030`-82 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 author'ze rep esentatives this County to enter upon the above-m tione pr eq f" inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE' jr Sig ture of Permittee Dat ;