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HomeMy Public PortalAbout9232 KENNERLY ST_Electrical__ ^ 76A663 DBS 5A 11-SCI 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 ZONE PERMIT NO. ELECTRICIAN 7TqltonRECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 Ne Anacia St. FIRST INSPECTION A. CITY San (s'pLbo TEL NO. AT 68583 COUNTY LICENSE NO. 1104 EXPIRES BUILDIADDRENG 9232 Kennerly St, PERMIT FEES NUM.UR EACH FEE LOCALITY Temple City' LIGHT OUTLETS NEAREST NEAREST CROSS ST. RECEPTACLES WALL SWITCHES ' OWNER B. E. Turner TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. d FIXTURES 5 _ 1 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 1 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 DESCRIBED ABOVE. I/2 s LESS $ .25 SIGNATURE OF- 1/2 F f I/2 2 .50 PERMITTEc; 2 5 1.00 INSPECTION RECORD 5 15 1.50 _ is 50 2.50 SD 200 5.00 200 Soo _ 10.00 J SOO 1000 15.00 Q Z OVER 1000 20.00 E3 M.G. SET/FREQ. CHANGER-HP R' WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% 13F ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1,pD CONDUIT FIXTURES $1.00 e fZ_ WIRING _ .�..QA.�`�+^t""'" '2-© s, 'SUPPLEMENTARY ,SO FIXTURES POWER TOTAL FEE $ Y UTILITY CO. NOTIFIED A / FINAL A) 1`1. Z/ 76A663-�E806,4- 8 APPLICATION 'FOR ELE RICAL PERMIT 00-UNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE RECEPT.� $ $ OWNER MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH OVER 20 .10 CITY &ZET1 NO. PLAN CHECIK LIGHTING �TOTALFIRST 20 .20 APPLICANT FIXTURES 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 (�. MOTORS,TRANSFORMERS RATING LICENSE NO-Z CLASS. IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a SIGNATURE 10 - 50 5.00 RESIDE IN, THE ABO E DESCRIBED RESIDENTIAL PROPERTY. � U 50 - 100 10.00 OF PERMITTEE 100 - SOO 15.00 ~ DISTRICT NO.1 GRO P P OC D B LU+U SIGN,GAS SIGN AND ONE CIRCUIT 3.00 GO TUBE, OR 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, IS, APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING PLAN CHECK FEE (50% PERMIT FEE) FIXTURES i POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITYCO.NOT]FIED -/17 e' SUPPLEMENTARY PERMIT ISSUING FEE t.00 FINAL G '/Z _t -9 ,Irma-r� TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER .PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified co Is hereby furnished. NO. EACH FEE PY Y New Residential Bldgs.&Pools $ $Ft Sq. .El LOCALITY Certified copy is filed with the county building inspection 1 &2-Family, NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OWNER OR COMPENSATION INSURANCE FIRM First 20 MAIL (This section need not be completed if the work involved by the Total No. Additional ADDRESS permit is for one hundred dollars(5100)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 PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No, Additional ADDRESS Date Applicant 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 PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 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 Tel.No. d Professions Code, and my license is in full force and effect. Over 10 to 50 Incl. O LICENSE Class. Over 50 t0 100 Incl. REG.NUMBB ER 0 Over 100 DISTRICT NO. PROCESSED BY W License Number Lic.Class J_ Services,Swbd.,MCC&Panelboards LL Contractor Date 0-399 Amp.Under 600 V FINAL }� DATE El 400-1000 Amp. Under 600 V Q I am exempt under Sec. VALIDATION Over 1000 Amp.or Over 600 V FINAL O B.&P.C.for this reason BRANCH CIRCUIT FEES BY CL Date: 15A,or 20A, 120V,Lighting or Recept. M 1 To 10 Branch Circuits W Signature 11 To 40 Branch Circuits ~ El 41 Or More Branch Circuits Exemption for Reg. Maint. Elect. 15A,20A,208V To 277V Lighting Sr.Circuits 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 Law 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 Other(See Complete Fee Schedule) , and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097. PERMIT FEE (Sub-Total) Civ. C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address 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 representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE f s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0402040017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FE S PAID BUILDING ADDRESS: TR: 16475 LT: 109 9232 KENNERLY ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803727 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ENCINITA 8590-010-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 63.00 OUT 97.05 TENANT: G2 LIGHTING FIXTURES 28.00 LGT 49.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: HA FAU LESS 3HP 1.00 FAU 10.95 02/04/04 VG 08/02/04 H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 FINALDATE FINAL BY: CODE: TRANG JOHNNY (626) 286-6055- H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 _ C/ 9232 KENNERLY ST H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 TEMP 917803727 H7 RES EXHAUST FANS 3.00 EX 32.85 DESCRIPTION OF WORK JB AC UNITS +3-10HP 1.00 AC 19.65 ELECTRICAL FOR ADDITION AND REMODEL LB 200 AMP PANELS, MCC 1.00 PAN 38.85 APPLICANT: TEL. NO: TOTAL FEES 320.70 LUONG (323) 223-3988- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LUONG, TONY TRUNG (323) 223-3988- 2675 SICHEL ST. LIC. NO TEMPORARY POWER POLE LOS ANGELES, CA 90031 685617-C20 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRIMG MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508