Loading...
HomeMy Public PortalAbout9235 KENNERLY ST_Electrical__ 7SA663 DSS SA 11-50 APPLICATION FOR PERMIT, DEPA fiTVFENT OF BUILDINGAN AND SAFETY �� COUNTY OF LOSOSANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT NO. 1 ELECTRICIAN R F Walton RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 N. Anacia St FIRST INSPECTION CITY San Gab. TEL- No. AT 68583 gm 'k— 3� COUNTY LICENSE NO. 1104 EXPIRES BUILDING 9235 Kerinerly Sty PERMIT FEES NUMBER EACH FEE LOCALITY Temple Crit LIGHT OUTLETS NEAREST CROSB ST. RECEPTACLES WALL SWITCHES OWNER B. E. Turner TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 1410 CITY TEL NO. FIXTURES 5 -4— I HEREBY ACKNO%YLEDGE 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 DESCRIBED ABOVE. %2 a LEBB $ .25 SIGNATURE O.F, I/2 2 .50 PERMITTEyr - 2 5 1.00 INSPECTION RECORD 5 19 1.50 is 50 2.50 50 200 5.00 200 500 10.00 J Sao 1000 15.00 Z OVER 1000 20.00 [3 M.G. BET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (7S% OF DRIG.) MOVED MOTORS (75% or DRIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 ' Q WIRING />s✓ /9�/S� v SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEEt8 UTILITY Co. NOTIFIED A� FINAL Z T 7-� 'WORKER'S COMPENSATION DECLARATION DPW(12-91) 766663 APPLICATION FOR ELECTRICAL PERMIT ' 766663 , I hereby affirm that I have a certificate of consent to self Insure, or a'certificate o{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.) 1 .1Policy No- Company FOR APPLICANT TO FILL IN JOB NO EACH FEE ADDRESS �6 °' -'Certified copy is hereby furnished. New Residential Bldgs.&Pools $ LOCALITY — $ v Certified copy Is fled with,the county budding inspection &2-Family,Sq Ft on _ NEAREST department. Multi-family Sq.Ft CROSS ST DateApplicant Residential Swimming Pools ASSESSOR SS SSOR PAGE PARCEL CERTIFICATE OF EXEMPTION,FROM WORKERS' Outlets.Rec Light Sw. OWNER OR f n 9 � FIRM NAME COMPENSATION INSURANCE First 20 MAIL (This section need not-be completed If the work_Involved by the r 3 i' :ADDRESS permlt is-for one hundred dollars($100)or less.) Total No Additional nQ ) I certify that In the performance of the work fot w141ch this permlt CITY Cry Tel No IXV,�7/ 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•ARP LI CANT:'If, after making this Certificate of CITY Tel No Exemption,you should become subject.to the.Workers:Compensation OTHER APPLIANCES NOT OVER 3 HP. rovisions of the Labor Code, you must forthwith comply with such PERMIT p py Power Apparatus&Large Appliances APPLICANT ' provisions or this permit shall be deemed revoked. c� LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS -- I hereby affirm that I'am 1icensed'6'nder•provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of•Divis16n 3 of the Business and CITY Tel No Professions Code,and my license is'in full force and effect. Over 10 to 50 Incl' LICENSE OR • Over 50 to 100 Incl. REG NUMBER Class d Over 100 DISTRICT NO.'' PRO SSED BY O License Number Llc.ClassPf (� - Services' w d',MCC&Pane 3tdt!!g �, a�C� / I �/���`T d (� O FINAL Contractor Date 0- 34 m nder 0 DATEJ 0 ❑ 400-1000 Amp Under 600 V ~ I am exempt under Sec VALIDATION W Over 1000 Amp.or Over 600 V FINAL B&P.C.for thisrreason BRANCH CIRCUIT FEES BY �- 15A,or 20A, Lighting or ReceptJeIZL�.__d Date Z_ - - 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Nlaint.Elect '15A,206,208V To 277V Lighting Br Circuits t i q i SINGLE-FAMILY Temp:Power Pole&Appurtenances x,07 17.1 e. t!) HOME OWNER-BUILDER DECLARATION Sign with One Branch'Circult E,I I hereby affirm that I am exempt from the Contractor's License Law 1 LTE IS for the following.reason (Section 7031.5, Business and Professions Additional Sign Bran ch.Circuits _ Code) - TOTAL AL -72 00 Misc.Conduits&Conductors1"172. I, as owner of the property, well do the work and the structure UI/ 11 s not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ftt��qq���t`_`t{-- � and Professions Code). © CHAf GE i a f It, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for thei 1.2/171194 performance of the work for which this permit is issued (Sec. 3097, ' PERMIT,FEE (Sub-Total) 7 13000-0001 Civ C.) 7130 1 AM10:21 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 er upon the above-mentioned property fo ectio {a s SEE REVERSE FOR EXPLANATORY LANGUAGE SI UR OF PERMI DATE - WORKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT ^' I ?reby affirm 'that I have a certificate of consent to self CE-8066 sN'aure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab. C ) Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS S —. Certified copy is filed with the county building inspec- 1 8 2-Family, q• Ft. $ $ LOCALITY tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST Date Applicant OWNER OR FIRM NAME A I V C A CERTIFICATE OF EXEMPTION FROM•WORKERS' 7 / MAIL COMPENSATION INSURANCE Outlets Rec Light Sw._20 ADDRESS 67,Z 3S ,�e,a a- Thls section_need not be completed if the work Involved b First ti ( P Y Total No. Additional CITY Tel. N 2975111 the permit is for one hundred dollars ($100)or less.) I certify that in the performance of the work fo hich this APPLICAN K permit is issued, I shall not employ any person i an er 5R so as.to become subject to the Workers'Comp ns io L s Lighting Fixtures First 20 ADDRESS a � Additional /�_C otl No. CITY Tel. No. Date[ 7 Applicant Fixed Appliances Not Over 1 HP PERMIT \ NOTICE TO APPLICANT: If, after making this erti of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater—D.W. -Compensation provisions of the Labor Code, you must 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_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR .I hereby affirm that'l am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business DISTRICT NO PROCESSED�BY and Professions Code, and my license is in full force and effect. Power Apparatus 8 Large Appliances /( Size 8 Type HP, KW, KVA, or KVAR License Number. Lic. Class U to 1 Incl FINAL Over 1 to 10 Incl. DATE �/ / 0 Contractor Date (/] VALID TION W ❑ Over 10 to 50 Incl. FINAL I am exempt under Sec Over 50 to 100 Inc. BY (- 8.8P C for this reason Over 100 z —Date--' Services, Swbd., MCC 8 Panelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp Under 600 V Over 1000 Amp or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY • Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION. Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and Professions Code): �+ j, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale' (Section Other (See Complete Fee Schedule)_ 007044, Business and Professions Code,) —4 3 6 0,7 A CONSTRUCTION LENDING AGENCY # o o 0 o o 2 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) 1 �'o o;� (Sec. 3097, Civ C ) r 1X1 PLAN CHECKING,FEE Lender's Name PERMIT ISSUING FEE (f Lender's Address 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 a St to laws-regulating Electrical wiring, and hereby auth ize r presentative ounty to enter upon ttke above- ntio ed y for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE . Sig at re o ermittee Date