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Home My Public Portal About9240 KENNERLY ST_Electrical__ 76A663 DES SA 11-Sri•" " ' APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICTNO. GROUP I ZONE PERMIT NO. ELECTRICIAN �6 _b RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 ISI. A 8.0_a S FIRST INSPECTION CITY Sam• Gab• TEL. No.AT 66583 &hii;� ff-, COUNTY LICENSE NO, 1104 EXPIRES BUILDING PERMIT FEES ADDRESS 9240 Kennerly St. NUMBER EACH FEE LOCALITY Temple City LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER E.E* Turner TOTAL OUTLETS Sc MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NLIMEER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 a LEsa $ 25 SIGNATURE EE !� d- ►r %2 2 .50 PERMITTE�� 2 5 1.00 INSPECTION RECORD s 15 1.50 is BO 2.50 so 200 5.00 _ 200 Boo 10.00 J 500 1000 1S.00 Q Z OVER 1000 20.00 2 M.G. BET/FREQ. CHANGER-HP R' WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) -- MOVED MEYTORS (75% OF CRIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME i WIRING $1.00 CONDUIT / FIXTURES $1.00 {,� WIRING 00, /A,IT Z i SUPPLEMENTARY .50 FIXTURES POWER Ac TOTAL FEE ' UTILITY CO. NOTIFIED FINAL Y 78.0663-CE806 3-89 �� APPLICATION FOR ELECTR RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINGn BUILDING AND SAFETY DIVISION ADDRESS O( JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY , NEAREST FOR APPLICANT TO FILL IN CROSS ST. f ,5 NO. EACH FEE _ $ $ OWNER RECEIPT._ --�L ADDRESS LIGHT TOTAL FIRST 20 .20 SWITCH OVER 20 ,t0 CITY C TEL.NO 7 PLAN CHECK LIGHTING TOTAL FIRST 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 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 — 1 1.00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR . LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 1 — 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND .TO RESIDE IN, THE ABOVE DESCRIBED ESI DEN TIAL PROPERTY. O 10 - 50 5.00 / u SIGNATURE OC 50 - 100 10.00 j OF P-ERMITTEE - O 100 — 500 15.00 DISTRICT NO. GROU ZO PIT13i-CESI&ED BY ri G4 I W SIGN,GAS SIGN AND ONE CIRCUIT 3.00 O / Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: E E 2PC- SERVICE E SERV ICE NOT OVER 600 VOLTS OR 200 AMP 2.00 QO OP- - I50 ,111 . SERVICE OVER 600 VOLTS-OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES - PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE QO JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH SEE BACK OF APPLICATION FOP COMPLETE FEF GC.HFnULE WRKERS'COMPENSATION DECLARATION 20-0019 DPW 3/87APPLICATION FOR ELECTRICAL PERMIT �7n that I have a certificate of consent to self SCE-906C ii6re, aria certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS „ or a cefr_f,ed copy t�ergof (Sec. 3800, Lab C ) Policy No.t Company FOR APPLICANT TO FILL IN JOB / ❑Cert, d copy is hereby furnished New Residential Bldgs. & Pools EACH NO FEE ADDRESS ertified copy is filed with the county building ,nspec- 1 & 2-Family, Sq Ft. $ _ $ LOCALITY NEAREST tion d rtm nt Multi-family Sq. Ft. CROSS ST. Date � Applicant .� Residential Sw,mm,ng Pool OWNER OR FIRM NAME CERT ICATE OF EXEMPTION FROM WORKERS' � MAIL COMPENSATION INSURANCE Outlets Rec Light Sw._ ADDRESS F,rst,20 (This section need not be completed if the work involved by Total No. Additional CITY Tel. No the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit,s issued, I'shall not employ any person,n any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Additional Total No. CITY Tel. o. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of ,,aa _T APPLICATION Exemption, you should become subject to the Workers' Range� HeaterL D W. — Compensation provisions of the Labor Code, you must forth- Oven Dryer W.M.— ADDRESS G�-u with comply with .such provisions or this permit shall be Top. FAUW.H. — deemed revoked Hood t Fan _T Other— CITY Tel. N� '�/7 LICENSED CONTRACTORS DECLARATION U LICENS OR I hereby affirm that I am licensed under provisions of Chapter 9 D,sp 7L Room Air Cond. — REG NUMBER `i— Class'- (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO., PROCESSED BY. and Professions Code,and my license,s,n full force and effect. (/ 1 ' Size &Type HP, KW, KVA, or KVAR c Q 0 0 1, License Number d d Li Class �� / Up to 1 Incl' FINAL D �� Over 1 to 10 Incl. DATE � VALIDA ON W Contractor Date Over 10 to 50 Incl v FlFINAL I am exempt under Sec. U Over 50 to 100 Inc. BY W 8 &P C. for this reason Over 100 d Serv, s; Swbd., MCC & Panelboords Z Date. Z 0-200 Amp. Under 6WVQrrcL 2097, 0A Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V J # o •.oto.o 2 Exemption for Reg. Ma,nt Elect. .00 SINGLE FAMILY •o - 85 HOME OWNER-BUILDER DECLARATION Temp. Power Pole 8 Appurtenances o 0 0 Sign with One Branch Circuit 8 d 0'6 I hereby affirm that I am exempt from the Contractor's License •. , Law for the'following reason (Section 7031.5, Business and Additional Sign Branch Circuits 0.2 1 r 8 8 Professions Code)• ❑ 1, as owner of the property, will do the work and the Misc. Conduits&Conductors structure,s not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there,s a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE \ Lender's Name - PERMIT ISSUING FEE Lender's Address T I certify that I have-read this application and state that the TOTAL FEE above information ,'s 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 bovrent,o ed property for inspection purposes. j SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee D to