HomeMy Public PortalAbout9437 KENNERLY ST_Electrical__ �J I COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer � ��
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT
-TO FILL IN
DISTRICTNO. G P Z9NE: PERMIT NO.
; _/ 7`?177
ELECTRICIAN /ELECTRICIAN —
/� ��r •� ,y- RECEIVED B READY FOR DATE ISSUED
ADDRESSK �f"' J .K,�l_+�r+ �..�rOfl�p,/ FIRST INSPECTION �� � 1'
CITY (" � TEL NZ;e . S1%5 a —, '114
COUNTY LICENSE NO. EXPIRESle
PERMIT FEES ADDRESS l� / 'K.�..�✓/sa�7�/'���
/'� �7 4 1
NUMBER EACH FEE LOCALITY \�l _. .. i f'.e_.. .V , '
LIGHT OUTLETS NEARESTCROBBST
�/��T, v -✓�J �
RECEPTACLES
WALL SWITCHES 42. OWNER—,
TOTAL OUTLETS SO III MAIL
ELEC. RANGES 25 ADDRESS �T }�'= _`� 'i/ I _,., .�/J
(!
��
ELEC. HEATERS 25 CITY TEL. NO. �(rJ�'�d.>.
FIXTURES
1 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 1 POBSESS THE ABOVE VALID LOB
NurteER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
V2 6 LESS 111 .28 SIGNATURE OF
I/2 2 .50 PERMITTEE
—2 s 1.00 INSPECTION RECORD
5 is 1.513
is so 2.50
s0 200 5.00
200 Boo 10.00 J
Q
_ 500 1000 15.00 z
OVER 1000 20.00 Lg
M.G. SET/FREQ. CHANGER-HP Q'
WELDERS:_AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORI®.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SI[3NS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
DA7f INBPECTOR'6 NAME
FOR EACH PERMIT:
WIRING $1.00 AiD CONDUIT
FIXTURES $1.00 / 61`0WIRING
v
SUPPLEMENTARY .50 FIXTURES
POWER Al
TOTAL FEE 2 fo UTILITY Co. NOTIFIED
FINAL
76A663 DSS#5A 2-53
D.Bg.�S`.'S—A s25M BB�9E,�TS 10-47 i "PLICATION FOR MOM ,
111W�d1•/li'il\8 OF 9�JYYiM(; AM .�l�FE y, ��g+L1�,iYL AA YY 1Y YY''�VI.YY i'i811Yi8Y
C®UNTY OF LOS ANGELES ELECTRIC, '. '
EOJ SjHIEFENGINEER '
a
NAME
DISTRICT NO. GROUP ZO E ERMIT NO.
U ADDRESS `ty D L Q/J eLGti�bG� S I �G' 1p
WCITY TEL.NO. RECEIVED BY READY FOR DATE-ISSUED
J COUh: FIRST INSPECTION'
D CERT..NO. ��y `EXPI ES (/•�
r
'APPLICANT F'�Y. IND 1dII.�' OUTLINED PORTION ®�I:�I
OEi'SCRUMON OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS `LOCALITY '
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW. -PLUGS FIXT 'CROSS ST, _
CIRCUIT ,A B C D E- F IG I H W. NAME
fJ' / Z MAIL
r G (D ADDRESS
CITY TEL.NO.
I AM THE LEGAL 'POSSESSOR--OF'THE ABOVE;'LOS
ANGELES COUNTY'CERTIFICATE-OF QU IFICATION.. ..
ELECTR➢CIAN.
1 -AM THE LEGAL OWNER OF THE PROPFfRTY.DE CRIBED
ABOVE
- - OWNER.
CORRECTIONS
Q
O
APPROVALS
NO.-OF OUTLETS
NO. OF FIXTURES $ F DATE' INSPECTOR'S NAME
NO. OF MOTORS , H.P. ' ffi 'CONDUIT
NO. OF SIGNS TRANS. ffi „WIRING ' ' ���
NO. OF RANGES OR HEATERS ffi 'FIXTURES ------------------
MISCELLANEOUS - POWER
PERMIT FEE - l / UTILITYCO.NOTiF1ED `
..�
TQTAl.lrS 7 INA
APPLICATION FOR, ELECTRIC PERMIT, ' 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.-LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY r
FOR APPLICANT TO FILL 1N NEAREST '
PFJMT FEES cRoss sT.
ITEM NUMBERJ EACH FEE OWNER -
MAIL 77OUTLETS:" $, ADDRESS V3
.57
LIGHTS• RECEPT.• _ SW. :� .10 - �. - -•
LIGHTING FIXTURES 10 CITY
ELEC.RANGES CLO.DRYERS ELECTRICI N -
WATER HEATERS .50' ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. _
GARBAGE DISPOSERS AUTO.- STATE -
WASHERS STA.COOKING UNITS .25 LICENSE NO. -
MOTORS: OVER INC. H.P. DISTRICT NO. I QSOU NE CESSED BY
O'- +/z .25
+�2=
-2 J .50 INSPECTION iRfpcopb
2= 5 1.00
5- "15 1.50
IS.- 50 2.50
50-200, 5.00
SIGNS: NO.TRANS. -
NO.LAMPS
SERVICE 0-60OV' , 1.00 - -
SERVICE OVER 600V -5.00' - - - -
MISC.
WIRING PERMIT 1.00 -
FIXTURE PERMIT 1.00 -
SUPPLEMENTARY PERMIT _ .50
TOTAL'FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE 'READ THIS'APPLICATION APPROVALS DATE -INSPECTOR'S SIGNATURE _
AND STATETHATTHE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE-LAWS REGULATING CONDUIT'EL'EC
T
RICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED A3 REQUIRED BY,LOS ANGELES.COUNTY AND,STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER THE ABOVE
DESCRIBED RESIDEN P PERTY. POWER 1, -
SIGNATURE �� UTILITY CO.NOTIFIED
OF,PERM 11 y� A 1
FINAL
OR VAUDA ARTHUR C.VEIT, ;
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
• 1.
08 3 6 S DSC Z A .8 4a4�
WORKERS'COMPENSATIONDECLARATION
CE-806G (2-80) APPLICATION FOR ELECTRICAL ,PERMIT
CE-806
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
a certified copy thereof•(Sec. 3800,Lab. C.) m
yl/
¢���{ 7GQ OFjryl FOR APPLICANT TO FILL IN JOB'
Policy N —/�Cbmpanyr EACH NO. -FEE. ADDRESS 97�/ ^�11//✓ C
New Residential Bldgs.&Pools
�rtified copy is hereby furnished. 1 &2-Family,Sq. Ft $ — $ LOCALITY
❑ Multi-family Sq. Ft. — NEAREST'
Certified copy is filed with the county building inspection CROSS ST �-C
department. Residential Swimming Pools OWNER OR . 1
Q' FIRM NAME .!
Date Applicant Outlets'•Re�Light� Sw V ADDRESS C- tV,%/
MAIL
First 20•
CERTIFICATE OF EXEMPTION FROM WORKERS'• Total No Additional CITY C Tel No }
COMPENSATION INSURANCE t1
- PLAN-CHECK ., O
(This.section need not be completed if.the work involved Lighting Fixtures First 20 ADDRESSAPPLICAN
U
by the permit is for one hundred dollars ($100) or less.) Total No.' Additional 0
I certify that in the performance of the work for which this1 HP
CITY . Tel No. U
Fixed Appliances Not Over
permit is issued, I shall not employ any person in any manner PERMIT W
so as to become subject to the Workers' Compensation Laws. Range_ Heater D.W. 'APPLICANT )d-AF1U /L C d
Oven _ Dryer_W.M. ADDRESSQS bG��/1� Z
Top _ FAU _W.H. —
Date Applicant > CITY' �� Tel No.
• Hood _ Fan _Other
NOTICE TO APPLICANT: If, after making this Certificate of Disp. — Room Air Cond._ LICENSE OR
Exemption, `you should become subject to the Workers' REG. NUMBER lass
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, KVAor 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
9 (commencing with Section 7000)of DivisionBY'3 of the Busi- Over 100
ness and Professions Code, and my license is in full force and
effect. Services
0-200 Amp. Under 600 V
License-Number B Lic. Class �-
g �y 201-1000 Amp: Under,600 V
ContractoiL�l�/�ya/ ,z>r Date 1 ^O z` Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION. 'Temp. Power Pole&Appurtenances
I hereby affirm that I am exempt, from .the Contractor's _ Sign with One Branch Circuit
License L•aw for the following reason (Section 7031.5, Busi- Additional Sign Branch,Circuits z 4 7 6 A
ness and Professions Code):
OI Misc.Conduits&Conductors '
I, as owner of the property, will do the work and the Other (See Complete Fee Schedulel— # 0 0 0 0 0 2•-
structure is not intended or offered for sale (Section 2 0'0 [G.2'3 0
7044, Business and Professions Code). - ,
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency ;° ° - 423.0*"*
for the performance of the work for which•tfiis permit is PERMIT FEE (Sub-Total)-
0 702-8'2
issued(Sec.•3097,Civ.C.). � � -
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel
Lender's Address PERMIT ISSUING FEE
t
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 y
ordinances and State laws regulating,Electrical'wiring, and
hereby authorize representatives of this County to enter upon '
the above-menti ned property fo 'nspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
r — 2-- .�5.
ignature qSf ermittee Date