HomeMy Public PortalAbout9455 KENNERLY ST_Electrical__ COUNTYOF LOS ANGELES APPLICATION FOR PERMIT
• DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
DIVISION OF BUELDING & SAFETY
WILLIAM I. FOR, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP /ZION JE /PERMIT
/NO.
ELECTRICIAN ''1 —/ / [9
ADDRESS - RECEIVED BY READY FOR DATE ISSUED
' AflFIRST INSPECTION
L`
CITY TE . O. - S
COUNTY LICENCE NO. EXPIRES BUILDING
PERMFEES ADDRESS
NUMBER EACH FEE LOCALITY '
LIGHT OUTLETS NEAREST
RECEPTACLES ROBS ST. !� V
74
WALL SWITCHES
. �� r
'TOTAL OUTLETS Sc $ � 1/ OWNER
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 23
FIXTURES 5 CITY -TEL. NO:
MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
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 HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
�/z a LESS $ .25
- SIGNATURE OFc
I/z 2 .50 PERMITTE
2 s 1.00 INSPECTION RECORD
5 15 1.50 AA
15 so 2.5050 200 200 5.00 r
200 500 f 0.00 .J
Soo 1000 15.00 — Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERSI AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 Ej CONDUIT ,/,•
FIXTURES $1.00 WIRING a
SUPPLEMENTARY .50 FIXTURES
POWER p
TOTAL FEE $ I UTILITY CO. NOTIFIED
FINAL
Ili=%(� $�+ �LY
76A 888 090 SA. 4-52
\ I t
76A663-CE606 3-69
APPLICATION FOR ELECTRI IIINPMlill�ol2Z
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS e
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING", LOCALITY
FOR APPLICANT TO FILL IN / NEAREST CROSS ST. :/
NO. EACH' FEE _
$ $ OWNERCs•
RECEIPT._ MAIL .i
isl
?IIGHT TOTAL FIRST 20 .20 ADDRESSWITCH OVER 20 .10 -CITY TEL.
PLAN CHECK
f LIGHTING TOTAL FIRST 20 ,2p APPLICANT
ADDRESS
FIXTURES OVER 20 .10
RANGE_DRYER , WTR. HTR. CITY TEL.NO.
I
STA. COOK_DISP. F.A.U. CONTRACTOR �� I
SPACE HTR. AIR COND. X _ ADDRESS
CLOTHES WASH.DISHWASH.,,k' CITY TEL.N0. f1
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 15 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 I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
10 - 50 5.00 (J
SIGNATURE � �
50 - 100 10A0 OF PERMITTEE O
100 - 500 15.00 Di:�r NO. UPPR s BY YV
1 W
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 ��� Z
TUBE, OR
MARQUEE -ADDITIONAL CIRCUITS 1.00 NOTES'
SERVICE NOT OVER 600 VOLTS OR 200 AMdl 2.00 �V
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
ol
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK ,V.AL10ATION CK'. M.0. CASH PERMIT-VALIDATION CK. M.0.
3 oN 2 2 _D a.0 ON :/)
SEE BACK OF APPLICATION FOR COMPLETE FEE.SCHEOULF (/ w //
y '
76A663 CE-806,(6/78) APPLICATION_ FOR ELECTRICAL. PERMIT' -
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs &Pools EACH• NO FEE ADDRESLOCALITY.
1 &2-Family,Sq Ft. $ 025 — $
Multi-family Sq"Ft. 02 — NEAREST `
Residential'Swimming Pools 25 00 CROSS ST. Z ,zG
g OWNER OR
FIRM NAME
Outlets Rec , Light]LSw L MAIL
First 20 50 ADDRESS
Total No30 CI Additional
Tel
PLAN CHECK
APPLICANT
Lighting Fixtures Fust 20 50 ADDRESS
_.
Total No Additional 30- CITY Tel No
Fixed Appliances Not Over 1 HP, PERMIT
APPLICANT
Range_Heater= D W. _,
Oven_Dryer=W M— ADDRES
Top —FAU — W H ; CITE Tel No.
Hood_Fon —Other LICENSE OR
Disp —Roo
m Air Cond 2 50 REG NUMBER Class
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances , TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Size&Type HP, KW,KVA,or
2 50 REGULATING ELECTRICAL WIRING
Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl.
12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 50 to 100 Inc
25.00 DESCRIB SIDENTIALPROPERTY' 0
Over 100 40.00 PERMITEE _
SIGNATU
Services _ DISTRICT NO PROCESSE Y
0- 200 Amp Under 600 V 12 50 P��oe
201-1000 Amp Under 600 V 25.00 J
Over 1000 Amp or Over 600 V 50 00 Z ,
O
Temp Power Pole'&Appurtenances 1000 Q
Sign with One Branch Circuit .1000
Additional Sign Branch Circuits 2 00 INSPECTION `> 1 428A
INFORMATION
Misc Conduits&Conductors 1000 ON z # o o o'o o 2
Other(See Complete Fee Schedule) SIDE u
z 03,200
00 . 32006
PERMIT FEE (Sub-Total) 1,20r-78
Z
PLAN CHECKING FEE (One-Fourth Permit Fee) O
PERMIT ISSUING FEE $7-00
J
TOTAL FEE �-- >
• r
,INSPECTION FINA c Q�( 74hJ W
date
D.B.S.SA 2SM SETS 10-47 I MPLI '/1�IY�t N FOR 4DQ�1,{��IIT
-DEPARTMENTCOUN OF F LOSING AND SAFETY
1�lrEC��AALIIJJLLESSYYClIYYTllllll llCCIaa��11C1Y+��i+++ii
• COUNTY OF LOS �tNGEI.ES
CH19F ENGINEER
z DISTRICT NO. GROUP ZONE PERMIT NO.
Q NAME �Iif�f _ • / �J
U ADDRSSS /-O
/J RECEIVED/BY (READY FOR DATE ISSUED
U CITY AZO, ��irlJ� TEL.NO. `t ( FIRST INSPECTION ry
CERT.NOCOUNTY . EXPI€IES ✓
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORD ADDRESS � �GJ
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW. PLUGS Foil CROSS'ST.
CIRCUIT ATB C D I E F G H I X NAME
Z MAIL
GAr ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THEE"ABOVE
LOS
'ANG9I Ra COUNTY CERTIF A�q4ALIFI/
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY-DESCRIBED
ABOVE
p���
OWNER.
CORRECTIONS
..1
Q
Z
1 IY
TOTA4,
NO. OF OUTLETS V $ APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
s
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING -� b
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS •POWER
PERMIT FEE UTILITY CO.NOTIFIED
TOTALE i
76A663 CE-606(6/78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES _ BUILDING AND SAFETY
FOR APPLICANT TO FILL IN•. IOB
ADDRESS �, / L
New-Residential Bldgs &Pools ' EACH NO FEE . l
1 &2-.Family,Sq Ft. $ 025 — $ LOCALITY
Mulfi'familySq Ft- . 02 — NEAREST - -
Residential SwimmingPool25.00 CROSS STG�
s OWNER OR
FIRM NAME
Outlets Recight_7__Sw ✓. MAIL
First 20 50 Q ADDRESS
Total No a7la Additional 30 CITY 7 Tel N
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 50 ADDRESS
Additional .30
Total No CITY Tei No
Fixed Appliances Not Over 1 HP PERMIT
APPLICANT -
Range_Heater_D W
Oven_Dryer_W.M— ADDRESS -
Top _FAU — W H CITY Tel No
Hood_Fan4-Other_ LICENSE OR
Disp _Room Air Cond 2 50 REG NUMBER ?j Class
I HEREBY ACKNO EDGE THAT I HAVE READ THIS APPL CA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&T e HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
yp 2 50 REGULATING ELECTRICAL WIRING.
Up to 1 Incl ,HEREBY CERTIFY-THAT I AMPROPERLY-REGISTE RED AND/OR
Over 1 to 10 Incl 500 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF v
Over 10 to-50 Incl 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE vg
Over 50 to 100 Inc
25.00 DESCRIBED RESIDE AL PROPERTY
Over 100 40 00 PERMITEE
SIGNATURCY J
Services DISTRICT NO. - JPROEESSED BY
0- 200 Amp•Under 600 V 12 50
201-1000 Amp Under 600 V 2500 k6tj Q �'
Over 1000 Amp or Over 600 V• 5000 Z
.O
1000
Temp Power Pole&AppurtenancesQ 4 5,318 A
Sign-w 10.00
'With One Branch Circuit -
Additional Sign Branch Circuits 2 00 INSPECTION > # 0 0 0 0 0 2
INFORMATION-. v
Misc Conduits&Conductors 10.00 ON REVERSE s p 1 9.50
Other(See Complete Fee Schedule) SIDE U 'o 0 0 9.5 0 U
0-5,23'-79
PERMIT FEE (Sub-Total)
Z
PLAN CHECKING FEE (One-Fourth Permit Fee) O
PERMIT ISSUING FEE $7.00 -7 Gfl c
J
TOTAL FEE 9. >
INSPECTION FINALED W
date,/ �� By �G'C7 /'J�_ d Qs
WORKERS' COMPEI�TSXTION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT
khereby affirm that I have a certificate of consent to self CE-8066
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY Iuf
or a certified copy thereof (Sec. 3800, Lab C )
Policy No. Company FOR APPLICANT TO FILL IN JOB �r
Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS _
Certified copy is filed with.the county building mspec- 1 & 2-Family, Sq. Ft. $ _ $ LOCALITY
NEARE
tion department. Multi-family Sq..Ft. CROSS ST
Residential Swimming Pools
OWNER OR
._ Appl
FIRM NAME
Date icant
CERTIFICATE OF EXEMP N FROM WORKERS' Outlets: Rec�Light�Sw._Z MAIL
COMPENSATI INSURANCE ADDRESS
First 20
(This section need not be completed,if the work involved by Total No. Aq 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 is issued, I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. Additional CITY Tel. No.
Date Applicant Fixed Appliances Not Over 1 HIP PERMIT .�
NOTICE TO APPLICANT: If, after making this Certificate 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: CITY may— Tel. No. y
deemed revoked. - C
Hood — Fan —Other—
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I 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 PROCESS CL
and Professions Code,and my license-is in full force and effect Power Apparatus& Large A, or k AR 10
j� Size &Type HP, KW, KVA, or ICVAR �� v v U
License Number eAV ge Lic. Class Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE— 4� O
Contractor`).& i LJC= Date VALID ION
Over 10 to 50 Incl. FINA
W
I am exempt under Sec. Over 50 to 100 Inc BY d.
Over 100
B&P.C. for this reason Z
Date: Services, Swbd., MCC & Panelboards
0 -200 Amp Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Over 1000 Amp or Over 600 V �;4 0 Q 2 A
Exemption for Reg Maint Elect
SINGLE FAMILY Temp Power Pole&Appurtenances o 0 0 a 0 2
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 )'° ° 2 2 5
Law for the following reason (Section 7031.5; Business and i
Professions Code
Misc. Conduits 8 Conductors 0 0 0 213 2 5 5;
I, as owner of the property, will do the work and the
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ o,2.1,2 =8 6,
7044, Business 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 PERMIT FEE (Sub-Total)
(Sec 3097, Civ C )
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE 1 U
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 and State laws regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
the above-mentioned property for inspection purposes /4/y` SEE REVERSE FOR EXPLANATORY LANGUAGE
na ure of Permittee Dpfe