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Home My Public Portal About9460 KENNERLY ST_Electrical__ s COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER ELECTRIC � DIVISION OF BUILDING IS SAFETY WILLIAM 1. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN ADDRESS Gd z5 L/� /��/ I RECEIVED B READY FOR DAT ISSUED T/ FIRST INSPECTION / �� CITY LZ- C T TEL. NO. !!- COUNTY LICENSE NO. I EXPIRES SUILDIN � /D I(/d ,1vT",.7,//J PERMIT FM ADDRESS (9 dam/ 6 SEI NUMBER EACH FEE LOCALITY ;;re C_ � LIGHT OUTLETS NEAREST (` LCA RECEPTACLES WALL SWITCHES v OWNER y.. t. .`�--- TOTAL OUTLETS Sc $ 26 MAIL d� ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 .ar"• Go' FIXTURES ` 5 CITY v' ?.24 r' �' t/=l- TEL. NO. A.V-r(� E MISC. I HEREBY ACKNOWLEDG !THAT t HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS 'k AND AGREE TO COMPLY-WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUIT AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS t CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE. ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVO. HP OVER INC. EACH OF THE RESIDENTIAL P ERTY DES RIBED ABOV 1/2 BLESS $ .25 SIGNATURE OF +/2 2 .50 - PERMITTE 2 s 1.00 ECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 200 500 10.00-4 J 500 1000 15.00 Q Z OVER1000 20.00 M.G., SET/FREQ. CHANGER-HP WELDERS: AC-KVA 0 GENERATORS -KW TRANSFORMERS-KVA TEMP.. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS t�s[T NO. NO. TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING .$1.00 lor CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES f �® POWER TOTAL FEE $ L dUTILITY CO. NOTIFIED FINAL 76A SSS DBS# SA. 4-52 t_.R.B.S.SA 25M SETS 10-47I APPLICATION FOR PE. 'r I DEPARTMENT OF BUILDING ANDS a i COUNTY OF LOS ANGELES ELECTp'lc WM.,J. FOX C IEF E WEER DISTRICT NO. GROUP- ZONE PERMIT NO. NAME r:� p9.��'r2 Gam. d�� L' J y_ ,1 / U ADDRESSIf TEL.RO. RECEIVED READY FOR BATE ISSUED FIRST INSPECTION J COUNTY . w CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ESCIa� PITON OF WOE JAODB IDDRESS �� Lx,,,,wAnA NUMBER OF OUTLETS ON CIRCUITS LOCALITY eL_, r2,2.& LOCATION BY ROOMS NEAREST LIGHT OUTLETS 9w. PLUGS FI1eT CRO:aS ST. CIRCUIT A B C D E: F Jr. H 0.0 NAME MAIL ADDRESS 1 CITY 'SEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COU14TY CERTIF ATG OF QUALIFICATnCI.. - �� ELECTMCOAN. I Ata THE LEGAL OYMER OF THE PROPERTY DESCRIBED A130VE ORI-ECT1101'15 — � J d 9 � � 9 TOTAL21 NO. OF OUTLETS — — a APPROVALS NO. OF FIXTURES � $ � 1 DATE INSPECTOR'S NAME NO. OF MOTORS H.F. ! $ CONDUIT . NO. OF SIGNS TRANS. w 4i'IRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ l POWER PERMIT FEE t_d $ �/r, UTILITYCO.NOTIFIED TOTAL FEE 0a v� FINAL V _;y `._- `.�7C:>"�?s.2�t,•�..� WORKERS'COMPENSATIONDECLARATION CE-806G (2-80) APPLICATION FORE CTRICAL 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.) FOR APPLICANT TO FILL IN ,JOB �� N Policy No. Company rACNO. FEE ADDRESS G New Residential Bldgs.&Pools Certified 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 , �� t,a.c Residential Swimming.Pools _ department. OWNER OR / S �� r jj FIRM NAME pA Al�it1 Date Applicant Outlets: Rec.J9 Light3 Sw:& 64 AIL 7X �/ (,f��./js! First 20 ADDRESS T�L} /K�•l/! 7 `� CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY 'T& Tel No. '� ? COMPENSATION INSURANCE PLAN CHECK d PPLICANT "0 (This section need not be completed if the work involved Lighting Fixtures First 20 If ADDRESS by the permit is for one hundred dollars (SI00) or less.) 3 Additional Total No. I certify that in the performance of the work for hich this Fixed Appliances Not Over 1 HP CITY Tel No. permit is issued, I shall not employ an per n in y manner PERMIT W so as to become subject to the Wor s' mpe s tion Laws. Range_ Heater—P.W. _ APPLICANT 0- Oven Oven _ Dryer_W.M. ADDRESSN Date L Z F12-Applicant Top _ FAU _W.H.,_ Z Hood _ Fan —Other_ CITYel No. NOTICE TO APPLICANT: If, after making this er ficate of Disp. _ Room Air Cond.— Exemption, you should become subject to t Workers' REG. NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PR SS Y _ with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR b\+/ Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE a 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 Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in full force and effect. Services License Number Lic.Class 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V U Contractor Date 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 .2 A Licen Law for the following reason (Section 7031.5, Busi- ,� t Additional Sign Branch Circuits ness nd Professions Code): c o 0 0 0 Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— 2 0 0 1 .6.9 C structure is not intended or offered for sale (Section 7044, Business and Professions Code). c 0 C C CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agencyrR G L2 for the performance of the work for which this permit is •Q 2 PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). I Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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 her/aby" ori rep esentatives of this County to enter upon theen ioned roperty for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE �_7 , z e Mgnature of Per ittee Date 1��