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Home My Public Portal About9527 KENNERLY ST_Electrical__ 76A663-CE806 9-64 APPLICAMN FOR ELECTRICZPERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING e� d��w.��t1 BUILDING AND SAFETY DIVISION ADDRESS 0` !Y JOHN A LAMBIE. COUNTY ENGINEERIL COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY C MMMMJ NEAREST FOR APPLICANT TO FILL IN cRoss ST e RECEPT TOTAL FIRST ZO NO EACH / OWNER [�' �� } L t� I`'! b G MAIL LIGHT 1/ AD) L e ADDRESS SWITCH �{ 6 LIGHTING TOTAL + FIRST ZO 20 CITY �d TEL NOCcS FIXTURES }_ ADD'L ELECTRICIAN '+ OV R ZO 10 RANGES CLO DRYERS WTR HTRS 1 OO ADDRESS GARB DISP / STA COOK CITY TEL NO DISHWASHI AUTO-WASH STATE SPACE HTRS( STA APP (l/.H P MAX ) 50 LICENSE NOlv— MOTORS 'OVER NOT OVER HP DISTRLCT GRO O 1 1 00 `� ZONE ESSED By f J 1 s 150 Q� �p ,�pI�NSPECTION RECORD n , ,� s 8 200 (�dQP "�s �ppp� aa �> O 8 15 250 _ IAT S, ¢,.y 1> 15 50 300 50 100 500 -- O SIGNS NO TRANS Lu NO LAMPS V N ' Z SERVICE 0.600V-NOT OVER 200A 1 00 SERVICE 0-60OV-OVER 200 A 200 SERVICE OVER 600V 500 MISC PERMIT ISSUING FEE 200 SUPPLEMENTA13Y PERMIT ISSUING FEE 1100 _ TOTAL FEE 1 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LICATIO'N� APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 4 / A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRINGA HEREBY CERTIFY CERTIFY THAT I AM ROPERLY REGISTERED ANO/OR FIXTURES LICENSEDAS REQUIRED BY LOS A GELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM T L GAL W ��jjR OF, AND INTEND TO RESIDE IN, THE A OVE DES RI D ID �L PROPERTY POWER /� a SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL p CC_K MO IION JOSEPH ROOHAN MO CASH SUPERVISING ING ELECTRICAL ENGINER 9 LUc -55 :56-0 S_P14 2 D 12.50— zs WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT I heret y affirm that I have a certificate of consent to self insure, or'a certificate of 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) Policy No Company FOR APPLICANT TO FILL IN JOB - - - ADDRESS GO— 7 El . Certified copy is`hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY�9 /� ETI &2-Family,Sq Ft $ $ / Certified copy is filed with the county building inspection, - NEAREST department - Multi-family Sq Ft CROSS ST Date` rn" Applicant ^ Residential Swimming Pools ASSESSOR ,Cy MAP BOOK PAGE PARCEL(/ CERTIFICATE OF EXEMPTION•FROM WORKERS' ^r ��j � r� Outlets Re Li ht„7 / Sw G OWNER OR COMPENSATION INSURANCE g c.a-QIP d 0 � FIP,M NAME 's • f'°i: ., - First 20 MAIL (Thissection need not be completed if the work Involved by the permit is for one h`und�ed dollars($100)or less) - Total No Additional •.Z O.ADDRESS _ I certify that in the'perfor'marice of the work for which this permit CITY C" Tel No is issued, I shall not employ any person'in any manner so a to / Q� �, become sub tato t e Workers; m s ion La tLightingFixtures First 20 I PLAN CHECK LIP J p APPLICANT R „ Total No 'OrC Additional ADDRESS Date Ap RESIDENTIAL APPLIANCES NOT OVER 3 HP NO E TO AP LICANT after making as ertificate of CITY Tel No Ex pion, you should 5become subject to the W rk s' Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the,Labor Code, you must forthwith comply with such PERMIT provisions or this permit°shall be deemed revoked Power Apparatus&Large Appliances APPLICANT ' 'LICENSED CONTRACTORS DECLARATION Size&Type,HP,KW,KVA,or KVAR p ADDRESS I hereby"affirm'thaf I am licensed under provisions of�Chapter 9 /� O Over 3 to 10 Incl �a (commencing with Section 7000) of Division 3 of the Business and /4`�J-- CITY Tel No Professions Code,and my license Is in full force and effect Over 10 to 50 Incl Over 50 to 100 Incl LICENSE OR Class REG NUMBER Q. License Number Lic Class OVer 100 DISTRICT NO P O ESSED BY 0 h� V Serviges,Swbd/MCC&Panelb ids Z 06 L' � 00 V FINAL - i O Contractor J Date - - _ DATE V 400-1000 Amp Under❑ 600_V I am exempt under Sec Over 1000 Amp or Over 600 V FINAL J VALIDATION W B&P C for this reason BRANCH CIRCUIT FEES BY Date -15A,or 20A, 120V,Lighting or Recept Z 1 To 10 Branch Circuits — Signature 11 To 40 Branch Circuits El41 Or More Branch Circuits Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits y SINGLE FAMILY Temp Power Pole&Appurtenances '-- T 1L HOME OWNER-BUILDER DECLARATION -. Ac °T I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit _ ,__ �;8t'I°t+C for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits �ntJJiitt Code) — — --- — — —_ 1 ITEMS, - �I,as owner of the property will do the work and the structure Misc Conduits&Conductors Tq1 ,�. '835 s not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TIS AL '=bad-s°`�t and Professions Code) -- _ - i:HECK "380°4_ CONSTRUCTION LENDING AGENCY CHANGE I hereby affirm that there is a construction lending agency for the performance of,the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) Civ C �I r`4ti 4L � -PLAN CHECKING FEE c Y s��C1—t�C�f^f1 y y-�— Lender's Name - j` oqL 1 y" ° PERMIT ISSUING FEE t17 Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE VA,'g ` that the above information is correct ,I agree to comply with all County 0 L) ordinances and State laws regulating Electrical wiring,and hereby authorize represen Ives of this Coytoenupon t eabove-mentioned property for s ction perp s SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF Pe7EE DAT �' � ' • WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 APPLICATIOiV "FOR ELECTRICAL PERMIT L1 r - � I hereby atfirm that.l have a certificate of consent to self insure, or a•certificate of Worker's Compensation Insurance, or a certified ' COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV copy theredf(Sec 3800 Lab C) Policy No Company FOR APPLICANT TO FILL IN JOB r-. - ADDRESS ❑ Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE li , , :.I, 'i $ $ LOCALITY Certified co is filed wlth,the county building inspection 1&2-Family,Scl Ft PY tY 9 P NEAREST department, MuIU-familyScl-Ft CROSS ST DateApplicarit Residential Swimming Pools ASSESSOR Q ~ MAP,BOOK / -�PAGEQ/,31PARCELO 244 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec _Light Sw FIRM OWN NAME , COMPENSATION INSURANCE - ' 'l h -;,+'_a. a• , � First 20 (This section need not be completed If the,work Involved by the MAIL ' MAIL �' Total No Additional ADDRESS permit is for one hundred dollars($100)or less) I certify that in the performance of the work'for which this permit CI _ Tel No is issued, I shall not employ`ariy person in any manr er so to PLAN CHECK JV become sub ect to a Wo'rkers'•Compe s ion Law Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Ap is RESIDENTIAL APPLIANCES NOT OVER 3 HP NO-FIVE E T,O APPLICANT IT, after making t s ertificate of CITY Tel No Exemption,you should become subfect to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP rovisions of the Labor,Code, ou must forthwith coin with such PERMIT P Y- P y Power Apparatus&Large Appliances APPLICANT provisions or this permit shall be deemed revoked "t^'s LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am-licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code, and my license is in full force and effect Over 10 to 50 Incl ' Over 50 t0 100 Ind LICENSE Class } , REG NUMBER ttl Over 100 DISTRICT NO P SED BY 0 License Number Lic Class � V u � J Services,Swbd,MCC&Panelboards Contractor Date 0-399 Amp Under 600FINAL V DATE 0 ❑ I am exempt under Sec 400-1000 Amp Under Edo V / .2 l H Over 1000 Amp or Over 600 V FINAL VALIDATION a B&P C for this reason BRANCH CIRCUIT FEES ev � Date 15A,or 20A, 120V,Lighting or-Recept Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances }}-- ff , HOME OWNER-BUILDER DECLARATION s'e I hereby affirm that I am exempt from the Contractor's Llcense�Law Sign with One Branch Circuit t-fr-i• for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits i; I Code) JUti TT,e El 1, as owner of the property,will do the work and the structure Misc Conduits&Conductors ITEMS t= is not intended or offered for sale (Section 7044; Business Other(See Complete Fee Schedule) ® TOTAL 65 - 70 `and Professions Code) CHKK CONSTRUCTION LENDING AGENCY (t��+t I hereby affirm that there is a construction lending agency for the �ry �)i-f4413 of i performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) v Civ C) PLAN CHECKING FEE � _� 6/25/9 Lender's Name _ _ PERMIT ISSUING FEE U'fci Lender's Address 1 certify that I have read this application and under penalty of purlury state TOTAL FEE that the above information is correct I agree to comply with all County ordinances and State laws regulating Elect al wiring,and hereby authorize representatives of this County to enteron the ove-mentioned property - for i e on piyrpo SEE REVERSE FOR EXPLANATORY LANGUAGE NATURE OF E "E '