HomeMy Public PortalAbout9560 KENNERLY ST_Electrical__ 76A669_CE606 10-69
APPLICATION FOR ELECTRIC PERMIT 1.
COUNTY OF LOS ANGELES O�- n
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS (O ceI
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
1 TE M OWNER NUMBER EACH FEE MAIL
OUTLETS: $ $ ADDRESS �.
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 - CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
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 N_O. I GROUP I ZONE P CESSED BY
0— 1/2 .25 CD/
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 %
SUPPLEMENTARY PERMIT 50
TOTAL FEE $,�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT A
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRINGS
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL SHOPERTY. R POWER
SIGNATURE UTILITY CO.NOTIFIED✓
OF PERMITT E
FINAL d't
OF VALID ARTHUR C.VEIT,
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
p 'TEMPLE COQ'
'6A666-CE6064-60 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 97560 J4 T1VWERt y
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
PERMIT FEES
OWNER E• t'• /rrMA/y/
1 T E M NUMBER EACH FEE MAIL
OUTLET $ $� D ADDRESS `r✓�60 /fF'i✓NERL y
LIGHTS RECEPT.I SW.!O .10
LIGHTING FIXTURES J( 10 CITY T6MPtL' CST TEL NO 2Blu' 7r7.Z
ELEC. RANGES CLO DRYERS / ELECTRICIAN
A T 11 .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. DISTRIC N N G Z N P D
o — '/2 .25
1/2 - 2 150 IPECTION RECORD
2 5 1.00 �-
5 15 150 O
V.
15 — SO 250 \
50 — 200 Boo O
U
LU
SIGNS: NO TRANS. N
NO. LAMPS
Z
F SERVICE 0.800V 100
SERVICE OVER 600V Boo
MISC.
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ Q
IA HEREBY
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS /y/ DATE INSPECT/OR:B SIGNATURE
WITH SALLTATETHAT CTO COMPLY
OU NTYH ORDINANCES AND E ABOVE IS CORRECT
STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING liwQ -6Ad
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR t�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES /
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPNRTY POWER
SIGNATURE { ,b UTILITY CO NOTIFIED ! .'t 0
OF PERMIT TE FINALA�
VALIDAT N--,, ARTHUR C VEIT,
CK MO CAS
�/, , SUPERVISING ELECTRICAL ENGINEER
U,fl,0 3 5 8 APR 2 2 D 6.9 0 tv
tt
TEMPLE CITY
76A888•CE90010-09 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �S�(]
JOHN A. L.AMBIE. COUNTY ENGINEER
WILLIAM A JENSEN.SUPT OF BUILDING LOCALITY 'D_
FOR APPLICANT TO FILL IN NEAREST
PFJdv= FEES CROSS ST
ITEM NUMBER 1 EACH FEE OWNER
OUTLETS. $ MAIL
ADDRESS
LIGHTS RECEPT SW 10
LIGHTING FIXTURES 10 7 79Z
CITY TEL NO -
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS SO ADDRESS
ELEC SPACE HTRS DISHWASHERS CITY TEL NO
GARBAGE DISPOSERS AUTO- STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P DIST�ICT O GROUP ONE CESSED BY
O— 1/2 25
1/2— 2 50 INSPECTION RECOPJJ
2— 5 100 -�S=GZ / i-
Lf>1 r.c. -/g /-00✓ po&f-
5—
t5— 15 150 V
15— 50 250 !� G
50-200 500 V l
SIGNS NO TRANS
NO LAMPS
SERVICE 0-600V 100
SERVICE OVER 600V Boo
MISC
WIRING PERMIT loo
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 50
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES � �-
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY Q POWER -
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE v� r
FINAL
OF k MO � ARTHUR C VETT
C .
K Mo CASH SUPERVISING ELECTRICAL ENGINEER
7 4 6 OCT 7 2 b 2.0 �,
t .
WORKERS' COMPENSATION DECLARATION 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereE:j affirm that I have a certificate of consent to self CE-806G
insure,,or'n certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec. 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB o
Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS -G76
19 Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITYj_:7"�L+� f�
tion de rim nt. Multi-family Sq. Ft. — NEAREST
q Residential Swimming Pools CROSS ST. 4o L_C>V��0
Date Applica OWNER OR E�'ZL P,77" /�'i�c Q
FIRM NAME l►
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecIq Light 19 Sw. MAIL �^q �/
COMPENSATION INSURANCE Total e///'�� First 20 ADDRESSCI�& C..J ��L
(This section need not be completed if the work involved by Tl No.� CITY �PLvi✓<"�Te1
the permit is for one hundred dollars ($100)or less.) Additional . No.
3�
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
C Tel. No.
Date Applicant Fixed Appliances Not Over 1 HP � 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 O,Mf:)V (Z�,CICt
with comply with such provisions or this permit shall be Top — FAU —W.H. —
deemed revoked. CITY Tel. No.ZSJ_SZO
O Hood Fan _Other_ �—I`�Pt+�
LICENSED CONTRACTORS DECLARATION
Room Air Cond.
LICENSE
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. REG. NUMBER-3&4S Class.Z�� G�
(commencingwith Section 7000 of Division 3 of the Business
) Power Apparatus& Large Appliances DISTRICT NO. OCE SED BY f1'
and Professions Code,and my license is in full force and effect. p 0
-3 Size &Type HP, KW, KVA, or KVAR' , G d U
Lice ber 76��''7 8 Lic. Class G�C0 Up to 1 Incl. FINAL
Con Date 47—O Over 1 To 10 Incl. DATE 7 ?—/j VALIDATION
Over 10 to 50 Incl. FIN / W
❑ I am exempt under Sec. Over 50 to 100 Inc. B (l'
Over 100 N
B.&P.C. for this reason Z
Date: Services, Swbd., MCC& Panelboards o
0 - 200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V
SINGLE FAMILY Temp. Power Pole &Appurtenances
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
Law for the following reason (Section 7031.5, Business and
Professions Code):
❑ I, as owner of the property, will do the work andthe Misc. Conduits & Conductors
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ►
7044, Business and Professions Code). 5 3 4 A
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for #'o 0 o a,o 2
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.). .1 o,- 39.50
PLAN CHECKING FEE
Lender's Name o,o - 3 9.5 0 5
PERMIT ISSUING FEE a
Lender's Address —3 � Q Q C)8+8 b
I certify that I have read this application and state that the TOTAL FEE b
above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
thorize repres nta o is County to enter upon
the above-m nt 'ioned p o erty foi spe oses.
c14 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permit ee Date i
„
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1103160004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS: I
ITR: 13620 LT: 24 BL: .001 9560 KENNERLY ST
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803837
ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET:
18590-014-012 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 25.00 OUT 45.70 1 I
(TENANT: IIA N-RES EX FANS LT 3HP 1.00 EX 15.40 (ISSUED ON: PROCESSED BY: PLAN BY: -
TOTAL FEES 88.90 103/16/11 SR
I I I I
(OWNER: TEL. NO: I I NAL TE - FIN CODE:
IPITTMAN, RICHARD (909) 643-3430- 1
19560 KENNERLY ST
ITEMP 917803837 1 116ESCRI16TIOft 4F WORK - 1
IRE-WIRE 25 RECEPTACLES LOCAT ONS (1) BATH FAN 1
1APPLICANT: TEL. NO: 1 I
ICOLEMAN ELECTRIC (626) 665-9017-
15042 CLAMVIEW AVE. I ISPECIAL CONDITIONS: 1
IBALDWIN PARK 1
CONTRACTOR: TEL. NO:
1APPROVALS DATE INSPECTOR SIGNATURE
ICOLEMAN ELECTRIC (626) 665-9017- 1
15042 CALMVIEW AVE LIC. NO ITEMPORARY POWER POLE
IBALDWIN PARK CA 91706 819050 C10 I1
1UNDERGROUND CONDUIT 1 1
(ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND 1 ( 1
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I LIC. NO: IROUGH CONDUIT
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1 IROUGH WIRING i
1 I I I I I
1 1 IMAIN WATER LINE 1
1 IPLASTIC YIN METAL YIN
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1 1UTILITY COMPANY NOTIFIEDI
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1 I I I I I
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1 I I I I I
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1 1 I I I I
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IREPORT ID: DPR265 ROUTE TO: BS0508
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