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Home My Public Portal About6304 SALTER AVE_Electrical__ 76A¢6SfCEBQ6 r1��0 APPLICATION FOR ELECTRICAL PERMIT LI •COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT $ S MAIL , LIGHT TOTAL FIRST 20 �� 25 �" ADDRESS SWITCF a OVER 20 c5 10 70 CITY TEL. NO. PLAN CHECK LIGHTING FIRST 20 25 �- APPLICANT TOTAL OVER 20 ADDRESS FIXTURES 10 APPLIANCES CITY TEL. N0, PERMIT ��ss�� RANGE DRYER_WTR. HTR. APPLICANT eo- STA. COOK DISP.jZF.A.U.k-/ ADDRESS SPACE HTR. AI R COND.- CITY CLOTHES WASH. DISHWASHJ LICENSE NO. s sQ TEL. N0.��p Cr/ Z FANILOTHER s 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO �- 1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C. 0 10 - 50 5.00 SIGNATURE U OF PERMITTEE 50 - 100 10.00 0 DISTRICTNO. CLASS PROC SED BY 100 - SDD 15.00 ;p ° Q / 7 ✓I SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: N Z TUBE, OR - MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOT OVER 600 VOLTS OR 200 AMP 3.00 3 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMPSERVICE,POLE,&APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING r FIXTURES � PERMIT FEE (SUB TOTAL) POWE 9f 7.3 UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL 3 PERMIT ISSUING FEE 3.00 ND JOSEP14 C. ROOHAN TOTAL FEE e -4 SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH 1 7 3 73 tvuly-17 2 D 2 6.4 5 N SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76.0663-6E•806 y70 APPLICATION f6R ELECTeCAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FAUDDRE G BUILDING AND SAFETY DIVISION S COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING Y CAW T FOR APPLICANT TO FILL IN 7 ST. OUTLETS N0. EACHFEE $ S OWNER RECEPT._ MAI L LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. NO. SWITCH_ OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 .25 APPLICANT ' FIXTURES OVER 20 •10 ADDRESS APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT e& STA. COOK DISP. F.A.U. ADDRESS E SPACE HTR, 9 i AIR COND. CITY . gt) TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.0-16 FAN-"'--OTHER 1.00 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT [ AM THE LEGAL OWNER OF, AND INTEND TO >- 1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O SIGNATURE U 10 - 50 5.00 OF PERMITTEE a, 50 - 100 10.00 DISTRICTNO. CLASS PROCESSED BY 100 - 500 15.00 Cl- SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: h Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER600 VOLTSOR 200AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURE% POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE y FINAL PERMIT ISSUING FEE 3.00 JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK.1 M.0. CASH - PERMIT VALIDATION CK. M.O. CAS v I of 2 5 8 3 ACID 3 2 D 7,0 0 A c" SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE80611-71 APPLICATION ZkELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY' �L � p NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE $ $ OWNER RECEPT._ MAIL 6 d (r LIGHT TOTAL FIRST 20 29 ADDRESS a SWITCH OVER 20 .10 CITY TEL. NOLZ{ SV1 77 PLAN CHECK LIGHTING TOTAL FIRST 20 .25 APPLICANT OVER 20 ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. �� CLOTHES WASH. DISHWASH. LICENSE NO. �� d l CLASSjO FAN OTHER 1.00 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED- BY LOS ANGELES COUNTY AND STATE OF } v CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 0 1 - 1 O 9.00 RESIDE IN, ROVE DESCR�I QED j E ,�NT'IALPROOPERTY. SIGNATURE 10 - 50 5.00 OF PERMIT �F: O 5o - 100 1000 G DISTRICT NO. CLASSZO PROC SEED Y 100 — Soo 1&00 6;p ` h SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 SERVICE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES j 5.00 Q TEMP LIGHT OR RECEPT. SYSTEM .3.001 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED 71 PLAN CHECK FEE FINAL `J PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.0. CASH PER Al VALIDATION OCKM.O. CASH 9 5 0'773 MA 1 2 D 8.00 M SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE I WORKERS'COMPENSATIONDECLARATION CE-806G (2-BO) APPLICATION FOR ELECTRICAL PERMIT CE-806 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES 'S 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 ADDRESS 6304 N. SALTS R AVENUE Policy big! 846470�mpany INA . New Residential Bldgs.&Pools EACH NO.. FEE Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY TEMPLE CITY Certified copy is filed with the count building p Multi-family Sq. Ft. NEAREST p y gins inspection CROSS ST ® department. Residential Swimming•Pools OWNER OR 1-6-82 Applicant KINNEY AIR CONDITION . FIRM NAME VINCE PETRALIA Date pP Outlets: Rec—Light Sw. MAI L First 20 ADDRESS 6304 N. SALTER AVENUE. CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY TEMPLE CITY Tel No. 286-1347 } COMPENSATION INSURANCE PLAN CHECK a (This section need not be completed if the work involved APPLICANT U by the permit is for ore hundred dollars ($100) or less.). Lighting Fixtures First 20 ADDRESSAdditional Total No. I certify that in the performance of the work for which thisFixed Appliances Not Over 1 HP CITY Tel No. 0 permit is issued, I shall not employ any person in any manner PERMIT KINNEY AIR CONDITIONING w so as to become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT o. N Oven _ Dryer._W.M._ ADDRESS Date SO. ANAHEIM BLVD. Z TOP ._ FAU _W.H.._ Date Applicant ANAHEIM 92805 Hood _ Fan _Other— CITY � ToIN°t 14-772-1.441 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 159699 Class C720 8 SC-44 Compensation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. • PROC SED B1F- with comply with such provisions, or this permit shall be Size&Type HP,KW,KVA,or KVAR deemed revoked. 1 1/2 — O Up to 1 Incl. FINAL + Over 1 to 10 Incl. DATE VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. -—Z �� I hereby affirm that I am licensed under provisions of Chapter i Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 mess and Professions.Code, and my license is in full force and :effect. Services ` 'License Number 158688 Li..Class C-20 8 SC-44 0-200 Amp.Under 600 V t 201-1000 Amp.Under 600V 'Contractor KINNEY AIR CO%.e 1-6-82 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 Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section ° ° ° ° e: 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 2 o c 1 1.59 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). PERMIT FEE (Sub-Total) 3 00 ' Lender's Name PLAN CHECKING FEE (One-Fourth Permit,Fee) C Lender's Address PERMIT ISSUING FEE 8 O I certify that I have read this application and state that the TOTAL FEE 11 50 ' 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 p ope ty for inspection purposes. ti SEE.REVERSE FOR EXPLANATORY LANGUAGE * d 1-6-82 • Signature of Permittee to r