HomeMy Public PortalAbout9020 PENTLAND ST_Electrical__ 76A6 Des SA 35M SETS tt-w I APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
t' ,1 WILLIAM J FOX, CHIEF ENGINEER
.. DISTRICT NO. OROLIP ZONE PERMIT NO
FOR APPLICANT TO FILL IN
ELECTRICIAN
RECEIVED BY READY FOR /DATE ISSUED
FIRST INSPECTION /
CITY ADDRESS TEL NO o
BUILDING
LICENSE NO D EXPIRES ADDRESS
DESCRIPTION OF WORK
NUMBER OUTLETS EACH FEES LOCALITY
CROSS
LIGHTS Sc H STREET ro
RECEPTACLES s O
FIXTURES 5 OWNE
Q WALL SWITCHES 5 MAIL
ADDRESS
EL EC RANGES 25
ELEC HEATERS 25 CITY TEL NO
MI C 1 CERTIFY THAT I POSSESS TH ABOVE VALID LOS
NUMBER OF CIRCUITS INSTALLED ANGELES COUNTY LICE
LIGHTS RECEPTACLES /
MOTORS
ELECTRICIAN
NOMeeR HORSEPOWER FEE
NEw Mw HPI avcw Vlc EACH
I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
I/E LEee S 25 ERTY DESCRIBED ABOVE
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100 WHER
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so 200 Boo
200 SOO 10 00
sC1O l D00 t s DO J
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OVER 1000 20 00 _Z
M3 SET/FRED CHANGER-HP
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA )
TEMP MOTORS (75% Of ORIO)
MOVED MOTORS (75% of ORIG)
MISC
BIONS
TYPE NOTRANS
TYPE NO LAMPS APPROVALS
PERMIT FEE DATE INSPECTOR'S NAME
FOR ISSUING PERMIT CONDUIT / e
WITHOUT FIXTURES $100 WIRING �'�t
WITH FIXTURES 1 23 60 ES
SUPPLEMENTARY
SUPPLEMENTARY s0
POWER
TOTAL FEE H / V UTILITY CO NOTIFIED
FINAL
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O75A663-CE806 468 APPLICATION FOI ELECTRICA ERMIT ,
COUNTY OF LOS ANGELES - _
DEPARTMENT OF COUNTY ENGINEER BUILDING "
BUILDING AND SAFETY DIVISION ADDR E55 O �A
JOHN A LAMBIE COUNTY ENGINEER A '
COLEMAN JENKINS, SUPKRINTIENDeNT or BUILDING LOCALITY e /
FFORPPLICANT TO FILL IN NEARESTCROSS ST N C FS OWNERMAIL 5 FIRST20 20 ADDRESS,OVER 20 10 CITY TEL NOPLAN CHECK
FIRST 20 20APPLICANT
OVER 20 10 ADDRESSRANGE
RANGE—';
HTR CITY TEL NO '
STA COOK_DISP FA U _ h, C014TRACTOR AurD
SPACE HTR' A OD RE 55 L O' ^AIR COND /J / O c'�
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CLOTHES WASH _DISHWASH CITY C EL NO l ,S_04
FAN_OTHER 1 00 ' LICENSE NO CLASS C-IQ
MOTORS TRANSFORMERS RATING '
IND -HEATERS ETC HP KW KVA IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE G TYPE OVER TO AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL W IR IND
0 - 1 1 00
- I I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 10 H OD Ftp LICENSED AS REpUIR D BY L05 AN0ELE5' OUNTY AMO STATE OF
CALIFORNIA OR THA 1/TI L AL R OF AND INTEND TO
10 50 • 5 00 1 RESIDE IN TME O E C P SIDENTIAL PROPERTY
SIGNATURE d
50 - 100 1000 OF CL.
A CD
loo - soo 15 00 DIST CT NO Z P
SIGN GAB
TUBE OR SIGN AND ONE CIRCUIT 3 00 V`
MARQUEE ADDITIONAL CIRCUITS 1 00 O_
NOTES y
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SERVICE NOT OVER 60D VOLTS OR 200 AMP 2 00 O'(�
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVA L9 OAif 1 INSPECTOR S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES M "
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 200 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUI NG FEE 1 00 FINAL
TOTAL FEE JOSEPH C ROOHAN
SUP ERVISMG,ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK D CASH '
�1329�_Al� 6 " 2 D ", 720^
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE • ,/j.� 'M F +
n99E6A3 QQ APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deposlment of County Engineer
Cozentpof LOS Angeles BUILDING D 20 �L �n
WM J FOX COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN Sup T of BUILDING
LOCALITY eA
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES NROss sr
NUMBER EACH FEE
LIGHT OUTLETS OWNER
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS 5 E CITY TEL NO
ELEC RANGES 25 ELECTRICIAN
_CLEC HEATERS 25 ADDRESS
KW EA CITYTEL NO
FIXTURES 5 LICENSE NO
NUMBER OF LIGHT CIRCUITS - DISTRICT NO I �Y!GRQy�P I Z�1i% I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS S R
MOTORS
NUMBER HORSEPOWER INSPECTION RECORD
FEE
NEW MVD HP OVER INC EACH L" gs
Q LESS S 25 Lr��
2 50
2 5 1 00 'yam
5 15 50 'n
IS 50 2 50
50 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING s1 00
FIXTURES 3100 O
SUPPLEMENTARY 50 c APPROVALS
TOTAL FEE 3 J DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIC TION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING IJ
ELECTRICAL WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RE'_IDENTI PROPERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION A C VEIT CHIEF ELECT INSPECTOR
x( 07 9 0 6,= SEP 13 2 2 G 5 In
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COUNTY OF LOS ANGELES "TEMPLE CITY - #,0508 _ ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS - 9071 LAS TUNAS EL 0508 9707300030 -
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285-0488 EXT-
LEGAL ID FEES PAID BUILDING ADDRESS
TR- 14983 LT 4 9020 PENTLAND ST
FEE DESCRIPTION' QUANTITY- UOM AMOUNT TEMP CA 917803025 '
ASSESSOR INFORKA ION NUMBER NEAREST CROSS STREET ROSEMEAD
5388-020-003 - Al PERMIT ISSUANCE FEE - 27 75 'THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 2 00 OUT 3 90
TENANT G2 LIGHTING FIXTURES 1 00 LGT 1 95 ISSUED ON PROCESSE"Y_ PLAN BY EXPIRES ON
TOTAL FEES 33 60 07/30/97 TC 07/3 /98
OWNER TEL NO TrWXC_15�-Fi NA
TU MING
90fO PENTLAND ST _ - _ (626) 571-7768-
TEMP 917803025 bESI RTPTTOi�6F�Af�
LIGHT AND SWITCH FOR NEW LIGHT AT RELOCATED ENTRY DOOR
APPLICANT TEL No
SAME AS OWNERCONTRACTOR TEL NO
SPECIAL CONDITIONS
LES APPROVALS DATE INSPECTOR S;GNATgffE--
CO
SAME AS OWAIER -
LIC NO O/ _ /�_ TEMPORARY POWER
UNDERGROLWD CONDUIT
AKLMLILLI LNUINLLK TEL. NO LIFER GROUND
LIC NO
Pu BU C WORKS O1 l KS PLASTIC Y/N METAL Y/N
o co
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`Service
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REPORT ID DPR265 - ROUTE TO BS0508
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