HomeMy Public PortalAbout9236 PENTLAND ST_Electrical__ �eAeaa oeB aA 11-aD APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELECTRIC
COIINTY OFF LOS LOS ANGELES
WILLIAM J FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN 1 -7;7y7—�49
R IVED BY READY FOR DATE ISSUED
ADDRESS 5134 N Anacia St FIRST INSPECTION
CITY San Gab TEL. NO AT 68583
COUNTY LICENSE NO 1104 EXPIRES BUILDING 9236 Pentland St.
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS NEAREST
CROSS ST
RECEPTACLES _
B. E. Turner
WALL SWITCHES OWNER
TOTAL OUTLETS Sc S MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 _ CITY TEL NO
FIXTURES 3 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
M15C APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NUHeen HORSEPOWER ANGELES COUNTY LICENBE. OR I AM THE LEGAL OWNER
FEE
New Mvo HP Dv[K AL EACH OF THE RESIDENTIALNTIAL—'R DESCRIBED ABOVE
I/ a L2 S 25 SIGNATUREPERMITTEF ,
I/ 2 30
2 5 100 INSPECTION RECORD
_ s Is 1 Ba
is 50 250
50 200 Sao
200 Soo 10 OO J
SoD 1000 15 OD Z
OVER 1000 213130 p
M O BET/FRED CHANGER-HP
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% of meso)
MOVED MOTORS (75% of 0.1.)
MIBC
SIGNS
NO NO TRANS APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATZ INSPECTOR'S NAME
WIRING $1 00 //Jit CONDUIT %
FIXTURES $1 OD dig�— WIRING t L.
SUPPLEMENTARY s0 FIXTURES
r POWER
TOTAL FEE s— a UTILITYCO NOTIFIED
FINAL
DB8T8A 11-50
APPLICATION FOR PERMIT
MENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
ELECTRIC RIV 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUPZONE PERMIT NO
foo �fv
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS5134 N. AcArlim St- 'I FIRST INSPECTION
CITY TEL NO ,IAV!/` .2, i;).v
COUNTY LICENSE NO 1104 EXPIRES' BUILDING
PERMIT FEES ADDRESS J 7
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST
RECEPTACLES �r•
WALL SWITCHES OWNER �C'
TOTAL OUTLETS 5c MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
FIXTURES 6 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE 15 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
Nura[R HORSEPOWER ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
FEE OF THC RESIDENTIAL PROP DESCRIBED ABOVE
N[w MVD H OVER INC EACH
1 •1.Ene 1 S 29 SIGNATURE OF
I/ 2 90 PERMITTE
2 5 1 00 INSPECTION RECORD
B 15 1 50
15 50 2 50
90 200 5,00--
200
00200 500 10 00 J
500 1000 16 00 Q
Z
OVER 1000 20 00 (�
M G SET/FREQ CHANGER-HP E
WELDERS AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA -
TEMP MOTORS (75%OF ORIG I
MOVED MOTORS 176 OF ORIG
MISC
SIGNS
NO NO TRANS APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR S NAME
CONDUIT
WIRING BI 00 Q
FIXTURES $1 00 WIRING
SUPPLEMENTARY 50 FIXTURES
TOTAL FEE a u
OWER
TI LITv co NOTIFIED
FINAL
- Ff! PIKERS COMPENSATION DECLARATION 7BA863 '10/81-
k� CE APPLICATION FOR ELECTRICAL PERMIT
herebi affirm that I have a derhfxate of consCtt to self Insure ,
or .a certificate of Workers Compensation Irisurance or a certified .4 . COUNTY OF LOS ANGELES,.- "BUILDING AND SAFETY j
t copy thereof(Sec 3800 Lab C) ' + I I _
Policy No_' .--) At Cdnro t,i ♦y% ' ' , , • FOR APPLICANT TO FILL IN ^ JOB I I I
Certified copy is hereby furnishedr Ln ao , + v , New Resdenhal Bldgs 8 Pools, EACH. NO FEE ADDRESS p�
Certified copy Ia filed mth•the county buildup Inspection 1 8 2-Family Sq Ft $ — $ LOCALffV. ,,//�� //�t 1 / y. '�
„ .. department , , .. .: ;a •. Multi family Sq Ft ' • 1 • ' _ CROSS STI /'Y/'7
Date xiant } -
Residential Svnmmirp Pools ,, - a i' + OwNER OR
,r _. !. P, .+✓,p '',,//'' a _ .. FIRM NAME
+` ' CERTIFICATE'OF EXEMPTION FROM WORKERS ', Outlets Rod Light _�Li Sw
COMPENSATION INSURANCEIST
'
(This eeclwn need not be completed H the work involved by the First 20
permit ie for one,hundred Collars($100)for less), , _ Total No Z;&,
gddlhonal CITY,�CHECK •f 'T¢
I,ceihly that In the pertormarlce of the work for which this 1=1d
ermit , r + - A CANT
,.fis Issued 11 shall'not employ any person In any mant '+ "
become subject to Ain Workers Co " �Rsat � laws, Lghbng Fixtures First 20 - ADDRESS
��
f Date 13�` / •, _ ,Total No �tlRlonel•x _ CITY p - Tel NoFlxed Appliances Not Over 1 HP . PERMIT
cp
NOTICCI TO APPLICANT If alter makirp t Cof i 1, APPLICANTExemption you should become subject to the rs o . Range— �1er— DWpwiswnsof file Labor Code you must forthvnth come 'Oven Dryer 1 yyM _ r ADDRESSprovisions or thus permit shall be dammed revoked1 i Top FAU WH _ , - - CITY '*' `' 'Tel-NoLICENSED CONTRACTORS DECLARATIOHood � Fan _nOther_I hereby affirm that Iam licensed under pranswns r 9 •Q LICENSE ORr a ,DisP L Room mar Cond .. . Chase(COmnIeOGnlg Wlth Sedtlan7000) Of DNlewn 3 Of tfa and REG NUMBER
ProfessionsCod¢ atltl Rry Iwense l4 in full force and¢Reef DISTRICT NO PRQCE D BV
r Power Apparatus 8 Large Appliances
Size 8 Type HP KW KVA w KyAAR .
' License Number• Lw Class - '_� Up,to 11nc1 /x+(J/cam FINAL
<, i Over 1 to 101nc DATE / VALIDATION y O
.Contractor—' '• Date •+ Over 10 to 50 Incl '
❑ FINAL
hem exempt under Sec ,� !Over 50 to 100 Inc t BY
- j G•
BBPC for this mOver 100.
reason N
Services Swbd MCC 8 Panelboands , , i Z
Dale ' - _ 20 Under 600 V '
Signature ,`�° , ` 1- i 20-T-1000 Amp Under 600 V
Over 1000 Amp or Over 600 V '
A Exemption for Reg Mamt Elect , + ++ y , J.. - 'r' +• , - �. - '
SINGLE FAMILY " , ° _Temp Power Pole & Appurtenances 1• _' a •`�Aa t, (4S.25
1 " HOME OWNER-BUILDER DECLARATION' + Sign with One Branch Circuit „ r
I hereby affirm that I am exempt fran'the Contractors License LawY I 1 +s 1, ITEM`
for'the following reason(Section'7031 5 Business and Professions Additional Sign Branch Circuits •� a T^ ( r y _'2t,Code) r, i 1
mfr - ' -Mise Conduits s Conduciars` •' t � F ' -
L^J I as owner of the property will do the work and the structure ' i a•4 ,1 , '�3.?S
_
Is not intended or offered for safe (Section 7044 Business, Ohe�(Sea Complete Fee Schedule) 100
and Professions Code) • i - ,
' CONSTRUCTION LENDINGIAGENCY t• -
hereaffirm that there is a construction lending agency for the ' _ : u�r_ rn 35/13/
' 'perfor ante of the work for which this permit rs a ed(Sec 3007 1 ,PERMff-FEE-- (Sub-Total) " - - �1"' D`IVj •I `I '
Civ C)• ' , 'r.�.
r'' < i .PLAN CHECKING FEE
Lerders Name I , r •, , ,�
' I I II PERMIT ISSUING FEE _ _ D - H •_
_ Larder a Address �OTAL FEE ;J`+ 2 •I
_T 'U _ - ¢' » '
I certify that I have read this application and state that the sows ' _
information is correct I agree to comply wah all County ordinances
`eM State laws regulating Electrical long end hereby zuthonze _ _ _ •,
repmsa,rj h unty to er upon t7arnenlimeddTmsp�e t Our o SEE REVERSE FOPE%P`LANATORVLANOUAOEature of Per tee