HomeMy Public PortalAbout9239 PENTLAND ST_Electrical__ 7"fi� Rae SA 11 41 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELECTRIC i
COUNTY OFF LOS LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO 13RDUP I ZO E PERMIT NO.
ELECTRICIAN R. F.5P81ton
/)' -a '
RECEIVEDI aY READY FOR DATE ISSUED
ADDREBB 604 ACACIA St. FIRST INSPECTION
CITY San Gab. TEL. ND AT 68583 7 0' )U
COUNTY LICENSE NO 1104 EXPIRES ABUfLDING
DDRESS 1933 Pentland
PERMIT FEES
NUMBER OUTLETS EACH FEE LOCALITY Temple City
B LIGHT 5m ID Q NEAREST
1 RECEPTACLES a CROBB 9T
FIXTURES S OWNER E. B. Herne
9 WALL SWITCHES B MAIL
.Y CLEC RANGES 25 ADDRESS
1 ELEC HEATERS 23 CITY TEL NO
MIsC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
1� NUMBER OF CIRCUITS INSTALLED
TOTAI APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
I I MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRINC
NurneeR HORSEPOWER I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE
New
MVRHPJ OVER INR EAR. ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
I s LESS ID 23 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
I/ 2 30 SIGNATURE OF
2 a 1 00 PERMITTEE
l
s is aD INSPECTION RECORD
is 50 z sD
s0 200 S DO
200 SOD 1D 00
500 1000 1500 J
OVER 1000 2000 Z
M G SET/FREQ CHANGER-HP I (�
WELDERS AC-KVA C
GENERATORS - KW D
TRANSFORMERS - KVA
TEMP MOTORS (75% of Quin)
MOVED MOTCRS (75% of oRIR)
MIBC
SIGNS
TYPE NO TRANS -
TYPE NO LAMPS APPROVALS
FOR EACH PERMIT DATE INSPECTOR'S NAME
WIRING $1 00 1 n0r�n0 CONDUIT
W
FIXTURES $1 DO 1 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE ID 4 15 UTILITY CO NOTIFIED
FINAL �1+«i
WORKERS'COMPENSATION DECLARATION CE8061- 7; APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I hese a certificate of consent to self ` COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure or a certificate of Workers'Compensation Insurance,or IF
a certified copy thereof(Sec 3800, Lab C ) ,
FOR APPLICANT TO FILL IN - l JOB 9
Policy No Company EACH NO FEE ADDRESS y
F1 - New Residential Bldgs &Pools
Certified copy is hereby furnished 1 &2 Fam ly,Sci Ft $ $ LOCALITY
❑ Multi family Sci Ft T
Certified copy is filed with the county budding inspection CROSS ST
department Residential Swimming Pools • OWNER OR
FIRM NAME
Date Apphicents Outlets Ree LlLight S.st 20 6 ��j �G AIL
ADDRESS ?
CLRTIFICATE OF EXEMPTION FROM WORKERS Total No '! b Addmonal n CITU t Tel No 2,
COMPENSATION INSURANCE
PLAN CHECK • d
(This section need not be completed If the work Involved iSL APPLICANT Q
by the permit is`for one hundred dollars ($100) or leu) Lighting Fixtures First 20 ADDRESS
Total No �_ AddnIonal + ¢
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tal`No
permit is issued I shall-not employ any person in any manner / PERMIT r, / W
iso as to become subject to the Workers' Compensation Laws Range_ Heater_D W '+ APPLICANT YLC/ Ls
\�(/ �I Oven _ Dryer_W M ADDRESS
Date,Applicant Y , Ll� Top FAU _W H / ?
Hood Fan _Other_, s CITY Tel No
NOTICE TO APPLICANT If after making this Certificate of DIp 4- Room Air Cond_ L 5E OR ry n _ r0
Exemption you should become subject to the Workers REG NUMBER 1, 8 ChrisV /
Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO P SED By
with comply with such provisions or this permit shall be Size&Type HP KW KVA or KVAR
deemed revoked
a Up to 1 Incl
Over 1 t DATE FINAL
110 Incl /
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl VALIDATION
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc rl,!N 9 (coinmencmg with Section 7000)of Drvivon 3 of the Busi ` Over 100 ness and Professions Code and my license is in full force and
effect Services /f -1 0 200 A P Il er OO VLicenseNumber Lic Clau 201 1000Amp Under600V
Contractor Date Over 1000 Amp or Over 6OO V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances Sign with One Branch Circuit _I hereby affirm that I am exempt from the Contractors Additional Sign Branch Circuits340G1 'A
License Law for the following reason (Section 7031 5 Busi ,ness and`Professions Code) t #1• •,• •,e2
- Mix Conduits&ConductorsIE3 Ias owner of the property will do the work and the Oth r e omplete e$Schedule)— 2 •'• 4 1 00 1
structure is'not intended or offered for sale (Section _7044 Busmen and Professions Code) 9"1 -'0 0 4 1 0 0c5CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construUion lending agency - 0209-8,1
for the performance of the work for which this permit is PERMIT FEE (Sub Total) /
issued (Sec 3097 Civ C) l
Lender s Name PLAN CHECKING FEE (One Fourth Permit Feel
Lender's Address PERMIT ISSUING FEE i
I certify that I hale read this application and state that the TOTAL FEE
above information is correct I agree to comply with all County i
ordinances and State laws regulating Electrical wiring and
hereby authorize representatives of this County to enter upon -
the above entioned pro perry for in ec[ion purpose SEE REVERSE FOR EXPLANATORY LANGUAGE '
ignatur f Permtitee ate -r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0010250019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID ---nTTW I D BUILDING ADDRESS
TR 12210 LT 7 9239 PENTLAND ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803736
ASSESSOR INFORMATION NLO48ER NEAREST CROSS STREET CLOVERLY
8590-009-025 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY
B1 MULTI-FAM RES BLDG 600 00 SQ 54 00
TENANT TOTAL FEES 81 75 ISSUED ON PROCESSEL) BY PLAN BT LxPIRES ON
10/25/00 UT 04/24/01
OWNER TEL NO FINAL DATE 7TW97grOD
CAI JEFFREY -
9239 PENTLAND ST AT
TEMP 917803736 lSERRIPTIO uF
ELECTRICAL FOR GUEST HOUSE
APPLICANT
WILDE'S CONSTRUCTION (626) 448-2175-
4905 BALDWIN SPECIAL CONDITIONS
TEMPLE CITY, CA
CONTRACANGELES co
TO NO S
WILDE'S CONSTRUCTION (818) 448-2175- , VO �TY AT IN C
4905 BALDWIN AVE LIC NO TEMPORARY
TEMPLE CITY CA 91780 401407 B
ARCHITECT OR ENGINEER ILL NU UFER GROUNDI
LIC NO/� ICONDUIT
`►�/-'` 111111
ROUGH WIRING
u 'U BUC W®R N S PLASTIC Y/N METAL Y/N
Y COMPANY NOTIFIED
1:
p O ❑ ®5
46�7c Serv10ce The���`
ADDITIONAL DATA ON FILE
REPORT ID DPR265 ROUTE TO BS0508