HomeMy Public PortalAbout9242 PENTLAND ST_Electrical__ 76AB63 CE006 i BS r`
APPLICATION FOR ELECTRICAL PE I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ZL
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER L.
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT IN CROSS ST
RECEPTACLE TOTALNo EACH FIE _
OUTLETS -FIRST 20 6 20 6'-`- ,y� OWNER '
LIGHT v-t) MAIL
SWITCH t� ADD L f0 ADDRESS
OVER 20
TOTAL FIRST 20 'J 20 ' I Q CITY T •NO
LIGHTING 1 FIXTURES
FIXTURES J ADD L
OVER ZD 1D CONTRACTOR
RANGE! CLO DRYERS WTR HT" 100 ADDRESS 2 I
GARS DIYP STA COOK
CITU Cw TEL
DISH WASH AUTO WASH STATE
SPACE HTR6 I STA ARP JA H P MAX I 60 ^ I LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT NO I GR� ZINE I PR ESSED BY
O
1 s 160 INSPECTION RECORD
R B 2001 1
B — 15 2501 1
16 — 50 300 O
V
60 100 500
SIGNS NO TRANS O
NO LAMPS
SERVICE 0600V NOT ovDl 200A 100 a
N
SERVICE O 600V OVER 200 A 200 Z
SERVICE OVER 600V 500
OTHER (SEE COMPLETE FEE eCHEDVLE)
PERMIT ISSUING FEE 200 1 O
OUPPLEMENTABY PERMIT ISSUING FEE 1 001 1
TOTAL FEE V7 JMUHDERSLAB
ALS oAn IHSPtROR S SIONATU
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION WORKAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY DUITWITH ALL COUNTY ORDINANCES AND STATELAWS REGULATING 4,4ELECTRICAL WIRING 1HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND�OR LICENSED AS REOUIREO BY L06 ANGELES OUNTY ANO STATE OFCALIFORNIA OR THAT I AM THE LEGAL NEP OI AND INTEND TO RES,OEIN THE AB OES RIBEO RE ENTIAL PR EATSSIGNATURE ` NOTIFIEDOF PERMITTEEJ
DATION JOSEPH C ROOHAN
CK O CASH SUPERVISING ELECLEC
TRICAL ENGINEER
LACD 6 9 5 6I NOV 1 2 D - 7.50- (m
T
96^689 o8esA 11-SO APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELECTRIC
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN R. F. Walton d 14-M-7 —W
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 5134 N. Acacia St. /� FIRST INSPECTION
CITY JBR of TEL NO AT 68583 j/C�_ /, Y3 -Sl
COUNTY LICENSE N011 04 EXPIRES BUILDING
PERMIT FEES ADDRESS 9242 Pentland st.
NUMBER EACH FEE LOCALITY Temple Cit
LIGHT OUTLETS NEAREST
CROBBST
RECEPTACLES
WALL ACLESE9 OWNER B. E. Turner
TOTAL OIITLETB SC 0 MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL- NO
FIXTURES 5 cI
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC 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
Nuw6Eq HORSEPOWER ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
FEE
New MVC HP Cv[q Iwc EACH OF THE RESIDENTIAL PROPS DESCRIBED ABOVE.
'/ a Lena f 25 SIGNATURE OF
2 50 PERMITTE �
2 5 1 a INSPECTION RECORD
s is 1 50
15 50 250
so TOO 5 OD
_ 200 500 Io GO J
_ Soo 1000 1500 a
Z
OVER 1000 2000 0
M 0 BET/FRED CHANGER-HP
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% OF 8gI8)
MOVED MOTORS (75% CF
MIBC
SIGNS
NO NO TRANS
NG
APPROVALS
NO LAMPS
FOR EACH PERMIT DATE INSPECTOR'S NAME
WIRING $1 Do CONDUIT
FIXTURES $1 00 Lao WIRING '� L
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE S O UTILITY CO NOTIFIED /
FINAL
WORKERS COMPENSATION DECLARATION 63 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate
0
cate of consent to self � 05G t
'Tnswin or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES t BUILDING AND SAFETY
or a certified copy thereof (Sec 3800 Lob C ) x
Policy No Company i FOR APPLICANT TO FILL IN JOBL� S
Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE — ADDRESS 9,242-
❑ Certified copy is filed with the county building inspec 18 2 Family Sq Ft $ — $ LOCALITY �E
hon department Multi-family Sq Ft r�
EST A5 VC I T
ti CROSS ST
Residential Swimming Pools OWNER OR 4 r
Date Applicant / xl v - FIRM NAME ! kL
/7 C
CERTIFICATE OF EXEMPTION FROM WORKERS 1p
Outlets Rec_Ltght_Sw
COMPENSATION INSURANCE First 20 �J 1 ��� T
(This section need not be completed d the work Involved by Total No Additional .s CITY r Tel No Z
the permit Is for one hundred dollars(6100) or less )
I certify that in the performance of the work for which this PLAN CHECK
CAM '
permit is issued, I shall not employ any person in any manner r
so as to become subject to the Workers Compensohon Lows Lighting Fixtures First 20 , ADDRESS
.7 /� 1. r Total No Additional
/-,W- 9 49m 6 Jr 1 � 9J CITY No `
` Date T If aft alit (`7 FcIJCC Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT If cher making Ilio the Workers
of s APPLICANT a
Exemption you should become subject to the Workers Range_ Heater_D W L
Compensation provisions of the Labor Code you must forth' Oven _ Dryer _ W M ADDRESS
with comply with such provisions or this permit shall be Top FAU —W H
deemed revoked ` Hood L Fan _ Otherl. CITY Tel No
LICENSED CONTRACTORS DECLARATION \ LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp Room Air Canalt 1 REG NUMBER Class
(commenting with Section y tic of is in fu 3 of the Business Power Apparatus 8 Large Appliances ` DISTRICT NO PROLES Y Y
and Professions Code and my license is m full force and affect - 1,
f d
Size 8 Type HP KW KVA or KVAR
License Number Lic Class Up to 1 Ind FINAL
Over I to 10 Ind _ _ D,1E- `,Zl—w VALID ION
Contractor a Dote Over 10 to 50 Incl FINAL' ~ `. �• G
❑ I am exempt under Sec Over 50 to 100 Inc BY
B 8P C for this reason Over 100 Z
Date Services`Swbd MCC 8 Ponelboards ,Li ►
0 21x1 Amp Under 600 V W
Signature 201 1000 Amp Under 600V
❑ Exemption for Reg MoOver 1000 Amp or Over 600 Motor Elect
SINGLE FAMILY Temp Power Pole 8 Appurtenances _
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
hereby affirm that exempt from the Contractors License Additional Sign Branch Circuits ,� 5 a 4 Q
Law for the followingg r reason (Section 7031 5 Business and
�Professions Code)
161 1 as owner of the property, will do the work and the Misc Conduits 8 Conductors I # is • • • e2
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_
7044 Business and Professions Code) pol.
•( • . 45.5 0
CONSTRUCTION LENDING AGENCY _.
1 hereby affirm that there is a construction lending agency for she • 45 506
the performance of the work for which this permit is issued PERMIT FEE - - - (Sub Total)
(Sec 3097 Civ C ) 0 7 3 1 -87
PLAN CHECKING FEE - -
Lender s Name
PERMIT ISSUING FEE
'Lander sAddress
1 certify that I have read this application and state that the TOTAL FEE S .v
above information is correct 1 agree to comply with all County
ordinances and State laws regulating Electrical wiring and _
hereby authorize representatives of this County to enter upon
/Usc
e above m ntio ed pr perry for inspection purposesSEE REVERSE FOR EXPLANATORY LANGUAGE
gnture of Po itte Date I _
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL-,0508 9811090028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _ -a
PHONE (818) 285-0488' EXT '
LEGAL ID FEES PAID BUILDING.ADDRESS
TR 16475 LT 124 9242 PENTLAND ST-7
FEE DESCRIPTION QUANTITY LOM AMOUNT TEMP CA 917803735
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
8590-010-024 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY
LB 200 AMP PANELS, MCC 1 00 PAN 38 85
TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
11/09/98 UT 11/09 99
OWNER IEL NO AL DATE FINALD
MARKELL JAMES W,CAROLE C (818) 287-1979- ' I��j_/J
9242 PENTLAND ST / /7 6 G,
TEMP 917803735
NEW-200-AMP-METER-UPGRADE___ }
APPLICANT TEL NO
u Wig'
MARTIN PAUL ELECTRIC (626) 285-6722- /� /•
314 N IGLESIA ST �,.� IA ONS
SAN DIMAS, CA !�
PP►GELES COV
CONTRACTOR � APPROVALS DATE INSPECTOR
MARTIN PAUL ELECTRIC (909) 592-104c- k
314 N IGLESIA ST LIC N0I TEMPORARY POWER POLE
SAN DIMAS, CA 91773 NONE
fUNDERGROUND CONDUIT
ARCHITECT OR ENGINEEV IEL NU UFER GROUND
LIC NO / 111 lil Q131�Ammurr-
(►rIROUGH WIRING
MAIN WATER LINE
I Fl0U C WORKS PLASTIC Y/N METAL Y/N
Ur= COMPANY NOTIFIED
D 0
O 0 J
0 �
Servos Thato'`
1
' ADDITIONAL DATA ON FILE
REPORT ID OPR265 ROUTE TO BS0508 .