HomeMy Public PortalAbout9309 PENTLAND ST_Electrical__ WD APPLICATION FOR PERMIT
T OFF LOS NG AND SAFETY ����®���
COUNTY OF LOS ANGELES T
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT . GROUP ZONE PERMIT NO.
ELECTRICIAN
/ W/ / 4,0,7
14
!2
EIVED BY READY FOR DATE
ISSUED
ADDRESS FIRST INSPECTION
/—V
CITY TEL NO
COUNTY LICENSE NO EXPIRES BUILDING
PERMIT FEES ADDRESS L
N MBE EACH FEE LOCALITY r
' /_ // P C� �i / / ///��'
LIGHT OUTLETS NEAREST �/�
RECEPTACLE, CROSSST ] /T�V
WALL SWITCHES
TOTAL OUTLETS Sc _® MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE IB 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
NuwecR HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL DWNER
NEw
V. HP OVER INc ucw OF THE RESIDENTIAL PROPERTY DIESCRIfED ABOVE
I/2 A LESS ® 25 SIGNATURE OF
va 2 50 PERMITTEE _
V
z B 100 INSPECTION RECORD
5 is 1 50 _
15 5O 2 50 _
_ 50 200 500
200 500 1000 J
600 1000 1500 Z
OVER 1000 20 00
M O SET/FRED CHANGER-HP
WELDERS AC-KVA 0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% of ORIY)
MOVED MOTORS (75% OF GRIP)
MISC
SIGNS
NO NO TRANS I APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR'S NAME
WIRING $1 00 CONDUIT
FIXTURES $1 00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE ®� UTILITY CO NOTIFIED
FINAL
°°" '°"' APPLICATION FOR ELECTRICAL PERMIT
0. , 1
' COUNTY OF LOS ANGELES pp
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
FOR APPLICANTTO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE NEAREST
1 &2 Family Sq Ft $ 025 — E ROSS ST
OWNEROR
Multi family Sq Ft 02 — 'FIRM NAME
Res,denhol Swimming Pools 2500 MAIL
ADDRESS
Outlets Rec Light�0 z ITY Tel No
First 20 `50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 ' CITY_--' Tel No
Additional 30 PERMIT
Total Na APPLICANT L
Fixed Appliances Not Over 1 HE ADDRESS AA
Range_Heater—D W _ CITY Tel No 'g�2QG-�
Oven _Dryer—W M
Top —FAU —WH — R G NUMBER C10A
Hand_Fon —Other_ . HEREBY ACKNOWLEDGE THATHAVE READ THIS APPLKATION AND STATE
Dlsp _ ROOm Air COnd 2 50 THAT THE ABOVE 15 CORRECT AND AGREE TO COMRY'WITH ALL COUNTY ORDIN
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING
Power Apparatus&Large Appliances
Size&Type HP KW KVA ar KVAR - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM
Up tO I IDCI 250 THE LEGAL OWNEROF THE ABOVE CESCIFILliq RESIDENTIAL PROPERTY °
Over 1 to 10 Ind 500
Over 10 to 50 Ind 12 50 PERMITTEE s
Over 50 to 100 Inc 2500 SIGNATURE
Over 100 40 00 DISTRICT P i
rn
z
Services
0 200 Amp Under 600 V 1250 APPROVALS DATE INSPECT S
201 1000 Amp Under 600 V 2500 SIGNATURE
Over 1000 Amp ar Over 600 V 5000 TEMP POWER POLE
LFIXTURE
ORK
Temp Power Pole&Appurtenorces 10 00
Sign with One Branch Circuit 1000 IT
200 �•
Additional Sign Branch Circuits
M I5 Conduits&Conductors 1000 v
Other ISee Complete Fee Schedulei RIZEDTIFIED /.
FINAL
PERMIT FEE ISA Toto-1) L�4OTESPLAN CHECKING FEE t IOne'Faurth Permit Fee, ,Y QPERMIT ISSUING FEE $7 00TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK MC) CASH,t-
. • 1 ;350
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �
✓ WORKERS COMPENSATION DECLARATION 7E ,D,6t APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of c9)6 ' APPLICATION to self CE BJ6G •ter'
msure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES / C BUILDING AND SAFETY +
or o certified copy`thereof (Sec 3800 Lab C ) I •'
Pal icy No Company FOR APPLICANT TO FILL IN TOB 30 QN
Certified co is hereby furnished EACH NO IFEE ADDRESS
PY Y New Residential Bldgs 8 Pools
❑ Certified copy is filed with the county budding inspec I &2 Family Sq Ft $ — $ LOCALITY
hon department Multi family Sq Ft — NEAREST
CROSS ST
Date Applicant Residential Swimming Pools OWNER OR
����••ss FIRM NAME T � MGIC
^ Y CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�Ught to Sw / f 'FIRM G
s COMPENSATION INSURANCE I 'p First 20 J }D ADDRESS.
(This section need not be completed Wthe work involved by _ Total No� Additional CITY ;� �{ Tel No,,?��-y6-
the permit a for one hundred dollars ($100)or less )
I certify that in the performance of the work for which this _ t PLAINAPRICAtJ�K ` v
permit is issued'I shall not employ any person in any manner �l
so as to became subject to'the Wo r s'Compensation Laws Lighting Fixtures First 20 - V ADDRESS
Total No_w _ Additional ,
X77 Ifr)/ CITY Tel No
Dote ppbmnt �
Fixed Appliances Not Over 1 HP PERMIT / t
NOTICE TO APPLICANT If 'after subj subject
to Certificate of + / APPLICANT !Il GdT
Exemption you should become subject to the Workers Range_ Heater____D W L
Compensation provisions of the Labor Code you must forth- Oven _ Dryer W M / ADDRESSfT-
with comply with such provisions or, this permit shall be Top _ FAU W H
deemed revoked i L Other CITY G �.7/.✓-Y eh Tel No y�I�309
LICENSED CONTRACTORS DECLARATION Hood _ Fant
SE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp Room Au Cdnd d REGLICENNUMBER�:5 a Class �'�e
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO PROCESS BY
-and Professions Code and my Win license in full force and effect Power Apparatus 8 Large Appliances R
i Size 8 Type HE KW KVA or KVAR Q O
License NumberL Class U
Up to 1 Incl FINAL
i ��/� J/ Over 1,to 10 Incl DATE VALIDATION 0
Contract Ddfe Over 10 to 50 Ind
O
F-1FINAL
am exempt under Sec Over 50 to 100 Inc BY {�.c,. _ W
B 8P C for this reason Over 100 y
Date Serves Swbd' MCCPanel boards Polo
Z
'1 o - 200 Amp Under 600v r0794'A
Signature '201 - 1000 Amp Under 600 V
❑ Exemption Over 1000 Amp or Over 600 V '
L . sExemption for Reg Maint Elect 2'.•• 8 1 S'0
SINGLE FAMILY Tamp Power Pole 8 Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit _ e^era & 1 j 0 chi
I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits
_
Law for the following reason (Section 7031 5 Businessiond ' �'� _$(�
Professions Code)
❑ I as owner of the property will do the work and the Misc Con'nits 8 Conductors - -
structure is not intended or offered for sale (Section Other (See Complete Fee Schedul_
7044, Business and Professions Code) r e)_
�• '
CONSTRUCTION LENDING AGENCY >je O +
I hereby affirm that there is a construction lending agency for �the performance of the work for which this permit is Issued PERMIT FEE (Sub-Total)
(Sec 3097 C,v C )
PLAN CHECKING FEE
' Lender shame - i
• PERMIT ISSUING FEE
Lender s Address
I certify that I have read this application and state that the TOTAL FEE
above information is correct I agree to comply with all County I
ordinances and State jaws regulating Electrical wiring and
hereby authorize representatives of this County to enter upon ' •T "c - -
the abp.e mentioned property for sp hon purposes '
�/` SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date s
+ COUNTY OF LOS-ANGELES - , TEMPLE CITY • 1' # 0508 ELECTRICAL PEP1tIT
DEPARTMENT OF PUBLIC WORKS ' 9701 'LAS TUNAS ' w_ . - 'EL 0508 040804O004 q
BUILDING AND SAFETY / LAND DEYELOPMENTI TEMPLE CITY CA 91780 _
PHONE (626) 285-048 E.'T
LEGAL ID � x ,
ABUILDING ADDRES_
TR 12210 LT 12 9309 PENTLAND ST
FEE DFSCRIPTION - QUANTITY 10M AMOUNT TEMP CA 917803737
8590-009-029 - "� 1 4EADEST CROSS STREET E"LINITP
r Al PERMIT ISSUANCE FEE_yJ.� ._ _ _ i a. _ 27 75 THOMAS PAGE 596 ,GRID J4, .LOCALITY .-TEMPLE CITY, C
TOTAL-FEES ' .27 75 - - "-
` e - •` ISSUED ON PROCESSED BY PLA4 BN EX r 08/O2/04 ,JK 01/29/05 ' ,
OWNER T9L Ad
WONG HAUL,SHANA (626) 451,-0762- 0 - 1NF L` n B . CO
DE
9309 PENTLAND ST
TEMP 917803737nTffFPTION-OF WORK _
TO COMPLETE WORK STARTED UNDER PERMIT EL 0405200013
APPLICANT-
-
SAME AS OWNER -
SPECIAL LDNDI,1,10NS
CONT - TEL NO
SAME AS OWNER .+ ,. APPROVALSDATE - .NS SIG A"JPC
' - x
LIC NO hPORAPf POWER POLE
UNDERGROUND CONDUIT
STM
h , R GROUND -
r LIC NO - Pu'JGH CONDUIT
ROUGH WIRINrL
MAIN WATER IN ,
e, • �- - - PLASTIC Y/N METAL Y/N '
N
UJILI 11 COMPANY 40TIFIED
It
, . r
r.
REPORT-ID -DPR265-, _ ROUTE TO SS0508
_ Y
COUNTY OF LOS ANGELES TEMPLF CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLTC WORKS 9701 LAS TUNAS EL 0508 0405200013 '
` BUILDING AND SAFETY / LAND DEVELO2MENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILrING ADDPESS
TR 12210 LT 12 9309 PENTLAND ST
FEE DESCRIPTION QUANTITY UDM AMOUNT TEMP CA,917803737
ASSESSOR A -r s 1 _ NEAREST CROSS STREET ENCINITA (i+
8590-009-029 Al PERMIT ISSUANCE FEE 27, 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, C
_ G1 OUTLETS-LGT,SW,RECP 28 00 OUT -49 80
TERANr G2 LIGHTING FIXTURES- -- 8 00 LGT 15 60 ISSUED ON PRGCCSSED _ PLAN BY EXPIRES
HA FAU LESS 3HP t 1 00 FAD 10 95 05/20/04 VG 11/16/04
H7 RES EXHAUST FANS' °l 00 EX 10 95
CAER TEL ti0 JB AC UNITS +3-10RP 7 00 AL 19 65F NAL u
WANG HAUL,SHANA (626) 451'-0762- LB 200TAMP,PANELS, _MCC =. .�- 1 00 PAN 38 85 _ ��2____�
9309-PEN7LAND ST _ TOTAL FEES 173 55
TEMP 917803737 DESCRIPT10h OF .ORK
ELECTRICAL FOR ADDTfION
APPLICANT TEL h0
WONG (626) 451-0762- '
+ SP IAL CONDilIONS
CONTRACTOR TTL-- 0 ,C APPROVALS DATE 14SP5CTOR SIGNATURE
CHAN, KEN GUO WEI (626N 285-8218- T `
5703 SULTANA AVENUE LIC NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 70936o B
UNDERGROUND CO I
ARCHITECT-OR EN-G-f -E ate— _ UFER GROUND
LIC NO - - ROUGH L'omi U'[Y—
ROUGH TNG
—_ — RA- WN ATER Lel
PLASTIC Y,'N WETAL Y/N
'3ZAS-NbTTFCE6
, c
REPORT ID DPR265 - ROUTE TO BS0508
' _ r
- r