HomeMy Public PortalAbout9315 PENTLAND ST_Electrical__ �Be,A 11 EE APPLICATION FOR ELECTRIC PERMIT 1
DP✓ISION OF BUILDING AND SAFETY
Department 0f County EnglnYBs BUILDINGO �
C,Onnty OI LW Angeles 3� '� �4 Sf
JOHN A LAtdBI COuNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING Y
FOR APPLICANT TO FILL IN NUMBER LLIGHT OUTLETS RECEPTACLES DRESS fzz
WALL SWITCHES FEECRy TEL NO
TOTAL OUTLETS a ELECTRICIAN
ELEC RANGES 25
ADDRESS
ELEC HEATERS 26
TEL NO
KW FA CT'
STATE
FIXTURES S LICENSE NO
MOTORS DISTRICTN I GROUP I ZONE I READY FOR INSPECTION
NUMeaB HORSEPOWER FEE 'r n•�T
NEW MVD HP OVER INC EACH
e LEEe • 215 INSP=ON PXMBD
2 DO I p e-�)I Z-e
2 S 1 00 --
S 13 1 00
IS 50 2 50
50 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100
FIXTURES al 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE S DATE INSPECTOR 5SIGNATURE
i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING / IrJ
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF y
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY
SIGNATUREUTILITYCO NOTIFIED L
OF PERMITTEE FINAL /
JOHN A LAMBIE CautKY ENGINEER VALIDATION ARTHUR C_ VE .CHIHF ELECT lH
CK MO CAYH
LAC0 6 8 7 4-� JUN 12 2 150 n
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST '
PL�+LLuaaa FEES CROSSST
?AA 17
1TZM NUMMERt EACH FE6 OWNER
OUTLETS i S MRE59AIL
ADD
LIGHTS RBCEPT QW 10
cl
LIGHTING FIXTURESIO CITYkl, TEL NO (1(191713
¢LBC RANGES CLO DRYERS ELECTRIC
WATER HEATERS EO ADDRESS
BLEC SPACE HTRE DISHWASHERS CITY TEL NO
GARBAGE DISPOSER{ AUTO STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC HP DIST 1 G P O ES
O— V 25 a�
1/.- 2 50 INSPECTION RECORD
2— 5 100
5— m 150
15— 50 250
150-200 500
SIGNS NO TRANS
NO LAMPS
SERVICE 0-000 V too
SERVICE OVER OOOV 1500
MISC
WIRING PERMIT 100 1
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 50
_ TOTAL FEE II
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR B SIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREEITO COMPLY
WITH ALL COUNTY ORDINANCES AND QTATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING /
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED R861DENTIAL PROPERTY POWER
SIGNATURE — UTILITY CO NOTIFIED
OF PERM17TE
wFINAL,.
OF V .ID ^ SUPERVISING ELECTRICAL ENGINEER
ACO2 3 60'. SEP 8 2 A 2.0 0 f
RAR CE80e 69 APPLICATI - F(YR EL CTR AL PERT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILOIN
BUILDINGIAND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOC ALI
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EAC. FEE
RECEIPT
$ S OWN
MAIL
LIGHT TOTAL
FIRST 20 20 ADORES
T
SWITCHTEL
OVER 20 10 PLAN CHE
LIGHTING TOTAL FIRST 20 20 APPLICA
FIXTURES } OVER 20 10 ADDRESS
RANGE DRYER WTR HTR CITY TEL NO
STA COOK DISP F A U CONTRACT
SPACE HTR —AIR CONO ADDR
CLOTHES WASH OISHWASHTEL N
FAN_OTHER 1 00 LICENSE NO CLASS
MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS ETC HP Kw KVA AMC STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE 8 TYPE OVER TO WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING
ELECTRICAL WIRING
D - 1 1 DD 1 PHE
EREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
BED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
- 10 3 DO R IN OR THAT I AM THE LEGAL OWNER OF AND INTEND TO O
E IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY u
$ DO
TURE K
50 — 100 10 D0 RMITTEE O
100 - $00 1500 T NO GR 20 P OC 9 Y a
N
SIGN GAS SIGN AND ONE CIRCUIT 3 00 Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1 00 S /
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP B 00
TEMP SERVICE POLE &APPURTENANCES 3 00APPROVALS DATE wSNECTolN SI.ATUNC
POWER POLERSLAB WORKH CONDUITGPERMIT FEE (SUB TOTAL) URESR AUTHORIZEDPLAN CHECK FEE ($O% PERMIT FEE)PERMIT ISSUING FEE 2 00 ITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 •y— FINAL
TOTAL FEE JOSEPH C ROOHA ri
SUPERVISING ELECT ENGINEER
PLAN CHECK VALIDATION C M 0 CASH PERMIT VALIDATION cK M D CASH
I rr 4 4 4 1 ,1P;;10 2 0 5.0 0 NY
SCE BACK 01 APPLICATION FOR COMPLETE FEE SCHEDULE
7BA683-CEBOO 3 69
A I FOR ELECTRIC 9`
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION qDD KESS
JOHN A LAMBIE COUNTY ENGINEER ////
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY p(�Q
FOR APPLICANT TO FILL IN NEAREST
CROSS ST >
NO CPCX FEE
RECEIPT $ E OWN
MAIL
LIGHTTOTAL FIRST 20 20 ADORE
CITY TEL N
SWITCH_ __ OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_DISP _F A U CONTRAC
SPACE HTR —AIR COND - ADDRE
CLOTHES WASH _DISHWASH C TEL NO
FAN OTHER 1 00 LICENSE CLASS
MOTORS TRANSFORMERS RATING 1 HEREBY ACI(NDWLEDCE 'PAT 1 NAVE READ THIS APPLICATION
IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE 9 TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
D — 1 1 OD 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
-ICENBEO A5 REQUIRED BY LOS ANGELES COUNTY AND STATEOF O
1 — 10 3 DD CALIKORN1A OR THAT I AM THE LEGAL OWNER OF AND INTEND TO V
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
10 – 50 500 I
SIGNATURE O
50 – 100 1000 OF PERMITTE G
W
100 — 500 1500 pISTwICT NO� 6R ZO E PR 5 ED d
SIGN,GAS SIGN AND ONE CIRCUIT 3 00
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
`SEMv7EEm6'o�6"6oproLTs OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS SIGNATURE
TEMP POWER POLE
UNOERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE ISU9 TOTAL) FIXTURES
POWER AUTHORIZED 1
PLAN CHECK FEE (50% PERMIT F
P IT ISS NO FEE pjjA 2 00 UTILITY CO NOTIFIED
AIRS ER MIT G 1 00 a FINAL
TO L FEE (/ JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION cK M O CASH NL- PERMIT VALIDATION cK ME CASH
47379 AVR30 2 D 3.0 Ow '�
3FE 3AfF OF nopl iIAT1ON 3nw fDMP' cTF FEE SCHEDULE
'76AGGS'CE60'7
SS APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES 111111111111
DEPARTMENT OF COUNTY ENGINEER BUILDING C
BUILDING AND SAFETY DIVISION AD0REBB S P 4 h 7
JOHN A LAMBIE COUNTY ENGINEER fx
CASSATT D GRIFFIN SUP T of BUILDING LOCALITY i
FOR APPLICANT TO FILL IN NEAREST G6\
PERMT FEES CROSS ST
I T E M NUMBER EACH FEE OWNER _
OUTLETS
LIGHTS I RECErt cW - 5 10 5 MAIL
ADDRESS -. )"Q nT O S
I
LIGHTING FIXTURES 10 O CITY •G TEL NO
ELEC RANGED CLO DRYERS ELECTRICIAN
WATER H XATMRS EO ADDRESS
ELBC SPACE HTRS DISHWASHERS
GARBAGE OIBPOB8R8 AUTO CITY TEL NO
STATE F
WASHERS STA COOKING UNITS 215 LICENSE NO
MOTORS OVER INC H P
DISTRI O G UP Z NE PR
O— I/a 2a e
v.— z Eo INSPECTION RECORD
2— E 100
a— 15 1150
15— BO 250
50-200 500
SIGNS NO TRANS
NO LAMPS
SERVICE O SOOV 100
SERVICE OVER 600V 500
MISC
WIRING PERMIT 1 00
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT a0
TOTAL FEE s APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION TDA INSPEGXORS SIGNATURE
D
ANSTATE THAT THE ABOVE I6 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR c
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES - S •S / ✓'G+1�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OR TH8 ABOVE PGWER
DESCRISED RESIDENTIAL PRO ERTY
SIGNATURE UTILITYCO NOTIFIED
PEflMITTEE INAL 14- 1 . -
�IDATION AIITHUR C VETT,
f / G / Mo CASH SUPERVISING ELECTRICAL ENGINEER
LACo16 2 1n ,AUG 24 2 A -3.00 ig ,
r ( ,
TDAPERNII
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR
COUNTY OF LOS ANGELES �� Y rT
V 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC O GROUP ZO E PERMIT NO
I
ELECTRICIAN l• �
RE C fiD BY READY FOR OATHI98UHD
INS
ADDRESS FIRST INSPECTION
CITY TEL NO
COUNTY LICENSE NO EXPIRES BUILDING
PERMIT FEES ADDRE98
NUMBER EACH //'/a r "
FEE LOCALITY t� 1..-
LIGHT OUTLETS NEAREST
CROSS ST
RECEPTACLES �(
WALL SWITCHES OWNER rr li C
TOTAL OUTLETS Dc S MAIL (
ELEC RANGES 25 ADDRESS L +` Q
ELEC HEATERS 25
CITY A, VL a le TEL NO
FIXTURES D
1 HEREBY ACKNOWLEDO THAT 1 HAVE READ THIS
MI6C APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLC CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUHeea HRBfiPOWER FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
O
New MVD HP oYRR IRE EACH OF THE RESIDENTIAL PROPERTY pEBCRIB D ROVE
I e I-Eea 25 SIGNATURE OF
I 2 50 PERMITT6
2 s 1 DD INSPECTION RECORD
5 15 1 50
Is 50 2 60
50 200 5,00
200 BOO 10 DO J
500 1000 19 00 Q
Z
OVER 1000 20 00 0
M G SET/FRED CHANGER-HP IC
O
WELDERS AC KVA
GENERATORS KW
TRANSFORMERS-KVA
i
TEMP MOTORS (75%of owlO )
MOVED MOTORS (75° OF ORIG I
MISC
SIGNS
NO NO TRANS I APPROVALS
NO NO LAMPS
DATE INSPECTORS NAME
FOR EACH PERMIT
CONDUIT
WIRING 61 00 �
FIXTURES 61 00 WIRING
SUPPLEMENTARY s0
FIXTURES
POWER
TOTAL FEE D/ UTILITY co NOTIFIEDI A _
lYJ FINAL A) -,
WORKERS COMPENSATION DECLARATION I63
ICE CE 866G 12801 APPLICATION FOR ELECTRICAL PERMIT
i i
I hereby affirm that I have a certificate of consent to self` I COUNTY OF LOS ANGELES 7— C ' BUILDING AND SAFETY
insure or a certificate of Workers Compensation Insurance,or i
a certified copy thereof(Sec 3800 Lab C) '
FOR APPLICANT TO FILL IN JOB
Policy No Com an _
p y , P L
❑ s New Residential Bldgs &Pools EACH NO FEE ADDRESS
Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY T G 711
Certdied co p Multi family Sq Ft EAR T -
I py is filed with the county bild
uing ins ection CROSS ST
department Residential Swimming Pools OWNER OR fp
_ FIRM NAME `-O4tcS /`J /C
Ili Date Applicant �2r
Outlets Rec r�Light 5w �� y ADDRESS iC7�� /�/ ZA" ST
Fust 20 ,�
CERTIFICATE OF EXEMPTION FROM WORKERS Total No � Additional CITU l SLA )' Tel No s-
COMPENSATION INSURANCE i PLAN CHEC }
' APPLICANT 1
"(Thts section need not bL e completed if the work involved Q O
by the �permtt is for one hundred dollars (SI00) or less) Lighting Fixtures First 20 _ ADDRESS I U
' Total No -- Additional
I certify that in the performance of the work for which this CITY - Tel N 0p'ermrt B issued, I shell not employ Any person m Fixed Appliances Not Over 1 HP any manner PERMIT
( 'so as to become subject to t e W kers' Compensation Laws Range_ Heater_D W APPLICANT d
�j _ Oven _ Dryer_W M CL
ADDRESS N
,YSDate/ � e /Applicant Top _ FAU _W H / Z
Hood _ Fan _Other_ CITY Tel No
NOTICE TO APPLICANT f after making this Certifi ate of Disp _ Room Air Cond_ LICENSE OR
Exemption you should become subject to the Workers' ; REG NUMBER - Class '
Compensation'prosisrons of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PROCE SED BY
with comply with such provisions or this permit shall be Size&Type HP KW KVA or KVA i "�
deemed revoked _
' t ~ r Up to 1 Incl FINAL - +
Over 1 to 10 Incl DATE
• LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl ( -V++ VALIDATION
1 hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL
9 (commencing with Section 7000) of Division 3 of the BuseOBY
Over 100
ness and Professions Code and my license is in full force and rV3
effect Services
License Number i. Lm Class 0 200 Amp Under 600 V '
201 1000 Amp'Under 600 V i
Contractor Date -Over 1000 Amp or Over 600 V
HOME OWNER BUILDER DECLARATION Tem Power Pole &,A
r p ppurtenences ,
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for tin. following reason (Section 7031 5, Bust Additional Sign Branch Circuits �1� 7 A
�riess'and Professions Code) .ti `, - 1
Misc Conduits& Conductors # _� 2
I, as owner of the property will do the work and the Other (See Complete Fee Schedule)—
struclure is not intended or offered for sale (Section -• '
7044, Business and Professions Code) 2'l• 1 700
CONSTRUCTION LENDING AOENCY '
I hereby affirm that there is a construction lending agency_ a >+� 1 7 001
for the performance,of the work for which this permit is ;PERMIT FEE i (Sub Totall
issued (Sec 3097 Cry C ) I �U Q' 2 -8
Lender s Name 'PLAN CHECKING FEE (One Fourth Permit Feel
Lender s Address' i
;PERMIT ISSUING FEE
I certify that I have read this application and state lliat the TOTAL FEE `
above information is correct I agree to comply with all County I '
ordmanc!,a^and State laws regulating Electrical wiring and
h eb�uthonze representatives of this County to enter upon ,< «
t ab ,
men property for inspection purposes ; SEE REVERSE FOR EXPLANATORY LANGUAGE '
I
igneture o ermrtteeDate '� '
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORXS 9701 LAS TUNAS EL 0508 0808180016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760
PHONE (626) 285-0488 EXT
ID - FEES PAID BUILDING ADDRESS
TR�12210 LT 13 1 1 9315 PENTLAND ST
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803737
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ENCZNITA
18590-009-030 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY -Cl
LB 200 AMP PANELS MCC 1 00 PAN 38 85
TENANT TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
108/18/08 SR 02/14/09
I
(OWNER TEL NO IFIVAL QATE F$NA,y BY CODE
MONTEMAYOA LOUIS VERONICA TRUS (626) 285-4742- / �
19315 PENTLAND ST
TEMP 917803737 DAdCA115TION OF WORK
IINSTALL 200 AMP SERVICE
I
1APPLICANT TEL NO I 1
1GURROLA (310) 836-8076-
5625 W WASHINGTON SPECIAL CONDITIONS
-
LO5 ANGELES 90016 '
CONTRACTOR TEL NO - IAPPAOVALS DATE INSPECTOR SIGNATURE
I POWELL ELECTRIC (800) 660-8076- 1
15625 W WASHINGTON BL LIC NO I (TEMPORARY POWER POLE M
LOS ANGELES CA 90016 631836010- - UNDERGROUND CONDUIT
I I 1
ARCHITECT OR ENGINEERTEL NO IUFER GROUND
ILIC NO TROUGH CONDUIT FJ
IROUGH WIRING II
_(MAIN WATER LINE I y'�/
(PLASTIC YIN METAL YIN �I -/-�i • 1
I 1UTILITY COMPANY NOTIFIED
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REPORT ID DPR265 ROUTE TO BS OSOB
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