The URL can be used to link to this page

Home My Public Portal About9321 PENTLAND ST_Electrical__ .e.,. 1116 APPLICATION FOR PERNW, �1EPAR11COUNLTfr OFF LOS AG AND SAFETY ER �L�� l �l� Jf ; COUNTY OF LOS ANGELES Ei 1 M c oaalNe < NAME DISTRICT NO. GROUP ��Z/�ONE PERMIT /NO. py� U ADOREBB � /7 CITY + RECEIVIRDRKADY FOR� A NO FIRST INSPECTION L/ J COUNTY "576 YI CrRT NO QXPIRIC APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITY LOCALITY 'J� A LOCATION BY ROOMS NEAREST O LIGHT OUTLETS SW PLUGS FlI['! CROSS STJ CIRCUIT A 6 I C I D I E F 6 H ZMAIL 3 ADDRE.S/SN p�/7 O CITYRE//pl- AA Al-e;+TEL NO 1 AM THE POSSESSOR OF THE ABOVE LOS ANG�6Y COU CSRTIPICATi OP//yyQUALlFICATION. I AM y n[rnaaul ABOVB'IfIL LMAL OWNR1 BR OR TH6 PRDPRRT1j H�C / 1' OWN[R CORRECTIONS J Q Z l7 E O t� TOTAL NO OF OUTLETS S /0 APPROVALS 1 NO OF FIXTURES S OS DATEINSPECTOR'S NAME NO OF MOTORS HP S CONDUIT NO OF SIGNS TRANS $ WIRING NO OF RANGES OR HEATERS S FIXTURES I EO S POWER C PERMIT PQ6 kS S .4J UTILITY CO NOTIFIED TOTAL FEE FINAL, ��t! DB S A III 41 APPLICATION FOR PERMIT 'DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC J FOX. CHIEF ENGINEER NAME IEDISTRICT NO GROUP ZONE PERMIT NO. U_ /�/� P µr ADDRESS �/ A/ //\ _ U IVyI CITY / 1 ' TEL NO RECE/I/�V/EJD BY FIRST READY FOTRION DATE ISSUED I+ CERT NO / I COUNTY V EXPIRES V ' 2• '�— �� I APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY , DESCRIPTION OF WORK 'A°ooRes9 NUMBER OF OUTLET{ON CIRCUITS LOCALITY I LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW PLUGS I FlXi CROSS BT �y - CIRCUIT A B C I D I E I F-1(3 I H I NAME Q h wL !A Z MAIL �J ,= ADDRESS A CITY / l !� TEI-NO 1 - . v. LEG PO98E660 OP THE ABOVE LOB ANGV-ZS COUNTY CERTIFICATE OF QUALIFICATION ELECTRICIAN I AM THE LEGAL.OWNER OF THE PROPERTY DESCRIBED ABOVE np �a_i( 7&ko •�•w cwNew ' CORRECTIONS — a z u 13 D TOTAL 111 17 NO OF OUTLETS ;L S APPROVALS I NO OF FIXTURES I S 6'1DATE INSPECTOR 9 NAME NO OF MOTORS H P B CONDUIT NO OFSIGNS TRANS 8 WIRING NO OF RANGES OR HEATERS 8 �" FIXTURES r MISCELLANEOUSS POWER PERMIT FEE S $ 25 -UTILITYCO NOTIFIED TOTAL FEE FINAL 70A063-CES053-e9 APPLICATION FOR E ECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 7 ^'1 BUILDING AND SAFETY DIVISION _2/ 2 g00RE55 JOHN A LAMBIE COUNTY ENGINEER ^ , COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CRD$$NEAREST$T NB EACH FEE $ E OWNER f y RECEIPT MAIL LIGHT� TOTAL FIRST 20 14 20 ADDRESS r (�. SWITCH_ OVER 20 10 CITY TEL NOPLAN CHECK LIGHTING l TO AL FIRST 20 20 0 APPLICANT FIXTURES J� OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP I F A U CONTRACTOR SPACE HTR _AIR COND ADDRESS`S CLOTHES WASH _DISHWASH CITY /�(, TEL NO ��ll W FAN_OTHER 2- 1 00 Q LICENSE NO S CLA55 e-16 MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE REAP THIS APPLICATION INO HEATERS, ETC HP KW KVA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE E TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING D - 1 1 DD 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AHO/OR _ICENBED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF 1 - 10 3 OD CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO d RESIDE IN THE ABOVE DESC RESIDENTIAL PROP PTY O 10 - 50 5 00 V SIGNATURE 50 - 100 10.00 OF PERMITTEE O 100 - 500 1500 DISTRI T NO GROUP xo P sED By G SIGN GAS SIGN AND ONE CIRCUIT 3 00VROUGH _/ h TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1 00 SERVICE NOT OVER 600 VOLTS OR 200 ANP / 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE $APPURTENANCES 3 00PROVALS DATE INSPECTORS EKiNATUNE WER POLE B WORK NDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED D PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2 00 UTILITY CO 'OT' SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL 2 U TOTAL FEE E/ C/ JOSEPH ROOHAN SUPERVISING ELECTRI L ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o cABH JAr04 6 a We AR28 2 D 7.0 OB s SEE BACK OF APPLICATION 'OR COMPLETE FCC ACHFPULF ,I';,. W✓ /'A/ WORKERS COMPENSATION DECLARATION CE 886 ,nra, APPLICATION FOR ELECTRICAL PERMIT {� � I flareby affirm that I have a certificate of consent to self insure _ �epee LJ or a,certijcate of Workers Compensation Insurance w a certified' COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereeoff(See 3800 Lab C) Policy NO(.31rrf 56, Company G_ AL/l_l FOR APPLICAM TO FILL IN "", r JOB �Ified copy Is hereby furnished New Residential Bell I& Pos EACH NO .FEE ADDRESS ' v S — $ LOCALITY Cerhfled copy Is filed with the county building Inspection C& 2-Famtly Sq Ft department Multi-family Sq Ft — NEAREST CRO55 ST Oats '' Applc�,rrt Residential Swimming Pools�/ OYJNER OR, n ( , ( t FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS l A MAIL r Outlets Re Light Sw �J nn COMPENSATION INSURANCE C Q ADDRESS (This section need not be completed dlthe work mvolved,by the Firstional IT Tel No t 20 Y � permit Is for one hundred dollars ($100)or less) � I Total No Addi � ipLAN CHECK I certity that In the performance of the,work for which this permit • PLANItPP_C E - Is Issued I shall not employ any person in any manner so as to qq became subject to the Workers Compensatron Laws Llghhng Fixtures First 20 "70 ADDRESS ' Total No Additional" _v CITY Tel No Date Applicant - ' ` - - NOTICE TO APPLICANT If after making,this Certificate of Fixed PERMIT xed Appliances Not Over 1 HP • Exemption you should become subject to the Workers Compensation ^ Range_ Hester DW _r ,J B� v Anil provisionsyof the Labor Cade you must forthwith comply with such Oven — Dryer ,W M ADDRES provisions or this permit shall be deemed revoked Top — FAU _ WH _ LICENSED CONTRACTORS DECLARATIONHood Fan Other_ ovCITY Tel No I hereby affirm that I am licensed under provisions` of Chapter 9 _ IRoom Air Condi - _ _ ,' LICENSE OR' C (commencing with Section 7000) of DNislon 3 of the Business and REG NUMBER` Professions Code and my license is In full force and effectDISTRICT NO RRocESSE V Power Apparatus& Large Appliances _ ♦. Size&.Type HP KW KVA or KVAR _O- License Number4Aq CLIC Class Al!�� Up to 1 Incl FINAL "� U T� O4 ✓_An. Over 1 to 10 Incl DAA 3 VALIDATION 0 Contractor _� Date Over 10 to 50 Incl ❑ Iam exempt under Sec Over 50 to 100 Inc _ BY B&PC for this reason Over 100 `y N Services Swbd MCC& Panelboards Z Date 0-200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ ' Over 1000,Amp or Over 600 V w Exemption for Reg Mamt Elect SINGLE FAMILY, Temp Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Slgn with One Branch Circuit ~ hereby affirm that am exempt from the Conhectora License Law Additional Sign Branch Circuits C>te f i fohe folkrwing reason (Secon ti7031 5 Business and Professions ❑ Mlsc Conduits& Conductors '3307 4131.30 as owner of the property will do the work and the structure I I ' Is not intended or offered for sale (Section 7044 Business __ Otherx(See Complete Fee Schedule) 1 ITEMS and Professions Code) - ® TOTAL 433 - 30 CONSTRUCTION LENDING AGENCY I hereby affirm that there,Is a construction lending agency for the r CHECK '43.30 pperrforrman ce of the work for which this permit Is issued(Sec 3087 - PERMIT FEE (Sub-Totalt C GE ' - -PLAN'CHECKING FEE Lenders Name r r ,PERMIT ISSUING,FEE - 0000-�Ioi q/ 7/v74( Lenders Address 7p7gL FEE / 3� 1765 1 1 certrfy that I have read this application and state Shet the above Information is correct I agree to comply with all County ordinances and State laws regulating Electrical wring and hereby authorize representatives of this County to enter upon the above-mentioned ` property for inspectionPurposes , ' - SEE-REVERSE FOR EXPLANATORY LANGUAGE i urs of Permittee I Date