HomeMy Public PortalAbout9405 PENTLAND ST_Electrical__ i 089 sA un BBB ro-+v' I APPLICATION FOR PEPJM
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC1
COUNTY OF LOS ANGELES
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DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS A T �' I
FU CT' TQ NO RECEIVED By `READY FOR DATE IBBU4D
COUNTY
CERT
FIRST INSPECTION _ _ J
(j CERT No [.LI EXPIRES K .C�.
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK 'ADDRESS D
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS 8W PLUGS In,, CROSS
GRCUIT A B C D E 1 F G JH I IB: NAME
Z MAIL
in ,= 1 ADDRESS
; O
cln TM-NO -
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGFJ.= COUNTY CERTIFI OP UALIIF�IICATI
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I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED _
ABOVE
oww¢w
CORIIECTIONS
J
Q
E3
C
TOTAL
O
No OF OUTLETS h� APPROVALS
NO OF Fl7(TURSS r E U DATE INSPECTOR'S NAME
NO OF MOTORS H P ® CONDUIT
NO OF SIGNS TRANS S WIRING
NO OF RANGES OR HEATERS E FIXTUREB
POWER
PERMIT PEE IUTILITYCO NOTIFIED n
TOTAL
/Y fie +
1i DEP ZRTMENT'OF BUMX%M AM SAMff I APPLICATION FOR PERMIT
COUNTY of Los ANCELEs 37, ELECTRIC
NAME tfLt i✓ - i3.e.Ti�I DISTRICT NO. GROUPI ZOO/NE PERMIT NO.
V ADDRESS 141 o E e4-sT,✓As DQ S ! /7 )
C
G CITY G Ae.trc TEL NO RECEIVV READY FOR DATE ISSUED
M COUNTY ' / FIRST INSPECTION /
d CERT NO 4I EXPIRES L
APPLICANT FQ.L IN HEAVILY,OUTLINE PORTION ONLY
DESCRIPTION OF WORK 'ADDRESS Yoo ex/TL9JD .�T
I
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREHT
H /7'LLr3A'KD2c1
LIGT OUTLETS SW PLUGS FlZT CROSS
CIRCUIT A B C D E F G H w NAME
= MAIL C
3 ADDRESS 7'y0 d /FLM A/1r
O /J
CITY TEL.NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGliLEB COUNTY CERTIFICA E OF QUALIFICATION
I �.w
Wl WC RICIAN
1 AM THE LEGAL OWNWi Off THE PROPERTY DESCRIBED -
ABOVE
owNCR
CORRECTIONS
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.P7 41 Iq
NO oP ouTLETs O APPROVALS
O OF FIXTURES S DATE INSPECTOR'S NAME
NO OF MOTORS HP CONDUIT `c
NO OF SIGNS TRANS S WIRING 5'- �✓ iC �/
NO OF RANGES OR HEATERS B FIXTURBS 1
POWER
PERMIT 8 Y IUTILITYCO NOTIFIED
FINAL
's. CASB APPLICATION FOR ELECTRIC PERMIT '• � � 4;
DIVISION OF BUILDING AND SAFETY
Department of County Engmeer ADD
• County of Los Angeles BUILDING • f I- .. F
WM J FOX COUNTY ENGINEER / Y
CAS M J F GRIFFIN SUP T N INEE BUILDIN F -
LOCALITY
1 FOR APPLICANT TO FILL IN - NEAREST
PERMIT FEES CROSS sT
NU ER EACH FEE ��
LIGHT OUTLETS OWNER �,J,.l, s /,
RECEPTACLES MAIL
ADORESS�.�'�•„^� F+w' / Y
WALL SWITCHES ` T/��,Pa
TOTAL OUTLETS SQ S 'CITY - TEL NO /(� V
ELEC RANGES 25 ELECTRICIAN
_ELEC HEATERS 23 ADDRESS
KW EA CITY .. TEL NO
FIXTURES 3 1 LICENSE NO
NUMBER OF LIGHT CIRCUITS
DISTRICT NO I C+Q�LIP ry H6AVT FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS - S / � vT�
MOTORS
NUMBER HORSEPOWER FEE- - INSPECTION RECORD
N[W MVO HP OVER INC EACH
@ LE➢5 S 23 _ _ -T _
2 30 _
2 5 1 00
5 9 1 30
_ 13 50 -2 30
90 200 500
MISC • t
Y
NO SIGNS NO TRANS
NO SIGNS NO LAMPS ` F
FOR EACH PERMIT I V
WIRING 51 00
FIXTURES EI 00
SUPPLEMENTARY.. 30 ` - - - APPROVALS
1 TOTAL FEE S DATE INSPECTOR S SIGNATURE
I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI &TION CONDUIT
IpND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
VITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING 1
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF + _
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL P ERTt {
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE FINAL
WILLIAM J FOX COUNTY ENo1N6En VALIDATION A. C.VEIT.CHIS ELECT. INSPECTOR
x A0, t 4 ai Ai 13 , a. . - 29 5 in
L n R • , y, 1 •- • + • , -
70A663 CEBDB 1258 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER rULD'
ING
BUILDING AND SAFETY DIVISION DOREssJOHN A LAMBIE COUNTY ENGINEER
CABBATTD GRIFFIN SUPTOFBUILDING OCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES caoss sr
ITEM NUMGER EACH FEE OWNER
OUTLETS s IS MAIL _
LIGHTS RECEPT DW 10 ADDRESS QO
LIGHTING FIXTURES 10 CITY TEL N
EL6C RANGEY CLO DRYERS ELECTRICIAN
WATER HEATERS 50 ADDRESS
ELEQ SPACE HTRS DISHWASHERS
CITU TEL NO
GARBAGE DISPOSERS AUTO STATE
WASHERS STA COOKING UNITS 25 LICENSE NO / O
MOTORS OVER INC HP �j DISTRICT NO I GRt2YP ZONE P D
0— 4: 25
V.— 2 50 INSPECTION RECORD
2— 5 1 00
5— 15 150
15— 50 250
50-200 Soo
SIGNS NO TRANS
NO LAMPS
SERVICED 600V 1 00
SERVICE OVER BOOV 500
MISC
WIRING PERMIT y 1 00 000p
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 50
TOTAL FEE s APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE I6 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING
WIRING
1 HEREBY CERTIFY THAT I S PROPERLY COUNTY
AN ED ANO/Oq
LICENSED AS
R THAT
A LTH ANGELES COUNTY AND STATE VE FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPE POWER
SIGNATURE LMLITYCO NOTIFIED
OF PERM ITTE
NAL
®� O
}44�.iDATIN ARTHUR C VETT
�/ccrc/ mo O SUPERVISING ELECTRICAL ENGINEER
LAC0063r JUL ?4 2 A 125 e
iv
�A76AR63 CEROs S 61 APPLICATIONELECTCL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER TC
WILLIAM A JENSEN, SUP T or BUILDING LOCALITY
NEAREST
FEs'FO PPLICANT TO FILL IN cRosesT�j TOTAL _NO EACH "OUTLETS FIRST 201 S 2O S OWNER MAILW5 A VR2 10ADDREBBOVER 20 /lTOTAL CITY _^/ TEL NO — VING 1F1Rsr 20 2097
RES 11 3l ADD'L Ov R 20 10 ELECTRICIANS CLO DRYER! WTR HTRS 1 00 ADDREBB
P CTA COOK
CITY TEL NO
H AUTO WASH STATE
RS CTA APP (W H P MAI 1 EO LICENSE NO
l oven HOT OVER H P FDS ICT O Ge N P S D BY
0 I too Q
+ 3 t 30 INSPECTION RECORD
3 B 200
S — 15 250 0-
0
15 so 300 U
s0 100 500 C
`0
SIGNSi NO TRANS 1
NO LAMIS
O_
h
SERVICE O SOOV NOT OVER 200A 100 Z
SERVICE O SOOV OVER 200 A 200
SERVICE OVER SOOV 500
MISC
PERMIT ISSUING FEE -7-200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE _
1 HERBSY ACKNOWLEDGE THAT I HAVE AD THIS APPLICATIO APPROVALS DATE INSPECTOR S SIONATUM
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING )-/ — co L
1HERESY CERTIFY THAT I AM PROPERLY REGIBTEREO ANO/OR -
LIGENBED AC REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURED
GLIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P RrY POWER
SIGNATURE UTILITY CO NOTIFIEDT
OF PERM ITEE
FINAL
VALARTHUR C VE
K MIDIT
CMO CASH SUPERVISING ELECTRICAL ENGINEER
LK,0'8 0 6 9DEC 7 z D 4.60~
76A663 CE8061/70 APPLICATION FOR ELE RICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �'/
BUILDING AND SAFETY DIVISION ADDRESS ? �/1�
JOHN A LAMBIE COUNTY ENGINEER LOCALITY
COLEMAN W JENKIN$ UP RINTKNDRNT OF BUILDING
FOR APPLICANT TO FILL IN CROSS NEAREST
T
OUTLETS NO EACH11 FEE
$ $ OWNER �S
RECEPT MAIL
LIGHT TO FAL FIRST 20 20 ADDRESS �< C'r �/Y /�/✓!J
SWITCH OVER 20 CITY TEL NO
10 PLAN CHECK
LIGHTING
TOTAL FIRST 20 20 APPLICANT
F OVER 20 10 ADDRESS
TURES
APPLIANCES CITY TEL NO
RANGEDRYERWTR HTR PERMIT w
APPLICANT` F-`V
STA COOKDISP F A U I ADDRESS
SPACE HTR AIR CORD CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN_OTHER 100 1 HEREBY ACBNOWLEOBE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDI HARCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE_& TYPE_ OVER _ TO _
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
1 - 10 300 RESIDE IN THE ABOVE DESSCRITEO RESIDENTIAL PROPERTY
' Lf
10 - 50 500 SIGNATURE
1 OF PERMITTEE 0
50 - 100 1000
1D0 - 500 1600 019 TRICT NO CLASS GROUP ZONE PPOCE9�;B�1— d'
� 8> / z �>
SIGN GAS SIGN AND ONE CIRCUIT 300 NOTES
a
TUBE OR yG
MARQUEE ADDITIONAL CIRCUITS 100 Z
SERVICENOTOVER600 VOLTS OR 200AMP 00
SERVICE OVER 600 VOLTS OR200AMP 600 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
TEMP SERVICE POLE &APPURTENANCES 300
UN DERSLAB WORK
TEMP LIGHT OR RECEPT' SYSTEM 300
ROUGH CONDIUT
WIRING R
FI%TURES
PERMIT FEE (SUB`TO TA L)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO NOTIFIED
PERMIT ISSUING FEE (�Q
FI NAL
SUPPLEMENTARY PERMIT ISSUING FEE 100
_ i EVI C ROOHAN
TOTAL FEE SU A SUPERVISING ELECTRICAL EN GINEEP
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION ^<K M 0 CASH
Y�J
I, ..._-1 912 oti we12 2 D 6.00-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
WORKERS'COMPENSATIONDECLARATION CE
8686G (2 B01 APPLICATION FOR ELECTRICAL PERMIT
76 6 LJ
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
,
Insure or a certificate of Workers'Compensation Insurance or '
a certified copy thereof
(Sec 3800 Lab C ) L C
.V Pol y No�T�pany��At • sl�l(� FOR APPLICANT TO FILL. IN JOB
New Residential Bldgs &Pools EACH NO FEE ADDRESS
Certified copy Is hereby furnished 7 &2 Family,Sq Ft $ — $ LOCALITY '
Certified copy is filed with the county budding Inspection Multifamily Sq Ft CROSS ST
department Residential Svnmming Poci OWNER OR e
n \� �y¢ C r FIRM NAME
Date +t—�gpplrcant0 X? tCYle Outlets Rec�Light Sw �1 MAIL
% First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS Total No Additional CIT s Tel No _
COMPENSATION INSURANCE _ }
PLAN CHECK 1
(This section need not be completed if the work Involved Lighting Fixtures / First 20 PPLICANT U
by the permit Is for one hundred dollars ($100) of less) g g ADDRESS
Total No Additional
I certify that In the performance of the work for which thisFixed Appliances Not Over 1 HP CIT Tel No 0
permit Is Issued, 1 shall not employ any person In any manner PERMIT W
so as to become subject to the Workers Compensation Laws Range_ Heater_D W APP ICANT S
Oven _ Dryer_W MU)N
Date Applicant Top _ FAU W H Z
CIT ' ° 1 Tel Noo
Hood _ Fan LOther 2,`k0-k%
NOTICE TO APPLICANT If after making this Certificate of Disp _ Room Air Cond� v LICENSE OR
Exemption you should become subject to the Workers REG NUMBER lass iia—
Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO PROCESSED BY
with comply with such provisions or this permit shall be Size&Type HP KW,KVA or KVA
deemed revoked -
Up to 1 Incl
i FINAL
Over 1 to 10 Intl DATE r9 /.
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 FINAL
�'
9 (commencing with Section 7000) of Division 3 of the Bust Over 100 BY %_J
ness and Professions Code and my license is in full force and
effect Services
License NumberLm Class G,` 0 200 Amp Under 600 V
/ 201 1000 Amp Under 600 V
Contractor Date 1.—AZ g3 Over 1000 Amp or Over 600 V i
HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances
I hereby affirm that 1 em exempt from the Contractor's Sign with One Branch Circuit
Additional Sign Branch Circuits ,
License Lew for the following reason (Section 7031 5 Busi - :9 4 4 6 8 A
ness and Professions Code) I '
QMist; Conduits&Conductors ,
1 as owner of the property will the work and the Other (Sae Complete Fee Schedule)— # e e e e e 2
structure Is not intended or offerere d for sale (Section i ' ' s
7044 Business and Professions Code) ,2i e 3 Q Q
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lend mg agency r, se's e 3 ) Q Q 5
for the performance of the ork for wh ch this permit Is f '
Issued (Sec 3097 Civ C) PERMIT FEE (Sub Total) 0 9 12-83
r
Lender s Name— ��� PLAN CHECKING FEE (One Fourth Permit Fee)
Lender s Address ,
PERMIT ISSUING FEE
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 r
ordinances and State laws regulating Electrical wiring and
hereby authorize representatives of this County to enter upon '
the above pro ertY for mspectmn purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
ct—��r-C3
Signature of Permittee Date ,
WORKERS COMPENSATION•DECLARATION '76A663 ,drB, APPLICATION FOR ELECTRICAL PERMIT �1
a hAmbyafl th�( I have a Certificate"Of consent f0 Sell insure, CE 8o8G ' !fl,•
of'a certdicats of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES i r BUILDING AND SAFETY
copy thereof(Sec 3800 Lab C) _,
1
Policy No COmpenyM1 �\�(1• - FOR APPLICANT TO FILL IN, r• , JOB'
❑ (Certified copy lathereby furnished 1 Nev,Residential Bldgs & Pools $EACH NO $ FEE LO ADDRESS'
, ,a
Certified copy' is filed with the•ccunty building Inspection 1 & 2-Family Sq Ft
a department 1� '_ ,.`� r n''�-'��1 Mutto-famtly Sq FL — NEAREST - J
� GROSS ST
Dea �' �- App,'Icant� \�C_.ytp\�+llitlrN Residential Sw,mmiN P
,o
/ols 1 OwN R OR'
r' +� CERTIFICATE OF'E%EMPTION FROM WORKERS ' a - e/ i° FIRM NAME
Outlets Rec Light -I—Sw
'• COMPENSATION INSURANCE' + , AOORESS
n First 20
(This section need not be completed d the work Involved tr the I q . ' , L ,
permrfor one hundred dollars ($100) or less) P :t Total 1.L r " ' 'CIT _ * Tel No
t s No Additional
_ -
( 1' ,
•I cis that the performanceRAN CHECK
of the work for which this permit ` -
s issued J shall not empby•artyr+person in'any manner so as to � 'p • � i, � APPLICANT -
become sublect(to`the Workers'lGompensetion Laws ,. 'Lighting Fixtures First 2 O ' i ADDRESS
Additional -
Date Applicant' -+ . Total No t CRY 4, + Tel No
NOTICE TO APPLICANT 'If ' after 'mekm Fixed Appliances Not er 1 HPi 1 'f
r g this Certificate of PRMR
Exemption you should beconre suhlect l0 the Workers Gorrillensatxm - RangeX— y
DW __, APPt-ICANT ,
provisions Of the Labor Code you must,forthwith comply with such OvenW M ADDRESS t
ro6ions or this permit shall be deemed revoked TopWH CITY^' Tel
/ LICENSED CONTRACTORS DECLARATION \
Oven Other_herebyiaffum that,l am licensed under provisions of,Chapter,g Dlsp- Gond- - ,1 LICENSE OR, Claus
oinnrencinp with Section 7000) Of+Drvswn 3 OI the Business and . a _ REG NUMBER
Professions Cade and my license s in full force and effect •� + _ - - E O BY _
i -..
_ Power-Apparatus& Large Applsncaa- DISTRICT NO
- ,
�S6V1� Size& Type HP K KVA'or KVAR
�LKense'Number+ Lic Class t 11rx1 FINAL i - -
i TE
\� � y
Cof'Itmctor13L9� -�JU\� , Date _?,-:F1•R� + 1 to *10 Ind DA y / , VALIDATION
,,❑ e CX-r 10 to 50 Incl FINAL J - O
,1 ern exempt under Sec r 50 to 10Th Ino; - BY (yj
I B&PC for itis reason Over 100 1 n•
' - Date- r Services SwbdXMp
& Pane1h it , 1 - Z
0- 200 Ader 8(0 V / _
Signature' 201 - 1000nder 600 V • '
/ ❑ iExamption for Reg Maint Elect ' Ova! 1000 Over 600 V , {??�����,�,i
SINGLE FAMILY Temp Power POIe& Appurtenances _ _ _ _ -r _ i
HOME OWNER-BUILDER DECLARATION + , Sign with One Branch Circuit
^~ - ITS '
I hereby affirm that I am exempt from the Contractus License Law 4
t for the following reason(Section 7031 5 Business and Professions Additional Sgn,Branch Cirwlts- ., F' _ -�O _y +•?c
Code) t -TOTAL-,- 0� 2 _
❑ as owner of the Misc Coriduns & Conductors- ,- ,;, -. •. t L [�I _ _ ?0.2e
property;will do the work and the structure I' + 1' ' r•
is not intended or offered for sale (Section 7044'Business Other(See Complete Fee Schedule)
and Professions Code) I I ►� . r Tp r
L CONSTRUCTION LENDING AGENCY ' i • s , ^i^' { t71J . L/ 5/39
I hereby affirm that there's a construction lending agency for the � � 'r
performance of the work for which this permit is issued(Sec 3087Civ C) , - S - - - 2719' 1 �'� Q.�?
PERMtT FEE (Sub-Total)
'PLAN CHECKING FEE--
Lender s
EE--Lenders Name
It PERMIT ISSUIN&FEE•� r y . • `r, .� ,',. r
Lenders Address • , ,
I certify that icatton and state that the above, TOTAL FEE
`nformet�correct l agme'to col agme'to co with all County,ordinances
to laws regulating El"rcjrical ring and hereby authorize r -
presentatrvas of On en upon the atxrve-mentioned , . ,
propert f i '�= < - •SEE,REVERSE FOR'E%PLANATORY LANGUAGE ' -• -- r - 'q�-.- f y -.- '•- w r
Signature Itt Date , , , 1 • 'i s, y i '