HomeMy Public PortalAbout9431 PENTLAND ST_Electrical__ 7SA663 OHS BA IV-50 APPLICATION FOR PERMT
DEPARTbIENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT T IN DISTRICT NO. GR..-LOUP �ZO—N/E PERMIT NO.
ELECTRICIAN s
1MCEIVED BY READY FOR DATE ISSUED
CITY TELNO. Y/l�
ADDRESS LC FIRST INSPECTION ` ^/
, 'y��'//"KA + i)
COUNTY LICENSE NO. EXPIRES BUILDING
PERbIIT FEES ADDRESS
HUMBER PEE EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROBS ST.
WALL SWITCHES OWNER
TOTAL OUTLET 5c 6 MAIL
[LEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 6
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIBC. 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH
'/,&LESS .25 SIGNATURE OF
ME 2 .50 PERMITTEE
2 B 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 600
200 BOO 10.00 J
500 1000 15.00
Z_
OVER 1000 20.00 3
M. G. SET/FRED. CHANG[R-HP O
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-"A
TEMP. MOTORS (75%OFORIG.
MOVED MOTORS (75%OF ORIO.)
M ISC.
SIGNS
NO. NO. TRANS. APPROVALS
O. HO, LAMP9
DAT[ INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING $3.00
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE -UTILITY CO. NOTIFIED
FINAL i `�SZ
1 D e B SA 25M SEB 1047 • APPLICATION
TION FOR n�
DEPARTMENT OF BLTELDM AND SAFETY ALELEC' IC
` COUNTY OF LOS ANGELES
A
OXUL.a.Z.& E ENGINEER
JUg- A
DISTRICT NO. GROUP ZONE PERMIT NO.
AMEn1 //�DDR66H la/ L T!/A//s .17.E1 '-1 1ITU oe"- TEL HO RECEIV READY POR `DATA ISSUED
OUNTY FIRST INSPECTIONERT NO Q][PI M /
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS _/.-Oy�3
NUMBER OF OUTLETS ON CIRCUITS LOCALITY / LC C./T
LOCATION BY ROOMS
CEAREST LL �9�0
LIGHT OUTLETS BW PLUGS FDR
CIRCUIT A B C D E I F 6 JH R NAME E
p /} WZ MAIL
6 7 3 AOORH66
� i O
CITY TEL.NO
1 AN THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI TE OF QUALIFICATION
QLdCTRICIAH
I AM THE {LEGAL OWNER OF THE PROPQR'fY DESCRIBED
ABOVE
O"ER
CORRECTIONS
J
Q
Z
O
R'
D
NO OF OUTU s APPROVALS
NO OF FIXTURES DATE INSPECTOR'S NAME
NO OF MOTORS H P , CONDUIT ` q'
NO OF Blame TRANS S WIRING Jy-j
NO OF RANGES OR HEATERS S FIXTURES
MISCELLANEOUS8 POWER
PERMIT FEE ! YS UTILITYCO MOTIF=
76A663 CE %7B)806(11 _
_ _ APPLICATION-FOR ELECTRICAL PERMIT
+ COUNTY OF LOS ANGELES BUILDING AND SAFETY' Y
' FOR APPLICANT TO FILL IN JOB JJ -7 r' ;
EACH NO . FEE ADDRESS u_ 1,ca N / IY -
New Res�de`nndl Bldgi &Pools
I &2 Family Sq Ft - b. 025 - b LOCALITY-re /E ��j 0. i•{' __'
Must, family Sq Ft 02 - NEAREST i w
25 00 CROSS ST A-
7 V'
+ Residential Swimming Pools WN"=("'
RR. �` -"t+-----+
" 1, FIRM NAME ' n
Outten Rec�LghrSw _ - MAIL n _
`• q First 20 50'• ADDRESS Y - 7`2K� 1 T T
/ TI NO k
Total No Add rtionol 30 CITY =--
`I PLAN CHECK
- - ' APPLICANT .�
Lighting FixNres First 20 50 ADDRESS • n _ . ' ^ '
Tocol No -_IAdditional ___30
T CITY Tel No n
Fixed Appliances Not Over I HP_ __ _ _p _ _ PERMIT- . - + - -+-----�'- �'-'- u---. -
'Range_Heater_ D W
APPLICANT H
Oven_Dryer_W M_ - ADDRESS - -- -`•+T'--� -- ---m-" C
Top —FAU _ WH
. .Hood—Fan Other_ I t CITY ._ ♦ - 1Y_ 4I-N0,-,�_....��.. •' r •'
LICENSE OR , ' ..,•
Dtsp —Room Air Cond 250 REG NUMBER i _ ;_ _Class -I
`s I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA �-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH^ALL-COUNTY'ORDINANCES SAND STATE
SrzeBT "IAWs
ype HE`KW KVA or KVAR 2.50 REGULATING ELECTRICAL WIRING f `�'J � O
_ Up ro_I Incl --1 HEREBY CERTIFY�THAT I AM PROPERLY REGISTERED AND/OR _1J.
Over I to 10'Incf 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF p{ v
Over 10 to 50 Inc] 12 50 CALIFORNIA OR-THAT�I AM THE LEGAL OWNER OF THE ABOVE ,a O
Over 50 to 100 Inc
25 00 DESCRIBED RESIDENTIAL Pl}OPERTY �7
-Over 100 -
4000 -i _ PERMITEE-
SIGNATUREAi
y�
Services. - . - -- -�- -- - DISTRICT NO - `-" PROCE ED BY- "'--`?'
0 200 Amp Under 600V 12 50
201 1000 Amp Under 600 V - -25 00 - - - -r "-.--
T Over 1000 Amp or Over 600 V 5000 o
Temp Power Pole&Appurtenances 10 00 - a - ---- -.-.+�••.t t
Sign with One Branch Grcurt 10 00 - -0 rt r
Additional Sign Branch Grcuxs 2 00 , u < 11 W,J, t -n
EC
INSPTION > - ,
y'1o00
INFORMATION^ ?5 t'+
Mac Condwts&Conductors ,_" -t1' Iw, , I
Other See Complete Fee Schedule)_T - ' 'ON REVERSE"-'u _ '" . s
SIDE .-Z p '
X05274
_ J
PERMIT FEE .`T ISub Total)' y -`
PLAN CHECKING FEE' (One Faurrh'PeimelFeel _1_: r, _8e I-O .r rl t' <3 to O
' t t
i
PERMIT'ISSUING FEE $70 _ - _ @_ L..O_.:..'r o • .w 3 .�•O O ,
TOTAL FEE 3 . OO 14 >
INSPECTION FINALED " iE
y } ,
dare
, BY
APPLICATION FOR ELECT_RIC_ALP_EkM _`
COUNTY OF LOS ANGELES BUILDING AND SAFETY`'
FOR APPLICANT TO FILL IN J �" r
EACH NO - - FEE-- - ADDRESS --
New Revden`tiol Bldgs B�Pools
_ 1 &2 Family_So Ft b 025 - b, LOCALITY t
Multi family Sq Fr 02 - - N R ^z
25 CROSS ST
00 '
_Residential Swwmmg Pools, _ 7WNER OR.- - - •-+-•--c- ----� --r- a
t
Outlets Rec�Llghr_Sw FIRM_ MAIL NAME
First 20 50 AD DRE - c
_Total No _I.. Additional 30 CITY_ _ Tel No •s
J
PLA,IrA", 1.l
- - .• - -•.- -+. .- _ APPLICANT � ......a_._� _
Lighhng,Fixtures - ' First 20 50 ADDRESS n
oral N'_ Additional 30_
' TCITY Tel No
Y
Fixed Appliances Not Over I HP __ - r - - - PERMIT
Ronge - •-- - +'---- -- - -e-- - --
APPLICANT
_Heater�, D W r
- Oven_Dryer_ W M= - - ADDRESS-
Top _FAU W H _ _ _ CITY _ {_ _ _ Tel No
Hood
� _Fa _Other_ LICENSE OR '—
-�Disp__Room Air Cond x _ 2 S0, `f REG NUMBER ' Class__
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA ♦•
Power Apparatus&Large Appliances • TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP KW KVA or KVAR " COMPLY WITH-ALL-COUNTY, ORDINANCES-AND'STATE"LAWS
2 50 REGULATING ELECTRICAL WIRING �+
Up to 1 In
--I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED'AND/OR UOver 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 501ncl 1250 _ _ CAN FORMA OR THAT AM THE LEGAL OWNER OF THE ABI VE _
a I 25 00 DESCRIBED RESIDENTIAL PROP RTY
Over 50 ro 100 Inc '
4000, PERMITEE
-' Over 100 - SIGNATURE 'N
r Z
Services - - - -- -" - -1250 - _ DISTRICT NO__-'- PROCESSE BY --«'
0 200 Amp Under 600V r/
'1201-1000 Amp Under bOQ,V 25 00 - �I -
Over 1000 Amp or Over 600 V 50 00 Z r ,
Temp Power Pole&Appurtenances -1000
Sign with One Branch Clrcmt - 10 00 -o
Addmonol S,gri Bronch Grcuns t 00
t ,
INSPECTION . i + ,
- INFORMATION a
M,sc Conduits&Conductors 1000 ON REVERSE 0'7 Q3'A.' '
Other(See Complete Fee Schedule] I' u x�ts t`
t r SIDE `Z #'. . 1.I•r2 V
PERMITIFEE 'Sub Total] - --4- •-- t • • . �'� a Q TTj - '
b { l
PLAN CHECKING FEE Ione Fo"urrh-Pe�mb Feel _ _ -,-�_ r0 ' t0a6 41 1 8,b
PERMIT ISSUING FEE „�sS7 00 T l . ♦_..� 11Fir ..o l i +^%'
TOTAL FEE T 40 j
INSPECTI N FIN/ALEDF
..date By �_ _ ` , Pis
x`
' WORK COMPENSATION DECLARATION 663 D (12 91) APPLICATION FOR ELECTRICAL PERMIT - lJ
60
I hereby affirm ih&t I have have a certificate of consent to Bell insure 76A 01 PW
or a certificate of worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy thereol,(Sec 3800 Lab C) r
Polity No d ompany �"1'�' I "'-/ -FOR APPLICANT TO FILL IN - - JOB
❑ r ^�
_ _ - ` ADDRESS �q,:5I O
R Cemftetl {Copy Lv hereby furnished New Residential Bldgs &Pools NO EACH FEE
L �Camfied copy is filed with the bol Ing i 1 12 FamilyLOCALITY Sq Ft — S S _ �-+
NEAREST '
11 department ^� Muhl family Sq Ft CROSS ST _Z. i �..v
Date IZ 2�� "7 Appb. Residential Swimming Pools 6 ASSESSOR
r^ pp 1.1AP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Red SZ Light Sw �` OWNER DR /� O N-+CA✓
COMPENSATION INSURANCE FIRM NAME 'f1
(This section need not be completed if the work Involved by the � ''JJ,, First 20 MAIL
permit is for one hundretl dollars(5100)or less)
Total No -1L. Additional ADDRESS C
I certify that In the performance of the work for which this permit _ CITY 'C Tel No ZQ�-2/. )c
Is Issued I shall not employ any person In any manner so as to -v l ;.J
become subject to the Workers Compensation Laws Lighting Fixlur First 20 PLAIN
Total No Additional
ADDRESS
Date Applicant RESIDENTIAL APPUANCES NOT OVER 3 HP
NOTICE TO APPLICANT If alter making this Certificate at CITY Tel No
Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP PERMIT n,-vI 1
provisions of the Labor Code byou must forthwithevoked comply with such Power Apparatus&Large Appliances APPLICANT t�vt(�. IJST"CnQN
provisions or this permit shall'be deemed revoked _
LICENSED CONTRACTORS DECLARATION 'd Size&Type HP KW KVA or KVAR ADDRESS 0- FjDX- 42"1
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind 1�A
(commencing with Section 7000) of Division 3 of the Business and SG'•' Tel No
Professions Code and my license Is In lull force and effect CITY Over 10 to 501ncl LICENSE OR
C.
M Over 50 to 1 D Incl REG NUMBER
LIcens mbar 4-" 1 Lic'Class Over 100 DISTRICT NO y PR�D�MED BY O
,�kNC� Afj1LA7C1�OtJ Services Swbd MCC&Panelboards L/O -GGGL�rLt�✓ F-
n� CC
Contractor� Date "'L� 0 393 Amp Under 800 V _ - p�7E Q
E] 1 am exempt under Sec 400 1000 Amp Under 800 V VALIDATION V
Over 1000 Amp or Over 600 V FINAL d
B 8P C /a this reason BRANCH CIRCUIT FEES eY
Date 15A or 20A 120V Lighting or Recept Z
"-
Signature 1 To 10 Branch Circuits
11 To 40 Branch Circinis
❑ _" 41 Or More Branch Circuits ?
Exempbori for Rep Meint Elacl 15A 20A 219V To 277V Lighting B Circuits
SINGLE FAMILY Tamp Power Pole&Appurtenances _ AIL-�
HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit '"�,ji�� J^.I ISI
I hereby affirm that I am exempt from the Contractors License Law M
for
oOhe following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 1 1TEME
❑ - TOTAL 5^ f''1 Q
I as owner of ilia property will do the work and the structure Mlsc Conduits 8 Conductors T) AL .J,'J� . V
is not intended or offered for sale ( Zeta Fee Schedule Section 7044 Business Other(See Comp
and Professions Code) ) ► CHE K j�•Ill l
CONSTRUCTION LENDING AGENCY` CHANGE •112
1 hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit Is issued (Sec 3097 PERMIT FEE (Sub Total) _
Civ C I OOOIJ-Oil"11 12/2'^;--
In
Lentlers Name PLAN CHECKING FEE 3151 1 Ah11:5''
PERMIT ISSUING FEE
Lender a Address
I cemfy that I have read this application and under penalty of purjury state TOTAL FEE 3 D
that the ebo mformatmn is correct I agree to comply with all County - -"
ordinances nilWretin, �wrmg end hereby aumonze
repro$ ryese above mentioned propertyfor i SEE REVERSE FOR EXPLANATORY LANGUAGE
/2-22-'73
al NA RE OF EDATE
WORKER I haveCOMPENSATION DECLARATION ,�M DPW(12 9„ APPLICATION FOR ELECTRICAL PERMIT -
I hereby affirm that I have a certificate of consent to self insure '
or a certificate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy thereof_(Sec 3800 Lab,C
Poi No Company ' FOR APPLICANT TO FILL IN JOB
ADDRESS
Certified copy is hereby furnished New Residential Bldgs d Pools NO EACH FEE
❑ i 1 1 8 2 Family Sq Ft $ $ LOCALL
department
copy is M1letl with the county building inspection NEAREST -
tlepartment � `i � Multi(amity Sq Ft — CROSS Si
Date - Applicant Restdenhel Swimming Pools ASSESSOR
I MAP BOOK PAGE PMCEL
r CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rac Light_Sw IRM HANE
COMPENSATION INSURANCE
First 20 MNL
(Thle'sect on need not be complated'If the work Involved by the Total No Additional ADDRESS ( -
permit la for one hundred dollars(5100)or lees)
1 certify that in the performance of the work for which this permit _ CITU TO Nc �3
I3 issued I shall not employ any person in any manner so as to PLAN CHECK
became subject to the Workers Compensation Laws Lighting Fixtures First 20 APPLICANT If
Total No Additional
ADDRESS
Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP
NOTICE TO APPLICANT If after making this Carl rticele
of CIN TSI IW
Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP
provisions of the Labor Code'you must forthwith comply with such PERMIT ���
v I Poser Apparatus 8 Large Appliances APPLICANT
provisions or this permit shall be deemed revoked
LICENSED CONTRACTORS DECLARATION Size 8 Type HP KW KVA or I ADDRESS _
I hereby affirm that I am licensed under provisions of Chapter 9 . _� r 3 to 10 Ind
(commencing with Section 7000) of Division,3 of, Buaineas antl CITU TN No
Professions Code and my license Is in full force and effect Over 10 to 501nct LICENSE OR }
Over 50 to 100 Incl REO NUMBER Cbes
d
Over 100' DISTRICT NO ESSED BY O
License Number Lic Class ()
Services Swbd MCC 8 Panelboards - - Q
Contractor Date 0 399 Amp Under 1100 V FINAL
DATE
❑ I am exempt under Sec b 400 1000 Amp Under fi00 V — VALIDATION LLI
Over 1000 Amp or Over 600 V FINAL 4.
8 8P C for this reason- BRANCH CIRCUIT FEES BY
Date 15A or 20A 120V Lighting m Percept - Z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Grcuue
❑ - _ 41 Or More Branch Circuits
Exemption for Reg Maint Elect 15A 20A 208V To 277V htl 8r Circuits _
SINGLE FAMILY Temp Power Pole 8 Appurtenances
HOME OWNER BUILDER DECLARATION Sign with One Brarxh CircuitnI-LT.i
I hereby affirm that I am exempt from the Contractor a License Law
for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 4� 15
Code)
❑ I as owner of the property will do the work and the structure Misc Conduits d Conductors
is not intended or offered for sale (Section 7044 Business Omer(See Complete Fee Schedule)_ , Tfft7L 45 - 157
and Professions Code)
CONSTRUCTION LENDING AGENCY �� 4c.�c
HANGE
I hereby affirm that there Is a construction lending agency for the ( ,[SLI
performance of the work for which this permit is issued (Sec 3097 PERMIT FEE
Cry C)
PLAN CHECKING FEE i t i
Lender a Name -1- / - QI]I]�-1�U�1 IJ 15 X4
PERMIT ISSUING FEE !m 050 1 AM 1LI' 1i,
Lenders Address
I candy that I have read this applicaWn and under penally of purlury state TOTAL FEE /HJ/
thal,the above information is correct I agree to comply with all County
ordinances and State laws regulahng Electncal wiring and hereby authorize
representalwes of this County to enter upon the above-mentioned property
tori spec on purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
NA RFO RMITTFE !,// DATE