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Home My Public Portal About9442 PENTLAND ST_Electrical__ 7SA663C- cE"una I2/75 APPLICATION FOR ELECTRICAL PERMIT t BUILDING D SAFETY DIV N FOR APPLICANT TO PILL IN JOB _ �7 New Residential Bldgs & Pools EACH NO FEE ADDRESS 1 &2 Finady Sq Ft $ — $ LOCALITY Multi family Sq Ft — NEAREST Residential Swimming Pools OWNER OR FIRM NAME _ -- Outlets Light Switch& Receptacle MAI L First 20 0 ADDRESS �+ �o Additional CITY A � Tel No J -3J Z3 PLAN CHECK Lighting FlXturas APPLICANT First 20 ADDRESS Additional ` CITY Tel No Fixed Appliances Not Over 1 HP PERMITAPPLICANT ' Range_ Heater_ DW Oven Dryer W M ADDRESS_ Top FAU WH CITY Tal No Hood Fan LICENSE OR � Disp A C REG NUMBER .a` Class UO O e AM. TH ABOVE IS CORRECT AND AG99 TO COMPLY Power Apparatus& Large Appliances STAuEcourrT c ORDINANCES AND aTAT" LAw"�".OuuT,N w Size&Type HP KW KVA or KVAR Le CT"'CAL'"' Up to i Incl H Over 1 to 10 Incl •Sv NOro" Z Over 10 to 501nc1 escn e..RESIDENTIALTIAM TH GAL Ow."" OR T"" Over 50 to 100 Incl PERMITEE Over 100 SIGNATURE Services DISTRICT NO O SSED Y 0 200 Amp Under 600 V ° o9 201 1000 Amp Under 600 V APPROVALS DATESIGNATURE Over 1000 Amp or Over 600 V TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit ROUGH CONDUIT Additional Sign Branch Circuits (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub Total) S UTILITVCO NOTIFIED PLAN CHECKING FEE (One Fourth Perm n Feel FINAL 7`J PERMIT ISSUING FEE TOTAL FEE NOTES LAN CHECK VALIDATION CK MO CASH PERMIT VALID TI N kEK M O CASH 3 3 7�JIJN 30 2 ®, 2 1.9 5-n 8 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT AND COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER WILLIAMA JENSEN SUPTOFBWLOING LOCALITY FOR APPLICANT TO FILL IN NEAREST 7 CROSS ST PERMIT FEES OWNER R n OWN 1 T H M NUMBER EACH FH[ MAIL OUTLET J� $ i ADDRESS LIOHTO RECKFT DW O ID LIGHTING FIXTURES 10 U CITY TEL NO ELBC RANGES CLO DRYERS ELECTRICIAN{{.. WATER HEATERS 50 ADDRESS ELec SPAC¢HTRB DISHWASHERS TEL NO T rO�/ GARBAGE DISPOSERS AUTO WASHERS STA COOKING UNITS 25 STATE MOTORS OVER INC H P DIS GROI�P E PR B 0— 1h 25 / 1/.- 2 50 INSPECTION RECORD 2— 5 loo 5— 15 150 15— 50 250 150-200 5 00 SIGNS NO TRANS NO LAMPS SERVICE O-50OV 100 pQ SERVICE OVER SOOV 500 MISC WIRING PERMIT too FIXTURE PERMIT 100 Q SUPPLEMENTARY PERMIT 50 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR B SIGNATURE AND STATE THAT THE ABOVH IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING I HEREBY CERTIFY THAT 1 AY t•ROR RLY REGIHTHRHO AND/OR WIRING LICENSED AS REQUIRED BY COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 TH OWNER OR THE ABOVE DESCRIBED RHSIDENTI rROR POWER SIGNATURE UTILITYCO NOTIFIED OFPHRMITTEE FINAL ®r XAyLIDATTON $RTHURC UPERVISINGVIT �ECTRICAL ENGINEER DK YO CASH 1 6 2'7 553 FU 10 2 A 55'0 r - /2�Y rvYLw�"V 76A6 SA 23M SITS 7 48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY - COUNTY OF LOS ANGELES ELECTRIC WM J FOX, CHIEF NGINEER NAME DISTRICT(40. GROOUUP- ZO E �PERMIT NO. U ADDRESS �• �I C CITY II Bje/FA-- TEL NO RECEIVED BY READY FOR DATE ISSUED �1 COUNTY I `/ FIRST INSPECTION 4� ./� W LICENSE NO EXPIRES /I. C�• AP LICANT FILL IN HEAVILY OUTLINED PORTION 2LNLY JOB DESCRIPTION OF WORK ADDRESS y0 3 Cl NUMBER OF OUTLETS ON CIRCUITS LOCALITY � n LOCATION By ROOMS NEAREST LIGHT OUTLETS Isw PLUG 8 FlXT CRDGS VT �I- gRCU1T A B C D E F G H ¢ Nwtaef� O zMAIL ./ 4 19ADORHSS /O 0,5, O CITY TEL NO 1 AM THE LEGAL POBSEBBOR OF THE ABOVE LOS ANGg.ie COUNTY CERTIFIQ�/A[� OF Q IFICATION XLKCTRICIAN I AM THC]LEGAL OWNER OF THE PROPQRTY DESCRIBED ABOY6 OWNER CORRECTIONS J 4 Z D rc ' O No ofouTTJ:rB 3 O s APPROVALS NO OF FIXTURES S DATE INSPECTOR'S NAME NO OF MOTORS H P 8 CONDUIT ([J( NO OF SIGNS TRANS 8 WIRING /_ 1 LOPES OR HEATERS S FIXTURES US POWER UTILITYCO NOTIFIED FINAL— �M�^� "WORKERS COMPENtATIOND�yCLARATION 100019DFW3187 APPLICATION FOR ELECTRICAL PERMIT x J l'her affirm that`I have �- certificate of consent to self �10.i a� insure ar a certificate of Workers,Co,Apensation Insurance COUNTY OF LOS ANGELES + DEPT OF PUBLIC WORKS or o certified copy thereof (Sec 3800, Lab C) Policy No Company. FOR APPLICANT TO FILL IN JOB r Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS Certified copy is filed with the county building inspec- 1 & 2 Family Sq Ft $ — $ LOCALIT!7 y� bon department Multi-family Sq Ft — x NEAREST CROSS ST Residential Swimming Pools Date Applicant r OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_S_L1ght�Sw COMPENSATION INSURANCE DRE55 �� First 20 (This section need not be completed if/he work Involved by/ Total No _�_ Additional CITY Tel No N C the permit Is for one hundred dollars ($100)or lass ) HE K I certify that in .he performance of the work for which this _ PAPLANCHET permit is issued I shall not employ any person in any manner so as to become subtect to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Additional Total No CITY Tel No Dote Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of APPLICATION , Exemption you.sRould become subject to the Workers Range_ Heoter—DW Compensation provisions of the Labor Code you must forth Oven _ Dryer —W M _ ADDRESS with comply with such provisions or this permit sholl be Top — FAU —W H — deemed revoked Hood — fan —Other— CITY Tel No LICENSED CONTRACTORS DECLARATION Dista — Room Air Cond LICENSE OR Class I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO P S D BY and Professions Code and my license is in full force and effect y �< /� Size 8 Type HP KW KVA or KVAR (J License Number Lic Class Up to 1 Incl FINAL 1,2 7�0 CorSractar Date Over I to,10 Ind, DATE '2 / _ VALIDATION 0 a Over 10 to 50 Incl F~ FINAL I am exempt under Sec t Over 50 l0 100 Inc BY W B 8P C for this reason Over 100 a Services Swbd MCC& Panelboards L ' Date z 0-200 Amp Under 600 V Signature 201 1000 Amp Under 600 V OOver 1000 Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits Low for the'following reason (Section 7031 5 Business and g Professions Code) Cl ' Misc Conduits& Conductors �0 6 4.5 A 1 as owner of the property, will f o the work and the structure is not intended or offered for sale(Section 7044 Other (See Complete fee Sthedule� , + Business and Professions Code) # e e e`a e 2 CONSTRUCTION LENDING AGENCY , 1 hereby affirm that there,is a construction lending agency for ( • e 2�1,0 the performance of the work for which this permit is issued PERMIT FEE (Sub Total) O �Z 2 1,0 0 (Sec 3097 Civ C ) t o PIAN CHECKING FEE O 9.,1 2-8 8 Lender s Name PERMIT ISSUING FEE Lender s Address 1 certify that 1 have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ' ordinances and State jaws regulating Electrical wiring and hereby authorize representatives oft s Count'to enter upon ihelabcve-mentioned property for pection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Pt05rlffee Date ms �s WORKERS'COMPENSATION DECLARATION '76A663 _ APPLICATION FOR ELECTRICAL PERMIT I �' GE 806G C2 801 r 1 hereby tiff Zm that I have a certificate of consent to self COUNTY OF LOS ANGELES T BUILDING AND SAFETY insure or a certificate of Workers Compensation Insurance or e / a certified copy thereof(Sec 3800, Lab C) ' FOR APPLICANT TO FILL IN JOB Policy No Company ADDRESS ❑ a, New Residential Bldgs &Pools EACH NO FEE Certified copy is hereby furnished 1'& 2 Famlly,Sq Ft $ — $ LOCALITY Multi family Sq Ft — NEA T Certified copy is filed with the county budding inspection CROSS ST C4,9 department Residential Swimming Pools OWNER OR / ,Q FIRM NAME Date Applicant M Outlets Rec 1Light�$W v` gDDRE56 _ Fust 20 �H7 1 CERTIFICATE OF EXEMPTION FROM WORKERS' No'—//— // COMPENSATION INS URANCL s Total No __/_L Additional r CITU, /L Tel No v<✓� PLAN CHEW y t APPLICANT 0 (This section need not be completed if the work involved' Lighting fixtures First 20 o U by the permit is for one hundred dollars ($100) or less) ADDRESS Total No -Additional r ' I certify that in the performance of the work for which thisFixed Appliances Not Over 1 HP r CITY Tel No 0 permit is`issued, I shall not employ any person in any manner _ ' PERMIT (,) so as to become'subject to the Workers Compensation Laws , Range_ Heater_DW _ ' APPLICANT W Oven _— Dryer_W M _ ADDRESS. Z X Datz-zq_gz Applicant Top _ FAU _W H _ ' F- Hood Fen _Other_ CITY el No NOTICE TO APPLICANT If after making this Certificate of Dlsp\_ Room Air Cond_ LICENSE OR Exemption, you should become subject to the Workers REG'NUMBER Class Compensation provisions of the Labor Code you must forth' Power Apparatus& Large Appliances DISTRICT NO PROC SED BV with comply with such provisions or thisiperna t shall be deemed'revoked ' Size&Type HP, KW KVA or KVA y S U �/ Up to 1 Incle FINAL Over 1 t0 10 Incl DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl „VALIDATION p I hereby affirm that I am licensed under provisions of Chapter Over 50[0 100 Inc FINAL 9 (commencing with Section 7000 of Division 3 of the Busi i BY ( 8 ) Over100 v qq ✓ ness and Professions Code and my license^is in full force and I effect t Services ` I License Number Lic Class 0 200 Amp Under 600 V 'r 201 1000 Amp Under 600 V , Contractor Dale Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION t Temp Power Pole& Appurtenances I hereby affirm that 1 am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section'7031 5 Buse Addrtronel,Sign Branch Circuits A'6 5 5 A ness and Professions Code) - T Misc Conduits&Conductors �'�� I ,as owner of the property will the work and the ' a , structure is noti intended or offered sale 2 d for le (Sea Other (See Complete Fee Schedule)— ions _ ' 7044, Business and Professions Code) _ Z •Y 6.3 0 ' CONSTRUCTION LENDING AGENCY r _ . I hereb} affirm that there is a construction lending agency ' ` t• 6.3 , for the performance of the work for which this permit iso issued (Sec 3097 Civ,C ) t PERMIT FEE (Sub Total) 9 r5 U - ,O 6 2 9!—8 2 Lender's Name ° - PLAN CHECKING FEE (One Fourth Permit Feel Lender's Address I I PERMIT ISSUING FEE - SD f ' I certify that I have read this application and state that the TOTAL FEE' �(d 3 above information is correct A agree to comply with all County z ^ ordinances and State laws regulating Electrical wiring, and' hereby authorize representatives of this County to enter upon _ the above mentioned property for inspection purposes - SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee ' Dete , I