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Home My Public Portal About9503 PENTLAND ST_Electrical__ APPLICATION ' FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER CASSATTD GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST ITEM uNUMBER I EACH FEE OWNER OUTLETS .r s MAIL - LIGHTS RECEPT z SW 10s ADDRESS LIGHTING FIXTURES 10 CITY TEL NO ELEC RANGER CLO DRYERS ELECTRICIAN WATER HEATERS 50 ADDRESS El EC SPACE HTRS DISHWASHERS CITY TEL NO GARBAGE DISPOSERS AUTO- STATE WASHERS STA COOKING UNIT1 23 LICENSE NO ' MOTORS OVER INC H P DISTRICTNO IGROUPI ZONE) pJ O— 2s S V. YE— 2 50 INSPECTION RECORD 2— s 100 s— 1S 1190 1s— 50 250 50=200 s 00 SIGNS NO TRANS A NO LAMP6 SERVICE O-SOOV 100 SERVICE OVER SOOV 500 MISC. r WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL,FEE S 1 K HEREBY ACNOWLEDGE�THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCE AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING , 1 HEREBYCERTIFY THAT 1 AM "OPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOB ANGELS➢ COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LLCM. OWNER OF THE ASOYS DESCRIBED RESIDENTIAL P OPHRTy POWER SIGNATURE �tt UTILITYCO NOTIFIED OF PERMITPE FIN Mr ®F ^ \Ij{MA ARTHURC VEIT CK YO H UPERVISING ELECTRICAL ENGINEER LACO 33875; OCT 1 2 A 1 .30 M AJ j WORKERS COMPENSATION DECLARATION ° 06 iD,BI CE(1061i 'APPLICATION FOR ELECTRICAL PERMIT ' 'I hereby affirm that I have a certificate of consent to self CE B insure ora certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or o certified copy thereof (Sec 3800 Lab C ) P❑alicy No Company FOR APPLICANT TO FILL IN JOB O p 1 Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS IV 1 8 2-Family Ft f — f LOCALITY e C 4 Certified copy is filed with the county budding mspec y ci NEAREST bon department Multi Sq Ft — CLIOILIMIly Residential Swimming Pools CROSS ST Date Applicant OWNER OR r FIRM NAME G CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�Light_Sw_ MisIL COMPENSATION INSURANCE 160 First 20 ADDRESS (This section need not be completed if the work Involved by Total No _ Additional CI of G Tel No ItXI) the permit is for one hundred dollars or less ) PLAN CHECK I certify that in the performance of the work for which this l APPLICANT ` permit is issued I shall not employ any person in any manner so as to become subject to the Worker Compensation Laws Lighting Fixtures First 20; ADDRESS -. Additional � �_7 off' � �f�, Total No CITY Tel No Date pIf an Fixed Appliances Not Over 1 HP PERMIT -M I C NOTICE TO APPLICANT If offer making this the Ware of APPLICANT //C.� LC67 G L Exemption you should become subject to the Workers _ Range— Heater_D W Compensation provisions of the Labor Code you must forth Oven _ Dryer _W M — ADDRESS Z 6- with comply with such provisions or this permit shall be Top _ FAU —W H deemed revoked _ - - - CITY J�el No q 6 , LICENSED CONTRACTORS DECLARATION Hood — Fan _Other_ Disp _ Room Air Cond LICENSE D 7.s Class 1 hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER 3 L (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROLE BV Y and Professions Code and my license is in full force and effect Size 8 Type HP KW KVA or KVAR �,/s O License Number / Uc Class C-/O Up to 1 Incl FINAL - tJ Over I to 10 Incl DATE OC Contractor X ate A 7-�� - VAL ATION O ❑ Over 10 to 50 Incl FINAL FL-� I am exempt under Sec Over 50 to 100 Inc BY _ ur B 8P C for this reason Over 100 / ^ yds Date Services Swbd MCC B Ponelboords •L1, t 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Rag Mains Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole 8 Appurtenances _ ;2 2 6 S 4 A HOME OWNER BUILDER DECLARATION with h Ona Branch Circuitite I hereby affirm that I am exempt from the Contractor s License Sign Circuitse e e 2 Additional wital Si Law for the following reason (Section 7031 5 Business and n Branch - Professions Code) ( e e 2 a 5 0 - as owner of the property will do the work and the Misc Conduits 8 Conductors off structure is not intended or offered for sola (Section Other (See Complete Fee Schedule)_ , • is • 2 8,5 7044 Business and Professions Code) 0 8 0 9-8 5 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097 Civ C ) c PLAN CHECKING FEE Lenders Name ' PERMIT ISSUING FEE Landers Address I certify that I have read this application and state shot 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 of this County to enter upon - the bove mentsonel proper y for inspection purposes - SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date