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Home My Public Portal About9509 PENTLAND ST_Electrical__ 7"66T 6A 95M GETS Ira ' APPLICATION FOR PEOUT DEPARTMENT OF BUHMM AND SAFETY ELECTRIC COUNTY OF LOS ANGELES O H EE NAME ��'J.n DISTRICT NO. GROUP �-/ZONE PERMIT NO. U ADDRESS c A5T �� 3 6_00 1C U READY FOR DTSIKD CITY Z- TEL NO RECEIVED Br. FIRST INSPECTION 1^A/� 47/? COUNTY LICENSE NO EXPIRES Apf?UCANT FII.L IN HFAVR.Y OUTTINED PORTION ONLY DESCRIPTION OF WORK wooRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY ��r LOCATION BY ROOMS AREST LIGHT OUTLE >?W PLUOB vI>R CE TS ROSSfM CIRCUIT A B ICID1 E I F IGI H w NAMEMAIL ADDRESS �O d O CITY -TEL-NO I AM EGAL POSSESSOR THE ABOVE HLpp61 .¢CTtIGAN AB AN6giiB COUNTY CERTIF OPUAr I AM TM LEGAL OWNER OF THIS PROPERTY DESCRIBED ABOVB OWNER CORRECTIONS J Q Z O E O TOTAL 6161 147 1 NO OF OUTLETS S 4� APPROVALS NO OF FIXTURES `f S U 5 DATE INSPECTOR B NAME NO OF MOTORS I H P ffi CONDUIT NO OF SIGNS TRANS B WIRING 3` NO OF RANGES OR HEATERS S FIXTURES ` MI fiLLAN POWER PERMIT FEE S / `A, UTILITYCO NOTIFIED TOTAL FINAL e--7 3 0 —F7 WORKERS COMPENSATION DECLARATION 10/87 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have o certificate 806te of consent to self �eOdG insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) r P❑ol icy No Company i FOR APPLICANT TO FILL IN JOB ADDRESS G N Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ❑ Certified copy is filed with the county building inspec 18 2-For ly Sq Ft 5 — $ LOCALITY tion department Multi family Sq Ft — NEAREST Residential Swimming Pools CROSS ST Data Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_LightSw_ MAIL COMPENSATION INSURANCE Fust 20 ADDRESS (This section need not be completed if the work involved by Total No Additional CITY Tel No the permit Is for one hundred dollars ($100)or less ) PLAN CHECK I certify that m the performance a the work for which this APPLICANT permit is issued shall not employ any per on in any manner _ so as to become subject to the Workers ompensahon Laws Lighting Fixtures . First 20 ADDRESS e _ Total No Additional CITY - Tel No Date pit of" Fixed Appliances Not Over 1 HP PERMIT NOTICE TO PPLICANT If after eking this Cerbf to of Exemption you should becc a subject to the orkers Range_ Heater_D W _ APPLICANT f✓ NVI Compensation provisions of the Labor Code you must forth- Oven _ Dryer _ W M — ADDRESS with comply with such provisions or thii permit shall be Top _ FAU —W H — deemed revoked CITY Tel rU, Q LICENSED CONTRACTORS DECLARATION Hood _ Fon _ Other_ Canal Disp _ Room Air CanLICENSE 01 I hereby affirm that I am licensed under provisions of Chopter 9 REG NUM R Cass I (O } (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO P ED BY CL and Professions Code and my license is in full force and effect O C-1 kI Size 8 Type HP KW KVA or KVAR G� U License Number �T V is Classs-+ Up to 1 Incl FINAL X ' q,` Over 1 to-10 Incl DATE 9 �� VALIDATION 1-- Contractor ate _ Over 10 to 50 Incl FINA C' 0 "jA�7\}f I m III exempt under Sec Over 50 to 100 Inc BY N B 8P C for this reoso Over 100 Z Dote Services Swbd MCC 8 Ponelboards 0 -200 Amp Under 600 V Poo Signature 201 10170 Amp Under 600V ❑ Over,1000 Amp or Over 600 V , Exemption for Reg Mamt Elect SINGLE FAMILY Temp Power Pole 8 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 for the following reason (Section 7031 5 Business and Professions Code) ❑ I as owner of the property will do the work and the Mist Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ; 7044 Business and Professions Code) ;25895A CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for # e 2 the performance of the work for which this permit is issued PERMIT FEE (Sub Total) (Sec 3097 Civ C J ( e 02550 Lender s Name PLAN CHECKING FEE e e e 2 5 5 OF, Lender s Address PERMIT ISSUING FEE b ( 1,07t-86 ,�•T, _ I certify that I hove 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 autho a representatives of this County Io enter upon the above entioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sig Lure of Permittee Dae r Wfirm that COMPENSATION DECLARATION 76A663a806 10/01 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self �BD60 insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) - P❑olicy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESSq-34-VI L/Oxrr ❑ 18 2-Family Ft f — f LOCALITY Certified copy is filed with the county building inapec Y Sq tion department Multi-family Sq Ft — NEAREST Residential Swimming Pools CROSS S7 Dote Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_LightSw_ MAIL COMPENSATION INSURANCE i First 20 ADDRESS E //,;,uy (This section need not be completed If the work involved by Total No Additional CITY Tel No the permit a for one hundred dollars ($100)or less ) PIAN CHECK I certify that in the performance of the work for which this PLANAPPLI I/4i'wj permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Lows Lighting Fixtures First 20 ADDRESS e Additional Total No CITYTel No _C Date Applicant it%Fixed Appliances Not Over 1 HP PERMIT NOTICE ATO APPLICANT If after makir g this Certificate of PERMIT E 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 r with comply with such provisions or this permit shall be To — FAU —W H — deemed revoked •, ' Hood Fan _Other_ CITY s - Tel No LICENSED CONTRACTORS DECLARATION LtCEN OR / hereby affirm that I am licensed under provisions of Chapter 9 Disp = Room Au Cond RCU NUMBER /7 Class _ (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO P ED BY r and Professions Code and my license is in full force and effect d ti Size 8 Type His KW KVA or KVAR 0(/ O License Number L,c Class G—�'D Up to 1 Ind FINAL V �. - Pp Over 1 to 10 Incl DATE Contractor(GVALIDATION PIY Q yF� /�'(sV'�6te 'J Over 10 to 50 Incl FIN L' y ❑ 1 am exempt under Sec Over 50 to 100 Inc BY d B 8P C for this reason Over 100 Z Date Services Swbd MCC 8 Ponelboards 0 - 200 Amp Under 600 V , Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Eject i SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License SignAddwith Sign Branch Circuit Low for the following reason (Section 7031 5 Business and r Professions Cade) r ❑ 1, as owner of the property will do the work and the Misc Condwts 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— ► 7044 Business and Professions Code) - f 6 Q Q 6,A CONSTRUCTION LENDING AGENCY e e e e 2 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) - ) • e 1 7 5 0 (Sec 3097 Civ C ) L PLAN CHECKING FEE • e - 17505 Lender s Name Lenders Address PERMIT ISSUING FEE Q -11 1 2 1 -86 /I certify Iha1 I have rood this application and state that the TOTAL FEE_ above information ,s correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above entioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Perm ML a Date