HomeMy Public PortalAbout9521 PENTLAND ST_Electrical__ - COUNTY OF LOB ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY ELECTRIC
WILLIAM J FDX, County Eeel o[er
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO.
ELECTRICIAN L
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY TEL NO 71,
/ �// 'y'''
COUNTY LICENSE NO EXPIRES BUILDING /j L�Af/ %� e�7/ 1,'176 5/
PERMIT FEES ADDRESS `/ J /
PERMIT NUMBER EACH FEC LOCALITY (-1 Z V
LIGHT OUTLETS li NEAREST / e YY
RECEPTACLES CROSB BT
WALL SWITCH Ee OWNER e 11F7- X
TOTAL OUTLETS 5a B MAIL � T/ _/
[LEC RANGES 2S =LESS �'�j��/ /1�/- � h 477 U
ELEC HEATERS 25 CITY XN /7/& L1/ �/ TEL NO Ar
FIXTURES S f
1 HEREBY ACKNOWLE GE THAT 1 HAVE REAP THIS
MIBC APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIOHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS SAND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMS[R HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MVD HP OVER INC ENON OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
1/2 A LENS S 25 BIONATURE OF
1/2 2 50 PERMITTEE I
2 5 1D0 INSPECTION RECORD
5 15 1 50
15 50 250
50 200 Soo
200 500 loan J
500 I 1000 1500 Q
Z
OVER lopo 20 Da p
—MOVED MOTORS (75% or aRla) D:
M O srT/rREp CHANGER-HP O
WELDERS AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
MIBC
SIGNS
NONO TRANL APPROVALS
NO HO LAMPS
FOR EACH PERMITS DATE INSPECTOR'p NAME
WIRING $1 OO 60 CONDUIT A
OFIXTUREB $1 00 010 WIRING 2 '$�' 1 d-1 Lr - -�
IiUPP EMENTARV 50 FIXTURES
0 POWER
TOTAL FEE • 3� UTILITYCO NOTIFIED 'y ST
FINAL J K
7w64KI DBB#e Cd b 12-53
1eA66=C eJ Ke 1= Te APPLICATION FOR ELECTRICAL PERMIT �.
BUILDI AND SAFETY fi6ZISION
FOR APPLICANT TO FILL IN / ^(..� �`' /
EACH NO FEE ADDJ�( J
New Residential Bldgs &Pools ADDRESS
1 & 2 Finally Sq Ft $ — S LOCALITY
Multi family Sq Ft NA T
RO55 T
SL S
Residential Swimming Pools C
OWNER OR
T
FIRM NAME L�
Outlets Light Switch & Receptacle MAIL
First 20 he ADDRESS
Additional CITY Tel No /n 6v
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater_ DW ADDRESS
Oven _ Dryer W M
Top _ FAU WH CITY Tel No
Hood Fan LICENSE OR
Disp A C REG NUMBER Class
THAI I U
e "
Power Apparatus& Large Appliances "DI"."«.ANDe.TAT. LAW{ .EDLT No AGRKK TO o.TINT o
F
Size&Type HP KW KVA or KVAR "`T.1 A``DHH.. w
Up to 1 Incl AND/O. IZI
Over 1 to 10 Incl Loc .Te D Z
Over 10 to 50 Incl acPieeD .vas THE
N eAl
Over 50 to 100 Incl PERMITEE PADA
Over 100 SIGNATURE
Services
DISTRICT NO R ESSED BY
G,
0 200 Amp Under 600 V �./- e)
201 1000 Amp Under 600V APPROVALS DATE \ ISIGNATOORE
Over 1000 Amp or Over 600 V
TEMP POWER POLE
Temp Power Pole& Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING 377
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub Total) UTILITYCO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Feel FINAL
PERMIT ISSUING FEE
TOTAL FEE NOTES
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
8'9'1'APR 25 2, 0 9.3 0 Whs
COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0903310014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID — FEES PAID BUILDING ADDRESS
ITR 14572 LT 30 9521 PENTLAND ST
IEEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917803845
ASSESSOR INFORMATION NUMBER - NEAREST CROSS STREET
0590-007-019 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID S4 LOCALITY TEMPLE CITY Cl
IG1 OUTLETS—LGT SW RECP 20 00 OUT 39 00 I
ITENANT G2 LIGHTING FIXTURES 30 00 LOT 52 50 TISSUED ON PROCESSED BY PLAN BY EXPIRES ON
I H2 RES GREG DISP LT 3HP 1 00 DIS 10 95 03/31/09 SR-, - 09/27/09,
I IH3 RES DISHWASHR LT 3HP 1 00 DIS 10 95 I
IOWNER TEL NO IH4 RES RANGE RDS LT 3HP 1 00 HOO 10 95 IF AL DATE FINAL BY CODE
(LIN XUANDONG , (626) 589-8298— IHS RES WASH MACH LT 3HP 1 00 WAS 10 95 �
9521 PENTLAND ST TOTAL FEES 163 05
(TEMP 917803845 1 DESCRIPTION OF WORK c
I r (ELECTRICAL FOR REMODEL
I
APPLICANT TEL NO
(SAME AS OWNER —
SPECIAL CONDITIONS
(CONTRACTOR TEL NO J K (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER — ✓
LIC NO (TEMPORARY POWER POLE
(UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER TEL NO BEER GROUND
I
LIC NO IROUGH CONDUIT
- TROUGH WIRING
MAIN WATER LINE
(PLASTIC Y/N METAL Y/N
I I
(UTILITY COMPANY NOTIFIEDI I I
I I I I I I
I I I II
I I I
I I I I I I
I I I I
I � II II I I I
I I
I I
I REPORT ID pPR 265 ROUTE TO B50508 i \
I