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Home My Public Portal About9533 PENTLAND ST_Electrical__ DOS SA I1 ER APPLICATION FOR ELECTRIC PERMIT 1 DIVISION OF BUILDING AND SAFETY Deportment OI County Engineer BUILDING CO OI Los Angel" ADDRESS JOHN A LAMB IE. COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY f FOR APPLICANT TO FILL IN CROSS ST REST PE UMT FEES B 7 NUM9ER1 OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TEL NO TOTAL OUTLETS 0 30 EkE�CTRICIAN ELEC RANGES 27 elADDFUESS ELEC HEATERS 27 CITY TEL NO KW EA STATE 114, FIXTURES 7 LICENSE NO MOTORS DISTRICT NO I GR Q1P I ZONE,I READY roe IRTFEtt1OB NUMBER HORSEPOWER PEE NEW NVD HP OVER INC GCH 1a a L6De 6 27 �INSPEIMON RECORD 2 70 to -LLa,p-e,J NO C LA ` g1L6' 2 7 100ISTATEOF �7 17 170 17 DO 2 7070 200 7 00 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT Lj WIRING 6100FIXTURES 6100wnwinSUPPLEMENTARY DO APPROVALSTOTAL FEE 1DATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH14AANDSTATE THAT THE ABOVE IS CORRECT AND AGREE CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS ELECTRICAL WIRING WIRING 1 J I HEREBY CERTIFY THAT I AM PROPERLY REGISTEFIXTURESLICENSEDAS REQUIRED BY LOS ANGELES COUNTY ANFCALIFORNIA OR TNAT 1 AM THE LEGAL OWNER OF E POWER' DESCRIBED RESIDENTIAL PROP RTY SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL '7 �� JOHN A LAMBIE.COUN NGINEERATION ARTHUR C VEIT.CHIEF ELECT INSPECTOR NO CAYH „ , 0j.9 7 3N OCT 4 ? 3.7 0 p 7-5 ,ease:., °"751 APPLICATION FOR ELECTRICAL RMIT . COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS 953333 PENNTTLAvND ST t FORAPPLICANTTO FILL IN -LOCALITY TEMPLE 1.1T1 New Residential Bldgs &Pools EACH N01 FEE - NEAREST 1 &2 Family Sq Fr $ 025 — $ CROSS ST Multi fort Sq Fr 02 — OFI M N MRE GDMEZ, PAM Residential Swimming Pools 2000 MAIL . .I _ ADDRESS i SPIE Outlets Rec Light_Sw CITY ' TEMPLE. CI'T'Y Tel No 285-2841' First 20 50 PLAN CHECK Total No _ 'V"Addltlonol 30 APPLICANT ADDRESS t r Lighting Fixtures First 20 50 1 ' 1 CITY Tel No Total No Additional 30 IT APPLICANT TRANE HCC. Fixed Appliances Not Over I HP ADDRESS 2034 N PECK RD Range—Heater_D W _ CITY SO ELM= Tel No 579-7982 Oven _Dryer W M_ LICENSE OR Tap W H ` REG NUMBER 265094 Class Hood_Fan _Other_ I HEREBY ACKNOw LEDGE THAT I HAVE READ THIS APPLICATION AND STATE Dnp _ Room AIr,Cond — 200 THAI THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN a ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING, Power Apparatus 8 Large Appliances } Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to 1In 200 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PAOPEATY Over 1 to 10 Incl 500 - 6 Over 10 to 50 Incl 1000 PERMITTEE0 Over 50 to 100 Inc —50-0SIGNATURE V Over 100 3000 DISTRICT NO P K BY � Services r �- \ 0j 0 200 Amp Under 600V 12 50 IN$$PE S v, 201 1000 Amp Under 600 V ' 2500 APPROVALS DATE ISI URE Z Over 1000 Amp or Over 600V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Pole 8 Appurtenor<es 1000 Sign with One Branch Circuit 1000 ROUGH CONDUIT Additional Sign Branch Grcwts 2 00 WIRING t Misc Conduits&Conductors 1500 J,F IXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO NOTIFIED INAL PERMIT FEE - ISub Total) NOTES PLAN CHECKING FEE (One Fourth Permit Fee)' t PERMIT ISSUING FEE $600 TOTALFEE PLAN CHECK VALIDATION CK M0, CASH PERMIT VALIDATION CK M O CASH 2 4 7 AUG to 1 0.5 U SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ®R G> WORKER COMPENSATION DECLARATION 7B�DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT ll I hereby affirm that have a certificate of consent to sell insure or a certilicate 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 Policy No N Company FOR APPLICANT TO FILL IN JOB �, E,vT�cTAJ D T ADDRESS e ❑a AC- T dlcopy I hereby furnished r, • ` • W New Residential Bags &Pools NO EACH _ FEE LOCALITY p�E - 04 1 &2 Family Sq Ft Q1 d eNUetl copy is flied with MB county building mspecbon. - NEAREST L r /J t/ department I a Multi family Sq Ft CROSS Si ✓ /C L / i DRIB Applicant y� I . M• 'Ra51tlB0tIBl Swimming P009 ASSESSOR MAP BOOR PAGE PARCEL wyA CERTIFICATE OF,EXEMPTION FROM WORKERS OWNER OR L +� P COMPENSATION INSURANCE 7 ^ �Oullets Ret —Light_Sw FIRM NAME v �] 1fiZ N • AY, ` t q First 20 MAIL (Thlssectlon need not be completed It the work Involved by ilia - - Al ��f �' permit Is for one hundred-dollars(&100)or,less') L .Total No Additional �� I cerh Fy that m the performance of the work for wNCA'thie perms[ CITY)C'/j/�� LG `/ Tel pis issued I shall not employ any person nn any manner so as to become 8 blect to the We rkers,Ca m pe Be all on Laws ,• Lighting Fixtures First 20 pep ICANTCK I n Total No Additional r ADDRESS Date- "' Applicant '•^ ✓ , NOTICE,TOuAPPLICANT,.If after making this Cerhiicete of RESIDENTIAL APPLIANCES NOT OVER 3 HP CITY Tel Na ` -Exemption youishould become sublectito the Workers,Compensation OTHER APPLIANCES NOT OVER 3 HP promsions,of the Leber Code you must forttiwith comply with such PERMIT �I� ) •. prov,stuns or this permit shall be deemed revoked, '� Power Apparatus 8 Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Sae&Type HP KW KVA or KVAR ADDRESS I hereby affirm that I am'licensed'under provisions of Chapter 9 Over 3 to 10 Incl(commencing with Section 7000) of EINISMn 3 of thssBusmess and CITY Tel Ni, Professions Code and my%cense is in full force and effect - Over 10 to 501nd Over 50 to 100 Inc[ LICENSE OR Cbee d _02— REG NUMBER License Number Lic Class �,�jlp.Cp r`100 jdgl. =,STRICT NO [� SSED By Se ' s Sw399 Am I P e�V p FINP Q Contractor Date r DATE _ ` - 400 1000 Amp Under 800 V I am exempt under Sec Over 1000 Amp or Over 800 V FINAL - VALIDATION W —B&P C for this reason -- By W Y _BRANCH CIRCUIT FEES Date ' 15A or 20A 120V Lighting or Recept - Z -•^ -> . 1 To 10 Branch Circuits Signature - 11 To 40 Branch Circwis - - _ _ 1 41 Or Mae Brandi Qrcuits Eiemption fa Reg Maint Elect _15A'20A 20BV To 2T7V Lighting Br Grcults SINGLE FAMILY ' Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION Sign vnih One Branch Circuit IMM ll I hereby affirm that I am exempt from•the Contractor 5 License Law _ for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Ore its _ -7- -3303 64 50 eee) I es,ownerrof the property well do the work'and the structure Misc Conduits 8 Conductors ,s not Intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) , and Professions Code) _ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the « " performance of the work for which this permit ,s issued (Sac 3097 PERMIT PEE` (Sub Total) 3 ` Civ C) c -�, + + „ PLAN CHECKING FEE ' .-..r - .. ..• e Lender sNoma - PERMIT ISSUING FEE y Lender s Address TOTAL FEE I comfy that I have read this application and under penalty of purery state th at the ah information a correct 1 agree to comply with ell County ord,nenc a dStatelawsregulatm Uw,rng a ntlhereby..thonze - repress to es of this County ro n the above mentioned property•- - r -- - -- - - - + - - - .•for m m purees ,SEE REVERSE FOR EXPLANATORY LANGUAGE '�91GNATURE OF PERMITTEE DATE _ WORKER S COMPENSATION DECLARATION DPW(,2 B„ 76A%3 APPLICATION FOR ELECTRICAL PERMIT 6A 83 I hereby affirm thaPl have a certificate o/ consent to self Insure or a cparllcete dl Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV Copy thereof(Sec 3500 Lab C) 'tom I• ry r ? Policy NO Company FOR APPLICANT TO FILL IN JJOBRESS ✓`J3 T a Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY ❑ Cerfilled copy Is filed with the county bwltling Inspection 1&2 Family Sq FI $ $ department I Multi family Sq Ft NEAREST CROSS Si Date ^ Applicant Residential Swimming Pools ASSESSOR MAP BOOK gi PM1E Vd//o PARCEd:!P/ CERTIFICATE OF EXEMPTION FROM WORKERS y� g I OWNER OR I'J UL D Z- i• DWeI$ Rec V ht $w /U FIRM NAME �G COMPENSATION INSURANCE (Thio eecimn neetl net be completed 11 the work Involved by the Z/y� First 20 MAIL �� permit la for one hundred dollars(5100)or lose) Total No AtldriMnel ADDRESS �3 g L I certify Ihat`In the performance of the work for which this permit CI �; L!'� �' Tel No ��[ IS issued I shall not employ any person In any manner 90 as to PLAN CHECK become subject.to the Workers Compensation Laws Lighting Fixtures FIra120 APPLICANT - I L Total No AtldiTOO al ADDRESS Dale - - •Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT Af after making this Certificate of CITY rr No 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 _ PERMD provisions or this permit shell be deemed revoked Power Apparatus&Large Appliances APPLICANTitti LICENSED CONTRACTORS DECLARATION Sae&Type HP KW KVA or KVAR ADDRESS _ I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl(commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code and my license Is In lull force and affect Over 10 to 50 Ind - } LICENSE ear 50 to 100 Incl REGNUMBER C� d License Number VC CI859 Over 100 DISTRICT NO -nv P ED BY 0 la Sernces Swbtl MCC&Ponelboerds - ✓,Q�- J [L Contractor Date 0 398 Amp Under SOO V oniE T 0 ❑ I em exempt under Sec 400 1000 Amp Under BOOM VALIDATION W Over 1000 Amp or Over 600 V FlNAL EL B&P Calor this reason BRANCH CIRCUIT FEES BY (n ` Date 15A or 20A 120V Lighting or Recept Z • - 1 To 10 Branch Circuits Signature _ 11 To 40 Branch Circuits ❑ , _ 41 Or Mare Branch Grcu is Exemption for Reg Mamt Elect 15A 20A 206V To 277V Ughtln Br Circuits ,L SINGLE FAMILY Temp Power Pole&Appurtenancesi HOME OWNER BUILDER DECLARATION AC T•v I hereby affirm that I am exempt from the Contractors License Lew Sign with One Branch Circuit 92.for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 330 Code) ITEhS Mlsc Conduits&Conductors I Be owner of the property will do the work and Me structure TCITAL 92 - 25 Is not Intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) i and Professions Code) CHECK 92• CONSTRUCTION LENDING AGENCY CHANGE •� I 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) PLAN CHECKING FEE 0000-00G! `'"?S/95 Lender a Name 07,3 w, 1 SAN 8:01 PERMIT ISSUING FEE Lender s Address q q I certify that I have read this application and under penahy of perjury state TOTAL FEE Os Of that the above information is correct I agree to comply with all County - ordinance, State aCsregulating Ele wring and hereby sermonize repress (qtly sof tNs County to ante the above mentioned property /or Ina cl6n purpose SEE REVERSE FOR EXPLANATORY LANGUAGE 2 1VI < - c. /1 &G ATURE OF PERMITTEE DATE