HomeMy Public PortalAbout9538 PENTLAND ST_Electrical__ c
7BAes-r-E8DB.11-WAPPLICATION FOR kLECTRIC PERMIT 1'
COUNTY OF
BUILDING LOS C
DEPARTMENT OFF COUNTY TY ENGENGINEES ADDRESS
BUrILDING AND SAFETY DIVISION
CASSAIn
TP AD
. GAIlq%L Bo,I>�t o! LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS sr.
PEBMT FEES
ITEM NUMBER EACH FEE OWNER i Ip`-' V .r(
OUTLETS: $ $ MAIL
LIGHTS RECEPT.` SW. .10 ADDRESS
LIGHTING FIXTURES .10 CITY /TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS �� i
ELEC.SPACE HTRB. DISHWASHERS
GARBAGE DISPOSERS AUTO.-
CITY y�y f� � TEL.NO.
STATE j
WASHERS STA.COOKING UNITE •25 LICENSE NO. �`
MOTORS: OVER INC. H.P.
o— 1/2 25 7RC . GROUP ZO E R@ADY FOR INSPECTION
1/2 — 2 .50
INSPECTIO E=ORD
2 — J 1.00 5 — 15 1.501$ — SO2.5050— 200 5.00 O`✓W r►J
' SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
I;
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50'
TOTAL FEE $ I APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPI IC 10 DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 7 _ =
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OltIXTURk
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - -T•:
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE �
DESCRIBED RESIDENTIAL PRO) ItTY \ POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERIWITTE FINAL
VALMAZWK, ARTkUft C.�/EIT.
CK MO CASH SUPERVISING ELECTRICAL udimEEB
LACO 6207I crT30 2 A 1 .65 "'
D:8-5A 11-59 APPLICATION FOR ELECTRIC PERMIT
DBS-9A
DIVISION OF BUILDING AND SAFETY
DOgosiment of County Eaglaosr BUILDING r' qQ
COt n�p Of LOS Angeles ADDRESS 7 w -'YLA;1-14-
JOHN
�`r
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D. GRIFFIN.SUPT OF BUILDING LOCALITY G��
r
FOR APPLICANT TO FILL IN NEAREST �L ,
PERMIT FEES CROSS ST.
NUMBER
OWNER
2— LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.NO.
TOTAL OUTLETS W Be ELECTRICIAN 7 .r .'�..I�
ELEC. RANGES 25 ADDRESS L 7 .� - L•d���'
ELEC. HEATERS 25
KW EA CITY Z� u` TEL.NO.
STATE U y
�- FIXTURES 5 LICENSE NO. 4
MOTORS DISTRICT NO. 1GROUP1 ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE '7
NEW MVD. HP OVER INC. EACH
Yz&LESS S .25 INSPECTION RECORD
14 2 .50
2 5 1.00
5 1S 1.50
15 SO 2.50
50 200 5.00
M ISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING
FIXTURES $1.00
SUPPLEMENTARY ,50
APPROVALS
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAMS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I All PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE .am�ZL•
OF PERMITTEE FINAL
IOHN A.LAMBIE.COUNTY ENGINEER VJ=A ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
CK MO GAS!.)
76A663A-CE806A 4/72 APPLICATION FOR E(ECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS �S� TL "MD
BUILDING AND SAFETY DIVISION
LOCALITY , �eNEARET
y
FOR APPLICANT TO FILL IN I CROSS ST.
OUTLETS NO. EACHI FEE ,�n o
OWNER Ifs 4Y`1�be�
RECEPT._ $ $ MAIL
LIGHT TOTAL
FIRST 20 ADDRESS
SWITCH OVER 20 CITY li TEL. N0 b
PLAN CHECK
LIGHTING1 FIRST 20 APPLICANT
)} TOTAL
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL 'APPLIANCES CITY TEL. NO.
PERRANGE DRYER_WTR. HTR. I APPILI IT ANT � �' C..�
STA. COOK DISP. F.A.U. i ADDRESS Or, AC
SPACE HTR, AIR COND. CITY TEL. NO )9-S341
CLOTHES WASH. DISHWASH. i LICENSE N0. I CLASS.C--40
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION pr,"
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C�
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ��..
0 - I LICENSED AS REO IRED BY S ANGELES COUNTY D STATE OF W
CALIFORNIA OR T I AM LEGAL OWNER OF, N INTEND TO W
1 - 10 RESIDE IN, THELBO E PIBED RESIDENT PROPERTY. y
SIGNATURE
10 - 50 I e
OF PERMITTEE
50 - 100
DISTRICTNO. CLASS ZOnNIEOCES E BY
100 - 500
SIGN, GAS 'i:! �,1 ,t :- / r
SIGN AND ONE CIRCUIT NOTES: f, � � a+' ),';), f",• '+---t
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVI CENOT OVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE,POLE, INAPPURTENANCES
UNDERSLAS WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE /I
TOTAL FEE `
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCCK. M.0. CASH
7 7 8 RtfG 19 2 ® 9.0 0 098
WORKEEi'S COMPENSATION DECLARATION 20.0()&139 DPW(12-91)
I tl4ireby affirm'thgt I have,.a certificate of consent to self Insure,
,',,pr.a certil*te of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy therefrlff(Sec..&O Lab.C.) e I
FOR APPLICANT TO FILL IN JOB ' N / �,
Policy NA. Company ADDRESSi v
Certified copy is hereby furnished.. New Residential Bldgs.&Pools NO.1 EACH I . FEE LOCALITY
Ft
Sq. .
.Certified copy is filed with the county building inspection 1&2-Family, — NEAREST,.
department. Multi-family Sq.Ft. CROSS ST. O��/�
Date Applicant Residential Swimming Pools ASSESSOR
MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw.. OWNER OR /J r
COMPENSATION INSURANCE FIRM NAME ��/� l(� VI?
>
(Thle sFirst 20 ection need not be completed if the work involved by the MAIL.
permit Is for one hundred dollars(5100)or less.) ,'
Total No:' Additional ADDRESS
I certify that in the performance of the work for which this permit CITY -------- T O
.is issued, I shall not employ any person in any manner so as.to PLAN CHECK '
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT
Total No. Additional ADDRESS
Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.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 PERMIT
liances APPLICANT
A
s&Large gpp
provisions.or this permit shall be deemed revoked. Power App ,
LICENSED CONTRACTORS DECLARATION Size&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 full force and effect. Over 10 to 50 Incl. }.
LICENSEClass
-- Over 50 to 100.Incl. REG.NUMBB .ER n-
Over 100' DISTRICT,NO. PROCESSED O
License Number Lic.Class
Services,Swbd.,MCC&PanelboardsO!L
Contractor Date 0-399 Amp.Under 600'V FAN + 0
400-1000 Amp.Under 600 V M U
I am exempt under'Sec. FINAL .S f VALIDATION d
Over 1000 Amp.or Over 600 V
B.&P.C.for this reason BRANCH CIRCUIT io
S BY C0
Date: 15A,or 20Ay 120J
' Jy
=1T040
_ rancults
Signature 11 TO 40 Brancuits
41 Or More Branch Circuits
Exemption for Reg.Maint.Elect. 15A,20A,208V To 2771 Lighting Br.Circuits
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 Law
for the:following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code): _
�' I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 2
Is not intended.or offered for sale(Section 7044, Business Other(See Complete Feb Schedule)
and Professions Code). ► ACCT A
CONSTRUCTION LENDING AGENCY 3303 44.040
1 hereby affirm that there is's construction lending agency for the I ITEMS
performance of the work for which this permit is issued(Sec. 309.7, , PERMIT FEE (Sub-Total)
Cly.C.) TOTAL 44 o 40
PLAN CHECKING FEE
Lender's Name. q CASH 44°40
PERMIT ISSUING FEE bIV .00
Lender's Address CHANGE .
I certify that I have read this-application and under penalty of purjury state TOTAL FEE oTW
that the above information is correct. I agree to comply with all County
ordinances and State laws,regulating Electrical wiring,and hereby authorize OOM-0001 1/30/96
representatives of this County to enter upon the:above-mentioned property4601 �'M (fjN 01
for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
NATO E PERMrrT ATE
&
1, YVORKF2S'COMPENSATION DECLARATION 's 76A663CE-SO6G' '0'6' APPLICATION FOR ELECTRICAL PERMIT
I hereby affftm that I have a ceftificate of consent to self insure,
or* 4ertificath of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy,.thereof(Sec.3800,Lab.C.)
Policy No. - -Company� FOR APPLICANT TO FILL IN JOB
,❑ Certified copy is hereby.furnished. EACH NO. FEE ADDRESS a O
New Residential Bldgs.&Pools LOCALITY
Certified copy is filed with. the county building inspection 1 &2-Family,Sq.Ft... $ — $ NEAREST
department. Muiti-family Sq.Ft.
CROSS ST.
Date Applicant Residential Swimming Pools OWNER OR
FIRM NAME
CERTIFICATE OF EXEMPTION.FROM WORKERS' Outlets:ReoLight Sw.— MAIL
17
— — .
COMPENSATION INSURANCE ADDRESS
(This section need not be completed if the work Involved by the First 20
CITY. Tel.No.. oo�•- g
permit is for one hundred dollars,(.$100)or less.) Total.No. Additional Q✓�I e'1:
I certifythat in the performance of the work for which this permit PLAN CHECK
APPLICANT
is issued, I shall not employ any person in any manner so as to
l become subject to the Workers'Compensation Laws: Lighting Fixtures First.20 ADDRESS
Addtional
' Total No.' - CITY Tel:No. '
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE 'TO• APPLICANT: If, .after making this Certificate Of APPLICANT
Exemption,.you should become subject to the Workers'Compensation Range_ Heater D.W. �h� y
provisions of the Labor Code,you must forthwith.comply with such' Oven. — Dryer_ W.M.. ,ADDRESS'
provisions or this permit shall be deemed revoked. Top FAU W.H. _ CITY Tel.No,
LICENSED CONTRACTORS DECLARATION Hood — Fan Other_
I hereby affirm that I'am licensed under provisions of Chapter 9 LICENSE OR
Disp. — Room Air Cond. Class.
(commencing•wtth.Section 7000) of Division 3.of the Business and REG.NUMBER
Professions Code,and my license is in full force'and effect. power Apparatus&Large Appliances DISTRICT NO. SSED BY
Size&.Type HP,KW,KVA,or KVAR O
License Number Lic:Class .. Up to 1-Incl. FINAL (�
Over 1 to'10 Incl. DATE ,�'4�� VALIDATION Q'
Contractor . Date Over 10 to 50 incl.
FINAL
❑ 1 am,exempt tinder Sec. Over,50 to 100 Inc. BY; W
a
Over 100
6.8P.C.for this reason Z
Services,Swbd.,MCC&Panelboards
Date: 0-200 Amp.Under 600 V
Signature 201 - 10.00 Amp.Under 600 V
❑ Over 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 AMA
hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits
for the following reason(Section 7031.5,Business and Professions' 03 44.40
a
Code):
Misc.Conduits&Conductors , 1 TTEnS
❑ - I,as owner of the property,will do the work and the structure Othe (See Complete Fee schedule) _ TOTAL ! -'fi '�OrQ�
is not intended or offered for sale (Section 70.44, Business f�.. o
and Professions Code). 10 CASH 44040
CONSTRUCTION LENDING AGENCY �N� odd
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) Q
Civ.C.).
PLAN CHECKING FEE M-wo1 . 12/ .4/95
Lender's Name PERMIT ISSUING FEE ,� 3567 1 RM 6307
Lender's Address
certify that I have read this application and state that the above TOTAL FEE
information is 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-mentioned
property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
fX/
f\Signatbof of Per ttee Ddte s
SI
�• •. WORKER'S COMPENSATION'bECLARMTION �W DPw(12-91) AP-PLICATION FOR ELECTRICAL PERMIT
u
I hereby Air%that I havb a certificate of consent to self Insure,
or a:10ertificate of Worker's Compensation Insurance, or a certified COUNTY OF LQS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sdc.3800 Lab.C.) JOB
-
P❑olicy No. dompany FOR APPLICANT TO FILL IN ADDRESS
Certified copy is hereby furnished. New Residential Bldgs.&.Pools NO. $EACH $ FEE LOCALITY'
❑ Certified copy is.filed with the;county building,Inspection 1 &.2-Family,Sq.Ft.. _ NEAREST
department. Multi-family Sq.Ft. CROSS ST.
Residential Swimming Pools ASSESSOR
Date Applicant MAP BOOK
PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets*Rec. Light Sw. � ORM NAMER E J Z
VS
COMPENSATION INSURANCE
1411First 20 MAIL
(This section need not be completed if the work Involved by the Total No.� Additional ADDRESS
permit.is for one hundred dollars($100)or less.) w�
certify that,in the performance of the work for which this permit CITY TJI/No...: ZdLi
is issued, I shall not employ any person in any manner so as to PLAN CHECK
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT
Total.No. Additional
ADDRESS.
-Date----- L A Applicant RESI ES NOT OVER-3 HP.
NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No.
Exemption,.you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. PERMIT
provisions of the tabor Code, you must forthwith comply with such APPLICANT �Cit��i+ZPjv
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl.
(commencing with Section 7000)of Division 3 of the Business and CITY Tel.No..
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE ORCld
Over 60-to 100 Incl. REO.NUMBER ass'
Over 100 DISTRICT NO. PROC S
License Number Lic.Class O.08
O
p.
Services,Swbd.,MCC&Panelboards (�
0-399 AmUnder 600 V FINAL
Contractor _ _ DateDATE V
❑ 400-1000 Amp.Under 600 VVALIDATION.
I am exempt under Sec. * W
Over 1000 Amp.of Over 600 V ..FINAL n.
B.&P.C.for this reason BRANCH CIRCUIT FEES BY6�f Z
Date: 15A,or 20A,120V,Lighting or Recept. —
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
41 Or More Branch Circuits .
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V.Ughting Br,Circuits �$}
4
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit C QQ
I hereby a,'ffirm that I am exempt from the Contractor's License Law � Q 75°
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code): 1 ITEMS
❑, 1,as owner of the property,will do the work and the structure Misc.Conduits A ConductorsTQTAL 5 c 00
Is not intended or offered for sale(Section.7044, Business Other(See Complete Fee.Schedule) 7-1,
and.P.rofessions Code).
CONSTRUCTION LENDING AGENCYP . 750
I hereby affirm that there is a construction lending agency for the ME
performance'of'the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Q
Civ.C.) g�((,� pp��
PLAN CHECKING FEE ,�'+'�+'��Q11 (91rf''$��ft�'
LendeY's Name.
• PERMIT ISSUING'FEE a 7 '
Lender's Address
I certify that I'have read this application and under penalty of purjury state TOTAL FEE
that the above information is 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-mentioned'property `
for(nspec j, purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
I REO ITT D9F ,
r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 �CCFCfRTCAL�FRFiIT�
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS '-EEL--8568-97F MO02
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT: -
LEGAL ID: S IDD G ADDRESS:
TR: 14572 LT: 18 9538 TLAND
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: K-N"A-W-B8384�
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8590-013-015 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
ENA TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: P EXPIRES
10/13/97 UT 10/13/98 .
OWNER: TEL. NO: FINAL DATE F NAL CODE:
MUNOZ SERGIO J;JUAREZ SARA B -
9538 PENTLAND ST
TEMP 917803844 6ESCRIPTI 0 ORK
NEW ELECTRICAL SERVICE PANEL UPGRADE - 200 AMP
APPLICANT: NO:
JESS STONE ELECTRICAL (626) 446-3517-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: '•) __ , APPROVALS DATE INSPECTOR SIGNATURE
JESS STONE ELECTRICAL (626) 446-3517-
2818 FAIRGREEN AVE. LIC. NO ,v'. ' - _ �' '��; TEMPORARY ER POLE
ARCADIA, CA 91006 176063 C10
- - UNDERGROUND CONDUIT
ARCHITECT ENGINEER: T L. N0: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRIN
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY CO PA N I IED
/O
REPORT ID: OPR265 ROUTE TO: BS0508