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HomeMy Public PortalAbout9560 PENTLAND ST_Electrical__ 76A668 DBS SA 11-533 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOSOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN I T,� ADDRESS � �� gyp' ,r �"! RECEIVE BY FIRSTNSPECTION READY FOR DATE ISSUED CITYi'Y4'/L`f•f'R ` +fJ TEL NO COUNTY LICENSE NO. EXPIRES BUILDING 9f�e PERMIT FEES ADDRESS FEE LOCALITY NUMBER EACH A 6 LIGHT OUTLETS NEAREST !� RECEPTACLES CROSS ST. WALL SWITCHES OWNER t�C', � G ✓ I TOTAL OUTLETS Sc 8 MAIL ELEC. RANGES 25 ADDRESS I.F6 ia /v'� r d 4 ELEC. HEATERS 25 CITY moi-TEL. NO. firms FIXTURES 5 1 HEREBY A19KNOWLED13E dCrHAT I HAVE READ THIS M15C. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NumHER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MvD. HP ovER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. Va A LESS S .25 BIGNATURE OF I/2 2 .50 PERMITTEE _ 2 s 1.013 INSPECTION--RECORD _ --- 15 5O 2.50 �/:� 6S"' so Zoo 5.013 ;i �� a f „� 1- _ �t�r_• �� � ZOO Boo 10.00 �g ps+%d J Boo toxo 15.00 � Z OVER 1000 20.00 [� M.G. BET/FREQ. CHANgER-HP T E WELDERSiAC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF 13111113.) v MOVED MOTORS (75 :1F 0010.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING 101.013 CONDUIT FIXTURES $11.00 WIRING SUPPLEMENTARY .50 FIXTURES �r POWER J� f TOTAL FEE _�� UTILITY CO..NOTIFIED FINAL �G 10 76ASS3 5A 85M BETS 7-48 Aa*1**/'INION FOR *1L�n71� T DEPARTMENT of BOILDnvG Ar�D SAFBTY A�EialL�aLEii L� /��'ll I�Cl�� f COUNTY OF LOS ANGELES J. FO GI EER Z / DISTRICT NO. GROUP ZONE PERMIT NO. NAME .✓ /r. ` 1 0U-, ADDRESS J / /g GhTY�fd>1ws .1 ,/ TEL.NO. RECEIVED 13Y READY FOR DATE ISSUED FIRST INSPECTION COUNTY LICENSE NO. EXPIRES AP CANT FILL IN BEAVMY OUTLINED PORTIO ONLY JOB DESCRIPTION OF WORE -ADDRESS ;2///441�� NUMBER OF OUTLETS ON CIRCUITS LOCALITYY. LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW. PLUGS FIIiT CROSS CIRCUIT A B C D E F G H a: NAME �llil t -C`tet Z MAIL Gf 3 ADDRESS CITY fi -i ii syn a L.TENO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGLES COUNTY CERTIF CATE OF UA,LIIFFIICOATI /L IU ,. . ELECTRICIAN. I AM T=L GAL OWNER OF THE PROPF,RTY DESCRIBED ABOVB OWNER. EtCORREL"1'IONS — z o TOTAL A�p NO. OF OUTLETS =`J / =' �,' APPROVALS NO. OF FIXTURES (� E `�� DATE INSPECTOR'S NAME NO. OF MOTORS H.P. / $ CONDUIT o NO. OF SIGNS TRANS. ffi WIRING NO. OF RANGES OR HEATERS S FIXTURES MISCELLANEO S S POWER PERMIT FEE ffi J UTILITY CO.NOTIFIED TOTAL FEE a CDD 101 APPLICATION FOR ELECTRICAL PERMIT LI BUILDING Y DEPARTMENT OF COMMUNITY DEVELOPMENT ADDRESS ay C. japlowN BUILDING AND SAFETY SECTION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT.S, $ $ MAIL LIGHT TO AL FIRST 20 .25 ADDRESS CITY ! TEL. NO. SWITCH OVER 20 .10 PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLICANT OVER 20 ADDRESS FIXTURES .10 APPLIANCES CITY TEL. NO, PERMIT d RANGE DRYER_WTR. HTR. APPLICANT G-�r STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL, NO. .. CLOTHES WASH.-,401—DISHWASH. LICENSE NO. CLASS. FAN OTHER / 1.00 I HEREBY ACKNOWLEDGETHAT I HAVE READ THIS APPLI- CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGU- MOTORS, TRANSFORMERS RATING LATING ELECTRICAL WIRING. IND. HEATERS, ETC. HP. KW. KVA. S1ZE & TYPE OVER TO LAT: HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE 0 - ' 1.00 OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND IN- }, TEND TO RESIDE IN. THE A OVE DESCRIBED RESDENTIAL PROP- O i - 10 300 ERTY. 10 - 50 5.00 SIGNATURE V OF PERMITTEE O 50 - 100 IOAO DISTRICTNO. CLASS ZONE PR EBBED BY F- 100 - 500 15.00 .0$ �/ 9-4 Q SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z TUBE, OR z MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 APPROVALS DATE INSPECTOR'S 91GNATURE SERVICEOVER 600 VOLTS OR 200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING .°S -�!n /t7 �� ; FIXTURES 5`43 "'J-V- 2 POWER AUTHORIZED PERMIT FEE (SUB TOTAL) / PLAN CHECK FEE UTILITY CO. NOTIFIED ���► �/ �� _ PERMIT ISSUING FEE 3.00 •FINAL {` TOTAL FEE PLAN CHECK VALIDATION L'_Q4AY 5 2 D 1 2.7 5 a�d 9199 PERMIT VALIDATION •SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 78A888 1385 SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS.'ANGELES ELE A WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT NO. ' ELECTRICIAN 1f �- -,f/ RECEIVED BY READY FOR ADDRESS �rT"7 „ / l f/J,� `)� `d FIRST INSPECTION DATE ISSUED CITY ” �V I STEL. NO. (/ V COUNTY LICEDISeogO. EXPIRES BUILDING ADDRESS ��+' PERMIT'FEES .gI NUMBER EACH FEE LOCALITY !_I!�•f.-l'i �,. � 6''[��'� ,l LIGHT OUTLETS . NEAREST CROSS ST. �1.�+•''W�.:rI'�` �1• 1 RECEPTACLES -, -' WALL SWITCHES OWNER (4,15 �rC_� TOTAL OUTLETS 5C.8 MAIL ELEC. RANGES 28 ADDRESS, ELEC. HEATERS 25CITY / "�6t 1•�(` t:( TEL. NO. '® FIXTURES s I HEREBY ,ACKNOWLEDGE HAT 1 HAVE READ THIS MISC. APPLICATION AND STATE. THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMB eR HORSEPOWER ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. . 1/2 S 1 Ess $ 25 )SIGNATURE PERMI'ITEE 1/2 2 2 5 1.00 INSPECTION RECORD 5 -15 1 1.50 15 50 2..50 50 200 5.00 200 Soo 10.00 J Soo 1000 1s.00 Z OVER 1000 20.00 M.-G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA GENERATORS-KW TRANSFORMERS'-KVA TEMP. MOTORS (7S%OFORIG.) MOVED MOTORS (75%OFORIG.) MISC. SIGNS NO. NO.TRANS. I APPROVALS NO. NO. LAMPS FOR EACH PERMIT• DATE INSPECTOR'S NAME WIRING 51.00 CONDUIT FIXTURES $'1.00 WIRING / J ,G SUPPLEMENTARY gp FIXTURES POWER �. TOTAL FEE �- � - $ / J x UTILITY CO. NOTIFIED �l�.•�• : . ® - (J FINAL �"Grl.Sf�a� •:R. /P.J S�. WORKER'S COMPENSATION DECLARATION 20.009 DPW(72.91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insu e, 78A6fi3. or a certificate of worker's Compensation Insurance, or a certif rcr COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) 's POIICy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS 75bo e ritlaAA F1r Certified copy is hereby furnished. Neu Residential Bldgs.&Pools NO. EACH FE II _ $ $ LOCALITY Q,� F1 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. OWNER OR 1„ O COMPENSATION INSURANCE Light First 20 rJt Sw. FIRM NAME . �O n O �J / � (This section need not be completed the work Involved by the MAIL Total Nm Additional ADDRESS permit is for one hundred dollars($1000)or less.) I certify that in the performance of the work for which th' permit CITY Tel.No. Is issued, I shall not employ any person ' a ann o as to PLAN CHECK become subject to the orkers'Compe Lighting Fixtures / First 20APPLICANT Total No. (® Additional ADDRESS Date ` Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certif tate of CITY Tel.No. Exemption,,you should become subject to the Workers'Com ensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply ith suchP RMiT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances PPLICANT �1 LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 2'� . I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. �� 2 (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. J Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. REG.N O Clens /� Over 50 to 100 Incl. REG.NUMBER � C- C- Over 100 DISTRICT NOO. P O SSED BY License Number Lic.Class y U Services,Swbd.,MCC&Panelboards ��® Q Contractor Date 0-399 Amp.Under 500 V DATE —Q O ❑ I am exempt under Sec. 400-1000 Amp.Under 500 V `— ' V VALIDATION W Over 1000 Amp.or Over 600 V FINAL 11 B.&P.C.for this reasonBV to BRANCH CIRCUIT FEES Date: 15A,or 20A,120V,Lighting or Recept. Z 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 Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 4 c� _I A 1 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 k �S !!•_ is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , Tj j T Al and Professions Code). ."y�r _ CONSTRUCTION LENDING AGENCY _r._u a 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) 30 0 Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE �� f) -:50 y E %i f 1 Lender's Address rT I certify that I have read this application and under penalty of purjury state TOTAL FEE �U that the abve information correct. I agree to comply with all County ordinances a d t Ia s r ulating Electrical wiring,and hereby authorize I represents t s to enter upon the above-mentioned property I for i ec SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306120013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: S PAID BUILDING TR: 14572 LT: 22 9560 PENTLAND ST � FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803844 0 ON NEAREST CROSS STREET: CLOVERLY 8590-013-019 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 10.00 SR 172.50 T G1 OUTLETS-LGT,SW,RECP 44.00 OUT 71.40 TSSUEQ ON: PROCESSED BY: PLAN BY: -EXPIRES ON: G2 LIGHTING FIXTURES 10.00 LGT 19.50 06/12/03 JK /09/03 H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: H9 RES APPL LT 3HP 1.00 RES 10.95 FINAL DAT p FINAL BY: CODE: HOLLEY ROBERT C;ANNE S - LB 200 AMP PANELS, MCC 1.00 PAN 38.85 L Cb - Q 9560 PENTLAND ST TOTAL FEES 351.90 TEMPLE CITY 91780 DESCRIPTION UPGRADE TO 200AMP PANEL, NEW OUTLETS & LIGHTS, GARBAGE APPLItANT: TEL. NO: DISPOSAL & 240V0LTS 50AMPS STOVE; BRANCH CIRCUIT FOR EACH RM HAROUT DERHAGOPIAN (626) 794-3000- 2033 QUEENSBERRY RD SPECIAL CONDITIONS: PASADENA 91104 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SI A RE ACTIVE ELECTRIC (626) 794-3000- 2033 QUEENSBERRY RD. LIC. NO TEMPORARY POWER POLE--- PASADENA, CA 91106 414071/C10 UNDERGROUND CONDUIT ARCHITECT OR NG 0: _ R GROUND LIC. NO: ROUGH CONDUIT ROUGHUIRING 07��00 IN WATER LINE PLASTIC Y/N METAL Y/N UTILITYN 0 IED REPORT ID: DPR265 ROUTE TO: BS0508 t 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9610100047 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: - LEGAL ID: FEES-PAID BUILDING ADDRESS: TR: 14572 LT: 22 9560 PENTLAND ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803844 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8590-013-019 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY H7 RES EXHAUST FANS 1.00 EX 10.80 TENANT: TOTAL FEES 38.55 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 10/10/96 TC 10/10/97 OWNER: TEL. NO: FINAL DATE FINAL Y: CODE: HOLLEY ROBERT C;ANNE S - /� 9560 PENTLAND ST 10-3t-j TEMP 917803844 DESCRIPTION OF WORK REMODEL BATHROOM APPLICANT: TEL. NO: � � OAKRIDGE CONSTRUCTION CO. (818) 287-7244- 5842 ALESSANDRO `b --� SPECIAL CONDITIONS: TEMPLE CITY, CA CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE OAKRIDGE CONSTRUCTION CO. (818) 287-7244- 5842 ALESSANDRO LIC. NO �,i;'* U \ �._ EMPORAR POWER POLE TEMPLE CITY, CA 91780 505643/B UNDERGROUND CONDUIT OR ENGINEER: - I� )>'j'ARCH CT - f� �lti ER GROUND LIC. N0: I!lir _ J ROUGH CONDUIT ROITG I WIRING �- LYS �\ �/ ! MAIN WATER LINE BLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIEff (�2 REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ' ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0212200013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GA PAID IL ADDRESS: TR: 14572 LT: 22 9560 PENTLAND ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803844 ASSESSOR ON NEAREST CROSS STREET: CLOVERLY 8590-013-019 Al PERMIT ISSUANCE FEE 27,75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 2.00 OUT TOTAL FEES 3 .65 SS 0 C B PIR 0 : 12/20/02 JK 06/18/03 OWNER: TEL. 0: FINAL DATE FINAL BY: CODE: HOLLEY ROBERT C;ANNE S (626) 309-0297- 9560 PENTLAND ST TEMP 917803844 DESCRIPTION 0 R REPLACE 20UTLETS IN SEDRM (PREVIOUSLY CONVERTED FROM GARAGE- PERMITTED IN 1952) APPLICANT: TEL. O: SAME AS OWNER - v j- - "�'' 1 `� SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: O "J 0koj UD 15 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH MAN WATER LINE PLASTIC Y/N METAL Y/N UTILITY CO AN 0 I REPORT ID: DPR265 ROUTE TO: BS0508