HomeMy Public PortalAbout9583 PENTLAND ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County EngineerSFELECTRIC
DIVISION OF BUILDING & SAETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
J RECEIVED Y READY FOR DAT 7—s
^ED
ADDRE88 .///�.FIRST INSPECTION �J CITY / . TEL.N0. / L
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS
NUMBER EACH .FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROS.BT.
WALL SWITCHES
w � OWNER
TOTAL OUTLETS so 0
MAIL
ELEC. RANGES 25 ADDREBS
ELED. HEATERS 26
CITY TEL. NO.
FIXTURES g
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 18 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
N1IMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVO. H13,11 OVER INC. EACH OF THE RESIDENTIAL PROBER.Mf DESCRIBED ABOVE.
Ys 6 LESS .2s
SIGNATURE F
I _
�2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 is 1.50
T5 Is0 2.SO
50 200 5.00
'206, 500 10.00 J
500 I t 15.00 _ Z
OVER 1000 20.00 0
_MOVED MOTORS (75% OF ORiG.)
M.G. BET/FRE41. CHANGER-HP O
WELDERS:AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
MISC. - —
SIGNS
NO. NO.TRANS.
ND. NO.LAMPS
APPROVALS
FOR EACH PERMIT. DATE INSPEC,TORPS NAME
WIRING $1.00 CONDUIT
WIXTUREB $1.00 WIRING
ISUPPLEMENTARY ,gp FIXTURES v
/ POWER J „ R
TOTAL FEE
UTiLITYCO.NOTIFIED 7 ,l i.� .• '�
(Y .
FINAL
7sA663 089#6A (J b 12-53
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ELECTRIC i
DIVISION OF BUILDING & SAFETY
WI AN J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN Walton gectric Compgay -4" �6yg7
L, RECEIVED BY READY FOR DATE ISSUED
ADDRESS 9630 0 So- Peak�oad J), FIRST INSPECTION
CITY Mniq=Nj . TEL.NO. DA rV I`,
,
COUNTY LICENSE NO. EXPIRES ABUILDING DDRESS 3 E
PERMIT FEES oftE. P enthral
NUMBER EACH FEE LOCALITY Temp2e City
LIGHT OUTLETS NEARS ST.RECEPTACLES CROS
WALL SWITCHES OWNER Shirley1
TOTAL OUTLETS _2 Be 6 MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%a a LE85 !0 .25 SIGNATURE OF
%a 2 .50 PERMITTEI
2 5 1.00 INSPECTION RECORD
B is 1.50
15 50 2.50
5O 200 5.00
200 500 10.00 J
500 1000 15.00 Z
OVER 1000 20.00 a
M.G. SET/FREQ. CHANGER-HP O:
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% of ORIG.)
MOVED MOTORS (75% of DRIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPECTOR-8 NAME
WIRING PGW@r pole81.00 CONDUIT
FIXTURES 87,00 WIRING '
SUPPLEMENTARY .50 FIXTU RES
POWER Y
TOTAL FEE 5 1 0 UTILITY CO.NOTIFIED
FINAL /-
76A663 DBB#5A 9-53
WORKERS'COMPENSATIONDECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self I. COUNTY OF LOS ANGELES' BUILDING AND SAFETY
insure,or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec.3800,Lab.C.) )
I FOR APPLICANT TO FILL IN JOB
Policy No. Company I EACH NO. FEE • . ADDRESS J9 & A
New Residential Bldgs.&Pools '
Certified copy is hereby furnished. f 1 &2-Family,Sq. Ft. $ — Is LOCALITY
Certified copy is filed with the county building inspection' Multi-family wi miFt. CROSS ST ,C -'
department. Residential Swimming Pools
OWNER OR yy�
FIRM NAME /•' .
Date Applicant Outlets: Rec.,_Light Sw. MAIL
First 20 AD D R ESS-
CPRTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY`r el N.o. -997.1COMPENSATION INSURANCE PLAN CHECK }
CL
APPLICANT
'(This section need not be'completed if the work involved 0
by the permit is for one hundred dollars ($100) or less.), Lighting Fixtures, First ADDRESS V
Total No. Additional
I certify that in the performance of the work for which this CITY Tel No. O
permit is issued I shall not employ an Fixed Appliances Not Over 1 HP ,
P , p y y person�in any manner � PERMIT -
so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._. APPLICANT W
Oven _ Dryer_W.M._ ADDRES V
Date Applicant��✓ �C C! `n✓i Top _ FAU —W.H.. Z
Hood _ Fan _Other— + CITY• J Tel No. IF
��y�
NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond— LICENSE O
Exemption, you should become subject to the Workers' REG.NUMBER // Class ` .0
Compensation. provisions of the Labor Code, you must forth- Power Apparatus&Laige Appliances DISTRICT NO. PROCESSED BY
with comply with such. provisions or 'this permit shall be Size&Type HP,KW,KVA,or KVAR
deemed revoked. Up to 1 Incl. r
FINAL
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE VALIDATION
-Over 10 to 50 Incl.
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL
BY
9 (commencingwith Section,7000)of Division 3 of the Busi- Over 100
ness and Professions Code, and my license is in.full force and
effect. Services
License Number IV
Lic.Class- N 0-200 Amp.Under 600 V
_ 201-1000 Amp.Under 600 V
Contractor �
Data_. �-9"ft Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
I hereby affirm that I am exempt from the Contractor's. Sign with One Branch Circuit
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness and Professions Code): G 551.5
Misc.Conduits&Conductors `
El-I, as owner of the property, will do the work-and the Other(See Complete Fee-Schedule)— P 0'a 0 0 o G
structure is not intended or offered for sale (Section
7044,Business and Professions Code). o o ()
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is ,0 0 0 L a
issued(Sec.3097,.Civ.C.). PERMIT FEE (Sub-Total) I '
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) I. 0 9'0 9' e
Lender's Address PERMIT ISSUING FEE I
I certify that I have read this application and state that the TOTAL FEE
above information is correct.I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and i
hereby autbaTize representatives of this County to enter upon [
the abov tiopedgrope ty for' ection purposes. ` SEE'REVERSE.FOR EXPLANATORY LANGUAGE f
rY hoz
ffilllitur6 of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY- # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS L_A508_9872180001J
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (818) 285-0488 EXT:
- LEGAL ID: -TEES PAID BULLDI.NG-ADDRESS-:-----,
TR: 19316 LT: 9 BL: .001 [9583 PENTLAND S.T_/
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803845
ASSESSOR INFORMATION NUMBER: 'NEAREST CROSS STREET: CLOVERLY
8590-007-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALIT TEMPLE CITY
LB 200 AMP PANELS, MCC 1.00 PAN 38.85 I
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN Y: E IRES ON:
12/18198 UT 1 /18/99
OWNER: TEL. NO: FINALtDATE FINAL BY: CODE:
DE PALMA VINCENT J;PATI LU (818) 287-4971- q
9583 PENTLAND ST t ?,
TEMP 917803845 D SCR PTIO OF WORK
ELECTRICAL SERVICE PANEL CHANGE (20 P)
APPLICANT: TE .
SAME AS OWNER
SPECIAL CONDITIONS:
CTR: TEL. NO: - ®GJ �R/�� APPROVALS DATE INSPECTOR SIGNATURE
SANE AO
LIC. NO TEMPORARY-POWER-POL
UNDERGROUND CONDUIT
kl• s..�r
ARCHITECT OR ENGINEER: TEL. NO: - -� �' \`\ FER GROUND
1
LIC. N0: I I Alli; �1 ROUGH CONDUIT
IF__I' + ( MAIN I.IATER LINE
Cll PLASTIC Y/N METAL Y/N
_ UTILITY COMPANY NOTIFIED
ervice
I
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1106010051
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 19316 IT: 9 BL: .001 I I 9583 PENTLAND ST
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803845 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18590-007-010 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 23.00 OUT 43.00 1
(TENANT: JG2 LIGHTING FIXTURES 14.00 LGT 27.20 ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 98.00 (06/01/11 SR ]
(OWNER: TEL. NO: IFI DATE FI Y: CODE: I
IWONG/HWEE, MI & PI (909) 721-6019- I I M-,- -(�
19583 PENTLAND ST I I H�� HHH I
ITEMP 917803845 ID CRIPTION OF WORK 1
IELECTRICAL FOR NEW ADDITION AND REMODEL
I � I
(APPLICANT: TEL. NO: I I I
]JOHNSON, DAVID M (323) 296-5244- I 1
13638 AUREOLA BLVD. i ]SPECIAL CONDITIONS:
(LOS ANGELES
ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I
1PC CONSTRUCTION USA (626) 421-8255- 1 1 I
IPO BOX 3421 LIC. NO ITEMPORARY POWER POLE I I I
IROSEMEAD, CA 91770 878901 I 1 1 1 [
I I (UNDERGROUND CONDUIT I 1 [
] I I I I I
]ARCHITECT OR ENGINEER: TEL. NO: I ]LIFER GROUND 1 1
]JOHNSON, DAVID (323) 296-5244- 1 1 I
13638 AUREOLA BLVD LIC. NO: I IROUGH CONDUIT 1
ILOS ANGELES CA 90008 C-18045 1 I I
I I IROUGH WIRING I
I I I I
] 1 IMAIN WATER LINE 1 I
I I IPLASTIC Y/N METAL Y/N I I
I I I I I I
I I [UTILITY COMPANY NOTIFIEDI I I
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I I I I I
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I I I I I I
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IREPORT ID: DPR265 ROUTE TO: BS0508 I ] I [