HomeMy Public PortalAbout9584 PENTLAND ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
CTRIC
WILLIAM J. FOX, County Englnear
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN G . r E'C -5- ��J A^C J5 l01
{� - RECEIVED BY READY FOR. DATA ISSUED
ADDRESS 1 �! J f Ca/� FIRST INSPECTION
CITY ��` TEL NO.W. v
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY /+
LIGHT OUTLETS NEARE13T
RECEPTACLES 1� CROSS BT. t
WALL SWITCHES ` OWNER dT� Jf��l
TOTAL OUTLETS 6O $ (/ MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 28 �,�
CITY TEL. NO.
FIXTURES
- - 1 HEREBY ACKNOWLEDGE THAT 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New Mvo. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
w� 1/2 S LBBB $ .2S SIGNATURE OF
I2 2 .50 PERMITTE ��Z2
2 B 1.00 INSPECTION RECORD
5 15 1.60
is 50 2.50
60 200 6.00
200 600 10.00 W
H
500 1000 15.00 Lal
OVER 1000 20.00 ,j
M.G. SET/FREQ. CHANGER-HP IL
7
WELDERS:AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or CRIB.)
MOVED MOTORS (75% OF CRIB.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1,00rl
�n CONDUIT
FIXTURES. $1.00 � WIRING
SUPPLEMENTARY ,50 FIXTURES
POWERTOTAL FEE e ¢ a,� UTILITY CO.NOTIFIED
FINAL
76A663 D138#SA 2-53
COUNTY OF LOS ANGELES APPLICATION FOR: PERMIT
7�" Department of County Engineer = _
DIVISION OF BUILDING & SAFETY ��
WILLIAM J. FOX. County Englneer ELECOTORIC
FOR APPLICANT TO FILL IN DISTRICT NO. GIR13UPI ZONE PERMIT NO.
ELECTRICIAN
—5- ��J �" 510 I
RECEIVED BY READY FOR DATE ISSUED
C TDRESS TEL.NO. FIRST INSPECTION
eZ
COUNTY LICENSE NO, EXPIRES BUILDING
PERMIT FEES ADDRESSO
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
t
WALL SWITCHES OWNER
TOTAL OUTLETS Sc III� MAIL.
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY' TEL. NO.
FIXTURES B
1 HEREBY ACKNOWLEDGE THAT I 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
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 & LESS S .25 SIGNATURE OF
V2 2 .50 PERMITTE
z s 1.00 INSPECTION RECORD
5 18 1.50
15 513 2.50
50. 200 5.00 _
200 500 10.00 A�, Q
5O0 1000 15.00
Z
OVER 1000 20.00 .
M.G. BET/FREQ. CHANGER-HP ly
WELDERS:AC-KVA O
.GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF CRIB-)
MOVED MOTORS (75% CF ORIB.)
MISC:
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT? DATE INSPEC ORB NAME
WIRING $1.00 CONDUIT
FIXTURES !01.00
WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE UTILITY CO.NOTIFIED I �P
FINAL
76A663 DBS#SA 2-53
I
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEEii - ELECTRIC 1
DIVISION OF BUILDING&SAFETY
W>LU M 1. FOS.COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN Wa:Lton.Eleetric
ADDRESS 2610 SO P R RECEIVED BY READY FOR DATE ISSUED
1_ FIRST INSPECTION
CITY MOT)Y'OVpla TEL. NOJ) 6-2
COUNTY LICENSE NO;I.2 16 C-10EXPIRES BUILDING
PEEMIT FEES ADDRESS 958h Ppntland
NUMBER EACH FEE LOCALITY Temple Cit
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER ShirleyO'Brien
TOTAL OUTLETS Sc S MAIL
ELEC. RANGES 25 2 ADDRESS
ELEC. HEATERS as
CITY TEL. NO.
FIXTURES5
MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
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
NuMeeR HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MVD. HP oveR INC. RAOR OF THE REBIDENTIA PROPERTY ESCRIBED ABOVE.
'/u a 0358 S .28 SIGNATURE OF
V2 2 .50 PERMITT
2 s 1.00 INSPECTION RECORD
5 is 1.50
Is so 2.50
50 200 5.00
200 500 10.00 J
Soo 1000 15.00 Z
OVER 1000 20.00 a
M.G. swr/FREQ. CHANGER-HP 19
WBLDERS• AC-KVA ' 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF oRla.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMITI DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT t
FIXTURE3 $1.00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER ,p
TOTAL FEE $ 1 ,25 1 UTILITY CO. NOTIFIED
�FINALq !( K
76A 663 Dib# 5A. 4-52
KERS'COMP NSAT'!JN DECLARATION
76A663 10/81 /�
. , CE-8086 APPLICATION 'FOR ELECTRICAL PERVff
de,- i aff+rrn•�at I hav{) certifile of consent to self insure,
-.d a ;eftificateW Wdrkers'Zompensation Insurance, or a.certified •, COUNTY OF LOS.ANGELES BUILDING A11i(Q SAFETY'`' • , ' '.
copy thereof((Seo.3800 Lab.C.) G,.� '.'•, r ;:;`
C ✓\'+dam �1� FOR APPLICANT TO FILL IN JOB. t
Policy No. 4 Company— '�`\ �-
Certifled copy is hereb .'furnished. EACH NO. FEE ADDRE83
Y New Residential Bldgs.&P,00le : ,
❑ Certified copy is filed 'with the county bui sing,in 'on Y, q• $ _ $ LOCALITY T;Ej , �; L
1 &2-Famil S Ft.
department. ' i Multi-family Sq.Ft: NEAREST -- -
y a CROSS ST �'tm. 1 e l_1'T.`!
Date , �L�' Applican t� Residential Swimming,Pools OWNER O `
ae' 'v , FIRM NAME e4
,.CERTIFICATE.OF EXEMPTION',FROM WORKERS' i utlets:Rec ,,L Light Sw. MAIL'. +
COMPENSATION INSURANCE P 5 �. ADDRESS. rJ o T ,
-,(This section need not be completed if'the work involved by the a �i First'20 , •
permit is for one hundred ddllare($100)or teas.) Total No. Additional , . V CIT Tei.No.
I certify,that in the'pe'rformance,of the work for which this'permit PLAN C CK ;
is issued,.l shall not employ any person in any manner,iio.as to - r ;`' '4_59
APPLICANT
become-subject to the,,Workers'Compensation Laws. i Lighting Fixtures,• . First 20 `'t• ADD ESSRA -
i..' Additional
Total No.
CITY Tel.No..
Date Applicant- Fixed Appliances Not Over 1 HP
'NOTICE .TO-_APPLICANT:,if,•after making;,this .Certificate of PERMIT M1
Exemption,you;should become sulijecf to,the Workers'Compensation Range_ Heater—, 6.W. APPLICANT 1 t4 !�
provisions of..the.Labor Code,you must forthmp comply•,with such. i Oven _ Dryer•._ W.M. ADDRESS' ,C�r •(,j C�� �i�rr �'
;'provisions or this permit shall be.deemed revoked; Top FAU' `_ W H. C � :=>•
LICENSED C.bNIRAClOEtS'DECLA.RATION
Hood — Fan Otber._ ITY ��� MA ;Tel.Nd:
I hereby.affirm;that,I am licensed.undel; provisions of Chapter 9. - •i + LICENSE OR r t�"7 /�"
D'isp. — Room Air.Cbnd. REG.NUMBER' J 6 `C/ V Class.
•• (commencing with,Section,7000)of Division 3 of-the Busines's and '
Professions Code,,'and my'Ucense.is in full'force and.effect. Power Apparatus&L.arge Appliance's DISTRICT'NO..' 30t12P,
Y
05 Size&.Type HP,KW,KVA,`, r KVAR. i, -'
License Number Lic.Class Up to 1°Incl. FINAL I U'
�� , x, ,� 't Over 1. to.-j0Incl.
PATE VALIDATION n'
Contractor, �, O vim" "" ` Date ' 9 (J Over 10 td'50 Incl;
1 ❑ I am•exempt•under Sec. s ` F FINAL v
Over-50 to'100•ln6.,
by W
B&P:G,for this reason + Over 100'. LL
Services,Swbd.,MCC I4.`Panelboards
{ Date- .1 ,0;,.200 Amp.Under 600 V
f 1� ,,
L Signature 20'1''1000 Amp.Under 600 V
❑ , Over 1000.Amp.or.Over 800 V
I Exemption for Reg.Mairit.Elect.
y :SINGLE FAMILY•" Temp,Power Pole&Appurtenances
HOME-OWNER-BUILDER.DECLARATION Sign-with'One Branch.Circuit `
I hereby affirm that I am exempt from the Contrsctar's License Law
for the.following reason.(Section.7031.5,Business and Professions Additional Sign Branch.Circuits i ,�.
Code). r 3 r ...
1,as owner of the property,will'do'the work and the structure Misc.Conduits&Conductors
is not intehded or offered for.sale (Section.7044, Business• O#her(See Complete Fee Schedule)_ I r,Iy ;.-t^
. and Professions Code).
CONSTRUCTION LENDING AGENCY 4 '
1 hereby affirm that thereAs a construction lending agency for they ; 'i i t�l '. - ;i�•`_ ';%.=� '=
performance of the work for which`this permit is issued(Sec.3097, a PERMIT FEE ", "' ' (Sub-Total)
PLAN CHECKING FEE'
Lender's•Name + a
.PERMIT ISSUING FEE
0.
i' Lender's Address
,I certify that I have,read this application and,state.that,the.above' a TOTAL FEE. :. :. �". } ;
mfOrriLon is correct.I agree,to comply with all County ordinances '
vti
� and State laws 'regulating Electrical wiring, and,,hereby .authorize
.:.,. ,
representatives of this Co ty to nter upon the above-mentioned
kl property,for'Inspectioa pose . I
�. 1 SEE REVERSE FOR•EXPLANATORY LANGUAGE ;I
ignature of Permittee Date. '