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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. '