HomeMy Public PortalAbout5008 SULTANA AVE_Electrical__ COUNTY OF-LOS ANGELES APPLICATION FOR PERP41T
Departmentof Connie Engineer
DIVISION OF BIIILDING & SAFETY
WILLIAM J FO%, Ca[eb En01oMELECTRIC
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE //PERMIT N/O-
b 7 7 9 C.
ELECTRICIAN
RERKrvw BY READY FOR DAT[
ADDRESSFk rl INSP[ ION _
CITY TEl_ K:N/iV ci-W
2
COU TY LIC[N [ NO EXPIR BUILDING
P FEES ACORKED
NUMBER [AGN F[[ LOCALITY �
LIGHT OUTLETS N[MOT
RECEPTACLES CROPS ST
elb Z_
WALL SWITCHES OWNER
TOTAL OUTLETS 60 MAIL
[LEC RANGES 48 ADDRESS
[LEC HEATERS 16
CITY TEL. NO
rIXTUR[S 6 I HEREBY ACKNOWLEDBE THAT I HAVE READ THIS
MISC APPLICATION AND STAT[ THAT THIS ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NuwecR "ONE POWER FEE ANGELES COUNTY LIO[NB[. OR 1 AM THE LEGAL OWNER
Htw MVD HP ora mo EADH Or THE RESIDENTIAL PROPERTY DD[SCRIBED/ ABOVE
I/ 6 2; 1 SIGNATURE Or
1/2 2 so PERMITTLIE
B B 1 G SPECTION RECORD
5 16 150
1S 60 160 _
SO 400 Soo
100 SOO 10 OO J
_ 6W lO O IS OO a
Z
OVER 1000 10 00 0
NO BHT/FRED. CHANBER-HP D'
WELDERS AO-KVA O
GENERATORS - Kw _
TRANSFORMERS - KVA _
TEMP MOTORS (79 DT DRID)
MOVED MOTORS (76 OF De10)
MISO
SIGNS
NO NO TRANS. APpROVAL3
NO O LAMPE
FOR EACH PERMITS DAT[ INSPECTOR'S NAME
WIRING BI W CONDUIT _
rIXTUREe Sl OO WIRING
]SUPPLEMENTARY Sol rIXTURES
POWER
TOTAL FEE • uT'LlTvaaNGrin[D r
FINAL
TUISM DBS#SA 462
711 4 21 Diiav, [•eD APPLICATION FOR PERMIT-
DEPARTMENT OFTG AND SAFETY ELECTRIC i
'
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHlcr ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. DROUP ZONE PERMIT NO.
ELECTRICIAN O /P S / 7
` RECEIVED READY ►OR DA ISSUED
ADDRESS S S FIRST INSPECTION /N
CITY TEL ND T
O NTY LIC NEXPIRESB,='L " B B W
PERMIT
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCH® OWNER
TOTAL OUTLETS Bo8 MAIL
ELEC. RANGES 76 ADDRESS
[LEC HEATERS 75 CITY T[L. N(L
rixTURES Lov,6 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISO APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS Z.. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF R[CEPTAOLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSS[BS THE ABOVE VALID LOB
NUHan HORSERrKmE ANGELES COUNTY LICENSE. OR 1 AM THE BAL OWNER
Ntw Mw HP ov[nN OF THE RESIDENTIAL PR RIB OVLas SIGNATURE or
yx s0 PERMI
7D INSPECTION RECORD
ssD1s50 soDO20000 l ' J
600OO Z
OVER I=0 70.00 0
M G GET/mra CHANGER-HP
WELO[RSS AC-KVA ' / O
G[MICRATORB - KW
TRANSFORMERS - KVA {
TEMP MOTORS 75or anon)
MOVEP MOTORS (715or onto)
MIDO
BIONS
ND NO TRANS. APPROVALS
NO NO LAMPS
FOR EACH PERMITS DAT[ INBP[CTOR'S NAME
WIRING s1J70 Q CONDUIT - LZ 1
FIXTURES 100 Lod WIRINo -
SUPPLEMENTARY FIXTURES q- 1 -� 'Lw
POW.:
TOTAL FEE s �� UTILITY 00 NOTIFIED
11 FINAL 9 S 1 cth-/
WORKER S COMPENSATION DECLARATION 76ASS3 DPW(,2 91) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm Thal I have a certificate of consent to Ball insure
or a certificate of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy theroof(Sec,3800 Lab C)
Policy No Company FOR APPLICANT TO Flu IN a LTA
AppgESB O lJ
❑ � Certified copy is hereby furnishedNew Residerival Bldgs A Pools NO EACH FEE
❑ ` Certified copy is filed wrth the county building inspection 1 6 2 Family Sq Ft — $ $ LOCALITY `
,J department w Multi family SR Ft — NEAREST
RROOSS ST
Date "-' Applicant Residential Swimming Pools ,tSSESgOq // �i (!
I(�_ MAP BOOK P (I PNGEWOO
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec T Light Sw
COMPENSATION INSURANCE F 20 Q
(This sscticn need not bo completed If the work Involved by the Total No FirstAdd2nal ADDR l y J ii
permit Is for one hundred dollars($100)or lass)
6q i
I certify that in the performance of the work for which this permit _ C 1 rr t»
is issued I shall not employ any person r any manner so as to ,
become bled o the Workers Com sation Laws Ughlmg Fi#tires Fret 20 P CIIECI(
I (� Tote)No Additional q DRESS
Date �/ I it aril RESIDENTIAL APPLIANCES NOT OVER 3 KP
ExamNOTTO PPL ANT a after the thio Ca Compentilicatesation
o C TO w
Exemption you shoo tl become sub) the Workers Compensation OTHER APPLL4NCES NOT OVER 3 HP
provisions of the Labor Cotle you m t forthwith comply With Such
Power Apparatus Large Appliances
provisions or this permit shell be deemed revoked 8 A
` LICENSED CONTRACTORS DECLARATION Size l Type HP KW KVA or KVAR ADD ESS _
I hereby affirm that I am licensod'under provisions of Chapter 0 Over 3 to 101nc1
(commencing with Section 7000)of Division 3101 the Business and CITY TN Na
Professions Code and my license is in lull force and effect Over 10 to 50 Incl
Over 50 to 1001ncl u G NI R REO Olen d
Over 100 DIST"i NO P SEED BY O
License Number Uc Class U
-' - ServKssa Swbd MCC 8 Panelboarda ��� cc
Comrwd Date 0 383 Amp Under 80O V DAA O
400 1000 Amp Under 800 V ' ~
❑ I exempt under Sec ` VALIDATION (J
IF Over 1000 Amp or Over 800 V FlNAL - - LU
-- B AP C for this reason BRANCH CIRCUIT FEES By CL
Cal
Date ISA or 20A 120V Lghbng or Recept 2
�— 1 To 10 Branch Cucults
Signature t t To 40 Branch Omura
❑ Exemption for Rep Memt Elect- 41 Or More Branch 15A 204,208V To 277V Lghbng Br Circuits Circuits
SINGLE FAMILY Temp Power Pole 8 Appurtenencee `
HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit
1 hereby affirm that I oarmn enamor from the Business
a a License Lew T
for the lollowing reason (Section 7031 5 Business end Proleasions Atldbonel Sign Branch Circuits; Odle.' r.4Q
❑ I as owner of the property will do the work and the structure M= Conduits 8 Conductors 1 ITEnS
is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule)_ TOTAL 53 - 40
and Professions Code)
CONSTRUCTION LENDING AGENCY _ _ CI-ECY1 5?•qQ
1 hereby affirm that there is a construction lending agency for the CHANGE •(�(�
performance of the work for which this permit is issued (Sec 3087 PERMIT FEE (Sub-Total)
Cry C) i
PLAN CHECKING FEE
Landes Name - i CCOC1-0001 10/1U/94
PERMIT ISSUING FEE
Lender a Address - ?21N 1 AM 6:-E
I cendy that I have read this application and under penalty of pugury state TOTAL FEE �.
that the above Information is Correct I agree to comply with all County
ordinances and Slate laws regulating ElactumW wrong and hereby authonze
representatives of this Countito enter upon the above-mentioned property
I " wn purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
BqTMIF I DATE