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Home My Public Portal About5023 SULTANA AVE_Electrical__ APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY a�� COUNTY OFF LOS LOS ANGELES �i WILLIAM J. FOX, CHIEF ENOINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.I—V-4 44 1 ADOR E FIRST INSPECTION D my READY FOR DAT[ ISBU[O CITY Tc O COUNTY LICENSE NO [%TIRES BUILDING ` O1 PERMIT FEES ADDBESS J R[ NUMBER OUTLETS EACH LOCALITY � LIGHT scJIII NEAREST OROSBST RECEPTACLES S FIXTURES a OWNER WALL SWITCHES B NAIL ELEP RANGES ys AODR[BS CLEC HEATERS Zs CITY TEL NO NUMBER Of CIRCUITS INSTALLED I HEREB ACKNOWLEDGE HAT 1 HAVE READ THIS TOTAi APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING NUHe[R MORPCWER �[ 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS N[w Nw HP D F!BEIND [AOM ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER V2 a miss a 26 OF THE RESIDENTIAL PROPERTY OCBORIB ABOVE I 2 50 SIGNATURE OF 9 S 1 00 PERMITTC a la 1 so INSPECTION RECORD Is s0 250 s0 QOO s DO zoo s00 1000 BOO iDOO is 00 J OVER 1COO 2000 = M G BET/FREQ CHANGER-HP Q WELDERS AO-KVA Q' GENERATORS - KW O TRANSFORMERS - KVA TEMP MOTORS (76 DF DRIP) MOVED MOTORS (76 DF TRIP) MISC SIGNS TYPE. NO.TRANB_ P NO LAMPS APPROVALS FOR EACH PERMIT[ DATE INSPCCTORIB NAM[ WIRING si.OQ O CONDUIT FIXTURES al 00 WIRING -4 7L SUPPLEMENTARY s0 FI)CTUREB POWER TOTAL FEE a � '7� UTILITYCO NOTIFIED f� FINAL D j; � 7 PBB sA tm APPLICATION FOR PERMIT DEPARTMENT OF FII AND SAFETY ELECTRIC 1 COUNTY OF LOSOS M ANGELES WILLIAM J. FOX, CHI[r ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN J/ ST` RECEIVED� BY READY rOR DAT[ IOSUEC ADOR / rIRar INBPEOTION /� '/� CITY T[ 4 COUNTY LICENSE NO, IRKS BUILDING PERMIT FEES ---KSS NUMBER EACH rK LOCALITY << LIOHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS6o MAIL f� [LEC RANGES ay ADDRESS [LEO HEATERS m CITY TCL. No rIKTUR[e B D I HER[ ACKNMVLZIfUE THAT 1 HAV[ READ THIS MISC. APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT NUMBER Or LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANC[e NUMBER Or RECEPTACLE CIRCUITS AND STATE LAWS REGULATINO ELECTRICAL WIRIND. MOTORS 1 O[RTIFY THAT I POSSESS THE ABOVE VALID LOB NIIMRER HOR6[POW [R rice ANCELES COUNTY LIOENOE. OR 1 AM THE LEGAL OWNER N[w MVD HP oV[R Iwo IMOK OF THE RKBIO[NTI PROSC PERTY DERIBED ABOVL • �[eR ae SIGNATURE Or VA f SO PERMITTEE a B 100 INSPECTION RECORD S IB I SO IS SC 250 SO 200 Boo BUD ago 10 DO BOO 1000 1500 = OVER IOOO 2000 M D acT/rnzq CHANGER-HP D: WELD[RBS AO-KVA O GENERATORS - RMI TRANBFORMERB - KVA TEMP. MOTORS 75or CRIB MOVKP MOTORS (76 or CRIB) I'llso SIGNS N0. NO TRANS. APPROVALS NO NO Pe ►OR EACH PERMITI DAT[ INSPECTOR'S NAM WIRING SIMM) CONDUIT rCITUR[B $100 OO WIRING SUM-LLMENTARY BO gap rD(TUR[e POWER TOTAL FEE • UTILITYCO NOTIr1ED rINAL / / .�}o WORKER S COMPENSATION DECLARATION 20 affirm that APPLICATION FOR ELECTRICAL PERMIT I gereby affm that I have a certificate of consent to Bell Insure ]sASM Be3 or a certificate of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) ,r ,, r, L + � - _ - ' 1 Policy Company FOR APPLICANT TO RU.IN - — A'10 FMSS 502J .7v(.TANA /i�E ❑ r-Cemhed copy Is hereby furrHWtedNew Residential Slogs 6 Pooh -EACH NO - FEE l fl i — = LOCALITY --T El Centred mwith th ed copy filed we Countybulitlmg IInspection1 6 2 fecaly Inspection NEAREST department , ti Mud family 9q Ft — _ CROSS Si 1'ty Date Applicant' 1. LResidential Swimming Pools r, ASSESSOR _ '',, _ t'. — ♦ r MM BOOT( PAGE PARCEL I CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Bet �Light�5w OwNEnan Dk-T-ZGs(24b6%Q • COMPENSATION INSURANCE RPM NAPE r (This section need not be completed U the work Involved by the �/L� FM 20 �L ' permit Is for one hundred dollars($100)or lap) _ Total Pio`q-�— Additional i _ _ AOOPESS - I certify that in the performance of the work for which this permit 1 - - CITY Td W is Issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws . Llghung Fixtures Q Flet 20 • �CHEM - - .] APPLICANT + Total No Additional ADDRESS Data Applicant 15 OR 20A 12W BRANCH CIRCUITS NOTICE'TO APPLICANT If after making this"Certlimate of CITY i« No Ecempton you should become subject to the Workers Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code you must forthwith comply With such 11 TO AO INCLUSIVE EACH - PFAaNf - provisions or this permit shall be deemed revoked , 47 OR MORE BRANCH CIRCUITS EACH AP Ni } LICENSED CONTRACTORS DECLARATION _ _ ADDRESS _ 11 I hereby affirm that I am Ilcene9d'under provisions of Chapter 9 15 OR 20A 206V TO 27N LIGHTING EACH O (commencing with Section 7000) of Division 3 of the Business and -_ _ CITY Tel No V Prolesabns Code and my license is In full force and effect RESIDENTIAL APPLIANCES UP TO 3HP UCENSE OR Paas Apparatus$Large Appliances REG NUMBER 0 - - 0 License Number Lw Class Size 8 Type HP KW KVA Or KVAR DISTRICT NO PROLF$9ED eY I— Up to 3 Ina - Q G[,/y�,u, �� LLJ a Connector Date Over 3 to 10 Ind OF - Q. ❑ Over 10 to 50 Incl - Z I am exempt under Sec Over 50 to 100 Incl VALIDATION B dP C for this reason Over 100 By Services Swbd MCC 8 Panelboardv - -- + Date 0 200 Amp Under 600 V 47, flo Signature 201 1000 Amp Under 000 V - - - - - ❑ Exemption for Reg Mmnt Elect _ Over 1000 or OverI - ` U iGa¢4v¢�To �oO 7a . SINGLE FAMILY Temp Power Pole 8 Appurtenances a HOME OWNER-BUILDER DECLARATION __ _ _ RLCT.T I hereby affirm that I em exempt from the Contractor's License Lew Sign with One Branch Circun for the following reason (Section 7031 6 Business and Professions Additional Sign Branch Cirwhs _ ��-'R� 9� ICode)/ tea' I ee owner of the property will do the work and the structure Mhc Condults It CaMuctm c Is not intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule)_ TI AL 97 8s - i� 5 and Professions Code) - - - - C 0.7 c CONSTRUCTION LENDING AGENCY _ _ — (P.P.'V jE .[A 1 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 TOtaq Civ C) - PLAN CHECKING FEE Lends s Nemo _ �'` }i" Z �� 1� 7 Lads a Address PERMIT ISSUING FEE I certity that I have reed this application and stele that the above TOTAL FEE � information Is correct I agree to comply with all County ordinances and State Tawe regulating Electrical wiring and hereby authorize represantetivee of is C my to enter upon the above mentioned props in on s SEE REVERSE FOR EXPLANATORY LANGUAGE - I n1A pF A O A EM