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HomeMy Public PortalAbout5041 SULTANA AVE_Electrical__ • 1 1 IWill 1 ::1 ' 11• 1 1 1 ' 1 1 '. ...- it 64YU 9, MENOMONEE ■■■■■■■■■■■■ ■■■■■■■t■■■■■ IME ■■■■■■■■■■■■■■ IME �■■■■■■■■■ ■ ■■■■■■■■■■■■■ ■ MMIM■■■■■■■■■■t ■■■■■■ ■■■■■■: IME ■■■■■■C.■■■■. OMMMMMI err■•rAI■■■■■©■■FI t WIMMIMMMIN �t■ - � moffiraww� i D. APPUCANT �It�� ®®Ifyl"iar FUL INHEAVILY OUMNED PORMON ONLY DESCREMON OF WORK NUMBER OF CMrrLJM ON CIRCUrM ■■■■■ ....... s■■■■■■NEON ■■■■■■■.■■■. ■■■■■■■..... ■■■■■■■■... . ■�■■■■■■■■■ �i■■■■■■■■■■ MOIN �i■■■■■■■■■■ SWIM !�!'Jt■•■■f2ENO■IFA■VAI ■ �cm 1O FEEMS FEE■ •_ TeAEea 088 EA 11-e0 1 APPLICATION FOR PERbUT DEPAR;MENT OF RIIIIAING AND.SAFETY ELECTRIC 1 COIIN77 OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO RIL IN DISTRICT GRO P I ZONE PERMIT NO ELECTRICIAN Yen R 1 V D BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION CITY TEL NO COUNTY WCENG9 "FIRES BUILDING PERDIM FEES ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST S RECEPTACLES CROSST WALL SWIr HED �1 OWNER ���//• 'y/ _w/ TOTAL OUTLETS / SC • �' MAILADDRESS V `� • / / ELEC RANGES 25 ELEC HEATERS 25 Il CITY L No V6. FIXTURES 5 -1-0 1 HEREBY CKNOWLEDGE HAT 1 HAVE READ THIS MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS C AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS V AND BTATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT I POSSESS THE ABOVE VAUD LOS MUMMER MORSHPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE Naw Mv0 HP OVER INC EACH 1 e uDa • 25 SIGNATURE OF 60 PERMITTE II II 5 1 00 INSPECTION RECORD S 18 i 50 16 50 II SCI 4 L C.T£L1 'S bo 200 5 OO s a oe 4— .✓G ,vr . ....a EGO Soo fo 00 Y r J 500 1000 15 00 OVER 1000 YO 00 � M G SET FRED CHANGER-HP • aS C '� WELDERS AC-KVA O GENERATORS-KW TRANSFORMERS-"A TEMP MOTORS 75or 0R1a MOVEDMOTORB (75120FORIG ) BC SIGNS NO NO TRANS APPROVALS O NO LAMPS DAT INSPECTOR•NAME FOR EACH PERMIT WIRING 1 00 CONDUIT FIXTURES 11 00 WIRING SUPPLEMENTARY SO FIXTURES POWER TOTAL FEE • `� TILIrYCO NOTIFIED le FINAL 7• DBE IIA 7-36I APPLICATION FOR PERAUT DEPARTMENT OF BUILMI iG AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CH1Er ENOIN[ER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN !� 7 MCPKWED BY READY FOR DAT[ ISSUED ADDRESS nom— rIRBT INSPECTION CITY T[L NO LINTY LICENSE NO UIPIR[B 7., BUILDING ADOR[BY G PERAM FEES NUMBER EACH f[[ LOCALITY LIGHT OUTLETS NEARLBT CROSS ST RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS 6o MAIL [LEO RANGES ADDRESS [LEO HEATERB 23 CITY TEL NO r01TUREs B 1 HEREBY ACKNOWLEDGt THAT 1 HAVE READ THIS 1gn APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT NUMBER or LIGHT CIRCUITS AND AORIX TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER or RECEPTACLE CIRCUITS AND STAT[ LAWS REBIILATING ELECTRICAL WIRING. MOTORS I OERTi" THAT 1 POSSESS THE ABOVE VALID LOS NYMNR Mw HP HOVEORR IHo SEPOWER yoN ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER r[E Or THE RESIDENTIAL PROP[ DEBO IB[o ABOVE. NM • SB 810HATUAR Or = so PERMITT[ a s 1Do INSPECTION RECORD s is ISO is so a so so am BOC am Boo 2000 J am 1000 1500 Z OVER 1BOO 20 00 0 M O SET rR ONANOER-Mzzzzm WELDERS AO-KVA O OEN[RATORB - KW TRAMBTORMEM - KVA TEMP MOTORS (7S Or CRIS) MOVED MOTORS 76 or anon) mlac SIGNS N0. No rRANe APPROVALS 0.LAM FOR EACH PKRMITI - DAT[ INBPEOTOR'S NAM[ WIRING 11111130 CONDUIT rixT11RES Bl o0 WIRING -SUPPLEMENITARY sorl RLS / POWER TOTAL FEE S UTILITY O0.NOTI rI[D FINAL DEC TION WORKERS Ihave COMPENSATION cafe of corse �CE-806 iD,B, APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have o certificate of consent to self r�-� ' insure or t to of Worker Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY ora<certifiede copyd copy thereof (Sec 3800 Lab C ) Pool icy No Company - FOR APPLICANT TO FILL IN JOB SQ Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS ❑ Certified copy is filed with the county budding inspec 1 8 2-Family Sq Ft $ — f 1 1 LOCALITY ton department Multi-family Sq Ft 11 NEAREST J Residential Swimming Pools ROSS Sr 1q. 400" Date Applicant OwNE OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec�Ught i S.� IVVUL COMPENSATION INSURANCE ADDRESS (This section need not be completed If the work Involved bTFust 20 the permit is for ono hundred dollars($100)or less ) Total No 10 Additional CIN JC1W,01p 0,Ay Tel NoNL-ra is I certify that in the performance of the work for which this I PIAN CHECK permit is issued I shall not employ any person in any manner APPLICANT so as to become subject to the Workers Compensation Laws J Lighting Futures First 20 ADDRESS Total No Additional Date Applicant t CITY Tel No NOTICE TO APPLICANT If after making this Certificate of i Fixed Appliances Not Over 1 His PERMIT Exemption you should become subject to the Workers Range_ Heater_0 W _ APPLICANT 04a Ing:i Compensation provisions of the Labor Code you must forth i Oven _ Dryer — W M — ADDRESS with comply with such provisions or this permit shoes be Top _ FAU —W'H — deemed revoked I Hood _ Fan —Other— CITY Tel No LICENSED CONTRACTORS DECLARATION Disp _ Room Au Cored LICENSE OR Class I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER' (commencing with Section 7ODD) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO MOCE BY y and Professions Code and my license is in full force and effect ) - d Size &Type HP, KW KVA or KVAR fl O License Number Lo Class ( U Up to 1 InFINAL - ( Over 1 to 10 Ind DATE OC Contractor Date Z2 (� VALIDATION O ❑ Over 10 to 50 Incl H I am exempt under Sec t I FINAL V P Over 50 to 100 Inc BY d B BP C for this reason Over 100 N Services Swbd MCC 8 Ponelboards = Date 0 -200 Amp Under 60D V ► ` Signature 201 :1000 Amp Under 600 V Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits g 3 b 9 Q A Law for the following reason (Section 7031 5 Business and - ' Pro ons Code) • • •`• I as owner of the property, will do the work and the M,sc Conduits&Conductors # 2 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 2 is • 1 8 0 Q 7064 Business and Professions Code) , t xQ CONSTRUCTION LENDING AGENCY '• • • 1 8 Q I hereby affirm that there is a construction lending agency for 07, 1 5- 83 the performance of the work for which this permit is issued PERMIT FEE - - (Sub-Total) (Sec 3097, Civ C ) , PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE Lenders Address - I certify that I have read this application and state that the TOTAL FEE Yy above information is correct I agree to comply with all County ` ordinances and State laws regulating Electrical wiring and _ hereby authorize representatives of this County to enter upon he above mention d property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE gn t re of Permit ee Date -