HomeMy Public PortalAbout5084 SULTANA AVE_Electrical__ 7641143 cc eae leyTet APPLICATION FOR ELECTRICAL PERMIT -
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN Jew Residential&digs &Pools EACH NO FEE AD RESS
1 &2 Family Scl Ft S 025 — S LOCALITY
Multi family Sq Ft 02 — NEAREST / Sr F
Residential Swimming Pools 2500 WN _ _
FIRM NA
Outlets Rec—Lghl_Sw _ MAIL
I ,
Fust 20 50 AD RE
Total No Additional 30 CITY Tel No
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 ^ 50 ADDRESS
Additional 30
Total No CITY Tel No
Fixed Appliances Not Over 1 HPTrMIT _
Range_Heater_D W _ APPLICANT
Oven_Dryer_W M— ADDRESS
Top _FAU — WH — CITYw _ _ Tel N Z
Hood_Fan —Other— LICENSE OR
Drsp _Room Air Cond 250 REG NUMBER / CIo,sY
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&i HP KW KVA or KVAR COMPLY WITH ALL COUNTY-ORDINANCES AND STATE LAWS y
Type 2 50 REGULATING ELECTRICAL WIRING Tjo„
Up to I Incl I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ND/OR
Over 1 to 10 Incl 500 11ICENSED AS REQUIRED AX.EQS ANGELES TY ATE OF
Over 10 to 50 Incl 1250 CALIFORNIA OR THAT A THE LEGA WN R O E A VE O
25 00 t DESCRIBED RESIDEN ERTY `
Over 50 to 100 Inc 4000 PEPM17EE . lirytj
Over 100 SIGNATURE
Services DISTRICT NO • PROCESSED BY
0 200 Amp Under 600 V X0414 12 50
201 1000 Amp Under 600 V 2500
_ (atle�.
Over 1000 Amp or Over 600 V 5000 Q=
Temp Power Pole&Appurtenances 1000 Q
Sign with One Branch Circuit 1000 C
Additional Sign Branch Circuits - 200 ' INSPECTION >
Mnc Conduits&Conductors 1000 INFORMATION gON REVERSE
Other(See Complete Fee Schedulel_ SIDE Z 1 91 3 A
2
4 # • • • • • 2
S 2 • • 19,50
PERMIT FEE . bub Totals
Z • • • 19505
PLAN CHECKING FEE Ione Fourth Permit Feel IF
1221 -78
PERMIT ISSUING FEE $7 0
TOTAL FEE � >
INSPECTION FINALED
date /—Z6-7 4 By QpAIGoO'.�