HomeMy Public PortalAbout5107 SULTANA AVE_Electrical__ Dag 5A'AAPPLICATION FOR ELECTRIC PERMIT 1
EB DIVISION OF WELDING AND SAFETY
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CGODty ofLW mgelM BUILDING
WM J FOX COUNTY ENGINELR ADDRESS
CAEBATT D GRIFFIN SUP T OF BUILDING
FOR APPLICANT TO FILL IN LOCALITY
PERb= FEES NlAREST
CROSS ST
PEE
NUMBER EACH
LIGHT OUTLETS OWNER�/� .s[�r 4�/•r^�J 1 /tl K S'o h
RECEPTACLESMAIL
WALL SWITCHES ADDRESS / 7/j
-AV Y
TOTAL OUTLETS B! s CITY) O E `� TE NO
ELEC RANGES 25 ELECTRICIAN
ELEC HEATERS 2B ADORE
KW EA
CITY TEL NO IV
FIXTURES
B I LICENSE NO
NUMBER OF LIGHT CIRCUITS
NUMPIER OF RECEPTACLEI DIS7T NO GROUP ZONE I REIDY IDR INSPECTION
MOTORS 4-1Z
NUMB BII HORSEPOWER FEE INSPECTION RECORD
NEW MVO HP OVER INC EACH
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Vl 6t LUB 20 I t'Cl+-•�
_ 2 NO _
_ 2 B 1 00
_ B 13 130 _
15 BO 200 --_
BO 200 500
MISC
NO SIGNS NO TRANS
O SIGNS NO LAMPS
FOR EACH PERMIT _
WIRING $100
FIXTURES 61 00
SUPPLEMENTARY BO _
APPROVALS
TOTAL FEE liO DATE INSPECTOR S SIGNATURE
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COYPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AY PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS AN ELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I Al THE GAL N F T ABOVE
DESCRIBED RESIDENTIAL P I
4
SIGNATURE UTILITY CO NOTIFIED G3
OF PERMITTEE
NAL V V
WILLIAM J FOX,COUNTY ENGINKK ...VALID Q.Z5r,_ ma 2 2 4.00
BY
/6 DEPUTY
Izy�' la Zj I
76"°_°_'CC 8 [441"11' 'APPLICATION FOR ELECTRICAL-PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
-FOR APPLICANT TO FILL IN JOB Sul
New Residential Bldgs &Pools EACH NO FEE ADDRESS V C
1 &2 Family Sq Ft E 025 — S LOCALITY
Multi family Sq Ft 02 — NEAR SI - -
Residential Swimming Pools 2500 WN _ -.--
��,�QQ.. pp FIRM NAME 13( rloi
Outlets RecL�LightS�Sw MAIL
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// First 20
50 0 -/O ADDRESS �S - C7
C r
Total No std . Additional 30 CITYx r Tel No v
PLANCCHECK C'
APPLICANT _
Lighting Fixtures First 20 50 '3 ADDRESS
Additional 30
Total No� CITY Tel No
Fixed Appliances Not Over 1 HPERMIT
Range—Heater_D W _ r APPLICANT
Oven—Dryer_ W M— ADDRESS -
Top _FAU _ WH _ CITY _ Tel No
Hood—Fan _Other_ ' LICENSE OR - '-"- -
Dnp _Room Air Cord 250 REG NUMBER Class
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APS -
PowerApparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&T HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORWNANCES AND STATE LAWS
Type 2 50 REGULATING ELECTRICAL WIRING
Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED CT ANGELES COUNT AND STATE OF
Over 10 to 50Ind 12 50 CALIFORNIA OR TH TH AL OF THE A VE
0 DESCRIBED RESIDEN AL P
Over 50 to LOO Inc 25 0
PE
Over 100 4000 _ PERMIT U
SIGNATURE
Services DISTRICT NO - - P ESSE Y -
0 200 Amp Under 600 V 1250 J'-' 0 8
-201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V 5000 Q=
Temp Power Pole&Appurtenances 1000 Q 4
Sign with One Branch Circuit 1000 0=
Additional Sign Branch Circuits 200 INSPECTION ;
MConduits&Conductors 10 GO INFORMATION
Mi bd
Other(See Complete Fee Schedule)_ ON REVERSE u
SIDE _ A27Q4A
# . . . * 112
PERMIT FEE (Sub Totall ' - 2 0 * 34,80
PLAN CHECKING FEE Ione Fourth Permit Feel O Is * 634.800
F 0213-79
PERMIT ISSUING FEE $700
TOTAL FEE >
INSPECTION FINALED
date By viiia l;qje/dq8*Z- CCC Ms
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1309040031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0486 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5107 SULTANA AV
(FEE DESCRIPTION QUANTITY LOM AMOUNT I TEMP CA 917803048
ASSESSOR INFORMATION NUMBER _ ' NEAREST CROSS STREET
5388-019-020 IA1 PERMIT,ISSUANCE FEE f 27 80 THOMAS PAGE 596 GRID HE LOCALITY TEMPLE CITY
HA FAU LESS 3HP 1 00 FAU 11 00
TENANT SB AC UNITS a3-10HP 1 00 AC 19 70 ISSUED ON PROCESSED BY PLAN BY
1 TOTAL FEES 56 50 109/04/13 SR
(OWNER ^7
TEL NO ���E / FINAL 8Y CODE
ISCORCIA LUCIANO,IRENE _
16356 TEMPLE CITY BL 1
(TEMP 917801933- IDEDE CbCRIPTION OF WORK
_ IHVAC, INSTALLATION
(APPLICANT TEL NO 1
ANDREW COOPER (714) 991-4700
543 S CENTRAL PARK SPEC.a CONDITIONS
AVE ANAHEIM CA _
I )
I
CONTRACTOR TEL NO I APPROVALS DATE INSPECTOR SIGNATURE
(ANDRANDREWW COOPER (]14) 991-9700- ) 1 -
1543 S CENTRAL PARK AVE LIC NO TEMIJRARY POWER POLE
ANAHEIM„ CA 92802 220551
+I (UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER TEL NO IUFER GROUND
LIC NO
ROUGF CONDUIT
ROUGH WIRING
(MAIN WATER LINE
a (PLASTIC YIN METAL YIN
;UTILITY COMPANY NOTIFIED) )
I I I I
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I i I I 1
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IJ I- i i I
IREPORT ID DPR265 ROUTE TO 1350508 1
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