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Home My Public Portal About5110 SULTANA AVE_Electrical__ ]d1i 0B3d Ed06 It/70 • ` APPLICATION FOR- CT ICAL PE T COUNTY OF LOS ANGELI , DEPARTMENT OF COUNTY ENjEI EER BUILDING BUILDING AND SAFETY DIVN COLEMAN W JENKINS u NTO u LOCALITY NEAREST FOR APPLICANT TO FIN CROSS ST OUTLETS A H FEE S OWNER U RECEPT MAIL r LIGHT_ TOTAL FIRST 20 ADDRESS) d QLt feQ OVER 20 CITY / TEL NO SWITCH_ 10 PLAN CHER LIGHTING TOTAL FIRST 20 25 APPLICANT FI% ID OVER 20 ADDRESS TURES APPLIANCES CITY TEL NO PERMIT RANGE_DRYER_WTR HTR_ APPLICANT STA COOK_OISP_F A U _ ADDRESS SPACE HTR AIR GOND CITY TEL NO CLOTHES WASH DISHWASH __ LICENSE NO CLASS FAN_OTHER 100 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI5 APPLICATION A.D !TATE THAT THE ABOVE I! CORRECT AND AGREE TO COMPLY MOTOR! TRANSFORMER! RATING i WITH ALL COUNTY ORDINANCE! AND !TATE LAWS TO IND NEAT EMS [TC HP KW MVA ELECTRICAL WIRINO SIZE B TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSED A! REQUIRED LO! ANGELES COUNTY AND !TATE OF CALIFORNIA OR THAT M HE LEGAL OWNER OF AND INTEND TO 1 - 1D 300 RESIDE IN TXE O DESCRIBED RESIDENTIAL PROPERTY 10 — 50 S00 SIGNATURE U CL OF PERMITT OC 50 — 100 1000 O DIarRICT xo ICLASS ED eY H- 100 — SOO 1eM . 7� 10. W SIGN GASSIGN AND ONE CIRCUIT SOO NOTES Z TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 SERVICENOTOVER 600 VOLTS OR 200 AMP 300 a •PPpOVAL! OAT[ IX9EClOWB SNNMIINK SERVICE OVER 600 VOLTS OR 200 AMP 1000 TEMP POWER POLE TEMPSERVICE,POLE &APPURTENANCES Soo UN DERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM 300 ROUGH CON OIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 300 Q JOSEPH C ROOHAN TOTAL FEE O SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK MA, cAen J L;o S () Q )N mm2 2 2D 6 p l A / f !E[ DAM OF APPLICATION FOR COMPLETE SCHEDULE 'ZSAp63-[Glop 1/70 APPLICATION FOR ELECTL P6di I� - COUNTY QF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUI RESNo S a y 0% 14 V'2 BUILDING AND SAFETY DIVISION Ll JOHN A LAMBIE COUNTY ENGINEER LOCALITY COLEMAN IN JENKINS u I DENTBUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLET ° ` F` OWNER �. s QN n d Otte t RECEPT MAIL v LIGHT_ TOT l FIRST 20 2p O ADORES /✓ Su p. H OI u✓ Q OVER 20 CITY COVEL NO – Q SWITCH 1p PLAN CHECK LIGHTING 1 TO L FIRST 20 30 � APPLICANT FIXTURES IO /( OVER 20 ADDRESS APPLIANCES CITY TEL NO PERMIT RANGE _ORYER_WTR HTR_ APPLICANT STA COOK_DISP _F A U _ ADDRESS SPACE HTR AIR COND CITYLoll TEL NO CLOTHES WASH DISHWASH_ LICENSE NO CLASS FAN—OTHER 100 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AOR[[ TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCE! ANO STATE LAWS TO IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE 6 TYPE OVER To 1 HERESY CERTIFY AT I M PROPERLY pEGIt T[RED AND/OR O – 1 t 00 LICENSED AS REOUIR 0Y L AMB[LES COUNTY AND STATE OF CALIFORNIA OR THAT AM LEGAL OWNER OF AND IN NO TO 1 – 10 300 REt10E IM THE 0 Df SCRIFED RESIDENTIAL OP[ SIGNATURE d 10 – 50 500 OF PERMITT 0 U 50 – 100 toAO DISTR cT xo ICLASS °poop zoxE c33ED By O 100 – 500 1300 Og -Z F SIGN, GAS SIGN AND ONE CIRCUIT 900 NOTES �/ a TUBE, OR h MARQUEE ADDITIONAL CIRCUITS 1001 1 ? SERVI CENOT OVER 600 VOLTS OR 200 AMP 2001 1 SERVICEOVER 600 VOLTS OR 200AMP 500FEM ROVALS DAT[ IHlP[ClOM3 SIGNATURE WER POLE TEMPSERVICE,POLE &APPURTENANCES 300 Aa WORKTEMP LIGHT OR RECEPT SYSTEM 300 ON DIUTPERMIT FEE (SUB TOTAL) SUTHORIZEDPLAN CHECK FEE (SOA PERMIT FEE) CO NOTIFIEDPERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 1007--7 JOSEPH C ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CR M D CASH PERMIT VALIDATION CK M 0 cA■ IArl- 0245n t7lf14 2 0 420- SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE 76Aea3 oee eA 11-50 - APPLICATION FOR PERMIT DEPARTMENT OFF ASAFETY ELECTRIC 1 COUNTY OF LOS LOS ANGELES ND WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO G$OUP ZONE PERMIT NO ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED C TY G88 J O t /` FIRST INSPECTION-70 COUNTY LICENI H NO E% - BUILDING d UIILLDDINGdD / PERMT FEES ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS - NEAREST CROg6 BY .L.-.. RECEPTACLES WALL SWITCHES OWNER �( f r TOTAL OUTLETS SC S AMAILDDRESS SSI /I' ELHC RANGES 4 ELEC HEATERS 25 CITY Tt1 O FIXTURGB g 1 HEREBY A KNOWLEDG I HAT 1 HAVE READ THIS LI MIBC AFPCATION AND STATE TtT THE ASOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGRRG TO COMPLY WIT\T\HH// ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUYR[R HORSEPOWER ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER FEE THE RESIDENTIAL PRO�BSCXIYED A�oVL NEW Mvo HP O"R INC KACN I •uw SI II6 SIGNATURE OF 1 2 60 PERMITTEEVC 2 g 1 00 INSPECTION RECORD e to 1 go IS so l 50 Q 7 IOf I � go 200 g oo L O + Q loo Soo to 00 -Z r .✓ eaweftl o,4J goo 1000 to 00 _ a S' ooa. Z OVER 1000 20 00 M a SGT FRED CHANGER-HP E WELDERS AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP MOTORS 75OF oRIa I MOVED MOTORS 76 of oma misc SIGNS NO NO TRANS APPROVALS O N� LAMPS FOR EACH PERMIT DATE INSP CTOR DNA ME� WIRING ' 1 CONDUIT FIXTURES Sl 00 WIRING SUPPLEMENTARY EO FIXTURES POWER TOTAL FEE E J UTILITYCo NOTIFIED FINAL1 Z t WORKERS COMPENSATION DECLARATION 63 1081 APPLICATION FOR ELECTRICAL PERMIT I hereby affum•ihat 1 hove a certificate 8icate of consent to self � D6G T insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lob C ) a Polity No Company FOR APPLICANT TO FILL IN MRESS /O �+ • Q ' rh' 1 Certified copy a hereby furnished New Residential Bldgs 8 Pools EACH NO FEE v [ ❑ — S - Cern18 Certified copy is filed with the county building inspec- 2 Family, Sq Ft $ LOCALITY bon department Multi-family Sq Ft — NEAREST a Dote Applicant Residential Swimming Pools R 0R FIRM NAME Jworl>1<".q CERTIFICATE OF EXEMPTION FROM WORKERSMAIL COMPENSATION INSURANCE I Outlets Rec_Light_Sw_ ADDRESS /o G.7a W Q (This socfbn noed not be completed If the work Involved by First 20 Aid, t the permit Is for ono hundred dollars ($180)or loss ) Tonal Na Additional CIN . Tel No 6 I certify that in the performance of the work far which this APPLAN CHET PI M CA CK permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures final 20 ADDRESS Total No Additional CITY Tel No Dote Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of _ Ran Exemption you should become subject to the'Workers 9?,— Heater_D W _ APPLICANT Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _V{M — ADDRESS with comply with such provisions or this permit sholl be To _ FAU �V H — deemed revoked - Hood _ Fan _Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR hereby affirm that I am licensed under provisions of Chapter 9 Dnp _ Room Au Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO D BY Y and Professions Code and my license a in full force and effect p� Size 8 Type HP KW KVA, or KVAR �p p License Number Lic Class Up to 1 InDAIE/ — Over 1 to 10 Incl _ VALIDATION IM Ia ContractorDate Over 10 to 50 Incl FINAL G am exempt under Sec Over 50 to 100 Inc BY v B 8P C for this reason Over 100 / N Date Services Swbd MCC 8 Ponelbourds , _ 0 20D Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Rep MOOver 1000 Amp or Over 600 V_ mt Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION One Branch Circwith wt ` I hereby affirm that I am exempt from the Contractor's License ASiddgn gn with ional Sen Branch Grcit x'8,5 0 7 A Low for the following reason (Section 7031 5 Business and Professions Code) # •'• •'• • 2 I as owner of the property will do the work and the Misc Conduits 8 Conductors _ structure is not intended or offered for sole (Section Other (See Complete Fee Schedule)_ ► 2 • • 1800 7044 Business and Professions Code) . • • } 200" CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 12 2 1 —82 the performance of the work for which this permit is issued PERMIT FEE - (Sub-Total) (Sec 3097 Civ C ) PLAN CHECKING FEE .. . Lenders Nome 5Z I PERMIT ISSUING FEE Lender s Address TEX I certify that I have read this application and state that the _TOTAL FEE above information is correct I agree to comply with oil County - ordinances and State laws regulating Electrical wiring and _ hereby authorize representatives of this County to enter upon - ie aboa mentioned property for mspection purposes _ SEE REVERSE FOR EXPLANATORY LANGUAGE g re of2""!$A:. I Dote