HomeMy Public PortalAbout5120 SULTANA AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DNISION OF BUILDING & SAFETY g
WILLIAM l FOX. County HeEI[Mr ELECTRIC
FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP I ZONE PER/Mrr NO.
ELECTRICIAN z— S N
ADDRESS C RECEIVED BY ADY r In DAT[ leffU[D
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COUNTY LICENSE NO FL 7- A PI ES AlAwisZ6BuILDINB
PERMIT AODRFAe
$40MEtER I EACH LOCALITY
LIGHT OLITLLTB NEAREST
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WALL SWITCHES OWNER
TOTAL OUTLETS ww on MAIL
[LCC RANOEB SS ADDRESS
CLEC H[AT[RB as _. DITY TEL.. NO
FIXTURES S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIRC APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT
NUMBER Or LIOHT CIRCUITS 'L7O AND ABBE[ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAMS REGULATING EL[OTRICAL WIRING
MOTORS I CERTIFY THAT I EO THE ABOVE VALID LOB
NUHe[P HORBEPOW¢R RE ANG[LdB QOUNn LI NSE. OR I AM THE LEB OWNER
N[w NVo HP Duce iHD QOM OF rH[ RCSIDCNTI P OPERTY 6BGRISCD AS
e L[eY .15 SIGNATURE Of
R SO PERMITT
z 0 1 DD INSPECTION RECORD
e 1s I so
_ 16 SO 230
SD 100 S 00
700 SOD 10 DO J
_ BOO IOOO 1500 Z
OVER IMO SOW M
Me SICTIrREQ CHANO[R-HP
WELOERB AC-KVA O
BEN[RATORB - KW
TRANSFORMERS - KVA
TEMP MOTORS (76 Or onto)
MOVED MOTORS (76 Or onto)
SD
SIGNS
NCL NO TRANS. APPROVALS
O N0.
FOR EACH PERMITI DAME INSPECTOR'S NAME
WIRING •1.CO CONDUIT
FIXTURES 19100 WIRING
60 FIXTURES
POWER
TOTAL FEE • O uriun Co NOTIFIED _
FINAL /
7"a Dec#u c-ea
COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0412060013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE. (626) 285-0488 EXT
LEGAL ID BUILDING ADDRESS
ON FILE 5120 SULTANA AV
FEE DESCRIPTION QUANTITY UOM. AMOUNT TERP CA 917803047
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ROSEMEAD
5388-018-006 i Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY, C
GI OUTLETS-LGT SW,RECP 9 DO OUT 17 55
IERMT T2 NO PERMIT RS OWN-BLD 257 00 DOL 257 00 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 302 30 12/06/04 JK 06/04/05
OWNER TEL NO FINAL DATE CODE
LI 01 HONG (626) 757-0727EXPIREU
-
51L0 SULTANA AV ,
TEMP 917803047 _
REPLACE 9 OUTLETS
APPLICANT TEL NO.
SAME AS OWNERCONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
-
SPECIAL CONDITI-ONS
SAME AS OWNER -
LIC NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT ON ENGINEER- TEL No UFFR GROUND
LIC WO ROUGH CONDUIT
MAIN WATER LINE
- PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFM
' REPORT ID DPR265 ROUTE TO: BS0508