HomeMy Public PortalAbout5466 SULTANA AVE_Electrical__ TeAeea-ceeoa a-ee 7APPLICATION FOR ELECTRICAL PERM
COUNTY OF LOS ANGELHB
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDR[88
JOHN A LAMBIE, COUNTY ENGINEER /1
WILLIAM A JENSEN,SUP T or BUILDING LOCALITY C
CROSS ST
7XTURES
TAL NO [ACH R[
ETS FIRST 20 SEA • OWNER
lMAIL
.C� ovaR 20 10ADORERS
TAL Cm TEL NO
FIReT20 aoADD'L IO ELECTRICIOV R 2O T�qtr[ WTR Mb 100 ADDRESS 8923 X
. Broadva
GARS of" STA coon San 6abrlel
CITY aT4@W. AP.7—
DISNWASH AUTO.WARN STATS
SPACE HTRS RA APP (W H1 MAX I EO LICENSE NO I
MOTORS' Own NOT ova HP DISTRICT �UP 2 E P EBSED
D — 1 100 2S 1
1 — a ISO INSPECTION RECORD
a — S 200 OV
8 18 950 O[
1S — SO sool
0
no 100 1500 Vy
SIGNS. NoTRANS Z
NO LAMPS
SERVICE SOOV NOT ovD1200A 100
SERVICE 0 SOOV Ova 200 A loo
SERVICE OVER SOW 800
MIBC
PERMIT ISSUING PEE 200 O
SUPPLEMENTARY PERMIT ISSUING PEE 100
TOTAL PEE S
1 H[IREY ACINOWL[DO[ THAT 1 HAV[ READ THIS A UCATIDN CATS IM
AMD STAT[ THAT TMC ASOVE IS WAIR[CT AND AGRQ TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS R[aUL11TIN0
SL[CTSN-., WIRING I WIRING
1 HSR[RY CXMTIPY T11 1 AN PROPSRLY IQOISTSI® AN OR
LIC[MSSD Ar-IROUIR LDS wN0[lL COUNTY ST or FIXTURES
CALIFORNIA OR\TNAT 1 AM Tii LISA TH
D[SCRD® R[SIG[NTI PROP[RTY POWER
SIGNATURE, UTILITY= NoTI 1
OF PERM
FINAL
VALIDATION ARTHUR C VEIT
2iMO CASH SUPERVISING ELECTRICAL ENGINEER
s5 9 4 AN 6 2 0 3.40- V
yG� - -
7e•ee3=eee :_64 APPLICATION FOR ELECTRICA E T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ��
BUILDING AND SAFETY DIVISION woDREee
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN IN JENKINS SUPT 01 BU I LOINO LOCALITY
NEAREST
1PPLICANT TO FiL IN CROSS ST
T
REClPT OTAL - NO EA IEE
OUTLETS,
to FIRST 20 20 •zO 00 OWNER
LIGHT MAIL
ewITCN Q ADO,L J / ADDRESS
2$ �+ OVER 20 i (0E/
TOTA
LIGHTING l �I F1ReT 20 ac, 4940 CITY TEL NO
FIXTURES I OVOR''20 10 0 ELECTRICIA
RANGE[✓ CLO MYER wT[ WISP 100 e40 ADDRESS
GARS DIYAY STA COOK
DI[IIwAE11•� A H cm ry �y TEL no O 3
/J��ff1�TYQ1��V(�,iDN/,' LICENSE NO
YAC[ V/-QTAJAFF 14S H F~ItiAK l / SO QQ
MOTOR? ovER NOT OVER HF DI ICT O GROUP 'm
pi BY
O t t 00
1 — a ISO INSqCnON RECORD
_ a
a e zoo a
O
S is zEo
Is SO 300 DE
SO 100 5001 1
SIGNS, No TRANS
NO LAMPS y
Z
SERVICE O SOOV NOT OYER 200A 100 Dp
SIEWICE O SOOV OVER 300 A 300
SERVICE OVER SOOV 500
MISC
PERMIT ISSUING FEE 200 Z,d
SUPPLEMQ(TABY PERMIT ISSUING FEE ilool I ay .w
TOTAL FEB * 23 11,0 ?-/6..A1
1 IO MERY ACKNOwLEDG[ THAT I NAY[ READ TUI[ APPLICATION APPROVALIS WR •GNATDRE
AND STATE THAT TN[ AROVS IS CORH6CT A!ID AGRR TO COMFLY CONDUIT
WITH ALL COUNTY OROINANC AND STAT[ LAWS REGULATING
ELECTRICAL WINING WIRING
1 NEREEY CH RTIFY THAT 1 AM PROPNRLY PROIST[REO AND/OR FIXTURM �V
ucweCD I REQUIRED BY LOS ANGELES COUNTY AND STAT! Of
CALIFORNIA OR THAT I AM THE LEGAL ORH[R OF AND INTEND TO
RESIDE IN TH[ ABOV 6ECRIH[D REIIOEN TIIL PROP[RTS POWER
SIGMATURHUTILITY CO NOTI IED
OF PERM, IeFF
FINAL
IJOSEPC'ROOHAN
MO CASH SuPiERVIGNO
ELICTNICAL ENGINEER
�9689ZE FEB 15 2 D 28.10 p
� A 7/
7&4W3aSD6(11 APPLICATION FOR ELECTRICAL_PERM_ IT� -EACH -NO -FEE —
COUNTY OF LOS ANGELES op BUILDING AND SAFETY
FOR APPLICANT TO FILL IN - '%DR
New Reiident'ol Bldgs' &PoZrs - -
I &2 Fam. Sq Ft - $ 025 - E- LOCALITY -y
Multi family Sq Ft 02 - NEAREST-
,
_ ResidentwlSwimmm25 00 RSTg Pools_ OWNEW ON ----
FIRM NAME
Outlets Rec_hght_Ssd _ MAIL _ --_ 'L'
First 20 50 ADDRESS
Total No - -Addmonal 30CITY -Tel - 6-
PLAN CH'C -�
-- - - - APPLICANT- - _
Lighting Futures First 20 50 ADDRESS '
- -Additional- - 30
Total No - CITY Tel No +
Fixed Appliances Not Over I HPRMI7 - - - --
Range—Heater_D W
APPLII ; -- - _ -
6veri__ _ Dryer_W M_ - - -"' - ADDRESS - --
Top _FAU —W H _ ., 0I7
Hood—Fon _Other_
LICENSE OR r '7
-Disp —Room Air Cond 250 t REG NUMBER + ClassLC•�
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances _ _ TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
-S.ze& pe HP KW KVA or KVAR �- COMPLY WITH ALL COUNTY ORDINANCES-AND STATE'TAV.S -'�
2 SO- REGULATING ELECTRICAL WIRING O
Up to I Incl I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR --(j
• t Over I to 10 Inc] 5 00 - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
-- - Over 10 to 501nd - 1250- _ _ CALIFORNIA-OR THAT-1 AM-THE LEGAL-OWNER OF THE ABOVE
Over 50 to 100 Inc 2500 DESCRIBED RESIDENTIAL PERTY -
-'Over 100 - -'-' `4000 - PERMITEE.
SIGNATURE
Servrces --- - - - - -- - - ' - DISTRICT NO - D P ESSE Y_
0 200 Amp Under 600V 1250 S
-201-1000 Amp Under 600V 25,00 - - - - - -- ' -
Over 1000 Amp or Over 600 V 5000 ,
Temp Power Pole&Appurtenances 1000-
Sign
000-Sign with One Branch Circuit 1 1000
Additional Sign Branch Circuits ' 200 ^ INSPECTION
Mrsc Conduits&Conductors 10 00 ' INFORMATIGN ON REVERSE- x
Other See Complete Fee Schedule)_ _ SIDE - - s U
Q7'422,A*
PERMIT FEE , - ISub Totoll '
PLAN CHECKING FEE (One Fourth PermrtlFeel -
_.o 1 . 91200
PERMIT ISSUING FEE _ - E7
Is TOTAL FEE
J2 pD 1025-79
INSPECTION/F/NALE/Q
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