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Home My Public Portal About5548 SULTANA AVE_Electrical__ �eAeea ce twele/�eI ' APPLICATION_ FOR ELECTRICAL"PERMIT ' COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN New Residential Bldgs 6 Pools EACH N o FEE JAOB DDREQ /V -- 1 &2 Family Sq Ft S 025 — $ LOCALITY Multi family Sq Fr 02 — NEAR S - Residential Swimming Pools 2500 CROSSST_ OWNER OR _ FIRM NA Outlets Rec_Light_Sw _ MAIL _ First 20 50 ADDRESS Total No Addrtronal 30 CITY 44ZAE zgoe I No— _ PLAN CHECK APPLICANT — Lighting Futures First 20 50 ADDRESS Additional — 30 _ __ Total No CITY Tel No Fixed Appliances Not Over 1 HP _ RMI in _ .. Range_Heater_D W _ APPLICANT Oven_Dryer_ W M_ ADDRESS Top _FAU — WH — CITY Tel No fivZ Hood—Fan _Other_ LICENSE R Disp_—Room Air Cond 250 REG NUMBER Gass HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size 8 Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS - Yp 2 50 REGULATING ELECTRICAL WIRING Up to 1 Incl HEREBY CERTIFY HAT I AM PROPERLY REGI AND/OR Over 1 to 10 Incl 5 LICENSED AS REQUIRE Y LOS ANGELES COUN ND TATE OF V Over 10 to 50 Incl 1250 CALIFORNIA OR THAIII AM THGALCI F i ABOVE �vS Over 50 to 100 Inc 2500 DESCRIBED REST L PROPERTY Over 100 • 4000 PERMIT EE SIGNATURE Services - ^ i— DISTRICT NO VEY - -- 0 200 Amp Under 600 V 1250 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600 V 5000 Temp Power Pole&Appurtenances 1000 v' Q F Sign with One Branch Cvcun1000 0 Additional Sign Branch Circuits 2 00 INSPECTION > INFORMATION Misc Conduns&Conductors r 1000 _ ON REVERSE Other(See Complete Fee Schedulel_ SIDE W8 31 8 9 A p . . . . . 2 PERMIT FEE (SubTotoll - 2 . 1 2 0 0 r 7 PLAN CHECKING FEE Ione Fourth Permit FeeT p 0 0 12005 PERMIT ISSUING FEE $700 GGC 0 3 1 2-79 TOTAL FEE �a ' > INSPECTION FINALED ` date By Ds t r , 7wea wP eA 7•sl APPLICATION FOR PERMIT i DEPARTMBNT OF BUILDING AND SAFETY ' ELECTRIC i COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEr ENGINEER FDR APPLICANT TO FILL IN DISTRICT NO. GROUP ZOH6 PERMIT NO. ELECTRICIAN REO[IV[D RV READY ►OR DATE ISSUED _ ADDS[ 4 rIRST INSPECTION CITY !. TEL.NO ATl0 �?�Z•' COUrTY I I-KINBE NO. —1 "PIRE8 BUILDING PERMIT FEES ADDRESS NUMBER EACH rat LOCALITY LIGHT OUTLETS �i NEAREST QR000 ST RECEPTACLES —717 WALL SWITCHES O OWNER TOTAL OUTLETS So III MAIL [LEO RANGES ES ADDRESS [LEO HEATERS 90 CITY TEL. NO ►IKTURES 6 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 1 I APPLICATION AND STAT[ THAT THE ^SOV[ IS CORRECT NUMBER or LIGHT CIRCUITS AND AGRCC TO COMPLY WITH ALL COUNTY ORDINANCES NUMS[R Or RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIrY THAT 1 POSSESS THE ABOVE VALID LOS NUNPER HORSEPOWER ►[[ ANGELES COUNTY L1O[NSE. OR I AM THE LEGAL OWNER NEW Mw NP RV[R Inc [ or THE ROIDENTIAL PROPERTY 0=091090 ABOVE. • .mii[ III BIGNATURE Orvs B SO PERMITT[[ I I _— R B 1.00 INSPECTION RECORD S 10 150 10 SO 250 I[C7 J.L, 5'tmtj, SO 000 S OO am Sam 10.® J 1900 1000 10 DO - _ OVER IOCO EO Go 0 map SET rR[ CHANGER-HP Q' WELD[RRI AO-KVA O GENERATORS - KW TRANSrORMERS - KVA TEMP. MOTORS (78% ar DI.IR) MOVED MOTORS (76 or c[Ic) mima SIGNS NO NO TRANS. APPROVALS NO. LAMPS O rOR EACH PERMITI O TE INSPCOT011118 NAM[ WIRING ��' 01.00 (/Q CONDUIT ►1XTLR[0 Y- - 01.00' T b WBUPPLCMKNTARY FIXTURES IRING r POWER I TOTAL FEE 1 0 /.) 7 UTILITY CIL NOTI/IED o% � nHAL WORKERS COMPENSATION DECLARATION 76A663 10/81 1 hereby affirm that I have a certificate of consent to self CE 866-1 APPLICATION rFOR ELECTRICAL PERMIT insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 38W Lab C ) P❑oliicy No Company FOR APPLICANT TO FILL IN !OB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS L 1 8 2-Family, F — $ LOCALITY Certified copy is filed with the county building mspac- K Sq Ft NEAREST hon de rtmenf Multi family Sq Ft Residential Swimming Pools CROSS ST OWNER OR Date Apphcont / FIRM NAME CERTIFICATE OF EXEMPTION FRO WORKERS' 2, MAIL COMPENSATION INSU CE Outlets Rec�Light�Sw ADDRESS First 20 (This section naafi not he completed If the work Im,olvad by r Total No Additional CITU Tel No the pormit Is for one hundred dallan($100)or Ian) RAN CHECK I certify that in the performance of the work for which this ICANi permit is asued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Additional CITY - Tel No Dote Applicant Fixed Appliances Not Over I HP PERMIT NOTICE TO APPLICANT If after nuking this Certificate of APPLICANT Exemption you should become subject to the Workers Range_ Heater_D W _ Compensation provisions of the Labor Code you must forth- Oven _ Dryer — W M — ADDRESS with comply with such provisions or this permit shall be _ Top _ FAU —WH deemed revoked Hood _ Fan _Olhar_ CITY (L/- Tel No LICENSED CONTRACTORS DECLARATION Disp — Room Air Card 11CFN5E CTR Class I hereby off irm that I am licensed under provisions of Chapter 9 REG NUMBER (commencong with Section 70DO) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO PROCE D BY and Professions Cade and my license is in full force and effect IL Size 8 Type HP KW KVA, or KVAR 0 ,License Number Lic Class Up to I Incl FINAL i V 6 Over 1 to 10 Incl DATE ��L VALIDATION 09 Contractor Dote Over 10 to 50 Incl G ri ❑ FINAL I am exemp under Sec Over 50 to 100 Inc BY B BP C far this reason Over 100 y Services, Swbd MCC 8 Ponelboards ► - _ Date 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Elect Exemption for Reg MaOver 1000 Amp or Over 600 Maim SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit 2 0 11`6 A I hereby affirm that I am exempt from the Contractors License Additional Sign Branch Grcwts Law for the following reason (Section 7031 5 Business and # • • • • 2 Professions Code) y+ ❑ I as owner of the property will do the work and the Mnc Conduits 8 Conductors 2�•�• ) 5 G r structure a not intended or offered for sole (Section Other (See Complete Fee Schedule)_ , �T 704, Business and Professions Cade) •x• • ) 7� .� CONSTRUCTION LENDING AGENCY 0 4 1 6—8 3 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PIAN CHECKING FEE Lender s Name is _ _ PERMIT ISSUING FEE � - • n, o - ,r 3t Lender's Address — is . • f5r- I certify that I have read this application and state that the TOTAL FEE _ _ • • • N above information is correct I agree to comply with all County I v --I • N G y • O ordinances and State jaws regulating Electrical wiring and DO N N • --J N hereby authorize representatives of this County to enter upon (p 'Cit U7 N D Ca the oboe - titian property for inspect on pis SEE REVERSE FOR EXPLANATORY LANGUAGE W N n S Si ature of Per i e Dote