HomeMy Public PortalAbout5615 A & B SULTANA AVE_Electrical__ 4
CK °OenFene APPLICATI FOR EL TRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO PILL INpg
New Residential Bldgs b P Is EACH rao FEE ADDRESS
182 Family Sq Ft OD Y — S LOCALITY
Multi family Sq F NEAREST—
Residential Swimming Pools T
R
FIRM NAM
Outlets Rec—bght_Sw MAIL (Sr
First 20
Total No Additional CITY Tel No
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 ADDRESS `
Total No Additional
CITY Tel No
Fixed Appliances Not Over 1 HP PERMI -f-�6
Range_Heater_D W APPLICANADDRESS
Oven_Dryer_W M__ - i S
Top _FAU —WH — CITYTel N
Hood_Fan —Other— - _
Dnp —Room Air Cond RIEG CENSE NUMBER �y
Class
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus G Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Sue&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING ELECTRICAL WIRING
Up to I Ind I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O
Over I to IO Incl LICENSED AS REQUIRED By LOS ANGELES COUNTY AND STATE OF V
Over 10 to 501ndCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE of
DESCRIBED RESIDENTIA PE Y O
Over 50 to 100 Inc
Over 100 _ T
SIGNATU ILIIII�TTL►►►jii
SIGNURE
Servces - DISTRICT NO D BY
0 200 Amp Under 600 V
201 1000 Amp Under 600 V `
Over 1000 Amp or Over 600 V
y Ia75yy
Temp Power Pole&Appurtenances
Sign with One Branch Circuit
Additional Sign Branch Circuits INSPECTION
I
Misc Conduits B ConducNFORMATION 4 8 7,0 A
Conductors INFORMATION
REVERSE x
Other(See Complete Fee Schedule)_ SIDE � • • • • • p
2,• • 5700
• • • 57,003
PERMIT FEE ISub Totals
PLAN CHECKING FEE (One Fourth Permit Feel p O Q 1 ' -79
`F
PERMIT ISSUING FEE 7p
TOTAL FEE OO ., ?
INSPECTION FINALED n
dote'S - --� By I`f/— �/t�'hif ilr ms
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0309240001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT
LEGAL ID- FEES PAID BUILDING ADDRESS
TR 31952 LIN. 8 5615 SULTANA AV B
ASSESSOR IMFOJWTION NUMBER FEE DESCRIPTION- QUANTITY LION AMOUNT TEMP CA 917802352
NEAREST CROSS STREET LAS TUNAS
5387-028-030 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 596 GRID H3 LOCALITY TEMPLE CITY
HA FAU LESS 3HP 1.00 FAU 10 95
JS AC UNITS +3-10HP 1.00 AC 19 65 ISSUED ON PROCESSED BY: PLAN BY EXPIRES ON
TOTAL FEES 58 35 09/24/03 JK 03/22/04
OWNER: FINAL DATE FINAL UT F CODE
JOHNSON SHARON A (626) 285-5852- /0 _ _ 03
5615 SULTANA AV i
TEMP 917802352 -Q
HVAC SYSTEM
APPLICANT
CONNOR A/C d HTG (626) 286-3157-
4931 ENCINITA AVENUE SPECIAL CONDITIONS.
TEMPLE CITY 91780CONTRACTOR TEL NO _
5 PNGELES CO(J APPROVALS DATE INSPECTOR SIGNATURE
CONNOR A C (626) 286-3157-
4931 N ENCINITA LIC NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 403735 C38ARCHITECT OR ENUrWnIF-- ILL NU UFER GROUND
'
UNDERGROUND CONDUITLIC Lu
IROUGH CONDUIT
(F--
UMAIN WJITER LINE
VJI �I L�� 0�
� 11C( PLASTIC Y/N METAL Y/N
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• ADDITIONAL DATA ON FILE
REPORT ID DPR265 ROUTE TO BS0508