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Home My Public Portal About5618 SULTANA AVE_Electrical__ Tewaea "a°;IDIVISION APPLICATIONF BUILDING s O R ELECTRIC PERMIT 1 D•posao•nt 01 Calmtp Eatlbmm BUILDING County ADDRESS JOHN A L MBIE.COON OIN�t CASSATT D GRIFFIN $UP T OF BUILDING LOCALITY PWA R APPLICANT TO FILL IN CROSS REeT RKY FEES OWNER OUTLETS MAIL TACLE$ ADDRESS SWITCHES FNB CITY TE9..,. TAL OUTLETS a ELECTRICIAN RANGES as ADDRESS HEATERS as CITY STATE RES a LICENSE NOMOTORS DISTRICT NO G P O HORSEPOWER FEE OVER INC $ACX DLeas as IIQSPECITON RECORD a ao a a 100 a la 150 to so a a0 a0 a00 boo [ANDSTATE IGNS NO TRANS IONS NO LAMPS EACH PERMIT NG •100 URES t 00 LEMENTARY DO APPEOVALS TOTAL FEE • DATE INSPECTOR'S SIGNATURE EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION $ TATE THAT TH8 ABOVE I8 CORRECT AND AGREE TO COMPLY CONDUIT ALL COUNTY ORDINANCES AND BTA76 LAN9 RESULATINGTRICAL WIRING WIRING (eFAEBT CERTIR TXAT I AY PROPERLY REGISTERED AND/OR RIXTURBSNSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FORNIA OR TXAT I AY XE LEGAL OYNEA OP 7H8 A80 POWER RIBED RESIOENTI TYATURE UTILITY CO NOTIFIED PERMITTEE FINAL LC JOHN A LAMBIE,COUNTY ENGINEER (;)T) �Gof ARTHUR C VETT.CHiIW ELECT.IN•PECTGR _ 7 8 6 1 L ,L 6 2 5.45 0 WORKER ISave a certificate NDf consent to 2000,9 DPW(12 9„ APPLICATION FOR ELECTRICAL PERMIT 70 01 I hereby affirm that I have a certdicate of consent to sell Insure or a certificate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sac 3800 Lab C) ` _ �r } Policy No Company FOR APPLICANT TO FILL IN ADDRESS p 6' ❑ `Cemlied copy is hereby furnished New Residentlal Bldgs d Pools NO EACH FEE LOCALITY ❑ Cem/rod copy le filed with the county building inspection, 1 6 2 Family Sq Ft — s E tlBpertmenl Multi/ernity S9 Ft CT till RRCSSSSr Dale Applicant Residential Swimming Pools ASRESSOR MAP BOOT( PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Roc --J-Light_Sw CWME� ra Y k- at TJf a N COMPENSATION INSURANCE First 20 (This section "ad not be completed If the work Involved by the s MAIL portrait Is for one hundred dollars(6100)or Ism) Total No Additional _ 3 aV N I certify that m'the performance of the work for which this permit CITY'JAW MOW 1 Ta No Is Issued I shall not employ any person In anyme 90 as to PLAN CHECK become subject to the Workers Comp ation Laws Lighting Fixtures First 20 A PUCANr Total No Additional ADDRESS Date! �^' %C APPIIrant NOTICE TO APPLICANT If after making this Certificate o DENTIAL APPLIANCES NOT OVER 3 HP CITY Tel No Exemption you should become Subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP PERMIT Q /u� provisions of the Labor Code you must forthwith comply with such Power Apparatus 8 Large Appliances APPLICANT Y to s'_S provisions or this permit shell be deemed revoked LICENSED CONTRACTORS DECLARATION Sim d Type HP KW KVA or KVAR ADDRESS 1 �Q t qAl� Tj r I hereby affirm that I am licensed under provisions of Chapter a d (commencing with Section 7000) of Division 3 of the Business and Over 3 to 10 Ind CITY &x, 4 y�a, Tel No Professions Code and my license Is in full force and affect Over 10 to 50 Ind } LICENSE �•1' r •1 Over 6010 100 Incl �� REO NUMBER cu... ER /i�.7 � License Number U N�� L, Class G- c3O Over 100 DISTRICT NO o BY / U i cq Sem MCC d nelboertle CanvectarS<%Y"ti SitQ°l��Date 1 � 2� / emD unde.winv FINAL--I I- 400 ❑ 400 1000 Amp Under fi00 V Q 6V VALIDATION I am exempt under Sec lD Over 1000 Amp or Over 800 V FINAL (I B 8P C la this reason U) BRANCH CIRCUIT FEES the Date ISA or2OA 120V Llghtmg or Recepl w4h z Sig at re 1 To 10 Branch Circuits 11 To 40 Branch Circum ❑ Exemption for Reg Mamt Elect 15A 3TA 209V To 277V Oi More B ghbW r Circuch it m 2 SINGLE FAMILYACCT.i Temp Power Pole 8 Appurtenances O� � HOME OWNER BUILDER DECLARATION Sign with One Branch Grant - 3303 67'60 I hereby affirm that I em exempt from the Contractor a License Lew for the following reason (Section 7031 5 Business and Professions Atltlibonal Sgn Branch Circuits _ 1 ITM Code) TOTAL 67 . 60 r-1I u owner of the property will do the work and the structure Mist Conduits&CarWuc[ors is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule)_ , CASH 67.60 and Professions Code) .00 CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 PERMIT FEE (Sub Total) WOO-IM01 1/ 2/96 Civ C) PLAN CHECKING FEE IW27 1 AM10.34 Lenders Name PERMIT ISSUING FEE O Lender a Address /0 I certify that I have read this application and under penalty of pudury state TOTAL FEE v (O that the above information is coned I agree to comply with ell County ordinances Bad Statelews regulating Eleclncal wing andherebyruthonm representatives of this County to enter upon the above-mentioned property for inspect, pat SEE REVERSE FOR EXPLANATORY LANGUAGE /- z- '? " E OF P M DATE