HomeMy Public PortalAbout5619 A & B SULTANA AVE_Electrical__ 7I CK 101NIPane APPLICATIO FOR ELKTrRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN
New Residential Bldgs 6 Pools EACH NO FEE ADDRESS if-93 V
182 Family Sq Ft — E LOCALITY
Multi family Sq F — NEAREST
T
Residential Swimming Pooh _
R NA E
Outlets Rec_Llght_Sw First 20
24
Total No Additional plA
APPLI EC
Lighting Fixtures First 20 ADDRESS 4 S',6 �wtn.✓J
Total No Additional
CITY Tel Na ''^'z 7
Fixed Appliances Not Over 1 HP PE IT
Range_Heater_D W
APPLICANT
Oven—Dryer_W M _ ADDRESS O
Top —FAU — WH — CITY Tel No�..�p�T./
Hood—Fan _Other_ _ LICENSE OR _
Dnp _Room Air Cond REG NUMBER .�.� Class C7/0
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power AppamlusB Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING ELECTRICAL WIRING
Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O ]'
Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V
Over 10 to 50 Ind CALIFORNIA OR THAT I AM THE LEGAL OWNER_PF THE ABOVE Over 50 to 100 Inc 0
, DESCRIBED RESIDENTIA PERTV `
CPERMIT EE
Over 100 7{�i4�Qj
SIGNATURE
Services DISTRICT NO VROCESSO BY
0 200 Amp Under 600V D O
201 1000 Amp Under 600 V
Over 1000 Amp or Over 600 V
Temp Power Pole&Appurtenances 1JT /d 7 tiY 9
Sign with One Branch Circuit ,
Addihonal Sign Branch Circuits INSPECTION
Mist: Conduits&Conductors INFORMATION
Other(See Complete Fee Schedule)_ ON REVERSE
SIDE �487.2A
# . o'. a 1 2
PERMIT FEE (Sub Total) ZZ 2 * 57.00
PLAN CHECKING FEE (One Fourth Permit Feel F 11 5 7 O 06
PERMIT ISSUING FEE p 0 6 1 lo-79
_.79
TOTAL FEE
INSPECTION FINALED I
dare A ,� TSO By �,.�,�/ ®s
COUNTY OF LOS ANGELES TEMPLE CITY Y 0508 RLECTRICAL PRRNIT
DSPARTIEPT OF PUBLIC WORKS 9701 LAS TURAS SL 0508 0611010003
BUILDING AND SAPRTY / LAND DEVELOPMENT TE"LR CITY CA 91780
PHONE (676) 785-0488 ETT
LEGAL ID PEES PAID BUILDING ADDRESS
TR 31957 - - ON 4 5619 SULTANA AV A
FEB DESCRIPTION QUANTI7T DOM AMOUNT TEMP CA 917807378
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS
5387-078-076 Al PERMIT ISSUANCE PEE 27 75 THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY C
F1 12OV, 15/20A BR CKYS 6 00 BR 103 50
TENANT G7 LINING FIXTURES 6 00 IGT 15 60 ISSUED ON PROCESSED BY PLAN BY EKPIRRB ON
H1 RBS RI-EC OVEN LT 3HP 1 00 OVE 10 95 11/01/06 TK 04/30/07
H7 HAS GREG DISP LT 3HP 1 00 DIB 10 95
OWNER TEL NO H3 RES DISHMASER LT 3HP 1 00 DIE 10 95 FINAL DATE FINAL BY - - - CODE
BROWN, OELOHA (676) 287-7393- H4 R88 RANGE BOB IT 3HP 1 00 BOO 1095
5619 SULTANA AV TOTAL FEES 190 65 �'C�✓ /�''
TEMP 917802328DHSCHIPTIOH OP 1
ELECTRICAL FOR KITCHEN REMODEL
APPLICANT TEL NO
L AND N KITCHENS E BATHS (676) 287-1131-
BB12 LAS TUNAS DR SPECIAL CONDITIONS
SAH GABRIEL CA 91776
CONTRACTOR TEL NO - APPROVALS DATE INSPECTOR SIGNATURE
L AND N IITCSRN AND BATES (626) 287-1131-
8812 LAS IDEAS DR LIC NO TEMPORARY POW" POLE
SAN GABRIEL, CA 91776 205344B '
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER _• __ _ TEL NO - - _ _ _ - __ _ _ OVER GROUND
LIC NO ROUGH CONDUIT
ROUGH MIRING
MAIN MATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIRD
REPORT ID DPR265 ROUTS TO HSO508