HomeMy Public PortalAbout5625 SULTANA AVE_Electrical__ COUNTY OF LOS ANGELES- APPLICATION FOR PERMIT
Department of County Engifieer
DIVISION OF BIIII.DING & SAFETY ELECTRIC WILLIAM J FOX. County EEElawt
FOR APPLICANT TO FILL IN DISTRICT NO. OROUP IONE PERMIT NO.
ELECTRICIAN Q S'
ADDRESS REC[VED BY DY DATE ISSUED
n `
CITY 7.6061 TEL. NO
OOUMTY LIO NB[ N0. "PIRES BUILDING
PERMT ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETG NEAREST
RECEPTACLES P
CROBB BT
WALL SWITCNEBOWNER
TOTAL OUTLETS So B MAIL _ -
CLEC RANOEB 15 ADDRESS
[LEC HEATERS 15 CITY TEL NO
rIXTURES S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NIBD ry APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS / 7[ O AND ACRE[ TC COMPLY WITH ALL COUNTY ORDINANCES
NUMBER Or RECEPTACLE CIRCUITS V AND STATE LAWS REGULATING ELEDTRIQAL WIRING
MOTORS 1 QOJTIrY THAT I GBBCS THE ABOVE VALID LOB
NONRER HORSEPOWER RE ANGELES COUNTY NSE. OR 1 AM THE L¢G OWNER
NEw Mw HP OVER INC EACH Cr THI RESIDENT ROPERTY CGDRIC[D AB
A u[OE S 15 SIGNATURE Or
S 50 PERMITTE
1 5 I DD INSPECTION RECORD
S 15 1 50
15 So 250
SO 200 S OO
100 500 10 DO J
500 1000 1500 Z
OVER 1000 10 00 0
M 0 BCT FRED CHANGER-NP
WELDERS'AC-KVA D
GENERATORS - KW
TRANSrORNERB - KVA
TEMP. MOTORS 75% or ORIO)
MOVED MOTORS (75 CF CRIB
MIS
SIGNS
NNO NO0 NO LAMPS APPROVALS
TRANSrap EACH PERMITS DAT[ INSPECTOR'S NAM[
WIRING S1 OD CONDUIT
FIXTURES Gl OD WIRING / /Z
PUMLAMIENTARY 50 rIXTUR[B
POWER
TOTAL FEE 0UTILITYCO NOTIMED 44
NAL /
76AM] nee#EA 1-0.l
A 76A663-CE80611-7I APPLICATION FOR ELECTRICAAL PERNMT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING .—/
L
BUILDING AND SAFETY DIVISION ADDREs a ;� .4" `,Y. ,Ili I'Z
LOCALIT P'f L /Fi Cr
FOR APPLICANT TO FILL IN NEAREST s -
CROSS ST,
OUTLETS NO. EACH FEE
OWNER/'
RECEPT..L 9 S MAIL
LIGHT —� TOTAL FIRST 20 25 ADDRESS :
OVER 20 .10 /'
J` CITY j.. 4F ( /.�,� : TEL. NO.'�,.7 7
SWITCH PLAN CHECK /
LIGHTING TOTAL FIRST 20 .25 APPLICANT
FI%T .10
OVER 20 ADDRESS
URES
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE_DRYER_WTR. HTR._ APPLICANT '
STA. COOK_DISP._F.A.U._ ADDRESS
SPACE HTR. AIR GOND. CITY TEL. NO.
CLOTHES WASH. DISHWASH._ LICENSE NO. CLASS.
FAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. }
SIZE & TYPE OYER TO O_
I HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR O
0 — I 1,00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V
CALIFORNIA OR TXAT I AM T1�E LEGAL OWNER OF, AND INTEND TO
1 — 10 3.00 RESIDE IN, THE ABOVE SCRIBED R SIDENTIAL PROPERTY. j
G
SIGNATURE ." /
10 — 50 5.00 OF PERM ITTE��
50 — 100 1000 Cd
019TR1 TS�O CLASS Z??»�gg PROCESSE BY QK
100 - 500 1500 �G'S td'.3 'y O
D_
SIGN. GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOT OVER 600 VOLTS OR 200AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
j ROUGH CONDIUT
4 WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00 �
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, m. CASH
u
�� iMPi 1 O
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE