HomeMy Public PortalAbout5655 SULTANA AVE_Electrical__ 76,4643CE-806(11478) APPLI'CAtION, ® ELECTAUPMIT
COUNTY OF LOS,ANGELES BUILDING AN®,S.eAFETX 44
FOR APPLICANT..TO FILL IN JOB
New Residential Bldgs.&Pools EACH• NO. FEE ADDRESS /Q
1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY
Multi-family Sq.Ft. .02 — NEAREST / S
'Residential Swimming Pools , 25.00 CROSS ST. x
OWNER OR /+
1. FIRM NAME . C
Outlets:Rec Light Sw. MAIL
First 20 :50 ADDRESS
Total No.. Additional ,30 CITY Tel.No. .. .
PLAN.CHECK
APPLICANT
Lighting Fixtures First 20 •50 ADDRESS
Additional' .30 .
Total No.'. CITY Tel.No.
Fixed Appliances Not Over l HP. PERMIT
APPLICANT
Range_Heater_'D.W._ ADDRESS p. -
Oven_Dryer_W.M:
Top _FAU —W.H._ CITY Tel.
Hood_Fan _Other_ " LICENSE OR n r
Disp:_Room Air Cond. 2.50. REG.NUMBER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apporcitus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND'AGREE TO
Size&T e HP,KW,KVA,or KVAR COMPLY WITH ALL.COUNTY ORDINANCES'AND STATE"'LAWS �
Yp REGULATING ELECTRICAL WIRING.
Up to 1 Incl. 2.50
' 500 I HEREBY CERTIFY THAT I AM PROPERLY-REGISTERED AND/OR " U
Over 1 to 10 Incl. . LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF IN
Over 10 t650 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL-OWNER OF THE,ABOVE O
25.00 DESCRIBED RESIDENTIAL PROPERTY.
Over50to 10.0 Inc.
Over 100- 40.00 S
. IGN TATUUEE RE IL
• - SIGN �
Services DISTRICT NO: P ODES ED BY �.
0-200 Amp.Under.600 V 12.50 /
20 11 Amp. Under 600 V 25.00
Over 1'000 Amp,or Over 600'V 56.00 Z
O
Temp.Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00 c
Additional Sign Branch.Circuits 2.00 INSPECTION!.
1.0.00 INFORMATION W X 7 3 7,2 A
Misc.-Conduits&Conductors ON REVERSE" x
Other(See Complefe Fee Schedule! SIDE _ u r; o c o 0 0 2
Z
IL 2 ° 0 1 9,50
'PERMIT FEE llSub•Totall ° ° 1 9, r 2
TWX
PLAN CHECKING FEE {One-Fourrh Permit Feel O024-76 G
PERMIT ISSUING FEE $7.00 , `' o
TOTAL FEE >
INSPECTION FINALED '
W
,date: By d