HomeMy Public PortalAbout5656 SULTANA AVE_Electrical__ BA889-CES08 10-82 APPLICATION FOR ELECTRICAL PERMIT
1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING (-
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER /�
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY . /al e
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEFT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 e.20 $ OWNER
LIGHT MAIL
ADO'L ADDRESS
SWITCH.
OVER 20 .10
LIGHTING FIRST ZO CITY TEL.NO.
'_ .2O ,
FIXTURES OVER 2
� TOTAL O .10 E ECrRIClA1RICHODSON MCTRI
RANGES CLO.DRYERS WTI-HTRS. 1.00 ADDRESS 8923 F. Broadway
GARB.DISP. BTA.COOK CITY Sm $ r e 't N Y. AT-7-0539
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Va.H.P.MAX.)- .50 LICENSE NO.
MOTORS, OVER NOT OVER H.P. DISTRICT,NO. GROUP I ZONE IF ESSED B
0 1 1.00 i 019 j 1 C%
1 3 1.50 INSPECTION RECORD
3 a 2.00
B is 2.50 U
1s so 3.00
50 100 1 5.00
SIGNSs NO.TRANS.
NO.LAMPS
SERVICE 0.600V-NOT OVER 200A 1.00
.11
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 11.00
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS .DATE INSPEOTOI'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT J A.A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ,f
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ( I
LICENSED AS REQUIRED B`y`,LOS ANGELESYYAESTATE OF FIXTURES
CALIFORNIA OR�THAT 1 rte•THE LEG O ..;A90VE
DESCRIBED RESID,NTIAL OPE . POWER
OFSIGNATU RE r UTILITY CO.NOTIFIEDPERM
FINAL
0 LIDATION ARTHUR C. VEIT
( CK/ MO CASH SUPERVISING ELECTRICAL ENGINEER.
3AC)N
GA688-CESOS 10.82 APPLICATION FOR ELECTRICAL ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING +
BUILDING AND SAFETY DIVISION ADDRESS S4
JOHN A. LAN581E, COUNTY ENGINEER
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
•°RECEPT. TOTAL NO. EACH FEE
OUTLETS PIRST 20 !$.20 $ OWNER
LIGHT MAIL
ADDL
SWITCH. OVER-20 .10 ADDRESS
TOTAL CITY TEL.NO.
*LIGHTING FIRST ZO .20
FIXTURES OVER 2O .10 ELECTRICIARIC1~=SON ELECTRIC CO. , Inc.
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 8923 E'. Broadway
GARB.DISP. STA.COOK Calif.ban uab.rlel,
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(ys H.P.MAX.) .50 LICENSE NO. ( �!J a
MOTORSf OVER NOT OVER H.P. DISTRICT G UP I ZONE I P ESSED BY
O 1 1.00
71
I s 1.50 " INSPECTION RECORD-
S S 2.00
s 1s 12.so �� V
is so 3.00 p r Age
50 100 5.001 1 _
SIGNS: NO.TRANS. d
NO.LAMPS H
z
SERVICE O-SOOV-NoT OVER 200A 1.00
SERVICE O-SoOV-OVER 200 A. 2.00
SERVICE OVER SOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00 fj
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE IN8PECTOR'8 SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT -,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. `~ f
WIRING .f.t. ;•�' !� -• -
1 HEREBY CERTIFY SHAT 1 AM PROPERLY REGISTERED AND/OR-
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES �.(�' L f"�
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE
OF PERMITTE a UTILITY CO.NOTIFIED r i
FINAL 'fir-i r 44 .'.�' i•-
LIDATION ARTHUR C. VEIT
C MOCASH '
SUPERVISING ELECTRICAL ENGINEER
UiLo3 0 6. 8 AUG 24 2 D 1 2,00'
76A663-CE306 3-64 APPLICATION F�RLECYCAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ���
RECEPT. TOTAL NO. EACH FEE jr
Al
OUTLETS FIRST 20 0 $20 9 OWNER G
LIGHT MAIL
/'�qq
ADD .10 ADDRESS
SWITCH.6{/ OVER 2O
dddW---!!! TOT L CITY TEL.NO.
LIGHTING' [FIRST 20 .20 QD
FIXTURES ADD'L1-4ij10 ELECTRICIAWICHARDSON ELECTRIC
OV R 20
RANGES CLO.DRYERS WTR.HTRS. 8923 F. Broadway
GARB.DISP. STA.cooK�(J Gabrie alif. AT.7- nr3P
7-/� J CITY TEL.NO.
DISHWASH. w TO.-WASH. �j�0 AD STATE / ��► /'� r
SPACE HTRI DTA.APP.(1/y H.P.MAX.) .50 V LICENSE NO. ( GJ
MOTORS: OVER NOT OVER H.P. DISTRICT NO. I GROUP I ZONE I PROCESSED B
Y
O 1 1.00 �`J + �
1 s 1.50 INSPECTION RECORD
_ a
3 8 2.00 ' 0
8 15 2.50
15 50 8.00
v
50 100 5.00 w
o_
N
SIGNSI NO.TRANS Z
NO.LAMPS
SERVICE O•SOOV•NoT OVER 200A 1.00
SERVICE O•SOOV-OVER 200 A. 2.00
SERVICE OVER SOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTAFtY PERMIT ISSUING FEE 1.00
TOTAL FEE 8 Q
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. * -
WIRING
1 HEREBY CERTIFY AT I AM PROPERLY REGIS EO NO OR
LICENSED AS REQUIR D BY LOS ANGELES COUNT ND ATE OF FIXTURES
CALIFORN R TH AM THE L NE F T ABOVE
DESCRIB RE DEN i PROPERTY POWER
1
SIGNAT E a UTILITY CO.NOTIFIED
OF PERMI
FINAL
SMO
IDATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
CASH
uluo2783% AUG 18 2 a 62.40w
vJrjRKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-8066
insure; or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or eft ertifie copy thereof(Sec. 3800, Lab.. Ci)
C.
fi Policy No. Z0 e(0*0t Company Llwiwz FOR APPLICANT TO FILL IN JOB
❑
Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS
❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY
tion department. Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools CROSS ST.
OWNER OR
Date Applican FIRM NAME d
CERTIFICATE OF EXEMPT-19 FR&M WORKERS' Outlets: Rec Light Sw._ MAIL '
COMPENSATION INSURANCE ADDRESS . _ a
First 20
(This section need not be completed if the work Involved by Total No. Additional CITY Tel. No. a Z-/3 7,6
the permit Is for one hundred dollars($100)or less.)
PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit is issued,I shall not employ any person in any mdnner
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total.No. Additional CITY Tel. No.
Date Applicant Fixed'Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT A
Exemption, you should become subject to the Workers' Range_ Heater—D.W.
Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS / 6
with comply with such provisions or this permit shall be Top. — FAU —W.H. — CITY + T �d �QSQ
deemed revoked: Hood _ Fan _Other_
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond., REG. NUMBER 2- Class.s�
(commencing with Section 7000)of Division'3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PRO D.BY
>_and Professions Code,and'my license is in full force and effect: �/ 9116Size&Typ HP, KW, KVA, or KVAR /� l 51(/
License Number�6, Zq 7 Lic..Classe �U Of/ FINAL
Up to 1 Incl. r
Over 1 to 10 Incl. DATE ��� 7� VALI TION 09
Contractor�it�S�rzy�iv Date Over 10 to 50 Incl. 'INA U
❑ I am exempt under Sec. Over 50 to 100 Inc. BY LU
B.&P.C. for this reason. Over 100
Services, Swbd.,MCC.&Panelboards Poo- a
Date: 0 -200 Amp. Under 600 V 1,2 7�9 A
Signature 201 - 1000 Amp. Under 600 V # o o•o o o 2
Exemption for Re Maint. Elect. Over 1000 Amp. or Over 600 V
❑ p g• 1 - o 1 4,50
SINGLE FAMILY Temp. Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit o o o 1 4,5 0 5
I hereby affirm that I am exempt from.the Contractor's License Additional Sign Branch Circuits
Law for the following reason (Section 7031.5, Business and 1 2 2$ $4
Professions Code):
❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ►
7044, Business and Professions Code).
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 PERMIT FEE (Sub-Total) 16
(Sec. 3097, Civ. C.).
PLAN-CHECKING FEE
Lender's Name PERMIT ISSUING FEE d
Lender's Address
I. certify that. I have. read this application and state that the TOTAL FE) ,11.50
above information is correct. I agree to comply with.all County
ordinances and State laws regulating Electrical wiring, and /
hereby authorize representatives of this County to enter upon
the above-mention e ro erty for inspection purposes. SEEREVERSE FOR EXPLANATORY LANGUAGE
� r
Jignay're of Permittee Oat