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Home My Public Portal About5702-5704 SULTANA AVE_Electrical__ • COUNTY•OF LOS ANGELES APPLICATION FOS PSSMT • DGparl •c# MEaelaeee IMECTRIC DI'i/ISION OF OF SIIZt.DIIIN�iG & SAFETY •WILL14H J. FOX.-OsElty �OImur _ UAbDR _ FCR APPLICANT TO FILL IN DINITRI 0.1 CROUP AMME PERMtNO, M CIANR ■Y READY ran DAT! G d Q C r1wrINsP[OTION''TIL.NO. D UMUNTY LjowNsic VA& If-?,0 - ■ ILDING Q - ,PSP FESS• - ADDRIY - . NUMBER EACH !Q + LOCALITY LIGHT 13&11XO' NIIANEST DR R[OEPTACL'ER df WALL SWITCHED OWNER " Ile A• TOTAL OUTLETS MAIL CLEC. GAME= an ADDRESS ELEIL HEATERS an CITY. • TELL NQ rucTLIR[S _ s 1 HKMESY ACKNDWL=09 THAT 1 HAVE- READ THIN IS APPLICATION AND RTATE THAT THE ABOVE IS CORRECT NUMBER Or LIGHT CIRCUIT■ D ARR[I'TO COMPLY WITH ALL COUNTY ORDINANC[s NUMBER OR RNDQ+TAOL! CIRCUITS %WD-STATE LAWS•RK uL.STINs !1.[O1 nigiAL WIRING.. MOTORS 1 omwriry'THAT 1 POMC THE A■q1 z VALID'LOs :r 'AN■ELM COUNTY LIOEN■!. OR 1 AM THE LJCGAL OWNER NUNWR HORBKPOWlR FEE NEW Mw. •HP oven f INC. GOM Or THE REOIDKNTIAL-PROPKRTY DESORI [D A01M/l. i Ila .26 OIONATIlR! Or s .s0 P[RM s i 1.Otyrm =COW Is so s.d0 so sm s.m .em em lam � em .1000 td.m Z OVER I moo :sD.m p M.S. Micimm OHANGER-HP WLLDIOUN AO-KVA b[NERATORS - KW - TNAhsrORMlNS - EVA TEMP. MOTORS (711ar anis.) ' movzp moorano'I or Colo.) SIDNE - ND. NO.TRANa APPAOV N ran EACH PERMITI 'INSPECT0117 NAME WINING I,OO p„ -CONDUIT rIXTUREG I.ND be WIRING. / P .00 rormass . y POWER TOTAL REE 0 qE / UTILITY CO.NOTIFIED .' r ` FINAL iYliE DH4d LL`4-M t' V1(9RKERS'COMPENSATION DECLARATION 20.0019 DPW 3/87 I•Ffe _ y af#irm that I have a certificate of consent to self �E APPLICATION FOR ELECTRICAL PERMIT WT. � 'W ,IIsure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT..OF PUBLIC WORKS or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certiliecl copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS dJA ❑Certified copy is filed with the county building inspec- 1 $2-Family, Sq. Ft. ,_1$ LOCALITY tion department. Multi-family Sq. Ft. AREST Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME C+v 1� CERTIFICATE OF EXEMPTION FROM WORKERS' OuFirst MAIL tlets: Rec Light Sw._ COMPENSATION INSURANCE ADDRESS Jr� (This section need not be completed if the work involved by CITY Tel. the permit is for one hundred dollars($100)or less.) Total No. Additional wQ S �7Q PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Additional Date 2"T Applicant JW6l*lat T /r.�!/ Total No. CITY• Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION �� Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS 17 with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY ai* Tel. N;V91 LICENSED CONTRACTORS DECLARATION LICENSE ORI hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. — REG. NUMBER(commencing with Section 7000)of Division 3 of the Business Power Apparatus$Large Appliances DISTRICT NO. PROCES >_ and Professions Code,and my license is in full force and effect. /� 11 y ` Size$Type HP, KW, KVA, or KVAR S r C/ O License NumberZO�5_Lic..Class `�® U AA Up to 1 Incl. FINAL cc Contractor- M� m &; Date-- 7 2-a—9-D Over 1 to 10 Incl. DATE ,�.^ (DATION 0 ❑ Over 10 to 50 Incl. I— FI NAL U I am exempt under Sec. Over 50 to 100 Inc. BY LU B.$P.C. for this reason Over 100 p. Z/�A�q Services, Swbd., MCC$ Ponelboards Z Date: 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ElExemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V -gQ 2 a 4 A SINGLE FAMILY Temp. Power Pole$Appurtenances # o 0 o 0 0 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business.and Additional Sign Branch Circuits 10:� 8 9 4 2 Professions Code): o 01 8 9,4 2.5 Ell, as owner of the property, will do the work and the Misc. Conduits$Conductors structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ 0 7 2 O 8 8 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) 1 7 (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE /Q Lender's Address I certify that I have read this application and state that the TOTAL FEE LK above information is correct. I agree to comply with all County ordinances and St to laws regulating Electrical wiring, and hereby outho ize r pre ntatives of this County to enter upon th ove-m ntio a roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE bE _7nag Signature of P t e Date ®° WORKERS'COMPENSATION DECLARATION 20.0019 DPW 3is7 C` ` ~= = APPLICATION FOR ELECTRICAL PERMIT I li'er y affirm that,I have a certificate of consent to self CM3 // �jd�(�iOf• O insure, or a.certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS !0r a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Z V Gl d 'F_1 certified-copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ❑ t. Certified co is filed with the count building inspec- 1 &2-Family, S Ft. $ — $ LOCALITY C, Ti PY • Y 9 P Y. 9• AREST titin department. Multi-family Sq. Ft.. J t Z — 9?3CROSS ST. Sv Oi Date Applicant Residential Swimming Pools;;ti t ` OWNER OR .a C ` FIRM NAME CERTIFICATE OF'EXEMPTION FROM WORKERS' r,: MAIL COMPENSATION INSURANCE Outlets: Rec Light Sw.� �.• ADDRESS C L ' (This section need not be completed if the work involved by First 20' -Total No ,CITY the permit Is for one hundred dollars($100)or less.) . Additional �� Tel. No. d 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 manner i htin Fixtures First 20 ADDRESS so as to become subject to the Workers'.Compensation Laws. g g Additional C/ ��rr �f Total No. CITY Tel. No, Date. `ts ApplicantJ'`l M�"Gt` //T Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION t 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 17 I A t/.e with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY 94.C,,/b4.— Tel. No5.)S_7JAZ LICENSED CONTRACTORS DECLARATION LICENSE OR. —. Cl as hereby affirm that I am.licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG.NUMBER I� —IC) (commencing with Section.7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROC ED'BY ass. d and Professions Code,and my license is in full force and effect. r— Size&Type HP, KW, KVA, or KVAR O G� Ick FINAL U License Number �V�g Lic. Class Up to 1 Incl. IS 7'-2-0 sfv/ Over 1 to 10 Incl. DATE ,� IDATION O Contractor NQ Date Over 10 to 50 Incl. U ❑ FINA I am exempt under Sec. Over 50 to 100 Inc. gY W B.&P.C. for this reason Over 1'00 D.. Services, Swbd., MCC&Panel boards C/)�O 2�3 A Z Date:_ 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V #,o-,0 ° 0 2 ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint.,Elect. 89.42 SINGLE FAMILY x HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances ° 1 8 9 4.2 c� Sign with One Branch Circuit a. I hereby affirm that I am exempt from the Contractor's License. Sig Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 8 8 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 7044, Other(See Complete Fee Schedule)_ 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) (Sec. 3097, Civ. C.). 4-7 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Q Lender's Address I certify that I have read this application and state that the TOTAL FEE �. a above information is correct. I agree to comply with all County ordinances and St a laws regulating Electrical wiring, and hereby je-me r r ntatives of this County to enter upon the o d operty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE '?—Z01"S/� Sig ature of Per it ®s Date �s W RKERS'COMPENSATION DECLARATION Ce106G '°'a' APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have acertificate of consent to self insure, or a certificate of Workers' Compensation Insurance,or a certified 1 COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3600,.Lab.C.) 1 1 1 'j'^ y Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS ?(`� Z U L tiv ❑ Certified•copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ❑ I 1 &2-Family,Sq;Ft. $ — $ LOCALITY, 'TIL�v P L E C I T Y Certified copy is filed with the,.county building inspection I department. Multi-family Sq.Ft. NEAREST CROSS ST. LA S —�N A!5 Residential Swimming Pools. Date Applicant OWNER OR n - t FlRM NAME R.O �1`I AGO N CERTIFICATE OF EXEMPTION FROM WORKERS' ( Outlets:Rec—Light_Sw.— �j'15- Q �,—'— ADDRESS SMA Ia► (JN I (This section need not be.completed if the.work Involved by the First 20 CITY OT' �'� Tel.No. permit Is for one hundred doll 100 or less.) Total No. Additional �� . • er I y that in the performance of the.work for which this permit PLAN CHECK.. is issued, I shall not employ an' erson in APQL7CANT p y y p arty manner so as to . become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional _ Total No. . CITY • Tel.No. „ Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT PUJ p T Exemption,you should become,subject to the Workers'Compensation Range_ Heater— D.W. 1� �A �'S N o�c��l` provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS provisions dr this permit shall be deemed revoked. Top- _ FAU _ W.H. _ LICENSED CONTRACTORS DECLARATION CITY I M D US' *-f Tel.No. Hood _ Fan Other_ I hereby affirm that I 1 am licensed under provisions of Chapter 9 LICENSE OR(commencing with Section 7000)of DivisREG.NUMBER ion 3 of the Business and Disp. — Room Air Cond. - Class., 1 Professions.Code,and my'license is in full force and effect. I Power Apparatus&Large Appliances DISTRICT No. PROCESSED Y ' Size&Type HP,:KW,KVA,or KVAR t Q License Number Lic.Class i Up to 1 Incl. FINAL (� Over 1 to 10 Incl. DATE _ P— VAL ATION Contractor Date i J I Over 10 to 50 Incl. FI.' �j ❑ I am.exempt under Sec. Over 50 to 100 Inc. ? W n- B:&P.C.for this reason Over 100 N I Services,Swbd.,MCC&Panelboards ► Z Date: I 0 200 Amp.Under 600 V Signature j 201 :1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY 'Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION 'Sion with One Branch Circuit I hereby affirm that I am exempt from:the Contractor's License Law for the following reason(Section'7031.5,Business and Professions Additional Sign Branch Circuits Code): I Misc.Conduits&Conductors ❑- I,as owner of the property,will do the work and the structure I is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ ► and Professions Code). ;29227A CONSTRUCTION LENDING AGENCY Thereby affirm that there is a construction'lending agency for the f # 0 0 0 0 0 2 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub Total) o 0 25 50 Civ.C.). f PLAN CHECKING FEE. o 0 o Lender's Name 2 5x U I RMIT ISSUING FEE V '03,22-88 Lender's Address -� I certify that I have.read this.application and state that the above TAL.FEE S Q information is correct.I agree to comply with all County ordinances 81antelaws lating Electrical wiring, and hereby authorizeives f t is County to enter upon the above-mentioned r in a Ion.purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of.Permittee Date