HomeMy Public PortalAbout5931 SULTANA AVE_Electrical__ 78A669-CE808 9-88 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
DING 5L3 A� �LT���
BUILDING AND SAFETY DIVISION ESS 77 �i�
JOHN A. LAMBIE, COUNTY ENGINEER ����
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLITY �,�/�J //��
FOR APPLICANT TO FILL IN : )Vjfj%;Djaae
RECEPT. 1 TOTAL NO. EACH FEE T
OUTLETS FIRST 20 111.20211 OWNERWde
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LIGHTMAIL w S'u6 rt
SWITCHADD'L 10 ADDRESS
OVER 20
TOTAL CITY
FIRST 20 .20 TEL.NO.
LIGHTING 1 FIXTURES
FIXTURES J( ADD'L .to CONTRACTOR
_ OVER 20
RANGES Ogip WTR.HTRS. 1.00 G ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AU O.•W STATE
SPACE HTRS. STA. ADPL. ,50 LICENSE NO.
MOTORS: OVER NOT OVER • H . DISTRLQT NO. GROUP ZO E PROCESSED BY
t s 1.50 INSPECTION RECORD
8 S 2.00
ry • t�
8 is 2.50 -
16 so 8.00 d
s0 100 5.00 V
SIGNS: NO.TRANS. Ix
NO.LAMPS 7 u Q
1
SERVICE O-SOOV-NOT OVER 200A p 1.00
d
SERVICE O•SOOV-Oven 200 A. 2.00LC./.11 Z
SERVICE OVER SOOV 5.00
OTHER (SEE COMPLETE FEE SCHEDULE) - '� 6_-
r
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE IMBPECTOR'S 01ONATURE
TOTAL FEE i
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING t' r�. f •% P _ f
1 HEREBY' CERTIFY THAT I AM PROPERLY REGISTERED ANDj
FIXTURES y
LICENSED AS RE IR Y LOS ANGELES CO TY AND STATECALIFORNIA OR TH I A T E LE L NE FAND INTENDPOWER
RESIDE IN,THE A V S IBE NT PROP RTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT
FINAL
VALIDAT.0N—) JOSEPH C. ROOHAN '
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
7558% MAR13 2 D 4.00-• it
i ITY OF TEMPLE" CITY
'76A663-CE8061-68 Appfcs
A ION FOR ELECTRICAL PERMIT
COUNTY OFN LES
DEPARTMENT OF CTY kNGINEER BUILDING
BUILDING AND-SAFETY DIVISION ADDRESS 5931 N. Sultana.
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLOCALITY Temple City
!. y�
FOR APPLICANT TO FILL IN NEAREST CROSS ST. Garibaldcf AVe;
NO. EAC FEE ,
RECEPT._
$ s OWNER R.. D6 Gardner
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS 5931 N. Sultana
SWITCH_ OVER 20 .10 CITY Tem le City TEL. NO.
PLAN CHECK
(LIGHTING ITOTAL FIRST 20 .20 APPLICANT
(FIXTURES OVER 20b 10 ADDRESS
RANGE?'ti DRYER—WTR.HTR._ CITY TEL. NO.
STA.COOK 2 DISP.—F.A.U._ CONTRACTOR COnlee & Son Electric
SPACE HTR. AIR CON.D. ADDRESS1030 N. Grandview Ave.
CLOTHES WASH.._DISHWASH._ CITYS.San Gabriel TEL. N0280-2007
FAN—OTHER 2 1.00 2 00 LICENSE NO. 242432 CLASS. C lO
MOTORS,TRANSFORMERS RATING
IND. HEATERS., ETC. HP. KW. KVA. I. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO .AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 1.00
ELECTRICAL WIRING.
- 1
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELESCOUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO p,
10 - 56 5.00 RESIDE IN, THE AJMY#N OESCRIB.ED RESIDENTIAL OPERTY. O
50 - 100 10.00 SIGNATURE u
OF PERMITTEEAPOO
100 - 500 15.00
SIGN,GAS DIS ICT NO. GR,QUP Z NE P C SSED BY
TUBE, OR [ADDITIONAL
IGN AND ONE CIRCUIT 3.00 �� G W
MARQUEE CIRCUITS 1.00 NOTES: h�(/�•
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAIN CHECK FEE (50% PERMIT_FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.001 2 OO UTI LI TY CO.NOTIPIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE 4 OO JOSEPH C. ROOHAN
SUPERVISING ELEC CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH. PERMIT VALIDATION , CK. M.D. CASH
.4' 4 1-2- APR 2 4 2 D 4.0-0~ 4
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE