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Home My Public Portal About5939 SULTANA AVE_Electrical__ 'm°n-c=69-511 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. ITEM NUMBER EACH FEE - MAIL OWNER OUTLETS: $ $ ADDRESS / l� GL/v'4 ` LIGHTS RECEPT. SW. ,Ep 'd• LIGHTING FIXTURES .10 CITY ELEC.RANGES CLO.DRYERS ELE&RICIAN WATER HEATERS .90 ADDRESS �r ELEC.SPACE HTRS. DISHWASHERS •nr �/ -4-yyyya Q�y L.NO GARBAGE DISPOSERS AUTO.- CI STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC H.P. DISTRICT NO. I GROUP 7,ONF, ESSED BY 0— va .25 f V$— 2 so INSPECTION RECORD 2— s 1.00 5— is 1.50 Is— so 2.50 00-200 5.00 SIGNS: NO.TRANS. NO.LAMPS -1 SERVICE 0-600V 3.00'' SERVICE OVER SOOV 5.00 MISC J WIRI G PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVC 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT •7 s/ r,�/ •� ELECTRICAL WIRING. WIRING C ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOUIREDIY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 M 7HE LEGAL O if, OF THE ABOVE DESCRIBED RESID 1 PROPERTY. POWER SIGNATURE zj UTI LITY CO.NOT]PIED Z4 �� /� :•. OF PERMITTE FINA 7r VAI.IDATIO1&� SUPERVI8ING EL CTRICAL ENGINEER CK m0 �� 76ASSS.CE8067.8 8 APPLICATION FOR ELECTRIC PERMIT- 1 COUNTY OF LOS ANGELES DEPARTMENT OF CQUNTY ENGINEER FADDR G r BUILDING AND SAFETY DIVISION - JOHN A. LAMBIE, COUNTY ENGINEER • CASSATT D. GRIFFIN.SUPT OF BUILDING IIIIiIIII V FOR APPLICANT TO FILL IN FEST. ,I T E M NUMBER EACH FEE _OUTL //�� 'itdLIGHTS ,* RECEPT. V SW.. Ao DLIGHTING FIXTURES �'° .i0 D TEh. NO. ELEC. RANGES CLO. DRYERS ' ELECTRICIAN WATER HEATERS '50 ADDRESS ELEC.SPACE HTRSq, CITY le (. TEL. NO GARBAGE DISPOSERS/ AUTO.- �] STATE Q WASHERS STA. COOKING UNITS .25 •� LICENSE NO. J MOTORS: OVER INC. H.P. DISTRICT NO. GROUP Z NE P GESSED Y O— V2 .25 — 2 so V mpg=ON RECORD 2— 5 1.00 s— 1s 1.50 is— so 2.50 50-200 5.00 SIGNS- NO. TRANS. NO. LAMPS SERVICE 0-600V 1.00 Ga SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 040 FIXTURE PERMIT 1.00 QG SUPPLEMENTARY PERMIT .5o TOTAL FEE $/O APPROVALS. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION + DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT ��(S "' O' .(— ` ✓� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING '� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �,,�+5 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 's +'(�� CALIFORNIA OR THAT'I A %THE LEGAL OWNER OF THE ABOVE POWER ' DESCRIBED RESIDENTI PERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL- SUPERVISING A TION ARTHUR C. VEIT, MO CASH CK ELECTRICAL ENGINEER T,7 3 NOV 13 2 A 1 0.2 5 M . WORKERS'COMPENSATION DECLARATION ' 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self I CE-806G insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) �/ I• Policy No. Company FOR APPLICANT TO FILL IN JOB ..�. Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE i ADDRESS ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — 1 NEAREST oe Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' � MAIL Outlets: Rec Light Sw._ COMPENSATION INSURANCE 2 O ADDRESS �5 ,Ss1 This section need not be completed if the work Involved b First 20 ( p Y Total No. �— ' CITY, Tel. No.ss��¢¢ the permit is for one hundred dollars($100)or less.) Additional .G-7 that in the performance of the work for which this PLAN CHECK I certify P APPLICANT permit is issued, I shall riot employ a in an manner so as to become su lett to the Wor n on Law � Lighting Fixtures First 20 ADDRESS Total No. Additional Date pplica CITY Tel. No. NOTIC TO APPLICANT: If, after making thi erti icate of Fixed Appliances Not Over 1 HP PERMIT Range— Heater_D.W. APPLICANT Exemption, you should become subject to the Workers' 9 Compensation provisions of the Labor Code, you must forth- j Oven —Dryer —W.M. ADDRES with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. i CITY Tel. N LICENSED CONTRACTORS DECLARATION y Hood _ Fan _Other Disp. _ Room Air Cond. Z SV LICENSE OR Class I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business I DISTRICT NO. PROCESS BY ` and Professions.Code,and my license is in full force and effect. Power Apparatus&Large Appliances (/ >_ ' Size&Type HP, KW, KVA, or KVAR' �'6 d dL Up to 1 Incl. FINAL License Number e3 -i.Class C I 0 V 01 -1G r f of Over 1 to 10 Incl. DATE VALIDATION Contractor Date• i Over 10 to 50 Incl. FINAL ❑; I am exempt under Sec. Over 50 to 100 Inc. BY BAP.C, for this reason Over 100 PA Date: I Services, Swbd., MCC&Ponelboards , /1/0-3 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V 3 0 u 7 A .SINGLE FAMILY Temp: Power Pole&Appurtenances '.' 0 0 0 0.a L HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ' I hereby-affirm that I am exempt from the Contractor's License 2 0 o -34,0C Law for the following reason (Section 7031.5; Business and Additional Sign Branch Circuits Professions Code): 0•c 4(; ( C z ❑ I, as owner of the property, will do the work and the I Misc. Conduits&Conductors '� structure is not intended or offered for sale /. (Section I Other(See Complete Fee Schedule)_ ► 0 .I C 6—F4 7044, Business and Professions Code). .CONSTRUCTION LENDING AGENCY I hereby:affirm that there is a construction lending agency for I � g the performance of the work for which this permit is issued , PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). ` PLAN CHECKING FEE, Lender's Name _ � ' I PERMIT ISSUING FEE Q Lender's Address I certify that I have.read.this application and state that the TOTAL FEE , above information is correct. I agree to comply with all County ordina a and State laws re u'ating,Electrical wiring, and here orize r presents this County to enter upon the -ment' r r in ion purposes. i SEE REVERSE FOR EXPLANATORY LANGUAGE h Si ature of Pe it ee watle I� Y