HomeMy Public PortalAbout6028 SULTANA AVE_Electrical__ 41 666 -C`E806.12 ' -,
APPLICATION FOR ELECTRICAL PERMIT �� .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERJOB
BUILDING AND SAFETY DIVISION ADDRESS RiAtansi
F APPLICANT LOCALITY Temple Cit
New Residential Bldgs& Pools EACH NO. FEE NEAREST Garibaldi.
1 & 2-Family,ISq. Ft. $ •025 — $ CROSSST
OWNER OR
Multi-family Sq. Ft. •02 — FIRM NAME John Cuevas.
Residential Swimming Pools 20.00 MAIL
ADDRESS
Outlets: Light,Switch& Receptacle CITYnle CityTel.No. 628 3393
First 20j. PLAN CHECK
Additional .30 APPLICANT
ADDRESS
Lighting Fixtures ,
First 20 %DCITY Tel.No. '
Additional .30 PERMIT
APPLICANT Noble lectrlc
Fixed Appliances Not Over 1 HP ADDRESS
2175 N, -A-3tadens Dr-
Range_HeaterD.W.- CITY Altadena. Tel.No. 4_ 86
Oven Dryer_W.M._ LICENSE OR
Top_ FAU _W.H._ REG.NUMBER 232895 Class. C 10
Hood_ Fan _
-- 2.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
DIS
p_A.C. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Power Apparatus& Large Appliances ELECTRICAL WIRING.
Size&Type HP,KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Up to 1 Incl. 2.00 17 ICALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE A OVE �s
Over 1 to 10 Incl. 5.00 DESCRIBED REBID ROPERTY.
PERMITE
Over 10 to 50 Incl. 10.00
Over 50 to 100 Incl. 20.00 SIGNATU
QS
Over 100 30.00 DISTRICT NO. / R C EDB
Services < <✓� U
0- 200 Amp. Under 600 V 12.50 INS CTOR'S
2014000 Amp. Under 600 V 25.00 APPROVALS DATE SI ATURE U)
Over 1000 Amp. or Over 600 V 50.00 ' TEMP.POWER POLE g
Temp. Power Pole&Appurtenances 10.00 UNDERSLAB WORK
YO
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
(Other)
FIXTURES
POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One- rth Permit Fee)
PERMIT ISSUING FEE $6.00 l'�
TOTAL FEE
PLAN CHECK VALIDATI N CK. M.O. CASH PERMIT VALIDATIO _ C MD. CASH
5:.8.C"A~PR 27 , 2 a 1 8.30A98
"SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ ^ `
76A,66SA' E.¢OGA 4/72 APPLICATION F ELECT ICA
PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER fNEAREST
UILDING
BUILDING AND SAFETY DIVISION DDRESS O Sot/�[rq�
OCALITY 2, C
FOR APPLICANT TO FILL IN ROSS ST. 6C
FRECEPT.
TS NO. EACH FEE
OWNER
$ $ MAILJ�� �+TOTALFIRST 20 ADDRESS 6 O VV+ .Se-AW-1 tOVER 20 CITY AE TEL. N0. — W2-
PLAN CHECK
FIRST 20 APPLICANT —
LIGHTING TOTAL
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT /'�
RANGE DRYER_WTR. HTR. APPLICANT (y ISCIG
STA. COOK DISP. F.A.U. ADDRESS
6 S- O_C---l_e:)7u&tcj,
SPACE HTR. AIR COND. CITY �r. �� TEL. NO. j'
CLOTHES WASH. DISHWASH. LICENSE N0. - CLASS.[—1,6
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION d
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C.2
IND, HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO p
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O — 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ra
W
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO A.
1 - lO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, y
A /r
10 — 50 SIGNATURE
OF PERMITTEE
50 — 100
DISTRICTNO. 1CLASS ZONE RO SSED B.
100 — 500 Q
1 4
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER 600 VOLTS OR 200 AMP �sD
SERVI CEOVER 600 VOLTS OR 200AMP APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE'
TEMP SERVICE,POLE,&APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE S�
TOTAL FEE CC)
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK: M.O. CASH
:17 7-E--JAN 1.f 2 0 9.0 0 A�_