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Home My Public Portal About6165 SULTANA AVE_Electrical__ 76A663 DBS SA 7-SI APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO. k9m /-?t 3746-3 ELECTRICIAN E ELECT / R!pE V D BY READY FOR DATE ISSUED ADOREI a / 455 _ FIRST')NSPECTION CITY TEL. NO / ybl (J1} 6/%{/ COUNTY LICENSE NO, jMr EXPIRES!ED BUILDING PERMIT FEES ADDRESS 1 FEE LOCALITY E NUMBER EACH LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER_ TOTAL OUTLETS 5c S MAIL ELEC. RANGES 85 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTI PROPERTY D ORISED ABOVE. 1/2 s LEsa $ .2S SIGNATURE OFA I/2 2 .50 PERMITTEE 2 5 1.00 SPECTION RECORD S 15 1.50 15 50 2.50 50 200 5.00 200 500 10.00 -1 500 1000 15.00 Q Z OVER 1000 20.00 M.G..SET/FREQ. CHANGER-HP WELDERS'AC-KVA O 13ENERAT13RB - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIB-) MOV MOTORS (7 OF DRIB.) MISC. ` SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS DATE I/NS�SPECTOR' NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT 1170 // x, FIXTURES $1.00 WIRING Jd SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE ® / UTILITY CO.NOTIFIED FINAL 17 uw It—"vj IF V 7GA663 DBS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP Z�E ' PERMIT NO. FOR APPLICANT TO FILL IN r ELECTRICIAN �� •.e�. C J f RECEIVED BY READY FOR TE ISSUED ADDRESS /} @ 1t„PJ R!I.� FIRST INSPECTION CITY PlifTEL.NO. COUNTY LICENSE NO. EXPIRES d BUILDING PERMIT FEES ( ADDRESS nn s✓ Bl�L�dLS� NUMBER EACH FEE LOCALITY �,��. atl.P- IS_OR._ - LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. J� �f P WALL SWITCHES .OWNER �-" TOTAL OUTLETS So $ (0,5 MAIL ELEC. RANGES 85 ADDRESS ELEC. HEATERS a5 CITY TEL NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WIT14 ALL COUNTY ORDJNANCEB NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 P088E88 THE ABOVE VALID L08 NUMBERHORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. NEW MVD. HP OVER INC- EACH I/ a Lr6es $ .25 SIGNATURE OF a Y2 2 .50 PERMITTE a 5 1.00 Df PECTION RECORD 5 15 1.50 15 50 2.50 1 5O 200 6.00 �1_-S Z. v/l-Al 200 500 10.00 �� ' Q 500 1000 15.00 OVER 1000 20.013 �� ` 1��l y CdM`ALe" ��jj 007-LF-7- M.G. SET/FREq. CHANGER-HP A7-" ��G✓i K /�IF�'X� WELDERS:AC-KVA pt (] w.v H r' /�I/J�"� 13 GENERATORS - KW RE JAIPds-q -7 4 TRANSFORMERS - KVA ./ TEMP. MOTORS (75% OF ORIG-) �Dp s �9�c/A /V 9 �°iS l��l�� MOVED MOTORB (75% OF ORIS.) MISC. SIGNS 90 rr 7-12 C'n/V 9&e-4-II e,-,W49 Q NO. NO.TRANS. APPROVALS. NO. NO.LAMPS DATE INSPECTORPS NAME FOR EACH PERMIT: t��/ CONDUIT WIRING $1,130 `� i( cif FIXTURES $1.00 pj WIRING �� SUPPLEMENTARY .50 FIXTURES +� POWER TOTAL FEE $ ' 0 UTILITY CO.NOTIFIED _ V< P� 4VA) ((( FINAL vP r. vun Vt- Wfreth'COMPENSATION DECLARATION 76+W tO/Bt APPLICATION FOR ELECTRICAL PERMIT ''• �pry' + CE-806G afffrm: that I have a certificate of consent to self tnsure,,,or a certifiEa7e of Workers'Compensation Insurance, l COUNTY OF LOS ANGELES BUILDING AND'SAFETY '+ or a'aertif' d copy thee. f(Se . 3800, Lob. C.) �I✓ � � I Policy Company-�/LgP.f��-fldl jth FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. 1. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS r7Certified copy is filed with the county build! insp 1 &2-Family, Sq. Ft. $ — ; LOCALITYr L tion department, r� Multi-family Sq. Ft. — NEAREST L ^� CROSS ST. Date `U Applicant ( Residential Swimming Pools OWNER OR /� + FIRM NAME�L G Q�, Li�q CERTIFICATE OF EXEMPTI FROM CORKEOR Outlets:-Rec Light Sw._ MAIL COMPENSATIO INSURANCE ADDRESS (This section•need not be completed if the work involved by First 20 the permit is for one hundred dollars(;100)or less.) Total No. Additional CITY Tel. No. CK I certify that in the performance of'the work for whicPLANh this 2 permit is issued; I shall not employ any person in any manner / APPLICANCHET ��fliJ�, so as to become subject-to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS TAdditional Total No. CITY Tel. No. Date- Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making, this Certificate of .APPLICANT 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 ' with comply with such provisions or this permit shall be top _.FAU —W.H. — deemed revoked. Hood _ Fan _Other_ CITY �' Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Room Air Cond._ I hereby affirm that I am licensed under provisions of Chapter 9 I Disp. REG.NUMBER 9734110--f? (commencing with Section 7000)of Division.3 of the Businessli Appliances ppances+ power Apparatus.8 Large DISTRICT NOPROCESS B >1 and Professions Code,and my license is in full force and effect. .�` �J Size&Type HP, KW, KVA, or KVAR.' VQ License Number ✓7�34-7? Lic.Class 13Up to 1 Incl.. FINALCL' `3 Over 1-to 10 Incl. DATE �� VALIDA ON O Contractor Date❑ Over 10 to 50 Incl. I C�FIN 1 am exempt lunder Sec. � Over 50 to 100 Inc. BY+ N B.,&P.C. for this reason Over 100 4 9 4 A z at Services, Swbd., MCC&Panelboards , #0 0 0 0 0.2 0 -200 Amp. Under 600 V Signatu 201 - 1000 Amp. Under 600 V I 'I o 0 2 S 5 O +, Over 1000 Amp. or Over 600 V ❑' Exemptio for Reg. Maint. Elect nn,,11 25506 SINGLE FAMILY Temp. Power Pole&AppurtenancesHOME OWNER-BUILDER DECLARATION Sign with One.Branch Circuit a I hereby affirm that I am exempt from the Contractor's License Additional Sign ranchFi Circuits Law for the.following reason (Section 7031.5, Business'and Professions.Code): � ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors Other See Com lete•.Fee Schedule structure is not intended or offered for sale (Section ( P )- 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm shot 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.). 1 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE , Lender's Address I certify that I have read this application and state that the TOTAL FEE �ssd above information is correct. I.agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereb authorize represenfatives of this County to enter upon a ov no _ pert inspection.purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 4z 09H3154=1 07 6_�'6 a.re of P rmittee Date j f i i WORKERS'COMPENSATION DECLARATION 76A60ICE-806G ,D,B, APPLICATION FOR ELECTRICAL PERMIT �''heggby,offirm that I have a certificate of consent to self 7� .1, irilure,"or a,certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY I(JI ,'ifr a certi.fledncopy thereof(Sec.3800, Lab. C.) .j Policy NoW 6a.Company, , End FOR APPLICANT TO FILL IN JOB ertified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS I 1 &2-Family, S Ft. $ — $ LOCALITY Certified copy is filed with the county building inspec- Y• q• NEAREST `tion department. Multi-family Sq. Ft. -- -- Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME i �. CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE First 20 ADDRESS ,Q (This section need not be completed if the work involved by Total No.—* o. Additional CITY TeI..No �3 the permit is for one hundred dollars($100)or less.) I certifythat in the performance of the work for which this PLAN CHECK e P APPLICANT permit is issued, I shall not employ any person in any manner 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 NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption, you should become subject to the Workers' Range_ Heater_D.W. _ APPLICANT Compensation provisions of the Labor Code, you must'forth- Overt _Dryer _W.M.— ADDRESS with comply with such provisions or this'permit shall be - Top _ FAU W.H. — deemed revoked. CITY Tel. IV . LICENSED CONTRACTORS DECLARATION Hood _Fan _Other_ LICENSE O _ I hereby affirm that I am licensed under.provisions of Chapter91 Disp. Room Air Cond. REG..NU FA Class.C�_/ (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCE D BY dam. and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances Size&Type HP, KW, KVA, or KVAR' J. (f a C) License Nu be&17Lic.ClassUp to 1 Incl. FINAL �= Contractor S ` ate — Over 1 to 10 Incl. DATE i �. VA DATION . ❑ Over 10 to 50 Incl. FI Lif I am exempt under Sec. Over 50 to 100 Inc. n B.&P.C. for this reason Over 100 z Date: Services, Swb.d., MCC&Panelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V i Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits I Law for the following reason (Section 7031.5, Business and n B Professions Code.:. S' gokx, C.VI Q C KI Pi Misc. Conduits&Cor�uctors 10b I, as owner of the property, will do the work and the I structure. is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code): ;@51 Q O A CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for # 0 0 0 0 02 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). 1 o o 4 Q 5 0 Lender's Name PLAN CHECKING FEE o 0 0 4 Q 5 0 5 �/,. PERMIT ISSUING FEE l� l/ Lender's Address 07.22-86 I certify that I have read this application and state that the I TOTAL.FEE 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 it the above-mentioned pr1t for inspection purp s S. SEE REVERSE FOR EXPLANATORY LANGUAGE Signafur Permittee aJ. /v u i 1 ) ,