HomeMy Public PortalAbout6229 SULTANA AVE_Electrical__ 76"068 0136 8A 8-49 ® APPLICATION FOR PE&M
DEPARTIVIENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
VADDRFOR APPLICANT TO FILL IN DISTRICT.NO. /GROUP I ZONE PERMIT
Np.
E
N - I J
i! 5 .Y
RECEIVED BY READY F R DATE ISSUED
FIRST INSPECTION
TEL. NO.
N8E.N• EXPIRES BUILDINGPERNIIT FEES ADDRESS ��_ -�' Y•� /OUTLETS EACH FEE LOCALITY fJO I?Z I.:
- r
LIGHTS Sc ffi NEAREST
CROSS ST.
RECEPTACLES 5
FIXTURES 5 OWNER '�r�o.
WALL SWITCHES 5
MAIL -
ELEC. RANGES 25 ADDRESS nl.�S` l �i .-� /
ELEC. HEATERS 25 CITY ��': /� TEL. NO. r'
MISC.
1 HEREBY ACKNOWL/EDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
- APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
FEE
NEW MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
V.a LESS $ .25
/2 2 .50 SIGNATURE OF
2 5 1.00 PERMITTEE � -, •�/' .// i !// .;_/
5 is 1.50 INSPECTION RECORD
Is 50 2.50
50 200 5.00
200 500 10.00
Boo 1000 15.00 J
Q
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA
0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (70% OP ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS :t
TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY 0 .50
FIXTURES
POWER
TOTAL FEE $ UTILITY CO.NOTIFIED ,
FINAL
96ASM DBB SA 11'49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR A PLICANT TO FILLIN DISTRICT O. GROUP I ZONE PERMIT NO.
ELECTRICIAN 'L
RECEIVED BY EFOR DATE ISSUED
ADDRESS g RFIRST ADY INSPECTION ^'/�J -
CITY TEL.NO.e2t4 UIA
COUNTY LICENSE NO. a EXPIRES BUILDING ADDRESS
PERMIT FEES
NUMBER OUTLETS EACH FEE LOCALITY ay
LIGHT SC $ NEAREST
CROSS
RECEPTACLES 5
FIXTURES 5 OWNER
WALL SWITCHES 5 MAIL
Eli RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
TOTAI APPLICATION AND STATE THAT.THE ABOVE 18 CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WIT14 ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NEW MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
I/z A LESS $ .25 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%2 2 .513 SIGNATURE OF
2 5 1.00 PERMITTED
5 is 1'50 INSPECTION RECORD
15 50 2.50
50 200 5.00
200 500 10.00
50o 1000 15.00 W
a
OVER 1000 1 20.00 L7
M.G. BET/FREE). CHANGER-HP J
WELDERS:AC-KVA I'
GENERATORS - KW D
TRANSFORMERS - KVA
TEMP. MOTORS (75% CR CRIB.)
MOVED MOTORS (75% OF CRIB.)
M ISC.
SIGNS
TYPE: N0.TRANS.
TYPE• No.LAMPS APPROVALS
i. FOR EACH PERMIT: DATE INSPECTORPS NAME
I WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ O UTILITY CO.NOTIFIED
FINAL
APpCICi4TION FOR EL CTRICALnen MIT Architect or Engineer Lic.No. FOR APPLICANT TO FILL IN (PRINT OR TYPE)
New Residential Bldgs.&Pools Each No. Fee
CITY F Address
1 &2-Family,Sq.Ft $ — $
FOR APPLICANT TO FI L IN (PIAIT OR TYPE) City Tel.No. Multi-Family,Sq.Ft ' — r
Building AddressApplicant Tel..No. Residential.Swimming Pools
Address Outlets: Rete Light---Sw._
Zip First 20.
Owner �� City Total No.. Additional
Mail Addres Id Legal Description tot No.
Nl.: Block Tract Lighting Fixtures First 20
City Te _
7 Total.No. Additional
Contractor Size of Lot No. of Bldgs. Now on Lot
Fixed Appliances Not Over 1 HP
Address r Use of Buildings Range_Heater D.W.-
city Tel.No. IF Oven_Dryer W.M.
—
State Lic. No. Lia TopFAU W.H.
Class _1� Hood—Fan Other
LICENSED CONTRACTOR'S DECLARATION Disp.—Room Air Gond.
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code, and my license is in full force and effect. Power Apparatus&Large Appliances
License Class- — cense Size&Type HP,KW,KVA,or KVAR
Number LiNber 0
Up to 1 Incl.
DatA- ^W7 Contractor si � �-L]��1C Over 1 to 1.0 Incl V
r P-0
Over 1-0 to 50 Incl. OC
OWNER-BUILDER DECLARATION Over 50 to 100 1 ncl.
I hereby affirm that I am exempt from the.Contractor's License Law for the following reason(Sec.7031.5,Business and Professions Code): Over 100
❑ I, as owner of the property, or. my employees with wages as their sole compensation, will dothe work, and the structure is not a
intended or offered for sale (Sec. 7044, Business and Professions Code). Services rJ�
❑ I; as owner of the property, am exclusively contracting with licensed contractors to construct the project .(Sec. 7044, Business and 0-200 Amp.Under 600 V z
Professions Code). 201 - 1000 Amp.Under 600 V
• Over 1000 Amp.or Over 600 V
❑ I am exempt under Sec. , B. & P. C. for this reason
Temp.Power Pole&Appurtenances
Da►P Owner Sign with One Bunch Circuit
WORKERS' COMPENSATION DECLARATION Additional Sign Branch Circuits
I hereby affirm that I have a certificate of consent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified
copy thereof(Sea 3800, Lab. C.). (,, Qper ' Misc.Conduits&Conductors
Policy No. o `s' Company T,-Mm1 T�m4L^-.�' Other(See Compl.Fee Sched:)
❑ Certified copy is-hereby furnished. ® Certified copy is filed with the city b0ilding inspection department.
gg�� x
Date- [2` Applicant
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE PERMIT FEE (Sub-Total)
I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as td PLAN CHECKING FEE "� 2
become subject to the Workers' Compensation Laws of California. PERMIT ISSUING FEE $ 1 /0
Dam opplicant
.TOTAL FEE
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' Compensation provisions
of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. PLAN CHECK. VALIDATION
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
'(Sea 3097,. Civ. C.).
CK. CASH M.O.
Lender's Name Lender's Addres
This permit will expire if work is not started within 120 days of issuance or if the work is abandoned or suspensed for 120 days. PERMIT VALIDATION
I certify that I have read this application and state that the above information is correct. I agree to comply with all city ordinances
and state laws relating to buildin construction, a hereby authorize representatives of this city to enter upon the above-mentioned
property for inspectidn purpose 11/�
/' bture of Applicont or gent Date CK. CASH KO.