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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.