HomeMy Public PortalAbout6231 SULTANA AVE_Electrical__ IlABB3-CEB08 9-69 � 7
APPLICATION FOR ELEC ;�kAL PE MITACOUNTY OF LOS ANGELES AfDEPARTMENT OF COUNTY ENGINEER BUILDIN +''
BUILDING AND SAFETY DIVISION ADORES
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST ff
t/
CROSS ST. 0 I/
NO. EACH FEE — / ,
$ 5 OWNER eJ f!f /� `► 7—"i
RECEIPT.1 MAIL
LIGHT TOTAL FIRST 20 ,20 ADORES (��r p�L�d' T/�•�
CITY \� TEL.NO.
SWITCH OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 1 ,20 O APPLICANT
FIXTURES l—11_ OVER 20 ,10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U. CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.NO.
FAN_OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERSRATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES LINTY AND STATE OF
TF
;.S- 10 3.00 CALIFORNIA OR T I AM TE LEGAL OWN OF, AND INTEND TO
RESIDE IN, THE BOV DE RIBED REIAL PROPERTY. /
10 - 50 5.00 SID \(
SIGNATURE
50 - 100 IOAO OF PERMITTEE
100 - 500 15.00 DISTRICT NO. I GROUP ErHE PROCESSED BY
r Y� v
SIGN GAS SIGN AND ONE CIRCUIT 3.00
(
TUB , OR L
MARQUEE [ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES .
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE1.00 FINAL 7d
TOTAL FEE n JOSEPH C. ROOHAN
�e/ SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
6 3 6 2c ALTS 18 2 D 3.0 ON c
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHFOUI.F
76A668 DBS 8A 11-60 APPLICATION FOR PERMIT
DEPARTMENT OF Bvu.DnvG AND SAFETY ELECTRIC 1�
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN S /
REC ED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION �+-
CITY 21 r4,ihTEL. NO.
COUNTY LICENSE NO. EXPIRES BUILDING
7
PERMIT FEES ADDRESS f
FEE i
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES S
I HEREBY ACKNOWLEDGE THAT 1 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 1 POSSESS THE ABOVE VALID LOS
NuMORR HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE I
NEW MVD. OVER INC. EACH OF THE RESIDENTIAL PROPE DESCRIBED ABOVE.
H
1/2 B LESS S .25 SIGNATURE OF
1/6 2 .50 PERMITTE
2 5 1.00 INSPECTION RECORD
5 '15 1.50
1s so 2.50
so 206 3.00
200 Soo 10.00 ,J
too 1000 15.00 Z
Z
OVER 1000 20.00 (;
M. G. SET/FREQ. CHANGER-HP Rr
WELDERS:AC-KVAO
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (7s%OF ORIG.)
MOVED MOTORS (75%OFORIG.)
MISC.
SIGNS
NO. NO.TRANS. I APPROVALS
NO. NO. LAMPS DATE INS/PECTORIS NAME
FOR EACH PERMIT: CONDUIT
WIRING $1.00 ® ,v
FIXTURES $1.00 ® WIRING
SUPPLEMENTARY ,S0 FIXTURES
POWER
TOTAL FEE :s -`" $ UTILITYCO. NOTIFIED
® I FINAL / f" r L, v �•+ r-�
76A669 OBS SA 11-50 APPLICATION FOR PERNIIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
_i COUNTY OF LOS ANGELES •
WILLIAM J. FOX. CHIEF ENGINEER.
FOR APPLICANT TO FILL IN
DISTRICT NO. GROUP ZONE PERMIT NO.
' ' f/ /
ELECTRICIAN R. F. Walt0]1 /
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 5134 N. .Aoaoia St. /n FIRST INSPECTION
CITY San Gab. TEL. NoAT 68583 !///F�(//d/�A�
COUNTY LICENSE NO. 1104 EXPIRES BUILDING
PERMIT FEES ADDRESS 6233 N. Sultana
FEE Temple Cit
NUMBER EACH LOCALITY ,
LIGHT OUTLETS NEAREST
RECEPTACLES F. CROSS ST.
WALL SWITCHES OWNER Creative Builders Inc.
TOTAL OUTLETS 2 SC S 10 MAIL
ELEC. RANGES 25 ADDRF-88
ELEC. HEATERS 25HIE CITY TEL. NO.
FIXTURES S. 1 HEREBY ACKNOWLEDGE THAT 1 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPE Y DESCRIBED ABOVE.
NEW MvO. HP OVER INC. EACH _
1/2 9 LE99 S .25 SIGNATURE OF
1/2 2 .50 PERMITTE
2 5 1.00 INSPECTION RECORD '
5 Is 1 1.50
1s s0 2.50 /1
s0 200 5.00 J/
2d0 500 10.00 J
soo 1000 15.00 �. , a
Z
OVER 1000 20.00 ('
M. G. SET/FREQ. CHANGER-HPEA �� O
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OFOR1a.)
MOVED-MOTORS (75%OFOR16.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING 61.00 ] OO CONDUIT
FIXTURES 61.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE I S 1 I,'0 UTILITY CO. NOTIFIED
® FINAL �. 7 7 �'
rM60 CE-806(I 1/78) �ly/L 1`
APPLICATIO FOR ELEC ICAL PERMI
COUNTY OF LOS ANGELES B ILDING ANOkFETY
FOR APPLICANTTO FILL IN JOB
NeN;F Residential Bldgs..&Pool's EACH NO: FEE ADDRE
figdZ
1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY —�
Multi-family Sq,Ft. .02 NEAREST
Residential Swimming25.00 CROSS ST.Pools OWNER OR
FIRM NAME
Outlets:Rec Light Sw.T MAIL
First 20 •50. ADDRESS
Total No. -Additional
3b CITY Tel..No.. r '"
PLAN CHECK '
APPLICANT
Lighting Fixtures First 20 '.50 ADDRESS '
Additional 30
Total No. CITY Tel.No ,
Fixed Appliances Not Over 1 HP FE IT
..
Range—Heater_D.W._ A PADDRE
Oven_Dryer_.W.M.—
Top _FAU —W.H._ CITY Tel.No..
Hood_Fan —Other— LICENSE-OR
Disp.—Room Air Cond. 2.50 REG.NUMBER ��. °Cl
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA-
PowerApparatus&Larg6,Appliances TION AND STATE THAT THPABOVE RRECT AND AGREE TO
COMPLY WITH ALL'COUNTY•OR A ES AND STATE'LAWS TP
Size&Type HP,KW,KVA,or•KVAR REGULATING ELECTRICAL WIRING.
Up to 1 Incl. ' 2"50 I HEREBY_ F ' AT I A' RLY REGISTERED AND/OR' V
Over 1 to 10 Incl. 5.00 LICENSED AS. UI BY LOS A L COUNTY AND STATE OF p�
Over 10 to 50 Incl. .12.50 CALIFORNIA R A.T I AM TH G L OWNER- F THE.ABQVE
Over 50 to 100 Inc..
25.00 DESCRIBED NT L PROPS p
Over 100 40.00 PERMIT: o
SIGN
Services-• DISTRICT NO: CES D BY "
0-200 Amp.Under 600 V 12.50
201-1000 Amp. Under 600 V 25.00Over 1000 Amp.or Over 600 V 50.00 > Z
O
Temp.Power Pole&Appurtenances 10:.00 .�1M C I-ago - Q
Sign with One Branch Circuit 10.00 /b
Additional Sign Branch Circuits 2:00
" INSPECTION. > '
INFORMATION u G 1 Q b A
Misc.Conduits&Conductors 10.00 ON REVERSE _ 0
Other(See Complete Fee Schedule) .,SIDE Z o o o•o`o'2 '
2ox3200
PERMIT FEE (Sub-Total) 0 0 0 3�.QQ U
PLAN CHECKING FEE )One"Fourth Permit Feel O 0813—'7 9
PERMIT ISSUING FEE $7.00... D
TOTAL.FEE
INSPECTION FINALED ode
W
date: . By d ®s
APPMCATION FOR EL CTRICAL PERMIT Architect or Engineer Lic.No. FOR APPLICANT TO FILL IN (PRINT OR TYPE) V 1
CITY F
Y Address New Residential Bldgs. &Pools Each No. Foo LY
1 &2-Family,Sq.Ft. $ — $
FOR APPLICANT TO FIL IN (PAT TYPE) City Tel.No. Multi-Family,Sq.Ft. —
Building Address I&in, Chi I Applicant Tel.No. Residential Swimming Pools
Address Outlets:Rec_L:ght_Sw.—
First 20
Owner City Zip
Total No. Additional
Mail Address ` Legal Description Lot No.
City C Tel.No. Block Tract Lighting Fixtures First 20
Total No. Additional
Contractor ,L Size of Lot No. of Bldgs. Now on Lot `
Fixed Appliances Not Over 1 HP
Address V, Use of Buildings Range_Heater D.W.
City N-2— Tel.No Oven—Dryer W.M.
State Lic. No. el-qLic.Class Top—FAU W.H.
Hood— Fan Other
LICENSED CONTRACTOR'S DECLARATION Disp._Room Air Cond.
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 v License Numbe � Size&Type HP,KW,KVA,or KVAR
Up to 1 Incl.
1 �Dare � ^`-��'- Contractor Over 1 to 10 Incl.Over 10 To 50 Incl.
OWNER-BUILDER DECLARATION Over 50 to 100 Incl.
1 hereby affirm that I am exempt from the Contractors License Law for the following reason(Sec.7031.5,Business and Professions Code):
❑
Over 100
1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not tr
C3
intended or offered for sale (See. 7044, Business and Professions Code). Services
LU
0-200 Am
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and P•Under 600 V WI1
Professions Code). 201 - 1000 Amp.Under 600 V N
Over 1000 Amp.or Over 600 V
❑ I am exempt under Sec. , B. & P. C. for this reason
Temp.Power Pole&Appurtenances
Date Owner Sign with One Branch 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(Sec. 3800, Lab. C.). Misc.Conduits&Conductors
Policy No. ' (OD MLS Company ��`I L�` Other(See Compl.Fee Sched.)
r Tr.
❑ Certified copy is hereby furnished. ❑ Certifiedy is filed with the city building inspection department.
Date 1` fopApplicant S-V e c, C C�I Lw '
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 to PLAN CHECKING FEE
become subject to the Workers' Compensation Laws of California.
PERMIT ISSUING FEE $
Dote Applicant 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
(Sec. 3097, Civ. C.).
CK. CASH M.O.
Lenders Name Lenders Address
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 # 0
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 building construction, hereby authorize representatives of this city to enter upon the above-mentioned 1o - 70,00
property for inspecticin purpos
ignature of A115licant or Agent Date CK. CASH M.O.