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HomeMy Public PortalAbout6237 SULTANA AVE_Electrical__ 76A "CE 806 8-62 APPLICATION FOR WECTRICAL PERMIT C DE TMENT OF COUNTY ENGINEER FA DING� � BUILDING AND SAFETY DIVISION RESS aATipA1. JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LITY %�A1,04e ST FOR APPLICANT TO FILL IN S ST. /ditsG.v'n/ RECEPT. TOTAL NO'. EACH FEE /J OUTLETS FIRST 20 8.20 8 OWNER LIGHT MAIL SWITCH. ADO'L �� ADDRESS OVER 20 LIGHTING ' TOTAL FIRST 20 .20 - CITY 40d/Lr4- TEL.NO.49 �oS� FIXTURES ADD'L .f0 ELECTRICIAN Ov R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 'ADDRESS 5d40-4, Al. /C2nwwm- /4vA# GARB.D18P. BTA.COOK CITY ea y. I - TEL.NO. rw aZY DISHWASH. AUTO:-WASH. STATE LICENSE NO. SPACE HTRS. STA.APP.(vy H.P.MAX.) .50 MOTORS. OVER NOT OVER. H.P. DIST=TBO. GROU. I ZONE PROCESSED BY o t s.00 S'e?J Se R I d'oLo V-K0, I a 1.50 INSPECTION RECORD 8 a 2.00 a is 2.so 1s so 3.00 a 50100 5.00 0` SIGNS. NO.TRANS. cc NO.LAMPS O SERVICE O'.600V-NOT OVER 200A 1.00 W SERVICE 0-SOOV-OVER 200 A. .2.0.0 y SERVICE OVER 6001i MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION PPROVA DATE INBPE6TOR'8'BIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING / / y/.n:•t .�Jy/� ELECTRICAL WIRINO. WIRING Y S n/ S' / _•,7 �I�'(/- 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR / •� --� LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT I RO RTY. POWER SIGNATURE. OF PERMI TUTILITY CO.NOTIFIED / �., FINAL 611/ V / i//�rrG✓t�'J `� �A/I IDATION ARTHUIt C. VEIT ' ( CK MO CASH sUPERVIBING ELECTRICAL ENGINEER � 4 2 8 9 iAY 6 2. D 3.00- _ Y 7sA663 0885A 1"9 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �v ELECTRIC WILLIAM J. FOX, CHIEF ENGINEER v 0� FOR APPLICANT TO FILL IN DISTRICNO. GROUP I ZONE PERMIT NO. ELECTRICIAN J. E. PAft:CFR p RECEIVED BY READY FOR DATE ISSUED ADDRESS 8A d GARVEY �� 'FIRST INSPECTION CITY viul I TEL.NO. FO 8-5750 • v\ - I- .;�'/'1<7 COUNTY LICENSE NO. 37 EXPIRES 6.30 BUILDING ✓ ` -tA A/ /II PERMIT FEES ADDRESS Q�9 OPl P� NUMBER OUTLETS EACH 'FEE LOCALITY LIGHT Be R NEAREST ji CROSS ST. RECEPTACLES 5 FIXTURES 5 nil WNER WALL SWITCHES S AIL. %1 DDRESS A ELEC. RANGES 25 r , ELEC. HEATERS 2S ITY TEL. NO. HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES : AND AGREE TO -COMPLY WITH 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 AVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER I/2 8 LEBB R .25 F THE RESIDENTIAL PROPS DESCRIBED ABOVE.IV's - IV2 2 .5O SIGNATURE OF 2 5 1.00 PERMITTEE s is 1.513 INSPECTION RECORD 15 50. 2.50 SO 200 5.00 200 500 10.00 500 . 1000 15.130 J OVER 1000 1 20.00 I.fi�.�S i f4 `I Z M.G. SET/FRE0. CHANGER-HP - CI WELDERS:AC-KVA R� GENERATORS - KW O TRANSFORMERS - KVA TEMP. MOTORS(75% OF DRIB.) MOVED MOTORS (75% OF DRIB.) M 19C. SIGNS TY TE•PE: NO.,TRANS. YPNO. IAPPROVALS FOR EACH PERMIT: DATE INBPEOTORPB NAME WIRING $1.00 CONDUIT FIXTURES 21.00 WIRING 'L mow. SUPPLEMENTARY .50 FIXTURES R OWER TOTAL FEE S J UTILITY CO.NOTIFIED Om' FINAL EiDtp�t e sy`/ .s2 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES ryry EPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ac✓ JOHN A. LAMBIE, COUNTY ENGINEER +� WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY /Ls�J�G ��• FOR APPLICANT TO FILL IN cROSS.ST. AOb Co dsx./ RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 16 OWNER LIGHT ADD'L MAIL SWITCH. OVER 20 .10 ADDRESS TOTAL CITY TEL.NO. LIGHTING FIRST 2O .2O �D FIXTURES ADD'L 10 ELECTRICIAN OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS .6.P r /V, GARB.DISK STA.COOOKK CITY CLWI ek - TEL.NO. C/0 Zy�7 DISHWASH. Atm_!'� STATE LICENSE NO. SPACE HTRS. STA.APP.(V$H.P.MAX.) / .50 MOTORS: OVER NOT OVER H.P. DISTRICT N=GRZO ONE PR ES D BY O 1 1.00 1 s 1.50 INSPECTION RECORD s s 2.00 O 8 15 2.50 V e>� 15 50 8.00 O s0 100 5.00j o. SIGNS: NO.TRANS. H NO.LAMPS Z SERVICE O.000V-Nor OVER 200A 1.00 SERVICE 0-SOOV-OVER 200 A. 2.00 SERVICE OVER SOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 .2 O'O SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 16 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATIC THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY CONDUIT ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I.HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP GNATURE ,, ..I /j�� A00 � POWER SI PERMITTEE K/I �/JWe-� UTILITY CO.NOTIFIED jjI�, FINAL °•V'�� L14�► �1 ALALIDATICIN ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER " iv ERs'COPQPENSATION DECLARATION �6A663 10/81 APPLICATION FOR ELECTRICAL PERMIT e l*K'Preoy affkA that I haver, a�certificate of consent to self� -C insugiF! ` rtifitate o'f Workers'Compensation rice COUNTY OF LOS ANGELES BUILDING AND SAFETY or aopy thereof(Sec. 3800, Lob Polic _' Compo FOR APPLICANT TO FILL IN JOB copy is her furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS �i ❑ cop ' filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY C ent. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools OWNER OR CROSS ST. DateApplicant FIRM NAME aCEICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets: Rec Light Sw._ ADDRESS Ts section letod If tho work Involved b First 20 ( hition need not bcom p T Total No. Additional CITY `�' C Tel. No. the permit is for one hundred dollars($100)or less.) PLACHECIC I certify that in the performance of the work for which this A PLICANT 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. pplican Fixed Appliances Not Over 1 HP PERMITel NOTICE Tit A LICANT: 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 Dis _ Room Air Cond. LICENSE OR / fi• Classc I hereby affirm that I am licensed under provisions of Chapter 9 p' REG. NUMBS ri t•/ (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCESSED BY and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances �i ��J��Z--Lic. Class Size 8 Type HP, KW, KVA, or KVAR 0 License Numbe Up to 1 Incl. FINAL Fv � 1 f� Over 1 to 10 Incl. DATE VALIDATION Coniracto Date Over 10 to 50 Incl. FINAL � ❑ I am exempt under Sec. Over 50 to 100 Inc. BY UA B.&P.C. for this reason Over 100 / 'y Services, MCC 8 Panelboards D �te: Vu .P 0 -2000 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ' ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER CLARATION Sign with One Branch Circuit I hereby affirm that I am exempt om the Contractor's License Additional Sign Branch Circuits Law for the following reason ection 7031.5, Business and Professions Code): ❑ I, as owner of th property, will do the work and the M.sc. Conduits&Conductors structure is not ntended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044, Busine and Professions Code). CO STRUCTION LENDING AGENCY I hereby affir that there is a construction lending agency for the perfor nce of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097 Civ. C.). PLAN CHECKING FEE Lend 's Name PERMIT ISSUING FEE /0 L der's Address certify that I have read this application.and state that the TOTAL FEE �( above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize re esentatives o£-this County to enter upon the ab ve- entio d pro rty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee I Datef •: ORKERS'COMPENSATION DECLARATION 76A663 10/81 ®®�� �'I®� ® ���c�T��c��. PE�nl11T I hereby -ffirm.t ct I have%a certifigate of consent to self CE-806G APPLICATION 'insure.dr a cerhficate,of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 38bO, LLob. C.) e Policy No. -2 Company— rc " FOR APPLICANT TO FILL IN JOB ADDRES '� L fy Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE I� Certified copy is filed with the county building inspec- y, q. $ — $ LOCALITY—' M Q 1 &2-Family, S Ft. � � pi � or I NEAREST tion department. Multi-family Sq. Ft.m CROSS ST. LQ N L CAI V f `Z6�7 Applicant Residential Swimming Pools OWNER OR Date FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets*Recd 6 Light�..Sw.r I �'a COMPENSATION INSURANCE First 20 o ADDRESS(p 237 3 L./ e— PA-i A Au (This soction need not be completed if the work Involved by Total No. Additional CITY _"Al F'L Cl A Tel. No.Z�j' G� the permit is for one hundred dollars($160)or loss.) PLAN CHECK I certify that in the performance of the work for which this 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 ! Z ADDRESS Total No.II Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP ) PERMIT NOTICE TO APPLICANT: If, after making this Certificate of Ran e— Heater_D.W. APPLICANT �'�. eO/u5'fRL4C'7'eOAJ 00 Exemption, you should become subject to the Workers' 9 Compensation provisions of the Labor Code, you must forth- Oven A:f Dryer Aff-W.M. — ADDRESSr gp 4 with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. b/ Room Air Cond.Fan CITY dSG4/V E,R Tel. No-75-5'i/77:7 LICENSED CONTRACTORS DECLARATION Hood _ _Other_ LICENSE I hereby affirm that I am licensed under provisions of Chapter 9 Disp. � REG. NUMM BER3 r(,�O©,.Z'7 Class. 131 (commencing with Section 7000)of Division 3 of the Business DISTRICT NO PRO S D BY and Professions Code,and my license is i full force and effect. Power Apparatus&Large Appliances O. Size 8 Type HP, KW, KVA, or KVAR v ` 0 License Number Lic. Class Up to 1 Incl. FINAL pe q� Over 1 to 10 Incl. DATE p E} i �i 6251` Date /�'2p`T7 VALI TION 1... Contractor .❑ Over 10 to 50 Incl. CS FINAL Ltl I am exempt under Sec. Over 50 to 100 Inc. BY IL B.&P.C. for this reason Over 100 Date- Services, Swbd., MCC&Ponelboards 0 -200 Amp. Under 600 V' Signature 201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. 2 6 3 7.9 A SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # a o 0 0 0 2 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits ) 0 - 6525 Professions Code): I, as owner of the property, will do the work and the M.sc. Conduits&Conductors o o o6S,2 5 5 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ —87 7044, Business and Professions Code). 01.21 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 PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name r- PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE �Sr 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 the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE j �--L[3 d 977 Signature of P ittee Date