HomeMy Public PortalAbout6258 SULTANA AVE_Electrical__ 76A663-CE606.9-69 ��_��/6 /.��
APPLICATION FOR E�L�ECTRICAL PERMYIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN NEAREST
ST. S av _
NO. $EACX $ FEE_ .OWNER 100A ��j•
RECEIPT._ 'MAIL c
LIGHT TOTAL ' FIRST 20 ,20 ADDRESS 2-5, AOJul- n
SWITCH OVER 20 ,10 CITY y>n L Q• TEL.NO.
PLAN CHECKIV
LIGHTING TOTAL. FIRST 20 ,20 APPLICANT
FIXTURES } OVER 20 ,10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U. CONTRACTOR
SPACE HTR. AIR COND. .ADDRESS Lu 7u^-s
CLOTHES WAS H:_DISHWASH. 'CITY TEL.NO. �y 2
FAN_OTHER n 1.00 O LICENSE NO. CLASS, /Ao
MOTORS,TRANSFORMERS RATING L ' I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. IAND 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
.LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF `
1 - 10 1 3.00 J.CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO /Q RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. /
10 - 5O 5.00 \(
• SIGNATURE
50 - 100 10A0 OF PERMITTEE
100 - 500 15,00 DISTRICT NO. GROUP ZONE P E ED BY t
Spm -( •
SIGN GAS SIGN AND ONE CIRCUIT 3.00 - u
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 ® 1 ) vlr �y1v
SERVICE OVER 600 VOLTS OR.200 AMP - 5.00
TEMP SERVICE, POLE, Bc APPURTENANCES3.00 APPROVALS DATE INSPECTOR'S SIGNATURE.
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES V
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00UTILITY CO.NOTIFIED
v
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEEJOSEPH C. ROOHAN
'00 SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT'VALIDATION CK. M.O. CASH
I<.Aqf 6. 49-84' "26 2 D 6;0':0
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - ,