HomeMy Public PortalAbout6261 SULTANA AVE_Electrical__ r6AGGIC eae'e"8' APPLICATIO FOR EL E RICAL PERMIT-
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL INJOB
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS /.
1 &2-Fomily,Sq.Ft. $ ..025 — $ LOCALITY T
Multi-family Sq.Ft. .02 — NEAREST
Residential Swimming Pools 25.00 CROSS ST.
OWNER OR
FIRM NAME
Outlets:Rec—f—®Lightt Sw.. _ MAIL
First 20 .50 <47 ADDRESS .diAl
Total No. Additional .30 CITY 4 k T I.Nol. 2
PLAN CHECK Va
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS.
Additional .30
Total No. CITY Tel.No.
Fixed Applionc Not Over I•HP PERMIT
..
Range_Heater_D.W:_ APPLICANT. OR ADDRESS
LA did 19
Oven_Dryer_W.M.—
Top _NW —W.H._ CITY V Tel.No.
Hood_Fan _Other&4_OtherLICE SE OR
gas
Disp._.9—Room Air Cond. —1_ 2.50 3 g Class.C 10
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP,,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2.50 REGULATING ELECTRICAL WIRING.
Up to 1 Incl. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 To 50 Incl. 12.50 CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF THE ABOVE
25.00 DESCRIBED RESIDENTI 0
Over 50 To 100 Inc. PERMITEE
Over 100 40.00
SIGNATURE
Services DISTRICT NO. I PROCMED BY
0-200 Amp.Under 600 V 12.50 y� s
201.1000 Amp, Under 600 V 25.00 4J
Over 1000 Amp.or Over 600 V 50.00 z '
O
Temp.Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuits 2'00 INSPECTION >
INFORMATION u
Misc.Conduits&Conductors 10.00 ON REVERSE s
Other(See Complete Fee Schedule)' SIDE v 1,(D-1,b A
z
r
d
41 0 0 0 0 0 2
.2 - - 24,00
PERMIT FEE (Sub-Total)
PLAN CHECKING FEE (One-Fourth Permit Fee) C 0 0002&005
PERMIT ISSUING FEE $7.00 Q I Q27-78
TOTAL FEE 14 0 >
INSPECTION FINALED ale
Q� 6
date: ��_.�..7 O BY ®s
78.0889-CBSO810/74 APPLICATION WRILE"RICAL PERMIT
COUNTY OF LOS ANGELES r f �+
DEPARTMENT OF COUNTY ENGINEER ADDREss L G�
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Obs cy O6'•L
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME
RECEPT._ $ S MAIL
LIGHT TOTAL
FI RST 20 .29 ADDRESS �a I" -
CITY TEL. N0.
SWITCH_ OVER 20 .10 PLANCHECK
LIGHTING FIRST 20 .25 APPLICANT
TOTAL
OVER 20 ADDRESS
FIXTURES .f0
RESIDENTIAL APPLIANCES CITY TEL. NO,
RANGE DRYER_WTR. HTR. APPLIICANT
O 4`n VY!G e .
STA. COOK DISP. F.A.U. ADDRESS �� .J,,/(T kil /� v2,
SPACE HTR. AIR COND. CITY -�t✓q,+ [/•/' TEL. NO.�iyy3.722
CLOTHES WASH. DISHWASH. REG. NUMBER / f-I osr CLASS. L �J
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING.
S1ZE B TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r
CALIFORNIA OR THAT I AM THE LEGA WNER OF THE ABOVE p-
1 — 10 9:00 DESCRIBED RE91D OPERTY.
10 - 50 5,00 PERMITEE CC
SIGNATURE �
50 - 100 10.00 Lu
DISTRICT NO._ D BY H100 - 500 15.00 O � C211
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SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INsPEc-rOR-GAfQNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3:80 UNDERSLAB WORK
SERVI CE OVER 6 00 VOLTS OR 200 AMP 10.00 ROUGH,CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 9.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES: � /06z' Jl'fc4-<
PLAN CHECK FEE
PERMIT ISSUING FEE .00
TOTAL FEE 00
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA CK. M.O. CASH
9 b t.Ot' 1 2 A :'... .�
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE