HomeMy Public PortalAbout6284 SULTANA AVE_Electrical__ 76A668-CaEB06 8-69 APPLICATION FOR ELECTRICAL PERMIT
- COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING / ,
BUII,.DING AND SAFETY DIVISION ADDRESS GaffJ fJL• I�i(/�
JOHN A. LAMBIE, COUNTY ENGINEER /�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY kw ze VI T
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. L y7!
NO. EACH FEE
$ $ OWNER Cl Z-OG R
RECEPT._ MAIL / �s �t�/ [7�s y/1��
LIGHT TOTAL FIRST 20' .20 �(� ADDRESS 42- ,�Tpp J z-7*iv
SWITCH 167
OVER 20 .10 CITY L(r, TEL. NO.
LIGHTING TOTAL FIRST 20 .20 rO CONTRACTOR �� /1Pl�L �✓/G �
ff
O�
g
FIXTURES OVER 20 .10 ADDRESS dd 'f. V'+u-&- /S&vo
RANGE—DRYER/-WT:R.HTR.— CITY S d �J&ebEL. NO. 14 rivoo7
STA.COOK_DISP.—F.A.U._ LICENSE NO. JZ eirpozyaS
SPACE HTR.—/—AIR COND. I HEREBY ACKNOWLEDGE THAT I VE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH,_DISHWAS H.— WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
n ELECTRICAL WIRING.
FAN—OTHER 1.00 s� (�V 1 HEREBY CERTIFY THAT 1 AM. PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE .ASO-JE/DESCRIBED RES DENTI PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1.00 OF PERMITTEE
O
1 - 10 3.00 DISTRICT N;O. G O P ZO PRO SSED BY U
10 - 50 5.00 nor
50 - 100 10.00 NOTES: glu
100 - 500 15.00 U'
N
SIGN,GAS SIGN AND ONE CIRCUIT 3.00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
.SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 O�
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 �pd 6 C�q -)LfL&gn /
APPROVALS DATE (/ INSPECTOR'S SIGNATU E
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT /1 /
WIRING
ISSUING.FEE 2:00 O� FIXTURES -��' pa� �,f�.( �►/y('�
SUPPLEMENTARY ISSUING FEE 1..00 POWERAUTHORIZED
PERMIT FEE d (00 UTILITY CO.NOTI.FIED/
.PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE O O JOSEPH C. ROOHAN
SUPERVISING ELEC L ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION GK. M.O. CASH
L�1W 2 1 6 6% UEc 15 2 D 0.�0
.E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A663-CE806 1 1_71 APPLICATION FOR ELECTRICAL PERMIT c?�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER TNEAREST
BUILDING AND SAFETY DIVISION 6284 11 tama
•� ,� q
FOR APPLICANT TO FILL IN
OUTLETS NO. EACHI FEE
$ Is
OWNER
I
RECEPT._ MAIL
q as job
LIGHT TOTAL FIRST 20 .25 ADDRESS
1
CITY TEL. NO. _
SWITCH �`� OVER 20 10 PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 ryw APPLICANT
OVER 20 ADDRESS
FIXTURES �_ -,0
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT
RANGE DRYER WTR:1iTR- APPLICANT
STA. COOK DISP. F.A.U. ADDRESS 1607 Chaptnut ,:;to
SPACE HTR. AIR COND. CITY TEL. N0. ^ l C'
CLOTHES WASH. DISHWASH. LICENSE NO. :229847 CLASS. 0- ()
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.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR m
1-3/4 0 — 1 100 f' LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF O
1 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO V
1 — 10 300 ,9 RESIDE N, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. Lu
SIGNATURE
10 - 50 5.00 1 OF PERMITTEE "'~` u-'
50 - 100 10.00 >_
DISTRICTNO. CLASS ZONE PROCESSED BY
Q
100 - 500 15,00 �
0
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: CL
TUBE, OR
LL
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) 475
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00 3 On,
TOTAL FEE 7-75
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M,O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE