HomeMy Public PortalAbout6341 SULTANA AVE_Electrical__ 78A88S-CEBO� 18,74 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY-ENGINEER ADDRESS �� r /,/ �•
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. /
OUTLETS NO. EACH FEE FIRM NAME J/
RECEPT. / S S
� MAIL
ER
LIGHT a TOTAL FIRST 20 �' � ADDRESS Y' -
/ CITY TEL. NO
SWITCH_ 3AL OVER 20 L� �{� g PLAN CHECK
LIGHTING FIRST 20 APPLICANT
TOTAL ADDRESS
FIXTURES OVER 20
RESIDENTIAL APPLIANCES CITY TEL, NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U.M ADDRESS
SPACE HTR, AIR COND.__ CITY TEL. NO.
CLOTHES WASH. OISHWASH. RECENSE MBER CLASS.
FAN OTHER G ' 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
1 LJ AND STATE THAT THE ABOVE 19 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 I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY L09 ANGELES COUNTY AND STATE OF }
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 800 DECCRIPED RESIDENTIAL PROPERTY. CD
PERMITEEC4
10 - SO
5.001 SIGNATURE C - O
1-
50 - 100 10.00 a
DISTRICT N0, P SSE;BY ti
100 - S00 10.00 �� Z
1 0 j I
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECT '9SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOT OVER 600 VOLTS OR 200 AMP 3.001 Z/ L UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.001 1 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE o .-
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CAS
0 1 7 ja 14 2 0 2 0.4 5 oy,-.
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-C9806 12-65 APPLICATION FOR E _TR'CAMIM41r
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
--FOR APPLICANT TO FILL IN
CROS ST.
RECEPT. /e+� TOTAL No. EACH FEE
- OUTLETS FIRST 20- -/ $.20 $ OWNER
LIGHT -�! MAIL
SWITCH ADD'L I ADDRESS /
--+— - -A OVER 20 .10
1 TOTAL FIRST 20I .20 cp7CITY TEL.NO.
LIGHTING 1, FIXTURES
FIXTURES 1 ADD'L .9O CONTRACTOR
OVER 20
RANGES DRYERS NRR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CZdOE7ITY TEL.NO.
DISHWASH. AUTO.-WASH. I STArE LICENSE NO. to` i
1 r
SPACE HTRS. STA. APPL. .SO
MOTORS: OVER NOT OVER H.P. mamis
'-! DIST CT GRQUP Zpf PO SE BY
O 1 1.00 _ _
d
1 3 1.50 INSPECTION RECORD O
3 8 2.00 U
-- 1. a
8 Is 2.50 '. Q
is SO 3.00 W
50 100 5.00 j
SIGNS: NO.TRANS I I
NO.LAMPS
SERVICE 0.600V.NoT OVER 200A 1.00 I
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
�s
PERMIT ISSUING FEE 12.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPL'CTOR'S SIGNATU=2C
TOTAL FEE 9
a
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT // �,/� t,•r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. = WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ATE OF
CALIFORNIA OR TN A THE LEGAL TMA .
1 END TO POWER
RESIDE.N.THE
V SCRIB REBIY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
FINAL _�flv
VALIDATION JOSEPH Q
CK MO CASH SUPERV BIND ELECTRICAL ENGINEER
Lr;:,o 4 R d. :`, JJL 13 2 D 3.60-
%+ /