HomeMy Public PortalAbout6355 SULTANA AVE_Electrical__ 76A663 CE-806R 9/76 APPLICATION FOR ELECTRICAL PERMIT
�� • COUNTY OF LOS ANGELES cc
DEPARTMENT OF COUNTY ENGINEER FADDRESS J L
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN TY
New Residential Bidgs.&Pools EACH NO. FEE ST. O/r/ 7 ✓l�1 &2-Family,Sq.Ft. $ •025 — $ T.
Multi-family Sq.Ft. 02 — OR
FIRM NAME 460 /!/
Residential Swimming Pools 20.00 ADDRESS
Outlets:Rec Light Sw. CITY S.4
EL Tel.NM87
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Total No. Additional •30 IT
APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W._ CITY ty Tel.No.
Oven—Dryer_W.M. LICENSE OR
Top —FAU —W.H._ REG.NUMBER Class.
Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _Room Air Cond. 2.00 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN•
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP,KW,KVA,or KVAR I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS
2.00 REQUIRED BY LOS ANGELES COUNTY AND STATE.OF CALIFORNIA OR THAT I AM
Up to 1 Ind. THE LEGAL OWNER OF THE ABOVE.DESCRIBED RESIDENTIAL PROPERTY.
Over 1 to 10 Incl. 5.00 1*6
Over 10 to 50 Incl. 10.00PERMITTEE V
Over 50 to 100 Inc. 20.00 SIGNATURE `
Over 100 30.00 DISTRICT NO. P SSED O
Services 91,
0-200 Amp.Under 600 V 12.50 INSPECTOR'S Z
201-1000 Amp.Under 600 V 25.00 APPROVALS DTE SIGNATURE
Over 1000 Amp,or Over 600 V 50.00 ]TEMP.POWER POLE
10.00 UNDERSLAB WORK
Temp.Power Pole&Appurtenances ROUGH CONDUIT
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 15.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE )Sub-Total). NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee).
PERMIT ISSUING FEE $6.00 /��y�/•+� c
TOTAL FEE Q ��
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION _ CK. 'M.O. CASH
2 4"9 C--AUG 17 D 6.8 Q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE IDS
O
76663-CE806;,,70 APPLICATION FOR ELECTRICAL PERMIT LJ
• COUNTY OF'LOS ANGELES
DEPARTMENT BUILDING AND SAFETY DIV DIVISION BUILDING 3 sJ -• L �iP TA/1J1�I
ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY ,
NEAREST
FOR APPLICANT TO FILL IN CROSS ST, ly
I Ind
OUTLETS NO. EACH FEE
- 7 U OWNER Q A" Ll R ! lv
RECEPT� $ $ MAIL
FIRST 20 D 25 ADDRESS � 'j
LIGHT TOTAL CITY TEL. N0. 7 77
SWITCH OVER 20 .10 0 PLAN CHECK�+
LIGHTING TOTAL
FIRST 20 25 APPLICANT / 14 ,/9S �r IV
FIXTURES �� OVER 20 t0 ADDRESS 3?� � dq , JV /'4
APPLIANCES CITY TEL. NO.2 a_ '0
•
RANGE IT
DRYER_WTR. HTR. APPPERLICAN�ry V/H S �iT�IV
STA. COOK DISP. F.A.U. ADDRESS %y 3 �'LC •7 IV,-)9
SPACE HTR. AIR COND.de CITY TEL. NO�k7�-)7 �'
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 �� I 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 B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND St -E,OF'
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND.'INT!ENO TO }
1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL. PROPERTY. O
10 - 50 5.00 SIGNATURE U
OF PERMITTEE
50 - 100 10.00
DISTRICTNO. . LASS ZONE PRO ES BY
r
100 — 500 15.000 LU di IL
SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: N
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200AMP / 3.00 00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600 VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH LAB WORK
ROUGH CONDIUT /
WIRING A// 7�
FIXTURES
POWER AUTHORIZED 0 Z
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE �
a /.�^-�-�
UQ
PERMIT ISSUING FEE 3.00 U FIA I t-17--77 JOSEPH C. ROOH�N
TOTAL FEE SUPERVISING ELECL ENGINEER.
M.O. cnsH. PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK.
14 2 'D 1820-
SEE
8.20-SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE