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Home My Public Portal About6370 SULTANA AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1 DIVISION SION OF B=ING & SAF WILLIAM J. FOL COUNTY ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN ADDRESS RECD BY READY FOR DAT ISSURP LTJ FIRST INSPECTION y CITY TEL. NO. COUNTY LICENSE NO. EXPIRES BUILDING /n `76 PERM FEES ADDRESS '( NUMBER EACH FEE D� LOCALITY LIGHT OUTLETS NEARESTQ RECEPTACLES CROS �[ Q WALL SWITCHES OWNER TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 FIXTURES 5 CITY .. + - TEL. NO. MISC. 1 HEREBY ACKNOWLEDGEO THAT I HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. _ f 1/2&Ud99 $ -25 0 81GNATUR� OF Va 2 LAO_ PERMITTE 2 5 1.00 INSP CTION RECORD 5 is 1.50 1s so 2.50 so 200 s.00 200 BOO 10.00 J Boo 1000 1S.0o5 —/s' Z OVER 1000 20.00 � + M.G. SET/FREQ. CHANGER-HP WELDERS-: AC-KVA O GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75% OF CRIo.) MOVED MOTORS (75% OF ORIa.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT '�— FIXTU RES $1.00 WIRING -16 SUPPLEMENTARY so FIXTURES POWER TOTAL FEE $/ UTILITY CO. NOTIFIED ' )-FINAL yew sea DBs9� sw. a-ea '.WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL. PERMIT I hereby affirmethat 4 have a certificate of consent to self Insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) ' Policy No. Company FOR APPLICANT TO FILL IN JOB / _�j,�/'l/� �uL Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ADDRESS �J( J TAIJA ❑ _ $ $ LOCALITY Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. department. Multi-family Sq.Ft. CRAOSSSST. LbN(7aBIJ Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light FIRM NAME Sw. OWNER OR JoHWtJY L I M A COMPENSATION INSURANCE First MAIL (22y C2 DEL om (This section need not be completed If the work Involved by the Total No. Additional ADDRESS permit Is for one hundred dollars($100)or less.) r I certify that in the performance of the work for which this permit CITY ShN (ab)Z►EL. T.I.Nog1� 45 1-bl is issued, I shall not employ any person In any manner so as to PLAN.CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must forthwith comply with such PERMIT p y p y provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT OWN)E2 LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE ORCla Over 50 to 100 Incl. REG.NUMBER ass. Over 100 DISTRICT NO. PROjOESSED BY V License Number Lic.Class Services,Swbd.11,8 CCC q&PPaaneelboards 0-399 Amp.Under 600 V %5-44D FINAL Contractor Date DATE W ❑ 400-1000 Amp.Under 600 V Z VALIDATION I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL d B.&P.C.for this reason BRANCH CIRCUIT FEES BY (n Date: 15A,or 20A,120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,20 VV To 277V Lighting Br.Circuits 2 L SINGLE FAMILY Temp.Power Pole&Appurtenances JLt HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCT.IF I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits 3307 5.9-5 Code: tt I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors I ITEC i'' is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® TOTAL59 .55 and Professions Code). 59.55CHECK CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the CHANGE performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE 00))0-018.01 10/ Q/7 Lender's Name PERMIT ISSUING FEE p� 6271 1 AM 8'5# Lender's Address I certify that I have read this application and under penalty of purjury stateTOTAL FEE that the above information is correct. I agree to comply with all County ordinances and State Ia regulating Electrical wiring,and hereby authorize FT5��ZSEE upon the above-mentioned property REVERSE FOR EXPLANATORY LANGUAGE SIGNATU E OF PER TiE DATE WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) APPLICATION 1=®R ELECTRICAL PERMIT IJ I hereKy affirm.tHat I have a certificate of consent to self insure, 76A663 or a Certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS I �V(.� jV Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE $ $ LOCALITY C ❑ Certified copy is filed with the county building Inspection 1 &2-Family,Sq.Ft. _ NEAREST ..`` department. Multi-family Sq.Ft. CROSS ST. `Q9(p�p�► toe Date Applicant Residential Swimming Pools ASSESSOR ��}} �� ],, MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec J_Light,,U Sw �r OWNER OR J�I� LIMA COMPENSATION INSURANCE Ap FIRM NAME l_ First 20 '°'O � MAIL (This section need not be completed If the work Involved by the Total No. &0 Additional O ADDRESS &7,40a DeLLOMA permit is for one hundred dollars($700)or less.) �Q I certify that in the performance of the work for which this permit CITY C3�1N Tel.No.�o D 4g j_(q� Is issued, I shall not employ any person in any manner so as to vPLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures ,/J First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Cade, you must forthwith comply with such PERMIT p y p y Power Apparatus&Large Appliances APPLICANT (�W&)£1Z provisions or this permit.shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR Over 50 to 100 Incl. REG.NUMBER Class. CL Over 100 DISTRICT NO. P C ED BY Q License Number Lie.Class �� (L)Services,Swbd.,MCC&Panelboards cc Contractor Date 0-399 Amp.Under 600 V DATE 0 ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V b-2-7-1Z VALIDATION V Over 1000 Amp.or Over 600 V FINAL BY d B.&P.C.for this reason BRANCH CIRCUIT FEES Date: 15A,or 20A,120V,Lighting or Recept. A&VI I Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits - Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit A°`C T o9 I hereby affirm that.I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits , t,? 151.UO ): 1 t d &C it d C isc. onus Conductors I Er'(,:; I,as owner of the property,will do the work and the structure M 44 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® TOTI iy-L 15-0 .105 and Professions Code). CHECK 15ia0:• CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the CHANGE CC performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE 0111 —(303.1. 5I 7/9-V Lender's Name s� PERMIT ISSUING FEE 5596 1 Ai't ^Do 31 Lender's Address anal of ur•p i TOTAL FEE I certify that I have read this application and under penalty state that the above information is correct. I agree to comply with all County ordi as and to laws regulating Electrical wiring,and hereby authorize se olives this County to enter upon the above-mentioned property for• spe tion p ses. SEE REVERSE FOR EXPLANATORY LANGUAGE � a t 3 SIGN URE M E DA E