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Home My Public Portal About5022 SULTANA AVE_Electrical__ APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ELECTRIC COIINTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE I PERMIT NO. ELECTRICIAN R[ [IVIED BY READY FOR DATE 1BBUED ADORE® FIRST INBP[OTI ON CITY TEL.NO Om COUNTY LICENSE NO ` "PIPES BUILDING PERMIT FEES ADDRESS\ NUMBER OUTLETS EACH Fez LOCALITY LIGHT an a ORORM.AR �J O CLEO S ri REB B OWNER MORRECLL CROUSE WALL SWITCHES B MAIL ADDRESS L [LEO HEATERS 93 CITY TEL NO C NUMBER OF CIRCUITS INSTALLED I HEREBY AOKNOWLEDSE THAT I HAVE READ THIS TOTAJ APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING ;NiSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB cw Mw HP GVEE INC GRH ANOEI-i COUNTY LICENSE, OR 1 AM THE LEGAL OWNER 1/ • L[�9 9S OF THE RESIDENT IAL PROPERTY DESCRIBED ABOVE II BO SIGNATURE OF'i) A r,, ' AQ �•/1 d )w ��— 9 S 100 PERMITTEE �( s 15 1 so INSPECTION RECORD is so II so s0 200 Sao -/ 900 s00 1000 60O I= 15 GO a OVER 1000 90 OO Z NO BET/FRED CHANGER-HP 0 WELDERS AC-KVA S GENERATORS TRANSFORMERS - KVA TEMP MOTORS (7S of 01 MOVED MOTORS (75% of DaIG) MIBC SIGNS TYPE NO TRANS TYPE No uMPs APPROVALS FOR EACH PERMIT DATE INSPECTOR'S NAME WIRING 01 00 `CONDUIT w / FIXTURES 01 00 WIRING SUPPLEMENTARY O FU UREB POWER TOTAL FEE s 2C UTILITYCO NOTIFIED +'� t--"'�- JJ FINAL Worm that CI have COMPENSATIONDECLARATION of corse M Wtoa�,3re, APPLICATION FOR ELECTRICAL PERMIT O J hereby affirm shot have a cenihcate of consent to self tam insure or a'certrficote of Workeri Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS or c�cenified copy thereof (Sec 3800 Lob C ) Policy No Company FOR APPLICANT TO FILL IN JOB �Cerhfied copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS D v� It Certified copy is filed with the county building inspec 1 8 2-Family Sq Ft $ — $ LOCALITY non department / Multifamily Sq Ft — NEAREST Residential Swimming Pools CROSS ST Date Applicant o'r,&R OR FIRM NAME 0 CERTIFICATE OF EXEMPTION FROM WORKERS a' MAIL Outlets Rec_Light First 2 _ Y V COMPENSATION INSURANCE � Q ' ADDRESS Add 20 kk (TMs section need not be completed R sfse work mtrohed by Total No Additional CIN Tel No the permit Is for one hundred dollars($100) or Ins ) ay PIAN CHIECK 1 certify-that in .he performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner r so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 O ADDRESS Additional Total No CITY Tel No Date Applicant Fixed AppI cea Not ver I HPI PERMIT NOTICE TO APPLICANT If after making this Certificate of APPLICATION Exemption, you should become subject to the Workers' Range Heater D W — ! ` Compensation provisions of the Labor Code you must forth- Oven Dryer W M — e� 7 ADDRESS with comply with such provisions or this permit shall be 'deemed revoked Top FAU �WH — CITY Tel No Hood Fon Other_ LICENSED CONTRACTORS DECLARATION Dnp _ Room Air Cond REG NUMBER OClass I hereby affvm that I am licensed under provnioro of Chapter 9 (commencing with Section 70DD)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO C SSED BY Y and Professions Code and my license is in full force and effect Cj- Size &Type HP, KW, KVA, or KVAR �O O License Number Lic Clan- - Up to 1 Incl - FINAL C7 Contractor Date Over 1 to 10 Ind DATE VALIDATION ❑ Over 10 to 50 Incl FINAL r _ I - I am exempt under Sec t Over 50 to 100 Inc BY W B 8P C for this reason Over IOD a. Dote Services Swbd , MCC 8 Ponelboards z Z 0 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ` ❑ Exemption for Reg MoOver 1000 Amp or Over 600 V Montt Elect SINGLE FAMILY l 8 HOME OWNER-BUILDER DECLARATION Temp Power Poe Appurtenances -- I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit p`iT AT Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits IProfessions Code) 7 LjJ I as owner of the property will do the work and the M sc Conduits 8 Conductors % I ITEMS '\ structure isnot intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ ► Business and Professions Code) TOTAL 61 - 50 CONSTRUCTION LENDING AGENCY HEC 1, LSC' I hereby affirm that there is a construction lending agency for p the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) O (Sec 3097 Civ C ) ` PLAN CHECKING FEE Lender s Name / 0OW-0031 7/ ii YI PERMIT ISSUING FEE Lender's Address TOTAL FEE t71 7HO I Mill I7 I certify that I have read this application and state that the `r above information is correct I agree to comply with all County ordinance and State la regulating Elecin I win g and hereby a tomer rase hues of thu Court toe r upon the ala m�ho ed pre any for inspection urpo a SEE REVERSE FOR EXPLANATORY LANGUAGE Sig a e Permittee e / ®s I COUNTY OF LOS ANGELES , TEMPLE CITY # 0508 ' ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9608190003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285-0488 EXT LEGAL ID BUILDING ADDRESS ON FILE 5022 SULTANA AV FEE DESCRIPTION _ QUANTITY LM AMOUNT- TEMP CA 917803045 ASSESSOR INFDRKA NEAREST CROSS STREET SERENO 5388-016-015 - Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY LA 100 AMP PANELS, MCC 1 00 PAN 38 85 TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXMR'§-M 08/19/96 TC 08/19/97 OWNER TEL NO FINALDATE F I CODE VOONG JEAN,WONG DENNIS (818) 285-9275- p 5022 SULTANA AV _ 6 TEMP 917803045 NEW 100 AMP SERVICE PANELAPPLICANT TEL NO r MA, QUAN CHIEU (818) 286-0660-CONTRACTOR: Iti. NO I ' SPECIAL CONDITIONS: �&eLES CO Ml1 QUAN CHIEU (818) 286-0660- O�P &'E. 90f4 E. NEWSY LIC NO J TEMPORARY POWER POLE ROSEMEAD, CA 613934 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO: UFER GROUND LIC NO ROUGH WIRING ' PUBLIC WORKS PLASTIC Y/N METAL Y/N r ' Co UTILITY COMPANY NOTIF S&rvice bra REPORT ID DPR265 ROUTE TO SS0508