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Home My Public Portal About5027-5029 SULTANA AVE_Electrical__ 1 1 11 1 1 "1 I/1 ' I I II' 1 1 1 JI1 1 1 1 DESCREMON OF WORK ■...■.MEN. . MENSIME ■..■...■.. MMMIMIEMMMMMEM ■..■■..■■. -■..■..■... MMIMMIEMMMMMMM ■..■■...■.. ■..■■...■. . ■..■..... . IME MMIMIMMMMMMM ■ �..■■■.... . MEMOMMEMEME . MMIMMIEMMEMMEMEM a.■■.■■....■ �■■......... MWOM■.■.■■■■■■■ MEW MMIM■■■..■.■... MEMINEMEMEME l�mlo 1 !!LIMO • WO'm h CI hove COMPENSATIONDECLARATION of consent 764463 tD,Bt APPLICATION FOR ELECTRICAL PERMIT I herenum that I hove a certificate of consent to self Ce�' insure oP a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof ZSec 3800 Lap C ) . I a • Policy No Company FOR APPLICANT TO FILL IN - JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS ❑ Certified copy Is filed with the county budding inspec 1 8 2 Family Sq Ft f — S LOCALITY14564 hon department Multifamily Sq FI — NEAREST Residential Swimming Pools CROSS ST Dote Applicant OWNER OR t - FIRM NAME G� CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�Light.2-Sw IL l COMPENSATION INSURANCE 20 ADDRESS 50 VA mFirst ✓ (This section mood not be completed IF the work In"Ivid Toral No by Add the permit Is for one hundred dollars({100)or Ins )• �._ Additional CITY Tel No • rm I certify that in the performance of the work for which this - RAN CRECIK permit is issued, I shall not employ APPUCANT pe p y an y person in any manner so as to become subject to the Worker Co ensaho Laws Lighting Fixtures Fust 20 - ADDRESS Tonal No 2 Additional 12- 35 Applican, CITY el No Date Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of APPLICANT 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 — - ADDRESS - with comply with such provisions or this permit shall be Top — FAU _WH _ deemed revoked Hood Fan _Other_ CITY Tel No _ LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that am licensed under provisions of Chapter 9 DIsp _ Room Au Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO BY Y and Professions Code and my license is in full force and effect - /�' Size 8 Type HP KW KVA or KVAR 1.1 L License Number Lic Class Up to I Intl FINAL / [[/� V Contractor Date Over 1 to 10 Inad DATE Over 10 to 50 Incl FINAL ❑ I am exempt under Sec Over 50 to 100 Inc BY 2 B 8P C for this reason Over 100 rA Date Services, Swbd , MCC 8 Ponelboards ► Z 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600V - ❑ Exemption for Reg Moint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and r Professions Code) LICI I as owner of the property will do the work and the Misc Conduits 8 Conductors - - - structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044 Business and Professions Code) , 2 6 Q 6 A CONSTRUCTION LENDING AGENCY # s e e e e 2 I hereby affum that there iso construction lending agency for the performance of the work for which this permit is issued PERMIT FEE - - (Sub Total) ( • 93225- (Sec 3097, Civ C ) PLAN CHECKING FEE Is e -3Z25;—' Lender s Name PERMIT ISSUING FEE 0 81 2-r85 Lender s Address 1 certify that I have read this application and stoleIhat the TOTAL FEE t2q above information is correct I agree to comply with all County - ordinances and State jaws regulating Electrical wiring and hereby uthor a representatives of this County to enter upon T the a e m d r erry for mapection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ign lura of Pbsiniffee Date WORKERS COMPENSATION DECLARATION CE 8 63 ID,BI APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE 806G _ insure or a certificate of Workers' Compensation Insurance COUNTY OF LOS ANGELES `� BUILDING AND SAFETY IUI or a certified copy thereof (Sec 3800, Lab C ) / l / Policy No Company FOR APPLICANT TO RLL IN JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS�Q ❑ _ f Certified ropy is filed with the count' building inspec- 1 8 2 Family Sq Ft S LOCALITY hon department Multrfom ly Sq Ft — NEAREST Residential Swimming Pools CROSS ST Dote Applicant OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecL � FMAIL IRM NAME COMPENSATION INSURANCE ��ig//ht Sw ADDRESS �( 77)L4 jA (This section need not be completed If the work Involved by �7 L� Fust 20 CITY Tel No the permit Is for one hundred dollars($100)or len) Total No 9 Additional i U a_LL 286 RAN CHECK I certify that in the performance of the k f r which this APPLICANT permit,s issued' I shall not employ any p on n manner ( so as to become subject to the 4orkemam ionLighting Fixtures F.nt 20ADDRESS - Total No� AdditionalDore APPl�cant CITY Tel NNOTICE TO APPLICANT If afteg s erhficate of Fixed Appliances Not Over 1 HP PERMIT Exemption you should become subject to the Worker Range_ Hector_D W — APPLICANT Compensation provisions of the Labor Code you must forth- Oven _ Dryer — W M _ ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W H — deemed revoked Hood _ Fan _Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION Other— hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond 1ICENSEIOR Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO r./ PROLE D BY } and Professions Code and my license is in full farce and effect Size 8 Type HP KW KVA or KVAR 1 G License Number L¢ Class FINAL V Up to 1 Incl [� -7 Contractor Date _Over I to 10 Incl DATE t, ��G..`3y VALIDATION 0 Over 10 to 50 Incl FINAL ❑ I am exempt under Sec Over 50 to 100 Inc BY . (—C . B 8P C for this reason Over 100 N Services Swbd MCC 8 Ponelboords , _ Date 0 20)Amo Under 600 V Signature 201 IbO0 Amp Under 600 V ❑ EsemOver 1000 Amp or Over 600 V phon for Reg Mamt Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances _ HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License Law for the followmg reason (Section 7031 5, Business and Additional Sign Branch Circuits - ';?0359A - Professions 0 3 JC.9 A - Professtons Code) 1 ❑ -- I as owner of the property, will do the work and the Msc Conduits 8 Conductors # •+• • • • 2 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ Pilo2'• • 4 7 0 0 7044 Business and Professions Code) - ' CONSTRUCTION LENDING AGENCY _ •s• • 4 7 0 0 I hereby affirm that there is a construction lending agency for ' the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) 3 _ 0 3 1 01-83 (Sec 3097, CivC ) PLAN CHECKING FEE _- Lender s Name PERMIT ISSUING FEE � Q Lender s Address I certify that I have read this application and state that the TOTAL FEE 7.0 above information is correct I agree to comply with all County - ordinonc sand Sate laws regulating Electrical wrong, and hereby than resentotrves of this County to enter upon I o e pr erry for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ig ture a mi 0ae Date t WORKERS COMPENSATION DECLARATION 76A663 10/B1 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure or a certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ❑ Certified copy is filed with the county building mspec 1 &2-Family, Sq Ft $ — S LOCALITY hon deportment Multifamily Scl'Ft — NEAREST Residential Swimming Pools CROSS ST OWNER OR E� Data Applicant - FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec_LightZSw MAIL COMPENSATION INSURANCE �D2 (This section need not be completed if the work Involved by First 20 CI y— Tel No �r�i the permit Is for one hundred dollen($100)or Ins) Total No Additional / 2aa`7 PLAN CHECK I certify that d the performance of thew for hick this APPLICANT permit n issued, shall not empWorkers any pe in nner so as to become subject to the n Lighting Fixtures First 20 ADDRESS- 77 Total No_ S Additional CITY Tel No Date �4pplicanFixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after ma ng this nificate of Exemption you should become subject to the Workers' Range_ Heater_D W _ APPLICANT Compensation provisions of the Labor Code,'you must forth- Oven _ Dryer _W M — ADDRESS with comply with such provisions or this permit shall be _Top _ FAU —W H — deemed revoked CITY LICENSED CONTRACTORS DECLARATION Hood — Fan _Other_ Disp _ Room Air Cond IIClass I hereby offum that I am licensed under provisions of Chapter 9 REGEG NUMBER (Eommencing with Section 7000) of Division 3 of the Business power Apparatus 8 large Appliances DISTRICT NO PROCIE D BY and Professions Code and my license is in full force and effect y Size 8 Type HP KW KVA or KVAR O License Number L,c ClassUp to I Incl FINAL W Over 1 to 10 Incl DATE ��I Z�� VALIDATION 0 Contractor Data❑ Over 10 to 50 Incl FINAL I am exempt under Sec Over 50 to 100 Inc BY r �y�i L B BP C for this reason Over 100 V1 Services Swbd MCC 8 Ponelboards , Date 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg MaOver IDOD Amp or Over 600 V mt Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit - I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits t Law for the following reason (Section 7031 5, Business and - O 8 9 1 A Professions Code) ❑ 1 as owner of the property will do the work and the Misc Conduits&Conductors ' • • • • 2 structure is not intended or offered for sale (Section Other (See Complete Fee 44 Schedule)— oil. 2 • - 1425 70Business and Professions Code) CONSTRUCTION LENDING AGENCY •j• • 1 Q,2 S v I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) 0 3 3 1 —83 (Sec 3097 Gv C ) PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE , above mfor rwn s cam I I agree to comply with all County ordinances red St regulating Electrical wiring and _ hereby a Drize r ntativ sof this County to enter upon the o v or inspection purposes r SEE REVERSE FOR EXPLANATORY LANGUAGE _ ,5,-_,?/- Signa ure of Perm ee Date COUNTY OF LOS ANGELES TEMPLE CITY ` # 0508 ELECTRICAL PERMIT r _ DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0501110017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 917&1 PHONE- (626) 285.0488 EXT. LEGAL IDFEES PAID BUILDING ADDRESS ON FILE _ 5029 SULTANA AV FEE DESCRIPTION _ "NTITY UOM-, AMOUNT TEMP CA 917803046 ASSESSOR INFORMATION NUMBER: - "NEAREST CROSS STREET PENTLAND 5388-021-009 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY, C - G1 OUTLETS-LGT,SW,RECP 13.00 OUT 25 35 G2 LIGHTING FIXTURES 5 00 LGT 9 75 TOTAL FEES 62 85 01/11/05 JK 07/10/05 OWNER- TEL NO VI-MAL By CODE LAM MICHAEL (626) 319-2390- 502O SULTANA AV - ' TEMP 917803046 , ELECT KCAL FOR ADDITION. APPLICANT TEL. NO SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR TEL NO APPROVALS DATE INSPECTUMEWMaT— SAME AS OWNER - LIC NO TSP-POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEE'_0' UFFR GROUND LIC. NO ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N - _ - - REPORT ID DPR265 ROUTE TO 850506 �, COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0503160008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE5029 AV FEE DESCRIPTION QUANTITY LION: AMOUNT TEND CAL TANA UA917803046 ASSE IR INFORMATION NUMBER- NEAREST CROSS STREET: PENTLAND 5388-021-009 Al PERMIT ISSUANCE FEE -- 27.75 THOMAS PAGE: 596 GRID: H5 LOCALITY TEMPLE CITY, C G1 OUTLETS-LGT,SN RECP 4 00 OUT 7.80 G2 LIGHTING FIXTUES 6 00 LGT 11.70 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON JA HEAT PUMPS +3-10HP 1.00 HT 19.65 03/28/05 JK 09/24/05 TOTAL FEES 66.90 OWNER: TEL. NO = FINAL BY: CODE LAM MICHAEL (626) 319-2390- / 1 — 502� SULTANA AV TEMP 917803046 UttiLKIP11UN Ut WURK ADD 1 OUTLETS, 2 LIGHT FIXTURES 8 1 HEAT PUMP APPLICANT: TEL. No: SAME AS OWNERCONTRACTOR: TEL NO APPROVALS DATE INSPECTOR SIGNATURE - SPECIAL CONDITIONS SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: No UFER GROUND LIC NO ROUGH CONDUIT ROUGH WIRING RxnruffcFrTmr- PLASTIC Y/M METAL Y/M UTILITY COMPANY MOTIT M REPORT ID: DPR265 ROUTE TO. BS0508