Loading...
HomeMy Public PortalAbout5057 SULTANA AVE_Electrical__ Aoep-ctdbe 1n0 APPLICATION FOR EL AL PERP41T ` COUNTY OF LOS ANGELES DEPARTMENT OR COUNTY ENGINEER BUI LD INO SUfLDING AND SAFETY DIVISION ADDR eSs O UL A JOHN A LAMBIE COUNTY ENGINEER LOCALITY COLEMAN W J NKINB L C1 FOR APPLICANT TO FILL IN NEAREST CROSS ST L OUTLETS owNeR ,[� RECEPT s S MAIL ADOREBB LIGHT_ TOTAL FIRST 20 20 Z OVER 20 CITY TEL NO SWITCH_ 10 PLAN CHECK LIGHTING l TOTAL FIRST 20 20 APPLICANT TIF TURES OVER 20 10 ADDRESS APPLIANCES CITY TEL NO PERTMNOE_ORYER_WTR HTR APPL'I'CANT APPCR L !L STA COOK_OISP_F A U — ADDRESS 13 .2 f�IYT/,Y&7-VfY SPACE HTR AIR GOND CITY (- A TEL 14051'f57'74-6 CLOTHES WASH DISHWASH _ LICENSE NO CLASS CjC) FAN—OTHER 100 1 H[R[SY ACKNOWL[DO[ THAT I HAVE READ THIS APPLICATION AMD RRf TXAT TH[ ASOVC IS CORRECT AND AOR[[ TO COMPLY MOTORS, TRANSFORMERS RATING WIT" ALL COUNTY ORDINANCES AND [TAT[ LAWS REGULATING IND H[AT[RS, ETC HP KW RVA ELECTRICAL WIRING ll[[ a TYPE OVER TO 1 NSEDSY CERTIFY THAT I AM PROPERLY R[SI■T[R[O AND/OR O — 1 IDU CALMED AS 4100THAT BY LOS LEGAL COUNTY AND STATE OF GASIFORM IA OR THAT IAM THE LEGAL OWNER OF AND IMT[MO TO 1 — 10 t00 R[t10[ IN, THE ABOVE DESCRIBED nLtl D[MTIAL PTROPC T SIGNATURE 10 — 80 500 OF PERMITTEE 80 – 100 IODo w DurRlcr Ho cuu anouP [o"e of SEn By 0 100 – 8OO 1500 SIGN, GAS SIGN AND ONE CIRCUIT 800 NOTES = C y TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 100 SERVICENOTOVER BOO VOLTS OR200AMP job ZOO B ERVI CE OVER 600 VOLTS OR 200 AM P 500 APPROVALS DATE INSP[CTOIYS SIGNATURE TEMP POWER POLE TEMP SERVICE POLE, &APPURTENANCES 3 D UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM !00 ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES h POWER AUTHORIZED •/ PLAN CHECK FEE (50%. PERMIT FEE) UTILITY CO NOTIFIED PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL JOSEPH C ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINE PLAN CHECK VALIDATION CA M 0 CASH PERMIT VALIDATION CK M o CAS. ft Ier_ s1y8�— 1 206.225- SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE I • �" 7EASe3-CLS OB I1/T0 APPLICATION FOR ELECTRICAL ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER AooRHSS T0S No A z_ I A BUILDING AND SAFETY DIVISION COLEMAN W JENKINS. SUPIRRUPITIENCHRIMT OF BUILDING LOCALI TV NEAREST IIC1Y FOR APPLICANT TO FILL IN CROSS ST ( 1 1 V OUTLETS NO FE OWNER Ly Ar RIIA�G RECEPT_ $ S MAIL LIGHT_ TOTAL FIRST 20 y ADDRESS s AHt- CITY TEL NO SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FI% 10 OVER 20 ADDRESS TURES APPLIANCES CITY TEL NO PERMIT !"� C7-Pt G RANGE_ORYERHTR__WTR APPLICANT U C"L STA COOK DISP_F A U _ ADDRESS yt,ty //y&� N D SPACE HTR AIR COND CITY a TEL NO CLOTHES WASH DISHWASH _ LICENSE NO CLASS C/D FAN OTHER / 100 /IBQ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AHD STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCE! AND STATE LAWS REGULATING IND HEATERS ETC HP KW MVA ELECTRICAL WIRING SIZE S TYPE OVER TO IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICE NBE° AS REOUIR ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 1 - 10 300 RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY CL p 10 - 50 500 SIGNATURE T L? OF PERMITTEE K 50 - 100 1000 DISTRICT NO CLASS ION PRO CE O ,00 _ 500 IB DD p C G, SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES h TUBE OR ? MARQUEE ADDITIONAL CIRCUITS 100 SERVICE NOTOVER 600 VOLTS OR 200 AMP 300 IN APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 10 TEMP POWER POLE TEMPSERVICE POLE &APPURTENANCES 500 UNDERSLAS WORK TEMP LIGHT OR RECEPT SYSTEM 300 ROUGH CO NDIUT WIRING FIXTURES POWER AU T MUNIZED PERMIT FEE (SUB TOTAL) UTILITY CO NOTIFIED PIAN CHECK FEE FINAL PERMIT ISSUING FEE 300 ,?a6 JO EPH C ROOHAN TOTAL FEE V SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATIONDKA M O CASH PERMIT VALIDATION CK M 0 CASH 1 4 . 1 3 6"S5� JUL 1 2 2 D 4.00- `1 1 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE I'� hRKEthat COMPENSATION DECLARATION 63 tO,B, APPLICATION FOR ELECTRICAL PERMIT J.hereb� that I have a certificate 8te of consent to self � 06G insure y a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lob C ) Policy No Company C/"'hT F " FOR APPLICANT TO flU IN 2D SS © N /` RECertified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE !"' ❑ Certified copy is filed with the county budding inspec- 18 2-Family Sq Ft $ — >; LOCALITY Q bon deportment Multi-fomrly Sq Ft — CROSS ST NEAREST Residential Swimming Pools OWNER OR / )\ �� Dote Applicant \, , FIRM NAME L.x 75, CERTIFICATE OF EXEMPTION FROM WORKERS � �., MAIL COMPENSATION INSURANCE Outten RecLight $w_ ARESS 114'r - COMPENSATION section need not be completed If the work involved by 7 Fust 20 DD the permit Is for one hundred dollars($100)or less) Total No Additional CIN G/77 P. G L Tel Not 1 certify that in the performance of the work for which this RAN CHEO( s permit is issued I shall not employ any person in any manner APPLICANT so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS 2' �tr �� tQ��' �_ Additional CITY Tel No Q O Total No Date pIf aft Fixed Appliances Not Over I HP , PERMR NOTICE TO you should T 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 —W H — deemed revoked Hood _ Fon —Other— CITY Tel Nos Q LICENSED CONTRACTORS DECLARATION I herebyaffirm that 1 am licensed under Dnp — Room Air Cond LICENSE OR 41 2 Class provisions of Ch ter 9 REG NUMBER (commencingProfessions with Section y tic of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCE Il and Professions Code and my license is in full force and effect 7Q Size 8 type HP KW KVA w T KVAR ..I tiT U License Number y/>s �2 Lic ClassQ' Up to 1 Incl DAAO Contractor 121'&L � L,egibbte ?� Over 1 to 10 Incl � U �P ! Over 10 to 50 Incl VAIID ON ❑ LLI I am exempt under Sec Over 50 to 100 Inc BY AL rt B&P C for this reason Over 100 Z Dote Services, Swbd , MCC&Pontsbcards 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Over IDOO Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit �3 9 a 8 A I hereby off um that I am exempt from the Contractors License # e e e e e 'Z t Law for the following reason (Section 7031 5 Business and Additional Sign Branch Circuits `� T o Professions Code) e e t O 8 ❑ I as owner of the properZ ty will do the work and the Mise Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ► - O 2 0 5 T 8 6 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there iso construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097 Civ 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 AO _ above information is correct I agree to comply wdh ojl County ordinances,and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon , the o v entioned prop y for inspection purrp�o ]_r�r SEE REVERSE FOR EXPLANATORY LANGUAGE I �I.1/L�/� t G //'�7' r' Signature of Permittee Do WORK COMPENSATION DECLARATION ,720 ODIQ6AS63 DPW„2 B„ APPLICATION FOR ELECTRICAL PERMIT I haroby affirm that I havehave a certificate of consent to self insure or a tertlNcate•of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800LabC) Policy NO /3 a4�•>' Ent pony�/`r'T� �� POB APPLICANT TO FILL IN 108 13-0 t� Certified copy is hereby furnished New Residential Bldgs 8 Pools NO EACH FEE ADORESS LOCALITY ❑ Certified copy is bled wrt11 the county budding inspection 1&2 Family Sq Ft — $ S department Muth family Sq Ft NEAREST 6T Dote Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL r CERTIFICATE OF EXEMPTION FRO ERS Outlets �[ FOvn4WIME COMPENSATION INSURANCE y a 7� (This section need not be completed It the work Involved by the permit le Tor one hundred dollars(SIOD)or lees) Total o Additional a'✓� D ADDRESS I certify that In the performance of the work for which this permit CITY _ TO No is issued I shall not employ any person in any manner so as to become Subject to the Workers Compensation Laws LightingTwo] Fi First io PUN CHECK APPLICANT CIL� �� p�� Total N Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP ee NOTICE TO APPLICANT If after akin this Certificate of O� D CITY TO Ne Exemption you should become subject to the orkers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Lobar Code you must forthwith comply with such PERMIT y provisions or this permit shall be deemed revoked Power Apparatus 8 targe Appliances APPLICANT a C(T� LICENSED CONTRACTORS DECLARATION Size 8 Type HP KW KVA or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl {L7 (commencing with Section 7000) of Division 3 0l the Business and CITY (71 TN No jH L Prolesaions Code and my license is in lull force and effect Over 10 to 50 Ind Over 50 to 100 InclREG ENNUTAOR , L- a Lrarule Number Lw Clew v Over 100 DI3rRK7 NO � PGSSED BY , O Services Swbd MCC&Panelboards cc Contractor Date 0 399Amp Under 600 V FINAL O ❑ DATE F 400 1000 Amp Under 800 V I am exempt under Sec Over 1000 Amp or Over 600 V LI VADATION W B 8P C for this maiBRANCH CIRCUIT FEES /B NAL 0- Date ^ V :Jqq 1 S or 20A 120V Lighting or Recept - ♦ ' Z 1 To 10 Branch Circuits S Oneture 11 To 40 Branch Cecuds ❑ 41 Or More Branch Circuits Exemphon for Reg Maint Elect ISA 20A 208V To 277V LightingBr Circuit L SINGLE FAMILY Temp Power Pole 8 Appurtenances A HOME OWNER BUILDER DECLARATION Sign with Orre Branch CircuitA�CC^T�.. I hereby affirm that I am exempt from the Contractors License Law !J 103.10 for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits Code) 1 Imre ❑ I as owner of the property will do the work and the structure Mise Conduits 8 Conductors TOTAL. 103. 10 is not intended or offered for sale (Section 7044 Business Omer(Sao Complete Fee Schedule)_ , F and Professions Code) �MV 103.10 CONSTRUCTION LENDING AGENCY CHAWK .00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac 3087 PERMIT FEE (Sub Total) D Civ C) _PLAN CHECKING FEE OM–Mol 3/12J Lander s Name 5252 1 AM $c59 PERMIT ISSUING FEE Lander a Address I Dandy that I have read this application and under penalty of puqury Mate TOTAL FEE that the above information is correct I agree to comply with all County ordmances and State laws regulating Electrical mining and hereby authonze represantMrves of this County to enter upon the ab�boned property IJP for Ins pe purposes SEE SEE REVERSE FOR EXPLANATORY LANGUAGE 1 exi URE nF PERY E DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9806180003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA • PHONE (818) 285-0488 EMT LEGAL ID FEES PAID BUItDIW97MffM-- ON FILE 5057 SULTANA AV FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917803046 ASSESSOR INFORMATION NL14BER NEAREST CROSS STREET PENTLAND 5388-020-016 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY TENANT GI OUTLETS-LGT,SW,RECP 7 DO OUT 13 65 G2 LIGHTING FIXTURES 2 QO LGT 3 90 ISSUED am PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 45 30 06/18/98 06/18/99 OWNER TEL NO Ninibm FINAL 6 1I � �L�C BY CODE KENNY,JULIAN A (626) 287-8227- TR 5057 SULTANA AVE TEMP 91780 DESCRIPTION OF WORK ELECTRICAL FOR NEN GARAGE APPLICANT TEL NO SAME AS OWNERCONTRACTOR ItL - SPECIAL CONDITIONS 5�GELES COO APPROVALS DATE INSPEEW-grCRUME— SAME AS OWNER - VQ yTY LIC NO TEMPORARY POWER POLE UNDERGROUWD CONDUITARCHITECT OR ENGINEER TEL Nu UFER GROUND1 LIC NO ROUGH CONDUIT ROUGH WIRING U o L�C� TV(0 RRI 3 � PLASTIC Y/N METAL Y/N l UTILITY COMPANY NOTITM O 0 ' `b(�e ServEl That�oi REPORT ID DPR265 ROUTE TO BS0508