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HomeMy Public PortalAbout5062 SULTANA AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERM DEPARTMrVISION O OF COUNTY ffi7G1NP.EH ELECTRIC 1 DIVIRIAM . F X, COUNTY 6 SAFETY WWdAM . P COUNTY ffii6IN!?>38 FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO ELECTRICIAN S .L T `�{ 3 L ADDRESS O /V. RK READY FOR DA IBB ED FIRST INSPECTION CITY � C T L O O O TV ICS N BUILDI / PERIIQ'P FEES A.... SD Z N. S4 / / NUMBER EACH FEE 4 LOCALITY / ` LIGHT OUTLETS NEAREDT Q / RECEPTACLES WALL SWITCHES OWNER 'C . TOTAL OUTLETS ys _ ELEC RANGES ES ADI RBS, 'S 77 y ELEC HEATERS !S / FIXTURES S ITY P 1- TEL NO �- mlec 1 HEREBY ACKNOWLED THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER RECEPTACLE y AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT 1 POSBESS THE ABOVE VALID Nu1mM1 HOROMPOWIER FEE ` ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER N!W Mw HP ovot IHC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE e tllt 111 !S SIGNATURE OF _ itPERMI SO TT Y S 1 00 INSP as N RECORD S IS 1 60 11 SO ! SO Go af&. SO !00 S DO Aha L AID Y� d-�- 200 000 t0 00 X Q K J Soo 1000 IS 00 A Z OVER 1000 90 00 0 M 0 BET/FREQ CHANOER-HP Q; WELDERS AC-KVA O GENERATORS-KW TRANSFORMERS-KVA TEMP MOTORS 7 of oma MOVED MOTORS (75or onto MISC SIGNS NO NO TRANS AMIMPLLR NO. NO LAMPS FOR EACH PERMIT, DATE INGPECTOR'S NAME WIRING •1 00 CONDUIT FIXTURES S122 QVWIRING ES TOTAL FEE SZ Y CO NOTIFIED 4 L TM�O WPf M Mt! COUNTY OF LOS ANGEM APPLICATION FOR PEBNIIT DEPARTMENT OF COUNTYENGQiEEH ELECTRIC 1 DIVISION NGG 6 SAFETY W1LI.IANQ 1.. FOX =I, COIICOLIN7Y Efi6INF�S FOR APPLICANT TO FILL IN DISTRICjNO GROUP ZONE PERMIT NO ELECTRICIAN --;27 13 VS ADDRESS R 1 READY FOR DA 160 FIRST INSPECTION r)1 CITY TEL NO w' C CXI COU LICENSE NO AD - PERMIT FEES DR '7 Q N, �-• NUA409RIKACH ram LoeAun LIGHT OUTLETS NEAREST RECEPTACLES -! WALL SWITCHES L J OWNER �•� TOTAL OUTLETS ` y 0c MAIL W EC RANGES IIS ADDRESS Sd �' A11 RLEC HEATERS 426 —;r 1� Sa FIXTURES - B CITY TEL NO —4'7 24 M SC i- 1 HEREBY Ac"owLxDGR/rHAT 1 NAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -NUMBEROF RECEPTACLA,CIRCU ITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS ` I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUN MR HORSEPOWER FEE ANGO-M COUNTY LICEMBE OR 1 AM THE LEGAL OWNER N. Mw HP ovine I INC OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE L - - e Ilp t IIS SIGNATURE OF PERMffT � � 1� IIIiSPECTI SD 15 so 4250 ! So aoo B 00 200 BOO l0 00 J BOO 1000 fe 00 Z OVER 1000 a0 00 M O SET/FREQ CHANGER-HP WELDERS AGKVA O GENERATORS KW TRANSFORMERS-"A TEMP MOTORS (75OP oma MOVED MOTORS (73% 01 CRla I Mlec SIGNS ` NO NO TRANS APP80VAI$ NO NO LAMPS FOR EACH PERMIT DATE I NeFECTORy NAME n WIRING 61 00 llid9CONDUIT FIXTURES $1 00 WIRING B PPLEMENTARY BO FIXTURES POWER TOTAL FEE 6 UTILITY CO NOTIFIED 14 1 V1 I FINAk 7"a OR" M rPa ` _firm that I CO a certAT"Nicate DECLARATION CE 06D 10va1 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate d convent to self Insure oHcertificate of Workers Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NP FOR APPLICANT TO FILL IN JOB J v ❑ ,Carted copy a hereby furnished New Residential Bldgs &Pods EACH NO FEE ADDRESS rd 1 & 2-Family Sol Ft 3 — S LOCALITY/nt ST Multi-termly Sq Ft D�NEARET _ Applicant Residential Swimming Pools OWNER OR '\ FIRM NAME CE FIGATE OF EXEMPTION FROM WOR S - MAL COMPENSATION INSURANCE Outlets Ret—Light _ Sw ADDRESS (Tho t Is fol need runt be completed It the work IrwdFirst 20 tt ved by the Permit le/; one hundred dollars(5100)or lees) Total No Additgnel GfTV Tel No I certify that in the performance of,the work for which this permit PLAN CHECK } Is Issued 1 shall not employ any person in any manner so as to APPLICANT become subject to the Workers Compensation Lewis Lighting Fixtures First 20 - ADDRESS Tote)No Ackinonal CITY Tel No Date API Feted Appliances Not Over 1 HP NOTICE TO•APPLICANT If after making this Certificate of ' Exemption you should became sublect to the Workers Compensation Range_ Hester_ DW _ APPUCM1 P-64 ,prowsens of the Labor Code you must forthwith comply with such Oven _ Dryer _ W M _ ADDRESS _ provisions or this permit shall be deemed revoked Top — FAU _ WH LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ CRY114- �d I hereby affirm that I am licensed under provisions of Chapter 9 Dian _ Room Air Cord LICE SE BOR ER (commencing with Section 7000) of Division 3 d the Business and REG Profeseana Code and ry license 6 1n full force and effect DISTRICT NO , n PROCE ED Power Apparatus& Large Appliances moo( i 57 7� Size d Type HP KW,KVA or KVAR License Number n+ .� Class Up to 1 Ind FINAL Contract; to Or 1 to 1IIn DAA / VAuDAT10N Ow50 r 10 to 50 Ind Fl ❑ 1 am exempt under Sec r Over 50 to 100 Inc gy _ W BBPC for this reason Serv�an Odor 100 f N i DatUnder J Z n-200 Amp 600 V Signature 201 - 1000 Amp V Over 1000 Amp or Over 600 V E] Exemption f;Rag Meir» Elect _ SINGLE FAMILY Temp Power Pole& Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch CmrCuit 1 hereby affirm that I am exempt from the Contractor License Law ACCT. for the following reason(Section and 7031 5 Business aProfessions Additional Sign Branch Circuits Code) 33W 25.50 ❑ I as owner of the property well do the work and the structure Misc Conduits &'Conductors 1 �TrYI is not intended or offered for sale (Section 7044 Business " (See Complete Fee Schedule) and Profass,ons Code) - ► TOTAL 25.50 CONSTRUCTION LENDING AGENCY OECK 25.50 I hereby affirm that there is a construction lending agency f; the ( � Nryf� performance,of the work for which this permit is issued(Sec 3097 PER rr FEE (Sub-Total) -•'^'� ew Civ C) PLAN CHECKING FEE 00M-0001 6/29/89 Larders Name ' ; , PERMIT ISSUING FEE _ Lenders Address 4249 1 AN101121 I certify that I have read this application and state that the above TOTAL FEE information s correct I agree to compty with all County ordmainces and State egWetmg Electrical wining and hereby authorize repoisairtativvt 4 this County to enter upon the above-mentioned props for t n Pu s ' - SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of mittee Date + WORKERS dre arceSAost4 ofDECLARATION 7sA6e3 ,q,a, APPLICATION FOR ELECTRICAL PERMIT I hereby a11rtm that I have �certrficate d consent to seH inwxe �eoeO ' or a certificate p1 Worker3 Compensation Irmurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800 Lab C) Policy Ne'' 1 T6SS•OomPanyk_ -Al"d FOR APPLICANT TO RLL IN JOB Cl Certified copy is hereby furnishedEACH NO - FEE ADDRESS New Residential BWgs 8 PooW rEp Certified copy rs filed with the my builds inspection 1 8 2-Family Sq Ft t Multi-famay Sq FtGROSS ST Date scent Readentel Swimming Pools ,OM1 R OR �1 • FIRM NAME gnh .1202 C RTIFICATE OF EXEMPTION FROM WORKEIC Outlets Rex— Light —Sw ` MAIL — COMPENSATION INSURANCE - - ADORE59� (This section P work need not be completed the Invlve od by the First 20 permit Is for one hundred dollars,($100)or lees) Total No Additional CfTY Tel lj PLN! ,4 HECK I 00" that m the performance of the work for which the penin - ALIGNT l'PNT is issued I shall not employ any person in any manner so as to become aubdad to the Workers Compensabon Levee Lighting Fixtures First 20 ADDRESS - - v Total No Additional CITY Tel No Date Applicant NOTICE TO.•APPLICANT If after making the Certilwate Of Foxed Appsences Not Over 1 HP PERMIT Exemption you should become subtect to the Workers Compensation Range— Hester— DW — povemns of the,Labor Code you must,forthwith comply with such Oven _ Dryer WM — J ADORE / _ prpvtsgn9 cur the permit shell be deemed revoked Top — FAU W H _ J CITY Tel No LICENSED CONTRACTORS DECLARATION Hood — Fen Other_ I hereby affirm that I am Licensed under proveiore of Chapter 9 Dee, _ Roan Air Cord LICENSE OR C7.7 (cormmertortg with SWM 7000)of Dww 3 of the Business and REG NUMBER J 8 Prdeserore Code and my license exin full force and effect DISTINCT NO PROCESSED BY Power Apparatus& Large Appliances ✓CT NO O Q �'7� Size&Type HP KW KVA or KVAR License Number r+.�.7�C Lc Class v UP to 1 Ind FINAL zI �� ,,/r ? Over 1 to 10 Incl DATE VALIDATIO ..��jj��vyCC N Q Contractor�L.. Date. Over 10 to 50 Ind FINAL C~7 ❑ 1 am exempt under Sec !' Over 50 to 100 ktc BY _ W .B&PC for this reason Over 100 a Data Services Swbd MCC& Panelboards 0-200 Amp Under 800 V Signature 201 - 1000 Amp Under 800 V Over 1000 Amp or Over 800 V ❑ Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole& Appurtenances /2 HOME OWNER-BUILDER DECLARATION Sign wwth One Branch Cimot , n4YTe� I hereby affirm that I am exempt from the Contractors L snse Lew forh following reason(Section 7031 5 Business and Prolesswns Additional Sign Branch Circuits 21 .00 ❑ I as Owner of the Property w•1l do the work and the structure Mac Conduits& Conductm 1 ITE Cy.U e not mtaded or offered for sale (Section 7044 Business , • Other (See Complete Fee Schedule_) , A y - O O and Pmlessxona Coda) MCHECK� 6 1 `L 0 W CONSTRUCTION LENDING AGENCY �^ M�lwAaAvyry y1� I hereby affirm that there is a constructwn lending agency for the �,Fyy7� 00 performance of the work for which the permit is Issued(Sec 3097 PERMIT FEE" (Sub-Total) - - -• CN C) , PLAN CHECKING FEE MOD- wit+ L yrtt� Larders Name wAI,VV"'lWUA VI`w o7 PERMIT ISSUING FEE 4172 1 AM pj3 Lenders Address �Yt V I certify that I have read the application and stele that the above TOTAL FEE information is carred I agree to comply with all Gcunty ordinances , and State laws regulating Electncal wining and hereby authorize rePresentetrse the County to ender upon the abov menhwxed Property far on purposes • SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of permittee br DatA COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0304020007 1 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G 91780 PHONE: (626) 285-0488 EXT LEGAL ID: thhti PALI) BUILDING ADDRESSi 1 ON FILE 5122 SERENO DR FEE DESCRIPTION QUANTITY. UOM AMOUNT TEMP G 917803039 ASSESSOR INFORMATION KLKBFR NEAREST CROSS STREET: SULTANA 5388-011-024 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID- H5 LOCALITY TEMPLE CITY E1 TEMP SERV POWER POLE 1 00 TMP 43.65 TENANT. TOTAL FEES 71.40 ISSUED ON PROCESSED BY: PLAN BY: EXPIRES ON 04/02/03 JK 9/29/03 OWNER TEL FINAL DATE FINAL BY CODE STEPHEN HONG, ALEX - 13023 VICTORIA `T Z" -pq HOLLYWOOD TPP FOR 6 UNIT COMDO PROJECT-TR53003 APPLIUMT TEL NO M & R CONSTRUCTION (626) "4-7115- 2703 PECK RD EL MONTE 91735CONTRAcl tJK TEL N _ "N(3ELES r M AND R XdIE IMPROVEMENT AND APPROVALS DATE INSFECTM-MUfaff— (626) 285-5584- 1\9 MAINTENANCE INC LIC NO .✓� n 2703 PECK RD 771863 B .JI{J 3 I EL MOMTE G 91733 / ARCHITECT OR ENGINEER. TEL NO UFER GROLNID LAND SURVEYING AND ENGINEERING (626) 286-0490/ / 8369 WENDER ST LIC MO ROUGH CONDUIT SAN GABRIEL, G 91775 25255 _ �� ROUGH WIRING G U IED) Il G TV PLASTIC Y/N METAL Y/N UTILITY COMPANY WTI I, ��Service Tl�ati� REPORT ID DPR265 ROUTE TO BS0508